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Volume 1, No 2 - Spring 2008

Volume 1, No 2 - Spring 2008

Table of Contents

Relationships With Industry Editorial
[Rev Obstet Gynecol. 2008;1(2):47]
Bilateral Ectopic Pregnancy Images in Ob-Gyn
[Rev Obstet Gynecol. 2008;1(2):48]
Why Epidurals Do Not Always Work Technique Review
The overwhelming majority of epidural catheters placed for labor provide satisfactory analgesia. There are, however, times when the catheter is not sited within the epidural space correctly, the patient’s neuraxial anatomy is problematic, or a patient’s labor progresses more quickly than expected by the anesthesiologist, and the epidural block does not set up on time. In this article, the basics of neuraxial labor analgesia, the causes of its failure, and the strategies anesthesiologists employ to rescue poorly functioning catheters are reviewed. [Rev Obstet Gynecol. 2008;1(2):49-55]
A Review of NICHD Standardized Nomenclature for Cardiotocography: The Importance of Speaking a Common Language When Describing Electronic Fetal Monitoring Nomenclature
Despite evidence demonstrating no neonatal benefit, the medicolegal climate in the United States requires obstetricians to integrate continuous intrapartum surveillance into their care of the pregnant laboring patient. The intent of this article is to familiarize the reader with the standardized, quantitative nomenclature recommended to describe intrapartum cardiotocography in order to reduce miscommunication among providers caring for the laboring patient. [Rev Obstet Gynecol. 2008;1(2):56-60]
Revisiting Amniocentesis for Fetal Lung Maturity After 36 Weeks’ Gestation Diagnostic Update
Respiratory distress syndrome (RDS) remains a major cause of perinatal morbidity and mortality in premature infants. To avoid iatrogenic RDS, The American College of Obstetricians and Gynecologists (ACOG) recommends that obstetricians confirm fetal pulmonary maturity prior to elective delivery less than 39 weeks’ gestation. However, ACOG based such recommendations primarily on studies carried out prior to the routine use of antenatal corticosteroids to accelerate lung maturity and the liberal use of ultrasound to confirm gestational age. Recent studies suggest that testing for fetal lung maturity at more advanced gestational ages is neither reliable nor cost effective. This article reviews the current literature on the use of amniocentesis to confirm fetal lung maturity prior to elective delivery at 36 to 39 weeks’ gestation. [Rev Obstet Gynecol. 2008;1(2):61-68]
Diagnosis and Treatment of Unexplained Infertility Diagnostic and Treatment Update
Over the past decade, significant advances have occurred in the diagnosis and treatment of reproductive disorders. In this review, we discuss the routine testing performed to diagnose unexplained infertility. We also discuss additional testing, such as assessment of ovarian reserve, and the potential role of laparoscopy in the complete workup of unexplained infertility. Finally, we outline the available therapeutic options and discuss the efficacy and the cost-effectiveness of the existing treatment modalities. The optimal treatment strategy needs to be based on individual patient characteristics such as age, treatment efficacy, side-effect profile, and cost considerations. [Rev Obstet Gynecol. 2008;1(2):69-76]
An Introduction to Maternal Mortality Women's Health in the Developing World
Approximately 529,000 women die from pregnancy-related causes annually and almost all (99%) of these maternal deaths occur in developing nations. One of the United Nations’ Millennium Development Goals is to reduce the maternal mortality rate by 75% by 2015. Causes of maternal mortality include postpartum hemorrhage, eclampsia, obstructed labor, and sepsis. Many developing nations lack adequate health care and family planning, and pregnant women have minimal access to skilled labor and emergency care. Basic emergency obstetric interventions, such as antibiotics, oxytocics, anticonvulsants, manual removal of placenta, and instrumented vaginal delivery, are vital to improve the chance of survival. [Rev Obstet Gynecol. 2008;1(2):77-81]
AnchorPort™, Surgiquest, Inc. Spring 2008 Product Reviews
[Rev Obstet Gynecol. 2008;1(2):82-83]
Laprostop®, Innovamed Spring 2008 Product Reviews
[Rev Obstet Gynecol. 2008;1(2):83-84]
LapCap™, Aragon Surgical Spring 2008 Product Reviews
[Rev Obstet Gynecol. 2008;1(2):84-85]
Umbicut®, Euroband Pollak (International) Ltd. Spring 2008 Product Reviews
[Rev Obstet Gynecol. 2008;1(2):85-86]
G•Spec™ Articulated Weighted Speculum, GyNOVA, LLC Spring 2008 Product Reviews
[Rev Obstet Gynecol. 2008;1(2):86-87]
Obstetrical Ultrasound News and Views in Books
[Rev Obstet Gynecol. 2008;1(2):88]
In Vitro Fertilization and Acupuncture Reviewing the Literature
[Rev Obstet Gynecol. 2008;1(2):89]
Medical Versus Surgical Evacuation Reviewing the Literature
[Rev Obstet Gynecol. 2008;1(2):90-91]
Vulvar Neoplasia Treatment Reviewing the Literature
[Rev Obstet Gynecol. 2008;1(2):90]
Premenstrual Syndrome Reviewing the Literature
[Rev Obstet Gynecol. 2008;1(2):91]
Miscellaneous Reviewing the Literature
[Rev Obstet Gynecol. 2008;1(2):91-92]