OB/GYN Clinical Alert – April 1, 2005
April 1, 2005
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Non-Invasive Prenatal Diagnosis Screening
Non-invasive prenatal diagnostic screening has become a hot topic of late. Large studies from England, Europe, and now 2 from the United States have borne out the efficacy of first trimester ultrasound determined nuchal translucency (NT) testing, with or without additional information provided by first trimester biochemical analysis (beta-hCG and PAPP-A). -
Does Practice Make Perfect?
Choudhry and colleagues sought to establish the relationship between quality of care with clinical experience by reviewing 62 articles that measured physician knowledge or quality of care as well as time since medical school graduation or age. -
Does It Matter How Ovaries Removed Prophylactically Are Processed Pathologically?
A rigorous operative and pathologic protocol for RRSO increases the detection rate of occult ovarian malignancy in BRCA mutation carriers nearly seven-fold. If confirmed, this finding will alter postoperative management because additional staging, chemotherapy, and follow-up may be necessary in affected women. -
The WHI Results on Urinary Incontinence
Conjugated equine estrogen alone and CEE + MPA increased the risk of urinary incontinence among continent women and worsened the characteristics of urinary incontinence among symptomatic women after 1 year. -
The Length of Third Stage of Labor and Risk of Postpartum Hemorrhage
A third stage of labor longer than 18 minutes is associated with a significant risk of postpartum hemorrhage. After 30 minutes the odds of having postpartum hemorrhage are 6 times higher than before 30 minutes. -
Validating Intraoperative Pathology: Frozen Section
The accuracy of frozen section diagnosis for the assessment of the ovarian mass is good, with acceptable sensitivities for almost perfect specificities. Future studies on patient preferences for the different outcomes, as well as economic analysis, are needed for definite position of this diagnostic technique. -
Pharmacology Watch: Preparing for the Possibility of a Bird Flu Pandemic
Amoxicillin-Clavulanate vs Ciprofloxacin; AD Therapy and Cognitive Function; LDL Lowering in CHD Patients; FDA Actions -
Clinical Briefs in Primary Care supplement