Preconception care is primary prevention. The goal is to affirm pregnancy intention, reduce any potential harm, and recognize modifiable risk factors related to pregnancy while stratifying pregnancies on a continuum of low- to high-risk.
Change. It is a concept and a system of livelihood that defines our training. These include changes in the conditions of our patients, in the standard of care, and in the daily workflow. Permutations of change occur on rounds and in the operating room, which is what we learn to expect and accept.
In August, the Annals of Internal Medicine published an anonymous essay entitled, “Our Family Secrets.”1 The gut-wrenching piece was accompanied by a a call-to-arms from the journal’s editors (“On Being a Doctor: Shining a Light on the Dark Side”), which rationalized for medical educators and leaders the decision to publish the essay and begged for a discussion on professionalism in Obstetrics and Gynecology.
Contemporary OB/GYN's Resident blogger reflects on the way that time changes on the job from the rush of morning rounds to the agonizingly slow minutes while watching fetal heart rate tracings in prolonged decelerations.