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What is optimal hormonal treatment for women with polycystic ovary syndrome?
In my practice, I commonly prescribe 3 hormone treatments for PCOS: combination estrogen-progestin contraceptive, metformin, and spironolactone....
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Retained placenta after vaginal birth: How long should you wait to manually remove the placenta?
For a woman with a neuraxial anesthetic, 20 minutes post–birth of the newborn may be the best time to diagnose retained placenta...
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Subclinical hypothyroidism and pregnancy: Public health problem or lab finding with minimal clinical significance?
There is no clear evidence that thyroxine can improve pregnancy outcomes in women with subclinical hypothyroidism
In a US...
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When providing contraceptive counseling to women with migraine headaches, how do you identify migraine with aura?
The diagnosis of aura is not well understood by primary care clinicians. The Visual Aura Rating Scale (VARS) helps non-...
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Why do so many women aged 65 years and older die of cervical cancer?
Many women aged >65 years who are at risk for cervical cancer are not being actively screened, resulting in a high rate of...
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Uterus-sparing interventions to treat postpartum hemorrhage during cesarean delivery surgery
Cesarean delivery is often associated with postpartum hemorrhage. Frequent use of uterine-sparing interventions can help reduce...
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One versus two uterotonics: Which is better for minimizing postpartum blood loss?
A Cochrane network meta-analysis concluded that the two highest-ranked interventions for reducing the rate of postpartum blood...
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Good news for ObGyns: Medical liability claims resulting in payment are decreasing!
Not as good news: Claims settling for a payment of greater than $1 million are increasing
Medical professional liability...
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Screening and counseling interventions to prevent peripartum depression: A practical approach
After successful implementation of screening for perinatal depression, the USPSTF is recommending a new approach: screen for...
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What is your approach to the persistent occiput posterior malposition?
One of the peskiest problems in labor obstetrics is the persistent OP position
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How do you feel about expectantly managing a well-dated pregnancy past 41 weeks’ gestation?
Most women with a well-dated pregnancy should be offered the option of induction of labor before or at 41 weeks’ gestation
...
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Maternal health benefits of breastfeeding
Diseases highly prevalent among women include type 2 diabetes, hypertension, and coronary artery disease, as well as breast, ovarian, and...
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Elagolix: A new treatment for pelvic pain caused by endometriosis
Two doses of elagolix are now FDA approved for treatment of pelvic pain caused by endometriosis. These two doses allow...
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Postpartum hemorrhage: Aortic compression to reduce pelvic bleeding
Although aortic compression generally is not taught to obstetricians as a maneuver to control major pelvic hemorrhage, anesthesiologists are aware...