http://contemporaryobgyn.modernmedicine.com/obgyn Peer-reviewed gynecology advice from Contemporary OB/GYN. Practical clinical info for gynecologists, obstetricians & nurse practictioners - pregnancy, perimenopause, endometriosis, infertility, malpractice advice, practice managment and more… 2008-11-20T23:09:18Z http://contemporaryobgyn.modernmedicine.com/obgyn/July-2008-BPA-Statement/ArticleStandard/Article/detail/566747?ref=25 {!-- --} 2008-11-18T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/472008/566747null PDF http://contemporaryobgyn.modernmedicine.com/obgyn/2009-Rate-Card/ArticleStandard/Article/detail/566170?ref=25 {!-- --} 2008-11-14T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/566170null PDF http://contemporaryobgyn.modernmedicine.com/obgyn/2009-Media-Kit/ArticleStandard/Article/detail/566171?ref=25 {!-- --} 2008-11-14T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/566171null PDF http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Studies-assess-decisions-to-seek-care-among-pa/ArticleStandard/Article/detail/565471?ref=25 New Orleans—Early reperfusion is crucial to maintaining cardiac myocytes in patients suffering a heart attack yet many patients refuse to seek medical care until hours after symptom onset, if at all. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565471null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Microalbuminuria-associated-with-development-a/ArticleStandard/Article/detail/565473?ref=25 New Orleans—Subjects without symptoms of heart disease who have microalbuminuria are more likely to have coronary artery calcium and are more likely to have progression of coronary artery calcium over time than those without microalbuminuria, says Andrew P. DeFilippis, MD. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565473null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Exercise-may-be-the-prescription-for-heart-fai/ArticleStandard/Article/detail/565468?ref=25 New Orleans—An aerobic exercise program modestly reduces death and hospitalization in patients with chronic heart failure, according to results from a study funded by the National Heart, Lung, and Blood Institute. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565468null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-MR-proADM-strong-short-term-prognosticator-of-/ArticleStandard/Article/detail/565470?ref=25 New Orleans—Mid-regional pro-adrenomedullin (MR-proADM) is a better biomarker for predicting short-term mortality in patients presenting with shortness of breath who are diagnosed with heart failure, according to results of the Biomarkers in the Assessment of Congestive Heart Failure (BACH) trial. Use of this marker was significantly more accurate than brain natriuretic peptide (BNP) or N-terminal prohormone BNP (NT-proBNP) in detecting which heart failure patients were likely to die. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565470null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-ARB-ineffective-in-HF-with-preserved-ejection-/ArticleStandard/Article/detail/565469?ref=25 New Orleans—The use of irbesartan for heart failure with preserved ejection fraction (HFPEF) failed to improve outcomes compared to placebo, says Barry Massie, MD, investigator for the Irbesartan in Heart Failure with Preserved EF (I-PRESERVE) trial. These results are consistent with two previous trials (CHARM PRESERVED, PEP-CHF) that failed to show a positive effect with an angiotensin-receptor blocker (ARB) for these patients, explains Dr. Massie, University of California, San Francisco. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565469null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-lsquoVascular-agersquo-of-obese-children-simil/ArticleStandard/Article/detail/565467?ref=25 New Orleans—Obese children, particularly those with elevated triglycerides, have a “vascular age” similar to those of 45-year-old white men, says Geetha Raghuveer, MD, University of Missouri-Kansas City School of Medicine. “I think this is a wake up call,” she says. “These children may need intensive management including pharmacological management of risk factors. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565467null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-New-stent-entices-progenitor-cells-has-low-rat/ArticleStandard/Article/detail/565472?ref=25 New Orleans—A new type of stent coated with an antibody that binds circulating endothelial progenitor cells (EPCs) is associated with a low rate of stent thrombosis and requires only 1 month of dual antiplatelet therapy. Drug-eluting stents require at least 6 months of dual antiplatelet therapy to reduce the risk of stent thrombosis. 2008-11-12T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565472null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Anticoagulation-can-be-maintained-during-invas/ArticleStandard/Article/detail/565129?ref=25 A patient on chronic warfarin is scheduled for a pacemaker implantation, so naturally you discontinue the warfarin several days prior to the procedure to reduce the chance of bleeding. That may not be necessary, says Peter H. Belott, MD, who contends that “we can keep the patient [at a] therapeutic INR [international normalized ratio] and will not incur any deleterious effects.” 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565129null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Lack-of-sleep-associated-with-increased-heart-/ArticleStandard/Article/detail/565127?ref=25 Getting less than 7.5 hours of sleep daily is a predictor of incident cardiovascular disease in elderly patients with hypertension, reports Kazuo Eguchi, MD, Jichi Medical University, Tochigi, Japan. “Reflecting changing lifestyles, people are sleeping less in modern societies,” he says. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565127null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-New-anticoagulant-is-promising-in-treatment-of/ArticleStandard/Article/detail/565132?ref=25 An investigational oral anticoagulant—the factor Xa inhibitor rivaroxaban—performed well enough in a Phase II study in patients with acute coronary syndromes (ACS) to support a pivotal Phase III trial in patients with ACS, reports C. Michael Gibson, MD. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565132null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Stratification-beyond-Framingham-criteria-is-p/ArticleStandard/Article/detail/565130?ref=25 Precisely defining intermediate cardiovascular-event risk using the Framingham Risk Score (FRS) is a challenge for clinicians. This is magnified when one considers that the number of patients who fall under the intermediate risk category outnumbers those considered low or high risk. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565130null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Drug-eluting-stents-show-increased-safety-in-d/ArticleStandard/Article/detail/565128?ref=25 Drug-eluting stents (DES) were associated with decreased rates of death, myocardial infarction (MI), and revascularization at 3 years of follow up in diabetic patients compared to bare-metal stents (BMS), according to results of a large observational study. “Our primary concern was to look at safety,” says Laura Mauri, MD (pictured) Brigham and Women’s Hospital and Harvard Medical School, Boston. “Considering the safety concerns surrounding DES recently, it was to our surprise that we found a significant difference in the opposite direction. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565128null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Electronic-health-records-alone-donrsquot-impr/ArticleStandard/Article/detail/565131?ref=25 By itself, use of electronic health records (EHRs) does not improve the quality of care for heart failure, says Mary Norine Walsh, MD. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565131null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Human-heart-valve-grown-from-stem-cells-offers/ArticleStandard/Article/detail/565124?ref=25 Researchers have successfully used umbilical cord stem cells to build a functional heart valve that may someday be perfected so that infants born with valve abnormalities could receive a new valve derived from their own stem cells, reports Philipp Schaefermeier, MD, University Hospital of Munich, Germany. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565124null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Race-affects-hospitalization-rates-for-AF-in-t/ArticleStandard/Article/detail/565126?ref=25 African Americans are half as likely to be hospitalized for atrial fibrillation (AF) as whites, according to Paul Tabereaux, MD, MPH, and colleagues. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565126null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Transition-from-pediatric-to-adult-cardiac-car/ArticleStandard/Article/detail/565125?ref=25 The process of transitioning pediatric cardiology patients into adult cardiac care should begin in late childhood or early adolescence, says Arwa Saidi, MD (pictured) department of internal medicine and pediatric cardiology, University of Florida. The 2008 American College of Cardiology/American Heart Association guidelines recommend preparing young people for the transition beginning at age 12. 2008-11-11T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/565125null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-No-effect-of-B-vitamins-on-vascular-risk/ArticleStandard/Article/detail/564763?ref=25 The final nail has been driven into the homocysteine-lowering coffin as a means to prevent recurrent coronary events. The results from the homocysteine-lowering arm of the SEARCH (Study of the Effectiveness of Additional Reductions in Cholesterol and Homocysteine) trial found no benefit to folic acid combined with vitamin B12 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564763null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Resistant-hypertension-is-multifactorial-in-et/ArticleStandard/Article/detail/564765?ref=25 A coalescence of factors usually conspires to cause resistant hypertension, which is defined as the failure to reach goal blood pressure in patients adhering to full doses of an appropriate three-drug antihypertensive treatment regimen, says Domenic Sica, MD. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564765null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-JUPITER-Rosuvastatin-reduces-events-in-patient/ArticleStandard/Article/detail/564761?ref=25 Rosuvastatin treatment of patients with better than average lipid profiles but with elevated high-sensitivity C-reactive protein (hsCRP) resulted in a 44% relative risk reduction in cardiovascular events and a 20% reduction in all-cause mortality, reports Paul Ridker, MD (pictured), lead investigator for the JUPITER Trial Study Group. JUPITER was an investigator-initiated trial sponsored by AstraZeneca. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564761null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Vitamin-E-and-C-show-no-cardiovascular-benefit/ArticleStandard/Article/detail/564762?ref=25 Neither vitamin C nor vitamin E is effective for primary prevention of cardiovascular events in men, according to results of the Physician’s Health Study II, which evaluated the risk and benefits of both vitamins as well as a multivitamin in preventing cardiovascular disease and cancer. Results relating to cancer prevention will be presented November 17 at the Frontiers in Cancer Prevention Research conference. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564762null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Mixed-results-with-low-dose-aspirin-as-primary/ArticleStandard/Article/detail/564764?ref=25 Low-dose aspirin did not result in a significant reduction in first atherosclerotic events in patients with type 2 diabetes, reports Hisao Ogawa, MD, PhD (pictured), lead investigator of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564764null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Ischemia-specific-serum-biomarkers-identified-/ArticleStandard/Article/detail/564760?ref=25 Johns Hopkins researchers have identified five proteins that may serve as an early warning of impending myocardial infarction (MI) in patients presenting to emergency rooms with ischemia symptoms. A blood test to detect all, or a subset of these proteins, could be used by physicians and paramedics in the 12- to 24-hour window before ischemia causes tissue damage or death. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564760null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/AHA-Look-at-recovery-following-an-acute-coronary-s/ArticleStandard/Article/detail/564759?ref=25 Recovery following an acute coronary syndrome is a phase in a larger cardiovascular disease continuum, and prevention of downstream complications needs to begin immediately following the event, says Shirley M. Moore, PhD, RN. 2008-11-10T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/462008/564759null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Obstetrics%2FGynecology+%26+Women%27s+Health/For-diabetic-women-continuous-glucose-monitoring-c/ArticleStandard/Article/detail/564531?ref=25 Diabetic women whose blood sugar is continuously monitored during pregnancy are more likely to have better glycemic control in the third trimester, and their babies have a lower birth weight and reduced risk of macrosomia, according to research published Sept. 25 in BMJ Online First 2008-11-08T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564531null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Obstetrics%2FGynecology+%26+Women%27s+Health/Cranberry-juice-may-prevent-urinary-symptoms-in-pr/ArticleStandard/Article/detail/564451?ref=25 Cranberry juice may protect against asymptomatic bacteriuria and symptomatic urinary tract infections in pregnant women, although more research is needed to confirm the findings, according to a report in the October issue of the Journal of Urology. 2008-11-07T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564451null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Obstetrics%2FGynecology+%26+Women%27s+Health/Giving-antibiotics-before-CS-decrease-maternal-inf/ArticleStandard/Article/detail/564447?ref=25 Preoperative antibiotics before cesarean delivery significantly reduce postpartum endometritis compared to antibiotics given at cord clamping, but do not affect neonatal outcomes, according to research published in the September issue of the American Journal of Obstetrics & Gynecology. 2008-11-07T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564447null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Obstetrics%2FGynecology+%26+Women%27s+Health/Hypnosis-may-relieve-hot-flashes-in-breast-cancer-/ArticleStandard/Article/detail/564527?ref=25 Hypnosis may be beneficial in reducing hot flashes in breast cancer survivors, according to research published online Sept. 22 in the Journal of Clinical Oncology 2008-11-07T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564527null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Obstetrics%2FGynecology+%26+Women%27s+Health/Would-your-electronic-medical-record-hold-up-in-co/ArticleStandard/Article/detail/564441?ref=25 This question is being asked increasingly often as more physicians go electronic, according to American Medical News (10/13/08). Federal Rules of Civil Procedure, approved by the US Supreme Court in December 2006, not only make electronically stored data discoverable in a trial but render physicians vulnerable to several new liabilities inherent in the detail electronic data provide. 2008-11-07T05:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564441null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/Missouri-Supreme-Court-upholds-midwifery/ArticleStandard/Article/detail/564382?ref=25 The Missouri Supreme Court voted 5 to 2 to leave intact a state law allowing certified professional midwives to practice without physician or state oversight. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564382null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/QampA-Experts-advice-on-bioidentical-hormones-and-/ArticleStandard/Article/detail/564371?ref=25 This analysis from the North American Menopause Society reviews OCs and a controversial form of estrogen/progesterone therapy. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564371null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Absent-nasal-bone-better-than-nuchal-fold-for-Down/ArticleStandard/Article/detail/564373?ref=25 While absent nasal bone and increased nuchal folds are both markers for Down syndrome, nasal bone hypoplasia is a more efficient test. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564373null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Pelvic-floor-disorders-affect-nearly-one-in-four-w/ArticleStandard/Article/detail/564375?ref=25 Pelvic floor disorders such as urinary and fecal incontinence, and pelvic organ prolapse affect nearly 25% of US women. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564375null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Maternal-vaccine-reduces-influenza-in-infants/ArticleStandard/Article/detail/564377?ref=25 The influenza vaccine in pregnant women can decrease risk of influenza in their infants up to 6 months of age and offer protection against febrile respiratory illness in both mothers and infants. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564377null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Legal-Rectal-laceration-during-laparoscopy/ArticleStandard/Article/detail/564386?ref=25 A woman underwent laparoscopic removal of a retained fibroid following a prior hysterctomy and removal of multiple fibroids. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564386null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/A-better-way-to-quantify-breast-Ca-risk-in-older-w/ArticleStandard/Article/detail/564379?ref=25 BMD alone and in combination with the Gail score helps to quantify the risk for breast cancer in postmenopausal women. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564379null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Topical-gabapentin-effective-in-vulvodynia/ArticleStandard/Article/detail/564376?ref=25 In women with vulvodynia, topical gabapentin brings significant pain relief. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564376null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/New-osteoporosis-guidelines-released/ArticleStandard/Article/detail/564374?ref=25 Among all patients with osteoporosis, pharmacologic treatment should be offered to reduce fracture risk. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564374null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Legal-Fetal-scalp-laceration-during-emergency-CS/ArticleStandard/Article/detail/564385?ref=25 A woman, 20 weeks' pregnant, presented to the hospital with uterine contractions. A fetal fibronectin test was positive and she was admitted and given steroids for fetal lung maturation. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564385null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/Medicare-stops-paying-hospitals-for-preventable-co/ArticleStandard/Article/detail/564381?ref=25 Medicare stopped paying hospitals for the added cost of treating patients who are injured in their care. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564381null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Is-MRI-causing-an-unwarranted-spike-in-mastectomie/ArticleStandard/Article/detail/564378?ref=25 By 2006, more than 1 in 5 women with breast cancer being treated at the Mayo Clinic received preoperative MRI. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564378null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Drastic-changes-in-treatment-of-cervical-cancer/ArticleStandard/Article/detail/564380?ref=25 The number of women with stage II to IVA cervical cancer treated in the US with chemotherapy more than doubled during the period 1997 to 2001. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564380null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Legal-Suicide-attempt-blamed-on-leuprolide-injecti/ArticleStandard/Article/detail/564388?ref=25 A woman with a history of depression was treated with an injection of leuprolide, allegedly causing her to attempt suicide 11 day later. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564388null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Legal-Delay-in-delivery-of-second-twin/ArticleStandard/Article/detail/564389?ref=25 A woman sued those involved in delivering her twins claiming the obstetrician took too long delivering the second twin by C/S. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564389null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Handheld-devices-Finding-the-best-programs/ArticleStandard/Article/detail/564391?ref=25 Here's expert advice to find the best medical software for your handheld computer. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564391null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/Medicare-pay-for-performance-bonuses-disappoint/ArticleStandard/Article/detail/564384?ref=25 Although pay-for-performance saves the agency money and improves quality of care, financial rewards for most participating physicians are small. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564384null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+Ob%2FGYN+CME/Pregnancy-in-obese-women-What-you-need-to-know-CME/CME/Article/detail/565585?ref=25 Educate obese patients about the significant maternal and fetal health risks of obesity, and advise them that losing weight before they become pregnant will not only prevent complications, but will also increase the odds of them getting pregnant. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/cme/obgyn/462008/565585null REMOTE http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/Court-upholds-noncompete-clause-in-physician-contr/ArticleStandard/Article/detail/564383?ref=25 A Kansas appeals court ruled that a noncompete clause in the contract of a doctor employed by a practice of 200 multispecialty physicians was enforceable. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564383null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Opinion-Maternal-mortality-in-Third-World-countrie/ArticleStandard/Article/detail/564372?ref=25 Worldwide, at least 500,000 women a year die of pregnancy-related complications, with developing countries bearing most of the burden. Dr Lockwood recommends that hospitals and medical schools in richer nations pair up with major hospitals in Sub-Saharan Africa and other afflicted areas to address their specific training and financial needs. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564372/Charles-Lockwood_thumbnail.jpg http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564372null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/MRSA-infection-in-obstetrics-and-gynecology/ArticleStandard/Article/detail/564390?ref=25 Preventing methicillin-resistant Staphylococcus aureas infection in ob/gyn patients requires vigilant handwashing, nasal swabs for select patients, and decolonizing ob patients. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564390/obgyn1108_MRSA_flash.jpg XML http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/Legal-Intracranial-bleed-after-delivery/ArticleStandard/Article/detail/564387?ref=25 An infant had a shoulder dystocia and was diagnosed with spastic quadriplegic cerebral palsy. 2008-11-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/452008/564387null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Cryopreservation/An-OBs-Guide-to-Cord-Blood-Banking/ArticleStandard/Article/detail/557724?ref=25 Umbilical cord blood (UCB) is a valuable source of stem cells that can be used to treat a variety of diseases including hematological malignancies. Although UCB stem cells were once viewed as an alternative source of stem cells for therapeutic transplant, this readily available source has gained acceptance among transplant physicians and is now often considered as a first-line treatment. UCB contains several classes of stem cells, including pluripotent forms, which offer promise in various emerging applications presently under preclinical and clinical investigation. Given both proven and nascent applications of UCB stem cells, expectant mothers should be educated about UCB options, including various banking options. There are essentially 3 options with regard to UCB—donating to a public bank, storing with a family bank, or discarding the UCB. Each option is associated with its own benefits and drawbacks. Obstetricians have the ability and opportunity to play an important role in this education. This article details the advances in UCB research and banking and provides useful information and tools for physicians to help educate expectant mothers and their families about UCB options. 2008-10-09T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557724null PDF http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legally-Speaking-A-case-of-spontaneous-Erbs-Palsy/ArticleStandard/Article/detail/558604?ref=25 Shoulder dystocia can be hard to defend, even when expert testimony and documentation support the actions of the physicians involved. When plaintiffs claim excessive force was applied, clinicians often settle to avoid excessive trial damages. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/422008/558604null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Need-CME-credits/ArticleStandard/Article/detail/557143?ref=25 Look no further than Contemporary OB/GYN. One article in every monthly issue is accredited. Read the article and complete the post-test and evaluation to get your free credit. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557143null HTML http://www.modernmedicine.com/modernmedicine/Medical+Economics/Opinion-Obama-vs-McCain-on-the-health-care-crisis/ArticleStandard/Article/detail/557641?ref=25 McCain's plan is market driven and would employ refundable tax credits while Obama would build on the current employer-based insurance model. Both plans are flawed. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557641/Charles-Lockwood_thumbnail.jpg http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557641null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Brief-reliable-questionnaire-can-screen-for-p/ArticleStandard/Article/detail/557646?ref=25 Postpartum depression can be reliably diagnosed using just 3 questions in a primary-care setting. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557646null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/News-Screening-may-lead-to-syphilis-overdiagnosis/ArticleStandard/Article/detail/557647?ref=25 Due to syphilis testing labs reversing the traditional order of screening, there may be overdiagnosis and overtreatment of syphilis. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557647null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Joint-Commission-targets-disruptive-physician/ArticleStandard/Article/detail/557653?ref=25 The Joint Commission issued a standard requiring hospital administration to adopt codes that define behavior and develop procedures to discipline staff who behave badly. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557653null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/New-Products-Health-and-personal-care-products/ArticleStandard/Article/detail/557664?ref=25 Health-care products available at ob/gyn offices. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557664null XML http://www.modernmedicine.com/modernmedicine/Contemporary+Ob%2FGYN+CME/Recurrent-early-pregnancy-loss-Is-miscarriage-eval/CME/Article/detail/559458?ref=25 The growing number of women repeatedly having early miscarriages may seek your guidance on cytogenic analysis. An expert shares algorithms that suggest when evaluation might help these patients better understand their risks. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/cme/obgyn/422008/559458null REMOTE http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/New-Products-HPV-vaccine/ArticleStandard/Article/detail/557662?ref=25 The vaccine Gardasil, has been approved by the FDA. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557662null XML http://www.modernmedicine.com/modernmedicine/Delivery/News-MgSO4-may-reduce-threat-of-cerebral-palsy/ArticleStandard/Article/detail/557643?ref=25 Giving magnesium sulfate to mothers at high risk of early preterm delivery reduces the risk of cerebral palsy in surviving offspring. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557643null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-HPV-vaccines-cost-effectiveness-in-question/ArticleStandard/Article/detail/557651?ref=25 Optimizing the cost effectiveness of HPV vaccine depends on several factors. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557651null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Court-ruling-may-make-it-easier-to-take-time-/ArticleStandard/Article/detail/557654?ref=25 Women who need time off from work for infertility treatment may invoke the Pregnancy Discrimination Act to protect them from legal action for their absenteeism. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557654null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/HT-doesnt-improve-wrinkles/ArticleStandard/Article/detail/557068?ref=25 Low-dose hormone therapy doesn?t offer statistically significant benefits to postmenopausal women with mild-to-moderate skin aging changes, researchers report in the September issue of the Journal of the American Academy of Dermatology. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557068null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/ACOG-tells-clinicians-to-address-noncoital-sex-ris/ArticleStandard/Article/detail/557063?ref=25 Because noncoital sex, including mutual masturbation, oral sex, and anal sex can increase the high risk of sexually transmitted diseases, it is important that clinicians ask direct questions about their patients' noncoital sexual activity and provide risk reduction counseling, according to an American College of Obstetricians and Gynecologists Committee Opinion published in the September issue of Obstetrics and Gynecology. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557063null HTML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Hospitals-sending-new-mothers-mixed-messages/ArticleStandard/Article/detail/557648?ref=25 Most hospitals give samples of baby formula to new mothers undermining breastfeeding. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557648null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Do-recertification-exams-improve-quality-of-c/ArticleStandard/Article/detail/557656?ref=25 Physicians with high MOC scores may provide better quality of care. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557656null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Ontario-Canada-considers-an-Apology-Act/ArticleStandard/Article/detail/557658?ref=25 Legislation allowing an apology as part of the dispute resolution process without concern over legal liability has been introduced in Ontario, Canada. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557658null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Lack-of-tort-reform-does-not-drive-away-docto/ArticleStandard/Article/detail/557657?ref=25 Lack of tort reform does not make doctors leave the state where they practice. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557657null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/New-Products-Bioabsorbable-staples/ArticleStandard/Article/detail/557666?ref=25 Bioabsorbable staples for skin closure 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557666null XML http://www.modernmedicine.com/modernmedicine/Medical+Economics/Universal-health-care-How-can-anyone-be-against-it/ArticleStandard/Article/detail/557667?ref=25 While universal coverage sounds like a great idea on the surface, those who champion the cause have yet to answer many complex social, economic, and ethical questions. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557667null XML http://www.modernmedicine.com/modernmedicine/Delivery/News-Thromboembolism-prophylaxis-urged-for-cesarea/ArticleStandard/Article/detail/557642?ref=25 The maternal death rate in the US could be reduced if all women undergoing cesarean delivery received thromboembolism prophylaxis. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557642null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Tibolone-prevents-osteoporotic-fractures-but-/ArticleStandard/Article/detail/557644?ref=25 Tibolone prevents vertebral and other fractures in osteoporotic women but increases risk of stroke. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557644null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Raloxifene-cuts-risk-of-endometrial-cancer/ArticleStandard/Article/detail/557645?ref=25 Raloxifene lowers the odds of developing endometrial cancer and is associated with a more favorable histologic type in patients who do develop cancer. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557645null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Is-less-radiation-after-lumpectomy-feasible/ArticleStandard/Article/detail/557649?ref=25 Less radiation after lumpectomy for women with early breast cancer is feasible. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557649null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Sugar-substitutes-may-be-worthless-in-the-bat/ArticleStandard/Article/detail/557650?ref=25 New research suggests that sugar substitutes may not be the best way to lose weight. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557650null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Age-at-menarche-menopause-HT-linked-with-greater-r/ArticleStandard/Article/detail/557142?ref=25 Reproductive and hormonal factors may pose more risk for some types of breast cancer than others, according to research published online Aug. 25 in Cancer. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557142null HTML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/New-Products-Surgical-mesh/ArticleStandard/Article/detail/557665?ref=25 Surgical mesh for treating urinary stress incontinence. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557665null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Proton-pump-inhibitors-linked-to-osteoporotic-frac/ArticleStandard/Article/detail/557062?ref=25 Taking proton pump inhibitors to treat ulcers and gastroesophageal reflux disease for long periods of time increases the risk of osteoporosis-related fractures, particularly hip fractures, according to a report in the Aug. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557062null HTML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/Managing-a-pregnant-patient-with-congenital-heart-/ArticleStandard/Article/detail/557660?ref=25 Mitral stenosis, atrial septal defects, aortic insufficiency, and other maternal complications can challenge obgyns, but the mode of delivery for CHD patients should be dictated by obstetric issues, not the presence of a defect. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557660/COG-1008-cover_flash.jpg XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/New-Products-Gentler-safer-alternative-to-chemical/ArticleStandard/Article/detail/557663?ref=25 The FDA has approved a douching device that gently cleanses. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557663null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-HPV-vaccine-linked-to-anaphylaxis-risk/ArticleStandard/Article/detail/557652?ref=25 While the risk of anapylaxis was higher in a HPV vaccine program compared to a similar one for meningococcal vaccine, HPV vaccine is remarkably safe. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557652null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/Ovarian-torsion-in-triplets/ArticleStandard/Article/detail/557659?ref=25 Adnexal masses affect 4% of pregnancies. In this case study, the complication occurred three times during a triplet gestation. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557659null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Few-patients-use-online-ratings-to-choose-phy/ArticleStandard/Article/detail/557655?ref=25 In California, few patients use the Internet to chek out physicians' ratings. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557655null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Codeine-poses-extra-risk-during-breastfeeding/ArticleStandard/Article/detail/557140?ref=25 Codeine can present a threat to breastfed infants, according to research published online Aug. 20 in Clinical Pharmacology and Therapeutics. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557140null HTML http://www.modernmedicine.com/modernmedicine/Feature+Articles/Borrowing-money-in-a-credit-crunch/ArticleStandard/Article/detail/557661?ref=25 It's still possible—with a solid banking relationship, a sharp business plan, and ample collateral. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557661null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Low-birthweight-linked-to-salt-sensitivity-in-chil/ArticleStandard/Article/detail/557067?ref=25 Low-birthweight children and those born small for their gestational age (SGA) are likely to be salt sensitive, according to study findings published online Aug. 11 in Hypertension. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557067null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/ACOG-says-bone-loss-fears-should-not-limit-contrac/ArticleStandard/Article/detail/557020?ref=25 A possible adverse effect of depot medroxyprogesterone acetate (DMPA) contraceptive injections??­bone mineral density (BMD) loss??should not prevent clinicians from either prescribing DMPA to appropriate patients or limiting its use to 2 consecutive years, according to an American College of Obstetricians and Gynecologists Committee Opinion published in the September issue of Obstetrics and Gynecology. 2008-10-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/412008/557020null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Pregnant-women-on-topiramate-for-migraineepilepsy-/ArticleStandard/Article/detail/550059?ref=25 The use of topiramate as monotherapy or as an adjunct to other treatment for epilepsy during pregnancy raises some concerns about the increased risk of congenital malformation, according to a report published in the July 22 issue of Neurology. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550059null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Fiber-intake-in-early-pregnancy-may-reduce-preecla/ArticleStandard/Article/detail/550055?ref=25 Total fiber intake during the early stages of pregnancy may attenuate the risk of developing preeclampsia, according to study findings published online July 17 in the American Journal of Hypertension. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550055null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Anti-HIV-Microbicides-could-generate-drug-resistan/ArticleStandard/Article/detail/550056?ref=25 Vaginal microbicides containing antiretrovirals to prevent HIV infection in women could lead to many cases of drug resistance, according to research published in the July 15 issue of the Proceedings of the National Academy of Sciences. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550056null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Maternal-diet-may-affect-childhood-asthma-risk/ArticleStandard/Article/detail/550050?ref=25 Children whose mothers ate nuts on a daily basis during pregnancy may be at increased risk of asthma, according to the results of a study published in the July 15 issue of the American Journal of Respiratory and Critical Care Medicine. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550050null HTML http://www.modernmedicine.com/modernmedicine/Medical+Economics/Opinion-The-business-of-medicine-requires-you-put-/ArticleStandard/Article/detail/552334?ref=25 To maintain a financially healthy practice, obgyns may want to think about alternative malpractice insurance, ancillary services, and astute retirement planning. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/392008/552334null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Ovary-removal-linked-to-less-depression-after-hyst/ArticleStandard/Article/detail/550057?ref=25 Removal of both ovaries in premenopausal women undergoing hysterectomy is associated with less depression or no change in depression depending on whether they were depressed before surgery, according to a report in the July issue of the American Journal of Obstetrics & Gynecology. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550057null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Sildenafil-may-help-women-treated-for-depression/ArticleStandard/Article/detail/550048?ref=25 Among women taking serotonin reuptake inhibitors for depression, sildenafil may help relieve sexual dysfunction associated with the use of the antidepressants, according to research published in the July 23/30 issue of the Journal of the American Medical Association. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550048null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Expectant-management-best-for-some-infertile-coupl/ArticleStandard/Article/detail/550062?ref=25 In couples with unexplained infertility, treatment with either clomifene citrate or unstimulated intrauterine insemination does not result in superior live birth rates compared with expectant management, according to study findings published online Aug. 7 in BMJ Online First. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550062null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Improved-patient-safety-process-yields-fewer-cesar/ArticleStandard/Article/detail/550049?ref=25 Patient outcomes improved, litigation declined dramatically, and fewer babies were born by cesarean delivery after a comprehensive redesign of the patient safety process at a major hospital group, researchers report in the August issue of the American Journal of Obstetrics and Gynecology. 2008-09-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/382008/550049null HTML