Are hysterectomy volumes in the US really falling?Hysterectomy is the most common nonobstetric surgical procedure performed on women, with 1 out of 9 women undergoing it in their lifetime. Recent reports have indicated a sharp decline in the number of hysterectomies performed annually in the United States.
In this issue
Menopause updates September 01, 2017By Judith M. Orvos ELSGuidelines from the National Institute for Health and Care Excellence (NICE) offer a unique perspective on diagnosis and management of menopause. Plus: A guide for hormone replacement therapy. Brain injury allegedly caused by forceps September 01, 2017By Dawn Collins JDWhen the head of a Kansas woman's baby did not descend easily, the nursemidwife managing the labor sought an obstetrician’s intervention. The obstetrician used forceps to assist the delivery. The parents sued the obstetrician after the delivery alleging the infant suffered a skull fracture, lacerated ear, bruising around his scalp, and bleeding in the brain as a result of the forceps. What's the verdict? Plus more cases. Nonpainful vulvar mass in a 42-year-old womanA 42 y.o. woman presents for her annual gynecologic exam and complains of a non-painful mass on her right vulva. Can you make the diagnosis and prescribe the best treatment plan? ACOG Guidelines at a Glance: Screening for fetal aneuploidy
September 01, 2017Expert commentary on Practice Bulletin No. 163: Screening for fetal aneuploidy.
Managing complications of perineal lacerationsThis article reviews complications that may occur following perineal trauma, techniques to help prevent these complications, and best practices for management using case vignettes.
The opioid pain reliever epidemicThe aim of this article is to educate ob/gyns about what not to do for acute and chronic pain, in the hope that increased awareness will help us prevent suffering and loss of life from opioid pain relievers.