Sir William Osler editing his textbook of medicine in 1891 at Johns Hopkins. Ah, Sir William Osler. Who doesn’t love a good Osler quote? My […]
The Real Risks of Hormone Replacement Therapy
Few topics in medicine are filled with as much misinformation and misunderstanding as hormone replacement therapy in women. Millions of women each year make important […]
Post-Tubal Ligation Syndrome (Or, Post-IUD Syndrome)
Ever heard of Post-Tubal Ligation Syndrome (PTLS) or Post-Sterilization Syndrome (PSS)? Your patients have. Everyone on Facebook and Pinterest has. The website tubal.org lists 45 […]
One Too Many?
We recently discussed problems with how we communicate risk and benefit of interventions to patients. To communicate successfully, we first have to understand the risks […]
What Should Be Done At Routine Prenatal Visits?
From SarahL.com Much of what constitutes prenatal care is based on tradition and lore. Having a clear understanding of evidence-based practices is important. For the […]
Will The Real Cowboy Please Stand Up? Harmful Practices and Harmful Culture in OB/Gyn
Have you ever been called a cowboy? I certainly have. I even own a nice pair of boots. What is a cowboy? “A person who […]
To Induce or Not To Induce: The 39 Weeks “Debate” (Part 3)
(NB: The 3 parts will make more sense if they are read in order …) In Part 1, we considered the increased risk of cesarean […]
To Induce or Not To Induce: The 39 Weeks “Debate” (Part 2)
In Part 1, we examined the evidence that indicates that there is an increasing cesarean delivery rate with an increased rate of induction of labor, […]
To Induce or Not To Induce: The 39 Weeks “Debate” (Part 1)
At the 2016 ACOG Annual Clinical Meeting, a colloquia session debate was presented entitled: If No Elective Inductions Before 39 Weeks, Why Not Induce Everyone […]
Should We Administer Betamethasone to Women at Risk of Late Preterm Birth?
Recently, a study was published in the New England Journal of Medicine, entitled Antenatal Betamethasone for Women at Risk of Late Preterm Delivery. The authors […]