Protocols for High-Risk Pregnancies: Autoimmune Disease February 01, 2017By Judith M. Orvos ELSIn this protocol, Dr Lockwood reviews the pathophysiology, diagnosis, and management of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA).
In this issue
De-stressing ob/gynThe January 2017 issue of Contemporary OB/GYN provided a window into the minds of some of our colleagues by reporting the results of our second annual Labor Force survey. About 670 of our readers responded. Should this ectopic pregnancy have been diagnosed earlier? February 01, 2017By Andrew I Kaplan EsqThe plaintiff asserted that during the diagnostic laparoscopy, Dr A and Dr B should have detected the ectopic pregnancy in the right fallopian tube. Her attorneys claimed that based upon the plaintiff’s abdominal pain, vaginal bleeding, and β- hCG levels, and absent evidence of intrauterine pregnancy on ultrasound, the defendants should have presumed ectopic pregnancy and adequately evaluated the fallopian tube before discharging the patient, thus avoiding rupture. Birth plans: Managing patients’ expectations February 01, 2017By Susan C. OlmsteadSusan C Olmstead and Yalda Afshar, MD, PhD, discuss birth plans and whether there is a place for them. Gastroschisis: Prenatal diagnosis and managementWith incidence of this birth defect on the rise, ob/gyns need to understand how best to spot and deal with it. Treating UTIs in the age of antibiotic resistance: Strategies for the practicing OB/GYNOb/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.