Obstetrics
Gynecology
Obstetrics and Gynecology Department, Hospital
Obstetric Surgical Procedures
Diagnostic Techniques, Obstetrical and Gynecological
Pregnancy
Insurance, Liability
Internship and Residency
Malpractice
Delivery, Obstetric
Obstetric Labor Complications
Vaginal Fistula
Endometrial Neoplasms
Anesthesia, Obstetrical
Ovarian Neoplasms
Pregnancy Complications
Clinical Competence
Women's Health Services
Family Practice
Students, Medical
Postpartum Hemorrhage
Puerperal Infection
Tocolysis
Genital Diseases, Female
Defensive Medicine
Carcinoma, Endometrioid
Attitude of Health Personnel
Pregnancy Outcome
Prenatal Care
Liability, Legal
Clinical Clerkship
Eclampsia
Perinatology
Physician's Practice Patterns
Work Simplification
Questionnaires
Obstetrical Forceps
Ultrasonography, Prenatal
Puerperal Disorders
Maternal Mortality
Hospitals, Teaching
Alberta
Labor, Obstetric
Rural Health Services
Cystadenocarcinoma, Serous
Retrospective Studies
Education, Medical, Graduate
Professional Practice Location
Fellowships and Scholarships
Medical Staff, Hospital
Neoplasm Staging
Uterine Hemorrhage
Physicians, Family
Prospective Studies
Ontario
CA-125 Antigen
Neoplasms, Glandular and Epithelial
Pregnancy Complications, Infectious
Prognosis
Health Care Surveys
General Surgery
Education, Medical, Continuing
Pregnancy, High-Risk
Hospitals, University
Episiotomy
Fetal Monitoring
Blood Transfusion, Autologous
Pregnancy Complications, Cardiovascular
Fetal Diseases
Review Literature as Topic
Workload
Physician management in primary care. (1/647)
Minimal explicit consensus criteria in the management of patients with four indicator conditions were established by an ad hoc committee of primary care physicians practicing in different locations. These criteria were then applied to the practices of primary care physicians located in a single community by abstracting medical records and obtaining questionnaire data about patients with the indicator conditions. A standardized management score for each physician was used as the dependent variable in stepwise regression analysis with physician/practice and patient/disease characteristics as the candidate independent variables. For all physicians combined, the mean management scores were high, ranging from .78 to .93 for the four conditions. For two of the conditions, care of the normal infant and pregnant woman, the management scores were better for pediatricians and obstetricians respectively than for family physicians. For the other two conditions, adult onset diabetes and congestive heart failure, there were no differences between the management scores of family physicians and internists. Patient/disease characteristics did not contribute significantly to explaining the variation in the standardized management scores. (+info)The role of curriculum in influencing students to select generalist training: a 21-year longitudinal study. (2/647)
To determine if specific curricula or backgrounds influence selection of generalist careers, the curricular choices of graduates of Mount Sinai School of Medicine between 1970 and 1990 were reviewed based on admission category. Students were divided into three groups: Group 1, those who started their first year of training at the School of Medicine; Group 2, those accepted with advanced standing into their third year of training from the Sophie Davis School of Biomedical Education, a five-year program developed to select and produce students likely to enter primary care fields; and Group 3, those accepted with advanced standing into the third year who spent the first two years at a foreign medical school. All three groups took the identical last two years of clinical training at the School of Medicine. These were no significant differences with respect to initial choice of generalist training programs among all three groups, with 46% of the total cohort selecting generalist training. Of those students who chose generalist programs, 58% in Group 1, 51% in Group 2, and 41% in Group 3 remained in these fields rather than progressing to fellowship training. This difference was significant only with respect to Group 3. However, when an analysis was performed among those students providing only primary care as compared to only specialty care, there were no significant differences. Analysis by gender revealed women to be more likely to select generalist fields and remain in these fields without taking specialty training (P < .0001). Differentiating characteristics with respect to choosing generalist fields were not related to either Part I or Part II scores on National Board Examinations or selection to AOA. However, with respect to those specific specialties considered quite competitive (general surgery, obstetrics and gynecology, and ophthalmology), total test scores on Part I and Part II were significantly higher than those of all other students. The analysis indicated that, despite the diverse characteristics of students entering the third year at the School of Medicine, no one group produced a statistically greater proportion of generalists positions than any other, and academic performance while in medical school did not have a significant influence on whether a student entered a generalist field. (+info)Obstetrics anyone? How family medicine residents' interests changed. (3/647)
OBJECTIVE: To determine family medicine residents' attitudes and plans about practising obstetrics when they enter and when they graduate from their residency programs. DESIGN: Residents in each of 4 consecutive years, starting July 1991, were surveyed by questionnaire when they entered the program and again when they graduated (ending in June 1996). Only paired questionnaires were used for analysis. SETTING: Family medicine residency programs at the University of Toronto in Ontario. PARTICIPANTS: Of 358 family medicine residents who completed the University of Toronto program, 215 (60%) completed questionnaires at entry and exit. MAIN OUTCOME MEASURES: Changes in attitudes and plans during the residency program as ascertained from responses to entry and exit questionnaires. RESULTS: Analysis was based on 215 paired questionnaires. Women residents had more interest in obstetric practice at entry: 58% of women, but only 31% of men were interested. At graduation, fewer women (49%) and men (22%) were interested in practising obstetrics. The intent to undertake rural practice was strongly associated with the intent to practise obstetrics. By graduation, residents perceived lifestyle factors and compensation as very important negative factors in relation to obstetric practice. Initial interest and the eventual decision to practise obstetrics were strongly associated. CONCLUSIONS: Intent to practise obstetrics after graduation was most closely linked to being a woman, intending to practise in a rural area, and having an interest in obstetrics prior to residency. Building on the interest in obstetrics that residents already have could be a better strategy for producing more physicians willing to practise obstetrics than trying to change the minds of those uninterested in such practice. (+info)Satisfaction with obstetric care. Patient survey in a family practice shared-call group. (4/647)
OBJECTIVE: To examine patients' satisfaction with their obstetric care in a family medicine shared-call group. DESIGN: A survey was given to a convenience sample of patients who came to see their doctors over a 6-week period. SETTING: Brameast Family Practice in Brampton, Ont, where eight doctors participate in a shared obstetrics call group with 16 other physicians, each taking call 1 day in 23 days. PARTICIPANTS: Mothers in the practice who had delivered in the previous 8 months. MAIN OUTCOME MEASURES: Demographic data, interventions during delivery, and satisfaction ratings. RESULTS: Of the 70% of women who responded, 96% were delivered by a doctor other than their own. Eighty-eight percent of these women were satisfied with their medical care at delivery and 96% were satisfied with their prenatal care. Nearly 79% said they would choose this shared-call group again. CONCLUSIONS: This pilot study demonstrated a high level of patient satisfaction with obstetric care, despite the fact that most patients were delivered by a doctor other than their own. Family practice groups sharing obstetric call offer a feasible alternative for physicians who wish to avoid the interference with lifestyle and office appointments that practising obstetrics usually entails. (+info)Maternity care calendar wheel. Improved obstetric wheel developed in British Columbia. (5/647)
PROBLEM BEING ADDRESSED: Gestational calendar "wheels" are not well designed for routine prenatal care or for presenting the uncertainties of predicting date of delivery. OBJECTIVE OF PROGRAM: To design and pilot-test a new gestational calendar wheel that predicts the range of normal due dates in a way that reflects the biological realities of pregnancy. The calendar has prompts that could facilitate provision of antenatal care, support prenatal education, and guide the timing of induction for pregnancies past their due dates. MAIN COMPONENTS OF PROGRAM: The calendar sets out the key issues to be addressed with patients during pregnancy. It is designed to be photocopied while set to patients' dates: patients keep one copy; another is placed in their charts. The probability of delivering on a given date is presented graphically and as a percentage likelihood of giving birth during specified intervals. Twelve practising physicians, 12 residents, and 10 pregnant women pilot-tested and evaluated the wheel. Their responses were favourable. CONCLUSIONS: The Maternity Care Calendar wheel is a substantial advance on existing obstetric calendar wheels. It incorporates evidence-based information that should facilitate prenatal care, promote prenatal education, and foster realistic expectations about the likely timing of delivery. Early in the pregnancy, it can help establish the timing of induction for pregnancies past their due dates. Further testing of the calendar's effectiveness in improving patient outcomes is needed. (+info)Maternity Care Guidelines checklist. To assist physicians in implementing CPGs. (6/647)
PROBLEM BEING ADDRESSED: Implementing the recommended clinical practice guidelines for prenatal care can be difficult for busy practitioners because the guidelines are numerous and continually being revised. OBJECTIVE OF PROGRAM: To develop a checklist outlining the current recommended activities for prenatal care to assist practitioners in providing evidence-based interventions to pregnant women. MAIN COMPONENTS OF PROGRAM: We reviewed guidelines for prenatal care from the Canadian Task Force on the Periodic Health Examination (CTFPHE) and from the report of the US Preventive Services Task Force (USPSTF). We searched MEDLINE for interventions commonly performed in pregnancy, but not reviewed by either task force. Interventions graded A or B are listed in bold type on the checklist. Interventions graded C by either task force or recommended by organizations not necessarily using the same rigorous criteria are listed in plain type. Recommended interventions are displayed along a time line under three headings: clinical maneuvers, investigations, and issues for discussion. Pilot testing by 12 practising physicians and 12 family practice residents showed that most respondents thought the checklist very useful. CONCLUSIONS: Providing a one-page checklist summarizing recommended clinical maneuvers, investigations, and topics for discussion should help physicians with implementing the many clinical practice guidelines for prenatal care. (+info)Childbirth customs in Orthodox Jewish traditions. (7/647)
OBJECTIVE: To describe cultural beliefs of Orthodox Jewish families regarding childbirth in order to help family physicians enhance the quality and sensitivity of their care. QUALITY OF EVIDENCE: These findings were based on a review of the literature searched in MEDLINE (1966 to present), HEALTHSTAR (1975 to present), EMBASE (1988 to present), and Social Science Abstracts (1984 to present). Interviews with several members of the Orthodox Jewish community in Edmonton, Alta, and Vancouver, BC, were conducted to determine the accuracy of the information presented and the relevance of the paper to the current state of health care delivery from the recipients' point of view. MAIN MESSAGE: Customs and practices surrounding childbirth in the Orthodox Jewish tradition differ in several practical respects from expectations and practices within the Canadian health care system. The information presented was deemed relevant and accurate by those interviewed, and the subject matter was considered to be important for improving communication between patients and physicians. Improved communication and recognition of these differences can improve the quality of health care provided to these patients. CONCLUSIONS: Misunderstandings rooted in different cultural views of childbirth and the events surrounding it can adversely affect health care provided to women in the Orthodox Jewish community in Canada. A basic understanding of the cultural foundations of potential misunderstandings will help Canadian physicians provide effective health care to Orthodox Jewish women. (+info)Childbirth customs in Vietnamese traditions. (8/647)
OBJECTIVE: To examine and understand how differences in the cultural backgrounds of Canadian physicians and their Vietnamese patients can affect the quality and efficacy of prenatal and postnatal treatment. QUALITY OF EVIDENCE: The information in this paper is based on a review of the literature, supplemented by interviews with members of the Vietnamese community in Edmonton, Alta. The literature was searched with MEDLINE (1966 to present), HEALTHSTAR (1975 to present), EMBASE (1988 to present), and Social Sciences Abstracts (1984 to present). Emphasis was placed on articles and other texts that dealt with Vietnamese customs surrounding childbirth, but information on health and health care customs was also considered. Interviews focused on the accuracy of information obtained from the research and the correlation of those data with personal experiences of Vietnamese community members. MAIN MESSAGE: Information in the texts used to research this paper suggests that traditional Vietnamese beliefs and practices surrounding birth are very different from the biomedical view of the Canadian medical system. The experiences and beliefs of the members of the Vietnamese community support this finding. Such cultural differences could contribute to misunderstandings between physicians and patients and could affect the quality and efficacy of health care provided. CONCLUSIONS: A sensitive and open approach to the patient's belief system and open and frank communication are necessary to ensure effective prenatal and postnatal treatment for recent Vietnamese immigrants and refugees. Education and awareness of cultural differences are necessary for physicians to provide the best and most effective health care possible. (+info)Some common examples of obstetric labor complications include:
1. Prolonged labor: When labor lasts for an extended period, it can increase the risk of infection, bleeding, or other complications.
2. Fetal distress: If the baby is not getting enough oxygen, it can lead to fetal distress, which can cause a range of symptoms, including abnormal heart rate and decreased muscle tone.
3. Placental abruption: This occurs when the placenta separates from the uterus, which can cause bleeding, deprive the baby of oxygen, and lead to premature delivery.
4. Cephalopelvic disproportion: When the baby's head or pelvis is larger than the mother's, it can make delivery difficult or impossible, leading to complications such as prolonged labor or a cesarean section.
5. Dystocia: This refers to abnormal or difficult labor, which can be caused by various factors, including fetal size or position, maternal weight, or abnormalities in the pelvis or cervix.
6. Postpartum hemorrhage: Excessive bleeding after delivery can be a life-threatening complication for both mothers and babies.
7. Infection: Bacterial infections, such as endometritis or sepsis, can occur during labor and delivery and can pose serious health risks to both the mother and the baby.
8. Preeclampsia: A pregnancy-related condition characterized by high blood pressure and damage to organs such as the kidneys and liver.
9. Gestational diabetes: A type of diabetes that develops during pregnancy, which can increase the risk of complications for both the mother and the baby.
10. Cholestasis of pregnancy: A condition in which the gallbladder becomes inflamed, leading to abdominal pain and liver dysfunction.
It is important to note that not all large babies will experience these complications, and many can be delivered safely with proper medical care and attention. However, the risk of these complications does increase as the baby's size increases.
In some cases, doctors may recommend delivery by cesarean section (C-section) if they suspect that the baby is too large to pass through the birth canal safely. This decision will be based on a variety of factors, including the mother's health, the baby's size and position, and any other medical conditions or complications that may be present.
Overall, while a big baby can pose some risks during delivery, modern medicine and obstetric care have made it possible to deliver most babies safely, even if they are larger than average. If you have any concerns about your baby's size or your own health during pregnancy, be sure to discuss them with your healthcare provider.
In the medical field, "vaginal fistula" is a term that is used to describe an abnormal connection between two organs or between an organ and the skin that occurs in the vagina. This condition can have a significant impact on a woman's quality of life, causing a range of symptoms such as urinary incontinence, vaginal discharge, pain during intercourse, and pelvic pressure.
The causes of vaginal fistula can be varied and may include:
* Childbirth: Vaginal tears or episiotomy during delivery can sometimes lead to a fistula.
* Sexual trauma: Traumatic sexual experiences, such as rape or sexual assault, can cause a fistula to develop.
* Radiation therapy: Radiation therapy to the pelvic area can damage the vaginal tissue and lead to a fistula.
* Surgery: Certain surgeries, such as hysterectomy or bladder neck suspension, can sometimes result in a fistula.
Treatment options for vaginal fistula depend on the underlying cause and the severity of the condition. Surgery is often the primary treatment approach, and may involve repairing or closing the fistula, or removing any damaged tissue. Hormonal therapy may also be prescribed to help manage symptoms such as vaginal dryness or pain during intercourse. Other supportive measures, such as catheterization or urethral dilatation, may also be necessary to help manage urinary incontinence or other complications.
In summary, vaginal fistula is a condition that can cause significant distress and disrupt daily life. It is important to seek medical attention if symptoms persist or worsen over time, as early diagnosis and treatment can improve outcomes and reduce the risk of long-term complications.
Endometrial neoplasms are abnormal growths or tumors that develop in the lining of the uterus, known as the endometrium. These growths can be benign (non-cancerous) or malignant (cancerous). The most common type of endometrial neoplasm is endometrial hyperplasia, which is a condition where the endometrium grows too thick and can become cancerous if left untreated. Other types of endometrial neoplasms include endometrial adenocarcinoma, which is the most common type of uterine cancer, and endometrial sarcoma, which is a rare type of uterine cancer that develops in the muscle or connective tissue of the uterus.
Endometrial neoplasms can be caused by a variety of factors, including hormonal imbalances, genetic mutations, and exposure to certain chemicals or radiation. Risk factors for developing endometrial neoplasms include obesity, early onset of menstruation, late onset of menopause, never being pregnant or having few or no full-term pregnancies, and taking hormone replacement therapy or other medications that can increase estrogen levels.
Symptoms of endometrial neoplasms can include abnormal vaginal bleeding, painful urination, and pelvic pain or discomfort. Treatment for endometrial neoplasms depends on the type and stage of the condition, and may involve surgery, radiation therapy, chemotherapy, or hormone therapy. In some cases, a hysterectomy (removal of the uterus) may be necessary.
In summary, endometrial neoplasms are abnormal growths that can develop in the lining of the uterus and can be either benign or malignant. They can be caused by a variety of factors and can cause symptoms such as abnormal bleeding and pelvic pain. Treatment depends on the type and stage of the condition, and may involve surgery, radiation therapy, chemotherapy, or hormone therapy.
Benign ovarian neoplasms include:
1. Serous cystadenoma: A fluid-filled sac that develops on the surface of the ovary.
2. Mucinous cystadenoma: A tumor that is filled with mucin, a type of protein.
3. Endometrioid tumors: Tumors that are similar to endometrial tissue (the lining of the uterus).
4. Theca cell tumors: Tumors that develop in the supportive tissue of the ovary called theca cells.
Malignant ovarian neoplasms include:
1. Epithelial ovarian cancer (EOC): The most common type of ovarian cancer, which arises from the surface epithelium of the ovary.
2. Germ cell tumors: Tumors that develop from germ cells, which are the cells that give rise to eggs.
3. Stromal sarcomas: Tumors that develop in the supportive tissue of the ovary.
Ovarian neoplasms can cause symptoms such as pelvic pain, abnormal bleeding, and abdominal swelling. They can also be detected through pelvic examination, imaging tests such as ultrasound and CT scan, and biopsy. Treatment options for ovarian neoplasms depend on the type, stage, and location of the tumor, and may include surgery, chemotherapy, and radiation therapy.
Common types of genital neoplasms in females include:
1. Vulvar intraepithelial neoplasia (VIN): A precancerous condition that affects the vulva, the external female genital area.
2. Cervical dysplasia: Precancerous changes in the cells of the cervix, which can progress to cancer if left untreated.
3. Endometrial hyperplasia: Abnormal growth of the uterine lining, which can sometimes develop into endometrial cancer.
4. Endometrial adenocarcinoma: Cancer that arises in the glands of the uterine lining.
5. Ovarian cancer: Cancer that originates in the ovaries.
6. Vaginal cancer: Cancer that occurs in the vagina.
7. Cervical cancer: Cancer that occurs in the cervix.
8. Uterine leiomyosarcoma: A rare type of cancer that occurs in the uterus.
9. Uterine clear cell carcinoma: A rare type of cancer that occurs in the uterus.
10. Mesothelioma: A rare type of cancer that affects the lining of the abdominal cavity, including the female reproductive organs.
Treatment for genital neoplasms in females depends on the type and stage of the disease, and may include surgery, radiation therapy, chemotherapy, or a combination of these. Early detection and treatment are important to improve outcomes and reduce the risk of complications.
1. Preeclampsia: A condition characterized by high blood pressure during pregnancy, which can lead to complications such as stroke or premature birth.
2. Gestational diabetes: A type of diabetes that develops during pregnancy, which can cause complications for both the mother and the baby if left untreated.
3. Placenta previa: A condition in which the placenta is located low in the uterus, covering the cervix, which can cause bleeding and other complications.
4. Premature labor: Labor that occurs before 37 weeks of gestation, which can increase the risk of health problems for the baby.
5. Fetal distress: A condition in which the fetus is not getting enough oxygen, which can lead to serious health problems or even death.
6. Postpartum hemorrhage: Excessive bleeding after delivery, which can be life-threatening if left untreated.
7. Cesarean section (C-section) complications: Complications that may arise during a C-section, such as infection or bleeding.
8. Maternal infections: Infections that the mother may contract during pregnancy or childbirth, such as group B strep or urinary tract infections.
9. Preterm birth: Birth that occurs before 37 weeks of gestation, which can increase the risk of health problems for the baby.
10. Chromosomal abnormalities: Genetic disorders that may affect the baby's growth and development, such as Down syndrome or Turner syndrome.
It is important for pregnant women to receive regular prenatal care to monitor for any potential complications and ensure a healthy pregnancy outcome. In some cases, pregnancy complications may require medical interventions, such as hospitalization or surgery, to ensure the safety of both the mother and the baby.
Precancerous changes in the uterine cervix are called dysplasias, and they can be detected by a Pap smear, which is a routine screening test for women. If dysplasia is found, it can be treated with cryotherapy (freezing), laser therapy, or cone biopsy, which removes the affected cells.
Cervical cancer is rare in developed countries where Pap screening is widely available, but it remains a common cancer in developing countries where access to healthcare and screening is limited. The human papillomavirus (HPV) vaccine has been shown to be effective in preventing cervical precancerous changes and cancer.
Cervical cancer can be treated with surgery, radiation therapy, or chemotherapy, depending on the stage and location of the cancer. The prognosis for early-stage cervical cancer is good, but advanced-stage cancer can be difficult to treat and may have a poor prognosis.
The following are some types of uterine cervical neoplasms:
1. Adenocarcinoma in situ (AIS): This is a precancerous condition that occurs when glandular cells on the surface of the cervix become abnormal and grow out of control.
2. Cervical intraepithelial neoplasia (CIN): This is a precancerous condition that occurs when abnormal cells are found on the surface of the cervix. There are several types of CIN, ranging from mild to severe.
3. Squamous cell carcinoma: This is the most common type of cervical cancer and arises from the squamous cells that line the cervix.
4. Adnexal carcinoma: This is a rare type of cervical cancer that arises from the glands or ducts near the cervix.
5. Small cell carcinoma: This is a rare and aggressive type of cervical cancer that grows rapidly and can spread quickly to other parts of the body.
6. Micropapillary uterine carcinoma: This is a rare type of cervical cancer that grows in a finger-like shape and can be difficult to diagnose.
7. Clear cell carcinoma: This is a rare type of cervical cancer that arises from clear cells and can be more aggressive than other types of cervical cancer.
8. Adenocarcinoma: This is a type of cervical cancer that arises from glandular cells and can be less aggressive than squamous cell carcinoma.
9. Sarcoma: This is a rare type of cervical cancer that arises from the connective tissue of the cervix.
The treatment options for uterine cervical neoplasms depend on the stage and location of the cancer, as well as the patient's overall health and preferences. The following are some common treatments for uterine cervical neoplasms:
1. Hysterectomy: This is a surgical procedure to remove the uterus and may be recommended for early-stage cancers or precancerous changes.
2. Cryotherapy: This is a minimally invasive procedure that uses liquid nitrogen to freeze and destroy abnormal cells in the cervix.
3. Laser therapy: This is a minimally invasive procedure that uses a laser to remove or destroy abnormal cells in the cervix.
4. Cone biopsy: This is a surgical procedure to remove a small cone-shaped sample of tissue from the cervix to diagnose and treat early-stage cancers or precancerous changes.
5. Radiation therapy: This is a non-surgical treatment that uses high-energy rays to kill cancer cells and may be recommended for more advanced cancers or when the cancer has spread to other parts of the body.
6. Chemotherapy: This is a non-surgical treatment that uses drugs to kill cancer cells and may be recommended for more advanced cancers or when the cancer has spread to other parts of the body.
7. Immunotherapy: This is a non-surgical treatment that uses drugs to stimulate the immune system to fight cancer cells and may be recommended for more advanced cancers or when other treatments have failed.
8. Targeted therapy: This is a non-surgical treatment that uses drugs to target specific genes or proteins that contribute to cancer growth and development and may be recommended for more advanced cancers or when other treatments have failed.
It is important to note that the choice of treatment will depend on the stage and location of the cancer, as well as the patient's overall health and preferences. Patients should discuss their treatment options with their doctor and develop a personalized plan that is right for them.
Postpartum hemorrhage can be caused by various factors, including:
1. Uterine atony: This occurs when the uterus fails to contract properly after delivery, leading to excessive bleeding.
2. Lacerations or tears in the genital tract: Tears in the vaginal tissues, cervix, or uterus can cause bleeding.
3. Placenta accreta or placenta praevia: These conditions occur when the placenta attaches abnormally to the uterine wall, causing bleeding during delivery.
4. Cervical insufficiency: This occurs when the cervix is unable to support the weight of the baby, leading to bleeding.
5. Blood coagulopathy disorders: These are rare conditions that affect the body's ability to form blood clots, leading to excessive bleeding.
Symptoms of PPH may include:
1. Heavy bleeding within the first 24 hours post-delivery
2. Soaking more than two pads per hour
3. Pale or clammy skin
4. Weak or rapid pulse
5. Shallow breathing
6. Confusion or disorientation
Treatment for PPH may include:
1. Observation and monitoring of vital signs
2. Administration of oxytocin to stimulate uterine contractions
3. Use of a blood transfusion to replace lost blood volume
4. Surgical intervention, such as suturing or repairing any lacerations or tears
5. Management of underlying causes, such as blood coagulopathy disorders
Prevention of PPH includes:
1. Proper prenatal care and monitoring of the mother's health during pregnancy
2. Use of cesarean delivery if necessary
3. Avoidance of excessive forceps or vacuum extraction during delivery
4. Use of oxytocin and other medications to stimulate uterine contractions
5. Close monitoring of the mother's vital signs after delivery
It is important for healthcare providers to be aware of the risk factors and symptoms of PPH, as well as the appropriate treatment and prevention strategies, in order to provide optimal care for mothers at risk of developing this condition.
Puerperal infections can be classified into two main categories: endometritis and pelvic cellulitis. Endometritis is an infection of the lining of the uterus, while pelvic cellulitis is an infection of the tissues in the pelvis.
Types of Puerperal Infections
---------------------------
Some common types of puerperal infections include:
* Endometritis: This is an infection of the lining of the uterus, usually caused by bacteria such as Escherichia coli (E. coli) or group B streptococcus (GBS).
* Pelvic cellulitis: This is an infection of the tissues in the pelvis, usually caused by bacteria such as Staphylococcus aureus (MRSA) or Klebsiella pneumoniae.
* Urinary tract infections (UTIs): These are infections that affect the bladder, kidneys, or ureters, and can be caused by bacteria such as E. coli or Proteus mirabilis.
* Wound infections: These are infections that occur at the site of a cesarean section or other obstetric surgical incision, and can be caused by bacteria such as Staphylococcus aureus or Streptococcus pyogenes.
Causes and Risk Factors
----------------------
Puerperal infections can occur for a variety of reasons, including:
* Bacterial contamination of the vagina or surgical site during childbirth or other obstetric procedures.
* Poor hygiene during delivery or postpartum care.
* Premature rupture of membranes (PROM) or prolonged labor, which can increase the risk of bacterial invasion.
* Inadequate use of antibiotics during delivery or postpartum care.
* Underlying medical conditions such as diabetes or hypertension, which can increase the risk of infection.
* Poor prenatal care and lack of adequate antenatal screening and testing.
* Poorly managed labor and delivery, including prolonged second stage of labor, excessive forceps or vacuum extraction, or failure to perform a prompt cesarean section when indicated.
* Inadequate postpartum follow-up and care, including delayed or inadequate treatment of complications.
Signs and Symptoms
----------------
The signs and symptoms of puerperal infections can vary depending on the type of infection and the severity of the condition. Common signs and symptoms include:
* Fever, which is a temperature of 100.4°F (38°C) or higher.
* Chills or shaking.
* Pain or discomfort in the pelvis, abdomen, or vagina.
* Redness, swelling, or tenderness in the genital area.
* Increased vaginal discharge that may be watery, purulent, or malodorous.
* Abdominal cramping or pain.
* Fatigue or weakness.
* Loss of appetite or nausea and vomiting.
Diagnosis
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Puerperal infections can be difficult to diagnose, as the symptoms can be similar to those of other conditions such as postpartum bleeding or breast engorgement. However, a healthcare provider will typically perform a physical examination and take a thorough medical history to help identify the presence of an infection.
Some common diagnostic tests for puerperal infections include:
* Blood cultures: This test involves drawing blood from the mother's vein and inserting it into a culture dish to determine if there are any bacteria present.
* Urinalysis: This test can help identify if there is a urinary tract infection (UTI) or other infections.
* Vaginal cultures: This test involves taking a sample of discharge from the vagina and inserting it into a culture dish to determine if there are any bacteria present.
* Imaging studies: Such as ultrasound or CT scans, may be performed to evaluate for any abscesses or other complications.
Treatment
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Puerperal infections can be treated with antibiotics and supportive care. The type of antibiotic used will depend on the type of infection and the severity of the symptoms. In some cases, hospitalization may be necessary to provide intravenous antibiotics and close monitoring.
Some common treatments for puerperal infections include:
* Antibiotics: Such as penicillin or other broad-spectrum antibiotics, to treat bacterial infections.
* Pain management: Such as acetaminophen or ibuprofen to help manage any discomfort or pain.
* Rest and relaxation: To help the body recover from the physical demands of childbirth.
* Good hygiene practices: Such as washing hands regularly, cleaning the genital area thoroughly, and wearing loose-fitting clothing to promote healing.
Prevention
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Puerperal infections can be prevented with good hygiene practices and proper medical care during childbirth. Some ways to reduce the risk of developing a puerperal infection include:
* Practicing good hand hygiene: Healthcare providers should wash their hands before examining or treating patients, and before performing any procedures.
* Cleaning the perineum: The area between the vagina and anus should be cleaned thoroughly with soap and water after delivery to reduce the risk of infection.
* Using sterile equipment: All medical equipment should be sterilized before use to prevent the introduction of bacteria into the body.
* Proper wound care: Any incision or tear should be properly cared for, including keeping the area clean and dry, and changing dressings as needed.
Complications
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Puerperal infections can lead to serious complications if left untreated, such as:
* Abscesses: Pus-filled pockets of infection that can form in the uterus, fallopian tubes, or other pelvic structures.
* Sepsis: A systemic infection that can spread throughout the body and cause organ failure.
* Meningitis: An infection of the membranes surrounding the brain and spinal cord.
* Endometritis: Inflammation of the lining of the uterus.
* Pelvic abscess: A collection of pus in the pelvis that can cause pain, fever, and difficulty urinating.
Treatment
---------
Puerperal infections are typically treated with antibiotics, which can help clear the infection and prevent further complications. In some cases, surgical intervention may be necessary to drain abscesses or remove infected tissue. Treatment for puerperal infections may include:
* Antibiotics: To treat bacterial infections, such as group B strep or E. coli.
* Analgesics: To manage pain and fever.
* Rest: To allow the body to heal and recover.
* Intravenous fluids: To prevent dehydration and promote hydration.
* Surgical intervention: To drain abscesses or remove infected tissue.
Prevention
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There are several steps that can be taken to help prevent puerperal infections, including:
* Proper hand washing and hygiene practices during delivery and postpartum care.
* Use of sterile equipment and supplies during delivery and postpartum care.
* Administration of antibiotics to the mother during delivery to prevent group B strep infection.
* Monitoring the mother and newborn for signs of infection and prompt treatment if infection is suspected.
* Encouraging breastfeeding to help promote healing and bonding.
Conclusion
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Puerperal infections are a serious complication that can occur after childbirth. They can be caused by a variety of factors, including bacterial infections, viral infections, and other medical conditions. Treatment typically involves antibiotics and other supportive care, and prevention strategies include proper hygiene practices, use of sterile equipment, and monitoring for signs of infection. Prompt treatment is essential to prevent serious complications and ensure the health and well-being of both the mother and baby.
1. Vaginitis: An inflammation of the vagina, often caused by bacterial or yeast infections.
2. Cervicitis: Inflammation of the cervix, often caused by bacterial or viral infections.
3. Endometritis: Inflammation of the lining of the uterus, often caused by bacterial or fungal infections.
4. Pelvic inflammatory disease (PID): A serious infection of the reproductive organs that can cause chronic pelvic pain and infertility.
5. Vulvodynia: Chronic pain of the vulva, often caused by a combination of physical and psychological factors.
6. Vaginal cancer: A rare type of cancer that affects the vagina.
7. Cervical dysplasia: Abnormal cell growth on the cervix, which can develop into cervical cancer if left untreated.
8. Ovarian cysts: Fluid-filled sacs on the ovaries that can cause pelvic pain and other symptoms.
9. Fibroids: Noncancerous growths in the uterus that can cause heavy bleeding, pain, and infertility.
10. Polycystic ovary syndrome (PCOS): A hormonal disorder that can cause irregular menstrual cycles, cysts on the ovaries, and excess hair growth.
These are just a few examples of the many genital diseases that can affect women. It's important for women to practice good hygiene, get regular gynecological check-ups, and seek medical attention if they experience any unusual symptoms to prevent and treat these conditions effectively.
Eclampsia can occur at any time after the 20th week of pregnancy, but it is more common in the third trimester. It can also occur after delivery, especially in women who have a history of preeclampsia during pregnancy.
Symptoms of eclampsia can include:
1. Seizures or convulsions
2. Loss of consciousness or coma
3. Confusion or disorientation
4. Muscle weakness or paralysis
5. Vision problems or blurred vision
6. Numbness or tingling sensations in the hands and feet
7. Headaches or severe head pain
8. Abdominal pain or discomfort
9. Bladder or bowel incontinence
10. Rapid heart rate or irregular heartbeat.
Eclampsia is a medical emergency that requires immediate attention. Treatment typically involves delivery of the baby, either by cesarean section or vaginal birth, and management of the high blood pressure and any other complications that may have arisen. In some cases, medication may be given to help lower the blood pressure and prevent further seizures.
Preventive measures for eclampsia include regular prenatal care, careful monitoring of blood pressure during pregnancy, and early detection and treatment of preeclampsia. Women who have had preeclampsia in a previous pregnancy or who are at high risk for the condition may be advised to take aspirin or other medications to reduce their risk of developing eclampsia.
In summary, eclampsia is a serious medical condition that can occur during pregnancy and is characterized by seizures or coma caused by high blood pressure. It is a life-threatening complication of preeclampsia and requires immediate medical attention.
Some common puerperal disorders include:
1. Puerperal fever: This is a bacterial infection that can occur during the postpartum period, usually caused by Streptococcus or Staphylococcus bacteria. Symptoms include fever, chills, and abdominal pain.
2. Postpartum endometritis: This is an inflammation of the lining of the uterus that can occur after childbirth, often caused by bacterial infection. Symptoms include fever, abdominal pain, and vaginal discharge.
3. Postpartum bleeding: This is excessive bleeding that can occur during the postpartum period, often caused by tears or lacerations to the uterus or cervix during childbirth.
4. Breast engorgement: This is a common condition that occurs when the breasts become full and painful due to milk production.
5. Mastitis: This is an inflammation of the breast tissue that can occur during breastfeeding, often caused by bacterial infection. Symptoms include redness, swelling, and warmth in the breast.
6. Postpartum depression: This is a mood disorder that can occur after childbirth, characterized by feelings of sadness, anxiety, and hopelessness.
7. Postpartum anxiety: This is an anxiety disorder that can occur after childbirth, characterized by excessive worry, fear, and anxiety.
8. Urinary incontinence: This is the loss of bladder control during the postpartum period, often caused by weakened pelvic muscles.
9. Constipation: This is a common condition that can occur after childbirth, often caused by hormonal changes and decreased bowel motility.
10. Breastfeeding difficulties: These can include difficulty latching, painful feeding, and low milk supply.
It's important to note that not all women will experience these complications, and some may have different symptoms or none at all. Additionally, some complications may require medical attention, while others may be managed with self-care measures or support from a healthcare provider. It's important for new mothers to seek medical advice if they have any concerns about their physical or emotional well-being during the postpartum period.
The term "serous" refers to the fact that the tumor produces a fluid-filled cyst, which typically contains a clear, serous (watery) liquid. The cancer cells are typically found in the outer layer of the ovary, near the surface of the organ.
Cystadenocarcinoma, serous is the most common type of ovarian cancer, accounting for about 50-60% of all cases. It is often diagnosed at an advanced stage, as it can be difficult to detect in its early stages. Symptoms may include abdominal pain, bloating, and changes in bowel or bladder habits.
Treatment for cystadenocarcinoma, serous usually involves a combination of surgery and chemotherapy. Surgery may involve removing the uterus, ovaries, and other affected tissues, followed by chemotherapy to kill any remaining cancer cells. In some cases, radiation therapy may also be used.
Prognosis for cystadenocarcinoma, serous varies depending on the stage of the cancer at diagnosis. Women with early-stage disease have a good prognosis, while those with advanced-stage disease have a poorer outlook. However, overall survival rates have improved in recent years due to advances in treatment and screening.
In summary, cystadenocarcinoma, serous is a type of ovarian cancer that originates in the lining of the ovary and grows slowly over time. It can be difficult to detect in its early stages, but treatment typically involves surgery and chemotherapy. Prognosis varies depending on the stage of the cancer at diagnosis.
Symptoms of a uterine hemorrhage may include:
* Vaginal bleeding that may be heavy or light in flow
* Pain in the lower abdomen
* Pain during sexual activity
* Spotting or bleeding between menstrual periods
* Unusual discharge from the vagina
If you experience any of these symptoms, it is important to seek medical attention as soon as possible. Uterine hemorrhages can be diagnosed through a physical examination and imaging tests such as ultrasound or MRI. Treatment depends on the underlying cause of the bleeding, but may include medications to control bleeding, surgery to remove fibroids or polyps, or hysterectomy in severe cases.
It is important to note that while uterine hemorrhages can be managed with appropriate medical care, they can also be life-threatening if left untreated. Seeking prompt medical attention and following the advice of your healthcare provider are crucial to preventing complications and ensuring a successful outcome.
Examples of neoplasms, glandular and epithelial include:
* Adenomas: These are benign tumors that arise from glandular tissue. Examples include colon adenomas and prostate adenomas.
* Carcinomas: These are malignant tumors that arise from glandular or epithelial tissue. Examples include breast carcinoma, lung carcinoma, and ovarian carcinoma.
* Sarcomas: These are malignant tumors that arise from connective tissue. Examples include soft tissue sarcoma and bone sarcoma.
The diagnosis of neoplasms, glandular and epithelial is typically made through a combination of imaging tests such as X-rays, CT scans, MRI scans, and PET scans, along with a biopsy to confirm the presence of cancer cells. Treatment options for these types of neoplasms depend on the location, size, and stage of the tumor, but may include surgery, chemotherapy, radiation therapy, or a combination of these.
Overall, the term "neoplasms, glandular and epithelial" refers to a wide range of tumors that arise from glandular or epithelial tissue, and can be either benign or malignant. These types of neoplasms are common and can affect many different parts of the body.
1. Group B streptococcus (GBS): This type of bacterial infection is the leading cause of infections in newborns. GBS can cause a range of complications, including pneumonia, meningitis, and sepsis.
2. Urinary tract infections (UTIs): These are common during pregnancy and can be caused by bacteria such as Escherichia coli (E. coli) or Staphylococcus saprophyticus. UTIs can lead to complications such as preterm labor and low birth weight.
3. HIV: Pregnant women who are infected with HIV can pass the virus to their baby during pregnancy, childbirth, or breastfeeding.
4. Toxoplasmosis: This is an infection caused by a parasite that can be transmitted to the fetus through the placenta. Toxoplasmosis can cause a range of complications, including birth defects and stillbirth.
5. Listeriosis: This is a rare infection caused by eating contaminated food, such as soft cheeses or hot dogs. Listeriosis can cause complications such as miscarriage, stillbirth, and premature labor.
6. Influenza: Pregnant women who contract the flu can be at higher risk for complications such as pneumonia and hospitalization.
7. Herpes simplex virus (HSV): This virus can cause complications such as preterm labor, low birth weight, and neonatal herpes.
8. Human parvovirus (HPV): This virus can cause complications such as preterm labor, low birth weight, and stillbirth.
9. Syphilis: This is a sexually transmitted infection that can be passed to the fetus during pregnancy, leading to complications such as stillbirth, premature birth, and congenital syphilis.
10. Chickenpox: Pregnant women who contract chickenpox can be at higher risk for complications such as preterm labor and low birth weight.
It's important to note that the risks associated with these infections are relatively low, and many pregnant women who contract them will have healthy pregnancies and healthy babies. However, it's still important to be aware of the risks and take steps to protect yourself and your baby.
Here are some ways to reduce your risk of infection during pregnancy:
1. Practice good hygiene: Wash your hands frequently, especially before preparing or eating food.
2. Avoid certain foods: Avoid consuming raw or undercooked meat, eggs, and dairy products, as well as unpasteurized juices and soft cheeses.
3. Get vaccinated: Get vaccinated against infections such as the flu and HPV.
4. Practice safe sex: Use condoms or other forms of barrier protection to prevent the spread of STIs.
5. Avoid close contact with people who are sick: If someone in your household is sick, try to avoid close contact with them if possible.
6. Keep your environment clean: Regularly clean and disinfect surfaces and objects that may be contaminated with germs.
7. Manage stress: High levels of stress can weaken your immune system and make you more susceptible to infection.
8. Get enough rest: Adequate sleep is essential for maintaining a healthy immune system.
9. Stay hydrated: Drink plenty of water throughout the day to help flush out harmful bacteria and viruses.
10. Consider taking prenatal vitamins: Prenatal vitamins can help support your immune system and overall health during pregnancy.
Remember, it's always better to be safe than sorry, so if you suspect that you may have been exposed to an infection or are experiencing symptoms of an infection during pregnancy, contact your healthcare provider right away. They can help determine the appropriate course of action and ensure that you and your baby stay healthy.
Example Sentences:
The patient was diagnosed with adenosquamous carcinoma of the lung and underwent surgical resection.
The pathology report revealed that the tumor was an adenosquamous carcinoma, which is a rare type of lung cancer.
Note: Adenosquamous carcinoma is a rare subtype of non-small cell lung cancer (NSCLC), accounting for approximately 1-3% of all lung cancers. It has a more aggressive clinical course and poorer prognosis compared to other types of NSCLC.
1. Endometrial carcinoma (cancer that starts in the lining of the uterus)
2. Uterine papillary serous carcinoma (cancer that starts in the muscle layer of the uterus)
3. Leiomyosarcoma (cancer that starts in the smooth muscle of the uterus)
4. Adenocarcinoma (cancer that starts in the glands of the endometrium)
5. Clear cell carcinoma (cancer that starts in the cells that resemble the lining of the uterus)
6. Sarcoma (cancer that starts in the connective tissue of the uterus)
7. Mixed tumors (cancers that have features of more than one type of uterine cancer)
These types of cancers can affect women of all ages and are more common in postmenopausal women. Risk factors for developing uterine neoplasms include obesity, tamoxifen use, and a history of endometrial hyperplasia (thickening of the lining of the uterus).
Symptoms of uterine neoplasms can include:
1. Abnormal vaginal bleeding (heavy or prolonged menstrual bleeding, spotting, or postmenopausal bleeding)
2. Postmenopausal bleeding
3. Pelvic pain or discomfort
4. Vaginal discharge
5. Weakness and fatigue
6. Weight loss
7. Pain during sex
8. Increased urination or frequency of urination
9. Abnormal Pap test results (abnormal cells found on the cervix)
If you have any of these symptoms, it is essential to consult your healthcare provider for proper evaluation and treatment. A diagnosis of uterine neoplasms can be made through several methods, including:
1. Endometrial biopsy (a small sample of tissue is removed from the lining of the uterus)
2. Dilation and curettage (D&C; a surgical procedure to remove tissue from the inside of the uterus)
3. Hysteroscopy (a thin, lighted tube with a camera is inserted through the cervix to view the inside of the uterus)
4. Imaging tests (such as ultrasound or MRI)
Treatment for uterine neoplasms depends on the type and stage of cancer. Common treatments include:
1. Hysterectomy (removal of the uterus)
2. Radiation therapy (uses high-energy rays to kill cancer cells)
3. Chemotherapy (uses drugs to kill cancer cells)
4. Targeted therapy (uses drugs to target specific cancer cells)
5. Clinical trials (research studies to test new treatments)
It is essential for women to be aware of their bodies and any changes that occur, particularly after menopause. Regular pelvic exams and screenings can help detect uterine neoplasms at an early stage, when they are more treatable. If you experience any symptoms or have concerns about your health, talk to your healthcare provider. They can help determine the cause of your symptoms and recommend appropriate treatment.
Note: This definition is based on the current medical knowledge and may change as new research and discoveries are made.
Examples of fetal diseases include:
1. Down syndrome: A genetic disorder caused by an extra copy of chromosome 21, which can cause delays in physical and intellectual development, as well as increased risk of heart defects and other health problems.
2. Spina bifida: A birth defect that affects the development of the spine and brain, resulting in a range of symptoms from mild to severe.
3. Cystic fibrosis: A genetic disorder that affects the respiratory and digestive systems, causing thick mucus buildup and recurring lung infections.
4. Anencephaly: A condition where a portion of the brain and skull are missing, which is usually fatal within a few days or weeks of birth.
5. Clubfoot: A deformity of the foot and ankle that can be treated with casts or surgery.
6. Hirschsprung's disease: A condition where the nerve cells that control bowel movements are missing, leading to constipation and other symptoms.
7. Diaphragmatic hernia: A birth defect that occurs when there is a hole in the diaphragm, allowing organs from the abdomen to move into the chest cavity.
8. Gastroschisis: A birth defect where the intestines protrude through a opening in the abdominal wall.
9. Congenital heart disease: Heart defects that are present at birth, such as holes in the heart or narrowed blood vessels.
10. Neural tube defects: Defects that affect the brain and spine, such as spina bifida and anencephaly.
Early detection and diagnosis of fetal diseases can be crucial for ensuring proper medical care and improving outcomes for affected babies. Prenatal testing, such as ultrasound and blood tests, can help identify fetal anomalies and genetic disorders during pregnancy.
There are different types of fetal death, including:
1. Stillbirth: This refers to the death of a fetus after the 20th week of gestation. It can be caused by various factors, such as infections, placental problems, or umbilical cord compression.
2. Miscarriage: This occurs before the 20th week of gestation and is usually due to chromosomal abnormalities or hormonal imbalances.
3. Ectopic pregnancy: This is a rare condition where the fertilized egg implants outside the uterus, usually in the fallopian tube. It can cause fetal death and is often diagnosed in the early stages of pregnancy.
4. Intrafamilial stillbirth: This refers to the death of two or more fetuses in a multiple pregnancy, usually due to genetic abnormalities or placental problems.
The diagnosis of fetal death is typically made through ultrasound examination or other imaging tests, such as MRI or CT scans. In some cases, the cause of fetal death may be unknown, and further testing and investigation may be required to determine the underlying cause.
There are various ways to manage fetal death, depending on the stage of pregnancy and the cause of the death. In some cases, a vaginal delivery may be necessary, while in others, a cesarean section may be performed. In cases where the fetus has died due to a genetic abnormality, couples may choose to undergo genetic counseling and testing to assess their risk of having another affected pregnancy.
Overall, fetal death is a tragic event that can have significant emotional and psychological impact on parents and families. It is essential to provide compassionate support and care to those affected by this loss, while also ensuring appropriate medical management and follow-up.
Obstetrics
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Outline of obstetrics
Obstetrics & Gynecology (journal)
Obstetrics and gynaecology
Clinical Obstetrics and Gynecology
Advanced Life Support in Obstetrics
International Journal of Gynecology & Obstetrics
Journal of Obstetrics and Gynaecology
Journal of Psychosomatic Obstetrics & Gynecology
Yaoundé Gynaecology, Obstetrics and Pediatrics Hospital
American Journal of Obstetrics and Gynecology
Instruments used in obstetrics and gynecology
Current Reviews in Obstetrics and Gynaecology
American Board of Obstetrics and Gynecology
International Federation of Gynaecology and Obstetrics
South African Journal of Obstetrics and Gynaecology
American Osteopathic Board of Obstetrics and Gynecology
Regius Professor of Obstetrics and Gynaecology (Glasgow)
Department of Obstetrics and Gynecology (Massachusetts General Hospital)
European Journal of Obstetrics & Gynecology and Reproductive Biology
International Society of Ultrasound in Obstetrics and Gynecology
International Society for Infectious Diseases in Obstetrics and Gynaecology
Uterine incarceration
TOLAC
Osteopathy
Danylo Halytsky Lviv National Medical University
Osmotic dilator
Browsing by Subject "Obstetrics"
Obstetrics & Gynecology
Conference on Prevention of Transmission of Bloodborne
Pathogens in Surgery and Obstetrics
Mark Phillippe, MD - Obstetrics and Gynecology
Obstetrics & Gynecology | Medical College of Wisconsin
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Ver por tema "Obstetrics"
Staff Directory | Fax Obstetrics and Gynaecology O&G
Salary: Physician - Obstetrics And Gynecology in United States 2023 | Glassdoor
Obstetrics - UR Medicine Obstetrics & Gynecology - University of Rochester Medical Center
LARCs | Obstetrics & Gynecology
Faculty | Obstetrics and Gynecology | SUNY Upstate Medical University
PRIORITY Registry - Obstetrics & Gynecology | UCLA Health
Reports of Major Impact: American Journal of Obstetrics & Gynecology
Obstetrics Center | Tampa General Hospital
Evidence Based Hypnotherapy For Obstetrics
Christina Kunycky, MD - UNC Department of Obstetrics & Gynecology
Obstetrics Research Group - Department of Human Structure and Repair - Ghent University
Cynthia Davis, MD | Obstetrics & Gynecology - Chamberlain, SD | Sanford Health
Obstetrics in St Albans, VIC 3021 | healthdirect
Obstetrics | Gynecology | Obstetrician | Gynecologist | Gynecologic Surgery | CAMC
Julana Spaulding, CNM - Obstetrics/Gynecology, Midwifery | Guthrie
Browse Books: Medical / Gynecology & Obstetrics | Broadway Books
Leonieke Breunis, Obstetrics and Gynaecology - Erasmus MC
Rapid Scoping Review of Medical Malpractice Policies in Obstetrics | WHO | Regional Office for Africa
Philips Obstetrics & Gynecology Education | Philips Healthcare
Gynecology18
- Below, we provide data on metrics used by Obstetrics & Gynecology as well as tools for readers available on our website. (lww.com)
- Obstetrics & Gynecology 's 2019 impact factor is 5.524. (lww.com)
- The journal's ranking is the sixth highest impact factor out of all 82 obstetrics and gynecology journals. (lww.com)
- 2 Obstetrics & Gynecology 's 2019 5-year impact factor is 5.618. (lww.com)
- 2 Obstetrics & Gynecology 's 2019 immediacy index is 1.316. (lww.com)
- 2 Obstetrics & Gynecology 's 2019 Eigenfactor score is 0.04793. (lww.com)
- Dr. Phillippe is a member of multiple national biomedical societies including the Society for Gynecologic Investigation, the Perinatal Research Society, the Society for Maternal-Fetal Medicine, the American Gynecologic and Obstetrical Society, the American College of Obstetrics & Gynecology, and the American Society for Cell Biology. (massgeneral.org)
- The estimated total pay for a Physician - Obstetrics and Gynecology is $205,776 per year in the United States area, with an average salary of $180,354 per year. (glassdoor.com)
- What are total pay estimates for a Physician - Obstetrics and Gynecology at different companies? (glassdoor.com)
- PRIORITY is a joint collaboration between the UCLA and UCSF Departments of Obstetrics and Gynecology. (uclahealth.org)
- Tampa General Hospital is ranked in the top 50 in the nation and the highest-ranked hospital in Florida for Obstetrics & Gynecology by U.S. News & World Report for 2022-23. (tgh.org)
- Dr. Cynthia Davis is an experienced provider in all areas of obstetrics and gynecology services. (sanfordhealth.org)
- The CAMC Obstetrics and Gynecology Center specializes in pregnancy, birth control and other women's services. (camc.org)
- Currently, I am doing my PhD at the Department of Obstetrics and Gynecology in the Sophia Children's Hospital. (erasmusmc.nl)
- Guidelines from the American College of Obstetrics and Gynecology have cautioned against using elective Cesarean delivery before 39 weeks, in order to protect the mother and prevent severe complications in the infant. (medscape.com)
- Factors impacting on the decision of graduate entry medical school students to pursue a career in obstetrics and gynecology in Ireland. (bvsalud.org)
- While respondents were positive about the merits of a career in obstetrics and gynecology , concerns remain about work-life balance , career opportunities, and the high- risk nature of the specialty. (bvsalud.org)
- Obstetrics & Gynecology, 125(6), 1510-1525. (cdc.gov)
Gynaecology7
- ABSTRACT This study aimed to identify forms of workplace violence against obstetrics and gynaecology nurses and assess their reaction and attitude to it. (who.int)
- A descriptive cross-sectional study was conducted in 2009 among 416 randomly selected nurses in obstetrics and gynaecology departments in 8 hospitals in Cairo, Egypt. (who.int)
- Given well documented staff shortages within obstetrics and gynaecology in Ireland , it is increasingly important to understand the factors which influence medical students to choose or reject a career in the speciality. (bvsalud.org)
- The aim of this study was to ascertain the perceptions of final year graduate entry medical students of obstetrics and gynaecology, including the factors which may influence a student 's decision to pursue in a career in the speciality. (bvsalud.org)
- Paper -based surveys of graduate entry medical students (n = 146) were conducted at the beginning and end of a six week rotation in obstetrics and gynaecology in Ireland . (bvsalud.org)
- No male students expressed an interest in obstetrics , gynaecology or both as a first choice of career in the pre rotation survey . (bvsalud.org)
- If males are to be recruited into obstetrics and gynaecology, consideration should be given to the positive impact of internship . (bvsalud.org)
Hospital1
- The Obstetrics Center at the Tampa General Hospital Women's Institute provides state-of-the-art, individualized care for women before, during and after childbirth. (tgh.org)
Surgery1
- CDC and the American College of Surgeons will cosponsor a conference, 'Prevention of Transmission of Bloodborne Pathogens in Surgery and Obstetrics,' February 13-15, 1994, in Atlanta. (cdc.gov)
Practice1
- In a recent study in England, there was a general obstetrics practice where hypnosis was used in-house and patients were given the opportunity to use either standard relaxation or to incorporate hypnosis in their treatment. (iwanttoquitsmoking.com)
Services1
- Une étude descriptive transversale a été menée en 2009 auprès de 416 membres du personnel infirmier des services d'obstétrique et de gynécologie sélectionnés aléatoirement dans huit hôpitaux du Caire (Égypte). (who.int)
Details1
- Details for: Williams obstetrics. (who.int)
Highest1
- Pregnant mothers can expect the highest level of attention and care from our dedicated obstetrics team and neonatal specialists. (camc.org)
Critical care obstetrics2
Maternal-Fetal Me1
- Another interesting session, led by Michael Socol, MD, Professor at Northwestern University, Chicago, Illinois, and Past President of the Society of Maternal-Fetal Medicine, dealt with current issues in obstetrics. (medscape.com)
Reproductive1
- Many medical conditions in obstetrics, neonatology, pediatric critical care, reproductive endocrinology and infertility involve clinical states that evolve or change over short time frames. (nih.gov)
PATIENTS1
- Dr. Khan uses the 4 P's Plus tool, which has been validated for use with obstetrics patients. (nih.gov)
Team1
- Dr. Sachs's presentation was entitled "Team Training: A Potential New Approach to Improving Patient Safety in Obstetrics. (medscape.com)