Registration Benefits.
New user?
Comparison of Transverse and Vertical Skin Incision for Emergency Cesarean Delivery
News & Events: Stay Informed
Learn how the media and healthcare industry are covering the development of ob hospitalist programs.
------------------------------------
Over the last few months, your editor has changed the news articles somewhat by adding more clinical articles and not only confining the news to the business of OB/GYN hospitalists. To make things more pertinent, there will now be comments. As always, I would appreciate feedback.
Also, I would encourage your comments about existing articles or suggestions for news or clinical studies that have been overlooked.
Over the last few months, your editor has changed the news articles somewhat by adding more clinical articles and not only confining the news to the business of OB/GYN hospitalists. To make things more pertinent, there will now be comments. As always, I would appreciate feedback.
------------------------------------
Comparison of Transverse and Vertical Skin Incision for Emergency Cesarean Delivery
EDITOR: CONCLUSION - In emergency cesarean deliveries, neonatal delivery occurred more quickly after a vertical skin incision, but this was not associated with improved neonatal outcomes.
Vaginal Birth After Cesarean: New Insights on Maternal and Neonatal Outcomes
EDITOR: There are no really new insights in this article, however, it does summarize a much larger set of data. The bottom line is that it is safe to try VBAC.
Labor Induction With a Foley Balloon Inflated to 30 mL Compared With 60 mL: A Randomized Controlled Trial
EDITOR: This is another article which concludes using 60 mL balloon is more effective than 30.
Evaluating Risk-Adjusted Cesarean Delivery Rate as a Measure of Obstetric Quality
EDITOR: This article shows that this C-section rate alone is not a good measure of obstetrical quality.
Beyond Negligence: Administrative Compensation for Adverse Medical Outcomes
EDITOR: This is a comprehensive article which outlines alternatives to the legal system of medical malpractice. It is worth reviewing.
The Future of Hospitalists
EDITOR: This 2 1/2 minute video illustrates what we need to do with our new OB/GYN hospitalist special interest group.
Ob-Gyns Support Growing Trend of Hospitalists
The rising number of ob-gyn hospitalists in the US holds promise for benefiting both patients and physicians while also maintaining safe and effective care, according to a new Committee Opinion issued today by The American College of Obstetricians and Gynecologists and published in the July issue of Obstetrics & Gynecology. Although there are potential limitations to ob-gyn hospitalists, there are many benefits to patients, hospitals, ob-gyns in practice, and the hospitalists themselves.
Internal Tocodynamometry Disappoints in Large Trial
EDITOR: Another study from the Netherlands. I think most of us only use the internal pressure transducer in limited clinical situations. This study seems to show little added benefit in most cases.
Waiting as Good as Inducing Labor for IUGR
EDITOR: This is worth reading and thinking about but is from the Netherlands and I bet they do not have our malpractice problems.
Cochrane Data: Food, Water in Labor OK in Low-Risk Women
EDITOR: This study illustrates the historical belief of withholding food and fluids during labor was necessary to be safe. With modern anesthesia, and epidurals, patients can now choose to eat or drink if they wish, but only if we change our standard orders.
Simulation Training Is Key to Patient Safety
EDITOR: I have participated in and learned much from simulation training. I am an enthusiast.
Labor Induction: Upping Catheter Inflation Helps
EDITOR: This is a nice clinical tip to inflate the foley catheter to 60 cc instead of 30cc.
Legal: Postpartum atony results in hysterectomy
EDITOR: This is a scary report illustrating when it's going to be a bad result be sure to document your clinical judgments , timing, and bring in more colleagues for a second opinion.
LEGAL: Retained sponge after cesarean delivery
EDITOR: I believe it is important for the doctor to dictate that the sponge in the account are correct in the operative report. In the last year with now counting sponges at vaginal births, I also now dictate that sentence in my delivery reports.
Nosebleeds are associated with greater risk for postpartum hemorrhage
EDITOR: A 20% rate for nosebleeds is higher than I would've expected but I normally do not ask. If these results are repeated, perhaps we should be paying more attention to the association of nosebleeds and postpartum hemorrhage.
Pregnancy outcomes among women with inherited thrombophilia polymorphisms
EDITOR: Another study showing this complicated problem is very important for all of us to be paying attention to inherited thrombophilias.
Endometriosis linked to adverse pregnancy outcome
EDITOR: This Swedish study is fascinating. I was not aware of a link.
Route of delivery and neonatal birth trauma
EDITOR: This is an interesting study which shows a surprising high rate of trauma associated with cesarean section. It also shows the limitations of statistical analysis of large groups of data.
Vaginal cleansing before cesarean delivery to reduce postoperative infectious morbidity: a randomized, controlled trial
EDITOR: It is not significant because of the small numbers but it's interesting nonetheless.
