Robert L. Barbieri, MD

Article

Effective treatment of recurrent bacterial vaginosis

Author:: Robert L. Barbieri, MD

Publish date: July 1, 2017

The 3 treatment options presented herein may help to suppress the rate of bacterial vaginosis recurrence and improve patients' symptoms as well as ...

Article

Start offering antenatal corticosteroids to women delivering between 34 0/7 and 36 6/7 weeks of gestation to improve newborn outcomes

Author:: Robert L. Barbieri, MD

Publish date: May 5, 2017

Consider the 3 options for offering antenatal corticosteroids in this article.

Article

Treating polycystic ovary syndrome: Start using dual medical therapy

Author:: Robert L. Barbieri, MD

Publish date: March 29, 2017

Many clinicians treat polycystic ovary syndrome with oral estrogen−progestin (OEP) monotherapy. Dual therapy with OEP plus metformin or OEP plus sp...

Article

Why are there delays in the diagnosis of endometriosis?

Author:: Robert L. Barbieri, MD

Publish date: February 28, 2017

As leaders in women’s health care, we can do much more to improve the timely diagnosis of endometriosis in women with pelvic pain Endometriosis is ...

Article

Women’s Preventive Services Initiative Guidelines provide consensus for practicing ObGyns

Author:: Robert L. Barbieri, MD

Publish date: January 31, 2017

In a remarkable demonstration of collaboration and unity, 21 independent major health organizations have reached agreement on 9 high-priority women...

Article

Long-acting reversible contraceptives and acne in adolescents

Author:: Robert L. Barbieri, MD

Publish date: January 4, 2017

How should you manage acne in an adolescent seeking progestin-based long-acting reversible contraception (LARC)?Examining the impact of contracepti...

Article

Management of wound complications following obstetric anal sphincter injury (OASIS)

Author:: Robert L. Barbieri, MD

Publish date: November 29, 2016

The 3 steps described here—demonstrating the modern approach to managing an infected wound dehiscence following a severe perineal injury—can put pa...

Article

Do you utilize vasopressin in your difficult cesarean delivery surgeries?

Author:: Robert L. Barbieri, MD

Publish date: October 31, 2016

Gynecologists often use vasopressin to reduce surgical blood loss. Far fewer obstetricians use the same drug during difficult cesarean delivery sur...

Article

Have you measured lactate in your sick obstetrics and gynecology patients during the past year?

Author:: Robert L. Barbieri, MD

Publish date: September 28, 2016

Measuring lactate can facilitate the rapid identification of the sickest obstetrics and gynecology patientsLactate measurement is widely used in em...

Article

In which clinical situations can the use of the 52-mg levonorgestrel-releasing IUD (Mirena) and the TCu380A copper-IUD (ParaGard) be extended?

Author:: Robert L. Barbieri, MD

Publish date: August 30, 2016

For women older than 35 years, the 52-mg levonorgestrel-intrauterine device (LNG-IUD) may be effective for up to 7 years and the TCu380A copper-IUD...

Article

Protecting the newborn brain—the final frontier in obstetric and neonatal care

Author:: Robert L. Barbieri, MD

Publish date: August 2, 2016

For newborns with encephalopathy, therapeutic hypothermia can improve brain function and long-term developmental outcomes. For ObGyns, being a part...

Article

Stop using rectal misoprostol for the treatment of postpartum hemorrhage caused by uterine atony

Author:: Robert L. Barbieri, MD

Publish date: July 1, 2016

For women who experience a postpartum hemorrhage, and already have received oxytocin as part of routine obstetric care, prioritize the use of paren...

Article

Start offering aspirin to pregnant women at high risk for preeclampsia

Author:: Robert L. Barbieri, MD

Publish date: May 2, 2016

Aspirin 81 mg daily, initiated at 12 weeks of pregnancy, modestly reduces preeclampsia risk for women with multifetal gestation, chronic hypertensi...

Article

Intractable shoulder dystocia: A posterior axilla maneuver may save the day

Author:: Robert L. Barbieri, MD

Publish date: April 5, 2016

My preferred posterior axilla maneuver is the Menticoglou maneuver. Here, a look at your options and steps to delivery.

News

Can we solve the problem of inadequate contraception for women at high risk for adverse pregnancy outcomes?

Author:: Robert L. Barbieri, MD

Publish date: February 3, 2016

There’s a nationwide gap in contraceptive services—many reproductive-aged women with serious medical problems are not receiving adequate contracept...