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5,584 results
  • Is Previous Periacetabular Osteotomy Associated with Pregnancy, Delivery, and Peripartum Complications? [Journal Article]
    Clin Orthop Relat Res 2019Bartosiak K, Stockburger C, … Clohisy J
  • CONCLUSIONS: In this small survey study, we found no differences in terms of complications, preterm delivery or low birth weight infants between patients who had a history of periacetabular osteotomy and normative national data regarding complications of pregnancy and delivery. However, we did note that patients with a history of periacetabular osteotomy were more likely to deliver future children by cesarean section, which could be attributable to obstetrician preference as most obstetricians in another small survey study have expressed concern about patients with a history of periacetabular osteotomy. Future studies should aim to increase the knowledge of the association of periacetabular osteotomy and delivery method, specifically with transition to cesarean for failure to progress during labor. Future consideration of using the Academic Network of Conservational Hip Outcomes Research repository to develop National Surgical Quality Improvement Program data may help to elucidate this relationship more clearly and help guide appropriate indications for scheduled cesarean sections in the setting of prior pelvic osteotomy.
  • The Ob/Gyn and the transgender patient. [Journal Article]
    Curr Opin Obstet Gynecol 2019Jarin J
  • CONCLUSIONS: Given their surgical expertise and experience with hormone management, obstetrician-gynecologists are in a unique position to provide quality healthcare in this population.
  • Common Reasons for Malpractice Lawsuits Involving Pulmonary Embolism and Deep Vein Thrombosis. [Journal Article]
    J Surg Res 2019; 245:212-216Wilson E, Phair J, … Koleilat I
  • CONCLUSIONS: The most frequently cited negligent act was the failure to give prophylactic anticoagulation, even after discharge. The trends noted in this study may potentially be addressed and therefore prevented by systems-based practice changes. The most common allegation, "failure to diagnose and treat," suggests that first-contact doctors such as emergency physicians and primary care practitioners must maintain a high index of suspicion for deep vein thrombosis/pulmonary embolism.
  • Vaginal Birth after Cesarean Section in Taiwan: A Population-Based Study. [Journal Article]
    J Clin Med 2019; 8(8)Ying YH, Linn G, Chang K
  • The rate of vaginal birth after cesarean section (VBAC) is extremely low in Taiwan probably due to the high perceived risk of trial of labor after a cesarean (TOLAC). To promote the benefits associated with vaginal birth, this study provides evidence to potentially assist relevant public authorities adopt appropriate guidelines or optimize health insurance reimbursement policies to achieve a high…
  • Intimate Partner Violence and Women's Health. [Journal Article]
    Obstet Gynecol 2019; 134(3):470-480Lutgendorf MA
  • Intimate partner violence affects 15-71% of women over their lifetime, resulting in significant stress, negative health effects, and negative economic effects. Features include physical and sexual abuse as well as psychological abuse and controlling behaviors such as reproductive coercion or stalking. Intimate partner violence can occur in both heterosexual and same-sex relationships, though the …
  • Health Care Provider Adherence to Surgical Guidelines for Risk-Reducing Salpingo-Oophorectomy. [Journal Article]
    Obstet Gynecol 2019Wilhite AM, Oestreich MC, … Erickson BK
  • CONCLUSIONS: Despite clear surgical guidelines, only two thirds of all health care providers were fully adherent to guidelines. Gynecologic oncologists were more likely to follow surgical guidelines compared with general ob-gyns and more likely to diagnose occult neoplasia despite similar patient populations. Rates of risk-reducing surgery will likely continue to increase as genetic testing becomes more widespread, highlighting the importance of health care provider education for this procedure. Centralized care or referral to subspecialists for risk-reducing salpingo-oophorectomy may be warranted.
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