Pub Date : 2016-08-31DOI: 10.1097/01.PGO.0000490016.47097.b7
Gaurav Trehan, Meera N. Gonzalez, I. Kamel
{"title":"Pain Management During Labor Part 2: Techniques for Labor Analgesia","authors":"Gaurav Trehan, Meera N. Gonzalez, I. Kamel","doi":"10.1097/01.PGO.0000490016.47097.b7","DOIUrl":"https://doi.org/10.1097/01.PGO.0000490016.47097.b7","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129589277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-07-31DOI: 10.1097/01.PGO.0000488508.99543.41
Meera N. Gonzalez, Gaurav Trehan, I. Kamel
Labor pain is an intense, unpleasant experience with significant physiologic consequences on the mother and the fetus. Delivery was called poena magna by the Romans, which means “great pain” or “great punishment.”1 Labor pain is subjective, with great interpersonal variability. It may also vary from pregnancy to pregnancy. Understanding the neurophysiology of labor pain and the maternal and fetal effects of pain is essential for all practitioners involved in the care of laboring patients. A thorough and focused assessment of the laboring patient before selecting and administering analgesic modality is essential to maximize efficacy and maternal satisfaction, without sacrificing maternal and fetal safety. In this article, we review the neurophysiology of labor pain, maternal and fetal effects of pain, and assessment of the parturient for labor analgesia.
{"title":"Pain Management During Labor Part 1: Pathophysiology of Labor Pain and Maternal Evaluation for Labor Analgesia","authors":"Meera N. Gonzalez, Gaurav Trehan, I. Kamel","doi":"10.1097/01.PGO.0000488508.99543.41","DOIUrl":"https://doi.org/10.1097/01.PGO.0000488508.99543.41","url":null,"abstract":"Labor pain is an intense, unpleasant experience with significant physiologic consequences on the mother and the fetus. Delivery was called poena magna by the Romans, which means “great pain” or “great punishment.”1 Labor pain is subjective, with great interpersonal variability. It may also vary from pregnancy to pregnancy. Understanding the neurophysiology of labor pain and the maternal and fetal effects of pain is essential for all practitioners involved in the care of laboring patients. A thorough and focused assessment of the laboring patient before selecting and administering analgesic modality is essential to maximize efficacy and maternal satisfaction, without sacrificing maternal and fetal safety. In this article, we review the neurophysiology of labor pain, maternal and fetal effects of pain, and assessment of the parturient for labor analgesia.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131170721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-07-15DOI: 10.1097/01.PGO.0000484628.84133.e0
G. Guirguis, Andrew Haddad, Shauna F. Williams
Breech presentation occurs in 3% to 4% of all singleton pregnancies at term.1 Historically, management options for the term breech patient have been breech vaginal delivery, external cephalic version (ECV) and cesarean delivery. Since publication of the Term Breech Trial in 2000,2 there has been a shift away from vaginal breech delivery and an increase in rates of cesarean delivery.3 Since then, long-term outcomes after 2-year follow-up from that cohort did not show a difference in death or neurodevelopmental delay,4 but other cohorts have shown an increase in neonatal death or morbidity associated with vaginal breech delivery.5 Vaginal breech can be offered in selected cases, but because of limited training and experience, cesarean delivery rates will likely continue to be the predominant mode of delivery for this group of patients. Alternatively, ECV should be considered as patients approach term to decrease the rate of cesarean delivery. Incorporating ECV into routine practice may produce a decrease in morbidity and also has the potential to decrease health care costs.6 Success rates for the procedure range from 30% to 86%, with an average success rate of 58%.7 Despite the likely benefits afforded by ECV, the procedure is not routinely considered, thus resulting in a gap between present and ideal practice. Given the potential value and the wide range of success rates as described, a thorough understanding of patient selection and ECV techniques would be helpful to practicing obstetrician/gynecologists. The goal of this article is to provide a review of ECV to improve vaginal delivery rates and help guide the clinician in counseling patients about version.
{"title":"External Cephalic Version","authors":"G. Guirguis, Andrew Haddad, Shauna F. Williams","doi":"10.1097/01.PGO.0000484628.84133.e0","DOIUrl":"https://doi.org/10.1097/01.PGO.0000484628.84133.e0","url":null,"abstract":"Breech presentation occurs in 3% to 4% of all singleton pregnancies at term.1 Historically, management options for the term breech patient have been breech vaginal delivery, external cephalic version (ECV) and cesarean delivery. Since publication of the Term Breech Trial in 2000,2 there has been a shift away from vaginal breech delivery and an increase in rates of cesarean delivery.3 Since then, long-term outcomes after 2-year follow-up from that cohort did not show a difference in death or neurodevelopmental delay,4 but other cohorts have shown an increase in neonatal death or morbidity associated with vaginal breech delivery.5 Vaginal breech can be offered in selected cases, but because of limited training and experience, cesarean delivery rates will likely continue to be the predominant mode of delivery for this group of patients. Alternatively, ECV should be considered as patients approach term to decrease the rate of cesarean delivery. Incorporating ECV into routine practice may produce a decrease in morbidity and also has the potential to decrease health care costs.6 Success rates for the procedure range from 30% to 86%, with an average success rate of 58%.7 Despite the likely benefits afforded by ECV, the procedure is not routinely considered, thus resulting in a gap between present and ideal practice. Given the potential value and the wide range of success rates as described, a thorough understanding of patient selection and ECV techniques would be helpful to practicing obstetrician/gynecologists. The goal of this article is to provide a review of ECV to improve vaginal delivery rates and help guide the clinician in counseling patients about version.","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"206 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133165162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-30DOI: 10.1097/01.PGO.0000484110.06786.48
R. Vrees
{"title":"Management of Female Victims of Sexual Assault: What Every Obstetrician/Gynecologist Should Know","authors":"R. Vrees","doi":"10.1097/01.PGO.0000484110.06786.48","DOIUrl":"https://doi.org/10.1097/01.PGO.0000484110.06786.48","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132852410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-05-30DOI: 10.1097/01.PGO.0000483166.60568.91
Polina Rovner, S. Dovey
{"title":"Uterine Duplication Anomalies: Distinguishing Among Didelphys, Bicornuate, and Septate Uteri","authors":"Polina Rovner, S. Dovey","doi":"10.1097/01.PGO.0000483166.60568.91","DOIUrl":"https://doi.org/10.1097/01.PGO.0000483166.60568.91","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126247406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-05-15DOI: 10.1097/01.PGO.0000482531.55782.88
Alice C Harman, M. Gallagher
{"title":"Medical Ethics Beyond the Four Principles: A Case-Based Review","authors":"Alice C Harman, M. Gallagher","doi":"10.1097/01.PGO.0000482531.55782.88","DOIUrl":"https://doi.org/10.1097/01.PGO.0000482531.55782.88","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124175719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-30DOI: 10.1097/01.PGO.0000482169.61754.39
E. Weston, C. Wheeler
{"title":"Pediatric Gynecology: How to Evaluate and Manage Common Problems of Vulvovaginitis, Labial Adhesions, And Lichen Sclerosis","authors":"E. Weston, C. Wheeler","doi":"10.1097/01.PGO.0000482169.61754.39","DOIUrl":"https://doi.org/10.1097/01.PGO.0000482169.61754.39","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127398437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-03-15DOI: 10.1097/01.PGO.0000480983.03946.20
E. A. Abi Khalil, G. Moawad
{"title":"Asherman Syndrome","authors":"E. A. Abi Khalil, G. Moawad","doi":"10.1097/01.PGO.0000480983.03946.20","DOIUrl":"https://doi.org/10.1097/01.PGO.0000480983.03946.20","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121389383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-03-01DOI: 10.1097/01.PGO.0000481325.01286.8d
S. Seckin, W. Schlaff
{"title":"Evidence-Based Management of Recurrent Pregnancy Loss","authors":"S. Seckin, W. Schlaff","doi":"10.1097/01.PGO.0000481325.01286.8d","DOIUrl":"https://doi.org/10.1097/01.PGO.0000481325.01286.8d","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"338 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113986562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-02-01DOI: 10.1097/01.PGO.0000480470.75640.57
J. Villavicencio, R. Vrees
{"title":"Diagnosis and Management of Septic Abortion","authors":"J. Villavicencio, R. Vrees","doi":"10.1097/01.PGO.0000480470.75640.57","DOIUrl":"https://doi.org/10.1097/01.PGO.0000480470.75640.57","url":null,"abstract":"","PeriodicalId":193089,"journal":{"name":"Topics in Obstetrics & Gynecology","volume":"125 16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122831161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：