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 […]
Risk, or The Game of Life?
The ideal physician is not risk-averse but rather is a risk-mitigator. Risk is inescapable. We have to be able to understand risks in real terms […]
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 […]
A Little Skepticism, Please
(Listen here instead) Good clinical thinking is good critical thinking. Critical thinking in medicine requires a variety of tools in our cognitive armamentarium. We must […]
Cancer Screenings and Over-diagnosis: Pick The Outcome That Matters
Source What are the principles of a good screening test? The test should identify a clinically important disease that, if left untreated, will cause significant […]