/ /

Robert J. Stiller, MD
Treating UTIs in the age of antibiotic resistance: Strategies for the practicing OB/GYN
Ob/gyns have witnessed how development of antibiotic resistance has affected disease management in our specialty. Increased resistance of Neisseria. Gonorrhea (N. gonorrhea) to penicillins and quinolones, emergence of methicillin-resistant staphylococcus aureus (MRSA) and resistance of Group B Streptococcus to erythromycin and clindamycin have led us to modify our antibiotic treatment regimens.
Winter danger: carbon monoxide poisoning during pregnancy
In the winter months, remain vigilant for CO poisoning, as the presenting signs are often nonspecific.
Clinician to Clinician: Reaffirming the role of lung maturity testing in the at-risk pregnancy
Knowledge of fetal lung maturity provides useful adjunctive information that is unique and relevant to a patient.
4 ways to lower your risk of an obstetric malpractice suit
Know your limitations, document, train, and communicate, says this MFM specialist who has served as an expert witness.
Preventing retained foreign objects in ob/gyn surgery
A 44-year-old woman underwent an uneventful abdominal supracervical hysterectomy. Sponge and needle counts were reported as correct on multiple occasions during surgery. On postoperative day 2, the patients reported abdominal pain and mild abdominal distention. Despite conservative measures taken, the pain and distention did not resolve. On postoperative day 4, she was vomiting and her abdomen appeared further distended. An X-ray revealed an intra-abdominal laparatomy pad and small bowel obstruction.