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Stop Making Me Look Bad, Guys

By Howard Herrell, MDPosted on August 18, 2018August 19, 2018

It, unfortunately, happens that a physician who works hard to practice evidence-based medicine sometimes appear as an outlier compared to other physicians. In Obstetrics, this is […]

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Four Tips for Preventing Perineal Trauma: The Grip

By Howard Herrell, MDPosted on April 16, 2018

Only in the last decade or so has there been much desire on the part of Obstetricians to develop techniques for preventing lacerations and tears […]

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Subchorionic Hematomas, Lakes, and all that Jazz…

By Howard Herrell, MDPosted on April 12, 2018April 15, 2018

Two things drive me crazy, and a third vexes my soul: Over-diagnosis of subchorionic hematoma; Inappropriate counseling and recommendations regarding subchorionic hematoma; And inappropriate management […]

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Ten Things I’ve Learned About Maternal Mortality

By Howard Herrell, MDPosted on March 20, 2018

I’ve attended two conferences in the last 3 weeks that largely revolved around maternal mortality in the United States. About 700 women each year die […]

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Four Tips for Removing a Nexplanon

By Howard Herrell, MDPosted on February 24, 2018

Nexplanon removal should be a relatively straightforward and easy procedure. However, there are a few things you can do to make the job even easier. […]

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The Serena Syndrome

By Howard Herrell, MDPosted on February 21, 2018August 19, 2018

(Note: I have no personal knowledge of Serena Williams’ pregnancy or the care she received. This article is based on publicly available information only and […]

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Four Tips for Using A Quantitative HCG Test

By Howard Herrell, MDPosted on February 19, 2018

Pregnancy tests come in three varieties: a urine qualitative test (it’s either positive or negative), a serum qualitative test (again, either positive or negative), and […]

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Help! How Can I Do Fewer Cesareans?!!?

By Howard Herrell, MDPosted on February 4, 2018February 5, 2018

Comparison of Friedman and Zhang labor curves I’ve noticed that a lot of doctors don’t like the suggestion that their cesarean delivery rate is too […]

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Have We ARRIVEd at 39 Weeks?

By Howard Herrell, MDPosted on February 2, 2018February 2, 2018

  Confused by the ARRIVE Trial presented this past week at SMFM? Don’t be. It’s unclear what impact this trial will ultimately have on recommendations from […]

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Birth Control and Weight Gain

By Howard Herrell, MDPosted on January 15, 2018

I spend a considerable amount of my day trying to convince women that whatever their current complaint might be is not related to their birth […]

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