Stillbirth
A systematic, effective stillbirth evaluation is important for identification of potential causes of fetal death. Knowledge of potential causes of fetal death facilitates emotional closure for patients and informs recurrence risk as well as future pregnancy management. The highest-yield components of a stillbirth evaluation for finding a cause of fetal death are fetal autopsy, placental pathology, and genetic testing. All patients should be offered these tests following a stillbirth. A clear plan for postpartum follow-up should be made with the patient in order to ensure ongoing support through the grief and recovery proce...
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Jessica M. Page, Robert M. Silver Source Type: research

Postpartum Depression
Perinatal care, including the management of mental health issues, often falls under the auspices of primary care providers. Postpartum depression (PPD) is a common problem that affects up to 15% of women. Most women at risk can be identified before delivery based on psychiatric history, symptoms during pregnancy, and recent psychosocial stressors. Fortunately, there have been a variety of treatment studies using antidepressants, nonpharmacologic interactions, and most recently, allopregnanolone (Brexanolone) infusion that have shown benefits. The most commonly used screening scale, Edinburgh Postnatal Depression Scale, a 1...
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Emily B. Kroska, Zachary N. Stowe Source Type: research

Diagnosis and Management of Postpartum Pelvic Floor Disorders
Pelvic floor disorders are common in the postpartum period. These disorders can significantly affect one ’s quality of life during a period that is already filled with emotional and physiologic change. This review focuses on the presentation, diagnosis, and treatment of the 3 major pelvic floor disorders in postpartum women, namely, urinary incontinence, fecal incontinence, and pelvic organ prolapse. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Ana Rebecca Meekins, Nazema Y. Siddiqui Source Type: research

Telehealth in Maternity Care
The use of telehealth is gaining momentum in providing obstetric care. Telehealth through various platforms provides obstetricians and gynecologists and other providers of obstetric and postpartum care with the tools to better facilitate prenatal, intrapartum, and postpartum encounters. Telehealth helps facilitate consultation with specialists and subspecialists in maternal-fetal medicine in a team-based fashion to improve quality and safe obstetric practices in a fragmented obstetric care delivery system, especially in rural access communities. Telehealth can be beneficial especially in the postpartum period for breastfee...
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Haywood L. Brown, Nathaniel DeNicola Source Type: research

The Postpartum Visit: An Optimal Time for Reflection and Looking Ahead
This issue of Obstetrics and Gynecology Clinics of North America pertains to the essential need of obstetricians and their coproviders to reexamine their practices for their postpartum patients. The issue is capably edited by Haywood L. Brown, MD, a past president of the American College of Obstetricians and Gynecologists, who had this as a principal focus during his recent presidency. We have accepted the puerperium as the time following delivery during which pregnancy-induced maternal anatomic and physiologic changes return to the nonpregnant state. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research

Changing the Postpartum Care Paradigm
Postpartum follow-up for all women after childbirth is essential for the mother, for the baby, and for long-term health. While the initial postpartum visit should address recovery from childbirth, lactation, and contraception concerns, it should be recognized as an opportunity to evaluate for mental health, labor outcome and complications, perineal rehabilitation, and ultimately, long-term health. Approximately 60% of all maternal deaths occur postpartum, and early follow-up is important for those most vulnerable, such as women at risk for thromboembolic and cardiovascular morbidity and mortality. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Haywood L. Brown Tags: Preface Source Type: research

New Postpartum Visit: Beginning of Lifelong Health
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Authors: Haywood L. Brown Source Type: research

Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Source Type: research

Contributors
William F. Rayburn, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Source Type: research

Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Source Type: research

Obstetrics and Gynecology Clinics
Preterm Rupture of Membranes (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - August 4, 2020 Category: OBGYN Source Type: research

Enabling Breastfeeding to Support Lifelong Health for Mother and Child
The health benefits of breastfeeding are well documented, and more than 80% of US women initiate breastfeeding; however, mothers in the United States face substantial challenges in meeting their personal breastfeeding goals, with approximately 60% weaning earlier than they had intended. In addition, there are significant racial/ethnic inequities in infant-feeding behaviors, and these inequities are a major public health concern. Enabling women to meet their breastfeeding goals is a public health priority. Infant feeding should be addressed as a modifiable health behavior, rather than a lifestyle choice. (Source: Obstetrics...
Source: Obstetrics and Gynecology Clinics - July 2, 2020 Category: OBGYN Authors: Adetola F. Louis-Jacques, Alison M. Stuebe Source Type: research

Reducing Cesarean Delivery Surgical Site Complications
Cesarean delivery (CD) wound complications disrupt the time a mother spends with her newborn. Surgical site infections (SSI) may result in unplanned office visits, emergency room visits, and hospital readmissions. Despite increasing attention to preoperative preparation, the CD SSI rate remains high. Local practices must be evaluated, and new methods to reduce CD SSI must be used. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - June 5, 2020 Category: OBGYN Authors: Margaret S. Villers Source Type: research

Gestational Weight Gain
This article provides an overview of methods and practices aimed at helping women achieve a healthy weight between pregnancies by improving gestational weight gain. These interventions include lifestyle behavioral changes, diet and exercise, and motivational interviewing. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - June 3, 2020 Category: OBGYN Authors: Peeraya Sawangkum, Judette M. Louis Source Type: research

Postpartum Contraception Options
Pregnancy and the postpartum period are ideal times for health care providers to identify and address the contraceptive needs and desires of patients. In addition to the opportunity to promote healthy pregnancy spacing, individuals can also be cared for at a time when it is convenient, they have access to health care, and they are motivated to prevent repeat pregnancy. Patient-centered care using a shared medical decision-making framework can not only promote positive patient-provider interactions but also increase positive outcomes. Comprehensive provision of information on all methods and identification of contraceptive ...
Source: Obstetrics and Gynecology Clinics - June 3, 2020 Category: OBGYN Authors: Serina Floyd Source Type: research

Gestational Diabetes
Gestational diabetes mellitus (GDM) is the most common obstetric metabolic disorder. Long-term health consequences, including type 2 diabetes, metabolic syndrome, and cardiovascular disease, are common with GDM. Postpartum glucose screening is recommended for women with a prior GDM pregnancy. Rates of postpartum screening compliance remain low. Interventions ranging from appointment reminder systems to personalized chronic disease education are being used, emphasizing future chronic disease risk for patients with a history of GDM. With these practice changes, clinicians can more thoroughly engage in the early identificatio...
Source: Obstetrics and Gynecology Clinics - May 31, 2020 Category: OBGYN Authors: Sydney M. Thayer, Jamie O. Lo, Aaron B. Caughey Source Type: research

Post-Traumatic Stress Disorder and Severe Maternal Morbidity
Post-traumatic stress disorder (PTSD) accompanies miscarriage, intrauterine fetal demise, and preterm birth. Levels of PTSD may be higher for women who experience acute, life-threatening events during labor and delivery. Severe maternal morbidities or near misses for maternal death disproportionately impact African American, Hispanic, American Indian, and women in rural communities. Expanding research demonstrates association between severe maternal morbidity or near-miss events and PTSD. Multiple preceding conditions and intrapartum and postpartum events place women at higher risk for PTSD. Postpartum evaluation provides ...
Source: Obstetrics and Gynecology Clinics - May 31, 2020 Category: OBGYN Authors: Maria J. Small, Kaboni W. Gondwe, Haywood L. Brown Source Type: research

Opioid Management in Pregnancy and Postpartum
Pregnant and postpartum women with opiate use disorder present a challenge in perinatal care. It is important for health care teams to provide sensitive and compassionate evidence-based care for these women, who often are stigmatized during the prenatal, delivery, and postpartum periods. Women with opiate use disorder are at risk for inadequate prenatal and postpartum care and for complications. Infants are at risk for neonatal abstinence syndrome and are expected to require neonatal intensive care. Pain management during labor and for cesarean delivery requires consultation and collaboration with providers who have expert...
Source: Obstetrics and Gynecology Clinics - May 31, 2020 Category: OBGYN Authors: Haywood L. Brown Source Type: research

Pregnancy Complications, Cardiovascular Risk Factors, and Future Heart Disease
Heart disease is the leading cause of mortality in adult women. Beyond the traditional risk factors of obesity, diabetes, and hypercholesterolemia, women with the pregnancy complications of preeclampsia, gestational diabetes, prematurity, and low birth weight for gestational age (fetal growth restriction) are at higher risk for later development of cardiovascular disease. Education of women and providers about the association of pregnancy complications and cardiovascular disease should begin in the postpartum period. Postpartum cardiovascular risk screening and lifestyle modifications should be considered standard of care ...
Source: Obstetrics and Gynecology Clinics - May 31, 2020 Category: OBGYN Authors: Haywood L. Brown, Graeme N. Smith Source Type: research

Clinical Applications of Telemedicine in Gynecology and Women ’s Health
Telemedicine and telehealth (TM/TH) are the 2 terms used interchangeably focusing on the delivery of health care services at a long distance using telecommunication technology. TM/TH has several gynecologic applications, including the well-woman visits, preventive care, preconception counseling, family planning including contraception and medical abortion, infertility workup, teleradiology, cervical cancer screening and colposcopy, mental health, and telesurgery. The goals of TM/TH are not only improving quality of health care in patients and building a virtual community of physicians but also increasing convenience, effic...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Siwon Lee, Wilbur C. Hitt Source Type: research

Telemedicine and Distance Learning for Obstetrician/Gynecologist Provider Education
Tele-education is the use of communications technologies to distribute knowledge from one health care provider to another when distance separates providers. At the University of Arkansas for Medical Sciences, tele-education has been used for more than two  decades to educate and support rural obstetrician/gynecologists throughout the state. Tele-education at University of Arkansas for Medical Sciences incorporates numerous interactive videoconferences and other digital portals and platforms. Continued provider education through tele-education increa ses access to quality care and evidenced-based practices for rural po...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Barbara L. Smith, Lindsey B. Sward, Stanley K. Ellis Source Type: research

Connected Health and Mobile Apps in Obstetrics and Gynecology
Mobile apps and mobile health interventions have the potential to alter the landscape of medicine significantly, from how care is provided at the bedside to the ability to recruit patients and conduct medical research. Mobile apps have the potential to be used for prenatal care, postsurgical follow-ups, informing patients about conditions, and helping with the management of illness. They have the ability to remodel prenatal care and strive toward more personalized medicine. The most remote and vulnerable patients can be reached. Guidelines must be created, however, for optimal use of mobile health apps and a structured way...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Nathaniel DeNicola, Kathryn Marko Source Type: research

Telepsychiatry in Obstetrics
Each year in the United States, approximately half a million reproductive-aged women are afflicted with major depression. Pregnant and postpartum women can be reluctant to openly disclose their suffering related to depression and other stigmatizing illnesses (eg, mood and anxiety disorders, posttraumatic stress disorder, and substance use disorders) and subsequently remain symptomatic with no relief. Maternal mortality related to these conditions is significant, with maternal suicide and overdose-related death peaking between 7 and 12 months postpartum. Geographic challenges in accessing perinatal mental health experts can...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Linda L.M. Worley, Alexandra Wise-Ehlers Source Type: research

Reducing Infant Mortality Using Telemedicine and Implementation Science
Optimal perinatal regionalization is a proven evidence-based strategy to lower infant mortality. Telemedicine can engage community stakeholders, providers, and patients to facilitate optimal perinatal regionalization leading to lower infant mortality. Rural community caregivers and administrators can participate in forming optimal perinatal guidelines without leaving their community. The visual picture created by telemedicine facilitates better transport decisions; ensuring infants who are transferred to larger centers truly need it while supporting smaller nurseries by providing better consultation services and back trans...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Clare Nesmith, Franscesca Miquel-Verges, Tara Venable, Laura E. Carr, Richard W. Hall Source Type: research

What Is Digital Health and What Do I Need to Know About It?
Digital health technologies improve outcomes within many health care fields. They include telemedicine and telehealth, remote patient monitoring, mobile health applications, data analytics, and social networking. Patients, providers, and insurers benefit from digital health, with time and cost savings as well as access to aggregate data, used to predict disease and outcomes and allowing tailored solutions. Some essentials of digital health implementation include champion providers, patients in need, technology, peer support system, understanding laws and regulations, seed funding, and sustainability. Successful programs ca...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Curtis Lowery Source Type: research

Intro to Telemedicine and Connected Health in Obstetrics and Gynecology
I would like to welcome you to this issue of Obstetrics and Gynecology Clinics of North America titled, “Telemedicine and Connected Health in Obstetrics and Gynecology.” Health care costs have escalated over the last decade, and we have reached the point where we are spending nearly 20% of our gross national product on health care with little to show in quality for this expenditure. The justificat ion for this spending relied on the superiority of our health care system when compared with other nations, but we have called this superiority into question and have been urged to improve health care in America while...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Curtis Lowery Tags: Preface Source Type: research

The Role of Telemedicine in Improving Women ’s Health Care
This issue of Obstetrics and Gynecology Clinics of North America focuses upon the  important and timely subject of Telemedicine and Connected Health in Obstetrics and Gynecology. I was unable to uncover a text on this subject specifically for women’s health providers, despite its remarkable relevance to health care delivery today. The University of Arkansas for Medical Science s is known nationally for its statewide video-conferencing technologies to improve women’s health care. The leader at Arkansas is Curtis Lowery, MD, who also serves as the very capable editor of this special issue. (Source: Obstetric...
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research

Telemedicine and Connected Health in Obstetrics and Gynecology
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Authors: Curtis Lowery Source Type: research

Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Source Type: research

Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Source Type: research

Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Source Type: research

Obstetrics and Gynecology Clinics
New Postpartum Visit: Beginning of Lifelong Health (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 23, 2020 Category: OBGYN Source Type: research

Reframing Telehealth
This article explores the drivers of uncertainty around regulation and payment of remote care services, and provides a roadmap for fulfillment of the benefits of connected care. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 29, 2020 Category: OBGYN Authors: Janet L. McCauley, Anthony E. Swartz Source Type: research

Telemedicine and Gynecologic Cancer Care
Patients with gynecologic cancers experience better outcomes when treated by specialists and institutions with experience in their diseases. Unfortunately, high-volume centers tend to be located in densely populated regions, leaving many women with geographic barriers to care. Remote management through telemedicine offers the possibility of decreasing these disparities by extending the reach of specialty expertise and minimizing travel burdens. Telemedicine can assist in diagnosis, treatment planning, preoperative and postoperative follow-up, administration of chemotherapy, provision of palliative care, and surveillance. T...
Source: Obstetrics and Gynecology Clinics - April 29, 2020 Category: OBGYN Authors: David I. Shalowitz, Catherine J. Moore Source Type: research

Telemedicine for Family Planning
Telemedicine has the potential to increase access to family planning. The most common application involved the use of text message reminders and mobile apps. Text messaging increased knowledge in a variety of settings, but had no effect on contraceptive uptake and use. Two randomized studies found that text messaging improved continuation of oral contraceptives and injectables. Telemedicine provision of medication abortion included both clinic-to-clinic and direct-to-patient models of care. Telemedicine provision of medication abortion has been found to be equally safe and effective as in-person provision. Some measures of...
Source: Obstetrics and Gynecology Clinics - April 29, 2020 Category: OBGYN Authors: Terri-Ann Thompson, Sarita Sonalkar, Jessica L. Butler, Daniel Grossman Source Type: research

Telemedicine in Low-Risk Obstetrics
Telemedicine has been used to expand access to routine prenatal care for patients in rural areas and areas without enough obstetrician/gynecologists. Telemedicine can be used to reduce face-to-face visits, to increase patient autonomy and satisfaction, for behavioral modification, and to aid in smoking cessation. Patients and providers alike find telemedicine a useful adjunct to routine care. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - April 29, 2020 Category: OBGYN Authors: Julie R. Whittington, Abigail M. Ramseyer, Chad B. Taylor Source Type: research

Telemedicine in High-Risk Obstetrics
Telemedicine involves the use of technology to provide services to patients and share medical information. Telemedicine ’s use has increased as technology has advanced. It allows for medicine to be practiced from a distance to reach patients in rural or underserved areas. Telemedicine has widespread uses in high-risk obstetrics, including management of diabetes, diagnosis and management of hypertensive disorders of pregnancy, screening for fetal malformations with teleultrasound, delivering care to underserved areas, and more. The use of telemedicine to provide care to patients and information to health care provider...
Source: Obstetrics and Gynecology Clinics - April 29, 2020 Category: OBGYN Authors: Julie R. Whittington, Everett F. Magann Source Type: research

Immunology of the Placenta
In this article, the authors provide a general overview of the major immune cells present at the maternal-fetal interface, describe the key mechanisms used by the placenta to promote maternal immune regulation, tolerance, and adaptation, and discuss how dysregulation of these pathways could lead to obstetric complications such as pregnancy loss and preeclampsia. Finally, they conclude with a description of the innate immune properties of the human placenta that not only serve to protect the pregnancy from infection but also contribute to pregnancy complications such as preterm birth. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Mancy Tong, Vikki M. Abrahams Source Type: research

What Obstetricians Need to Know About Placental Pathology
This article discusses the indications for placental submission to pathology; the essentials of gross examination, including elements that should be performed in the delivery suite; and the most common and clinically relevant histologic findings that may be encountered in the report. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Sanjita Ravishankar, Raymond W. Redline Source Type: research

Placental Magnetic Resonance Imaging
This article describes the use of placental magnetic resonance imaging (MRI) relaxation times in the in  vivo assessment of placental function. It focuses on T2*-weighted placental MRI, the main area of the authors’ research over the past decade. The rationale behind T2*-weighted placental MRI, the main findings reported in the literature, and directions for future research and clinical application s of this method are discussed. The article concludes that placental T2* relaxation time is an easily obtained and robust measurement, which can discriminate between normal and dysfunctional placenta. Placenta T2* is ...
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Anne S ørensen, Marianne Sinding Source Type: research

Placental Anatomy and Function in Twin Gestations
With an increasing incidence of twin gestations, understanding the inherent risks associated with these pregnancies is essential in modern obstetrics. The unique differences in placentation in twins contribute to the increased risks. Monochorionic twins are susceptible to complications because of their unique placental architecture, including twin-to-twin transfusion syndrome, the twin anemia-polycythemia sequence, selective intrauterine growth restriction, and the twin reversed arterial perfusion sequence. Knowing the clinical correlations of placental anatomy in these gestations helps perinatal pathologists perform a mor...
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Matthew A. Shanahan, Michael W. Bebbington Source Type: research

Evidence for Corpus Luteal and Endometrial Origins of Adverse Pregnancy Outcomes in Women Conceiving with or Without Assisted Reproduction
Preeclampsia may arise from impaired decidualization in some women. Transcriptomics of mid-secretory biopsy endometrial stromal cells decidualized in vitro and of early gestation choriodecidua from women who experienced preeclampsia with severe features overlapped significantly with the classical endometrial disorders giving rise to the concept of “endometrium spectrum disorders”. That is, recurrent implantation failure and miscarriage, endometriosis, normotensive intrauterine growth restriction, preeclampsia and preterm birth may all lie on a continuum of decidual dysregulation, in which phenotypic expression ...
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Kirk P. Conrad Source Type: research

Social Determinants of Placental Health and Future Disease Risks for Babies
Birthweight is a well-known predictor of adult-onset chronic disease. The placenta plays a necessary role in regulating fetal growth and determining birth size. Maternal stressors that affect placental function and prenatal growth include maternal overnutrition and undernutrition, toxic social stress, and exposure to toxic chemicals. These stressors lead to increased vulnerability to disease within any population. This vulnerability arises from placental and fetal exposure to stressors during fetal life. The biological drivers linking various social determinants of health to compromised placental function and fetal develop...
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: Kent L. Thornburg, Janne Boone-Heinonen, Amy M. Valent Source Type: research

The Human Placenta in Health and Disease
The placenta is arguably the most important organ for continued survival of Homo sapiens. The human placenta is the director of pregnancy, performing many diverse functions that control maternal metabolism and fetal growth and development that mediate survival of the offspring. Despite the biological importance of this organ, we have only begun to scratch the surface of understanding both normal placental function and, to an even lesser extent, the placental dysfunction that accompanies many disorders of pregnancy. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: D. Michael Nelson, Leslie Myatt Tags: Preface Source Type: research

The Placenta: Its Importance from Womb to Tomb
The placenta is a fantastic organ that provides the indispensable interface between mother and fetus. Discoveries from the study of placental implantation, anatomy, and function apply from the earliest stages of pregnancy until delivery of the baby and, in some circumstances, may predict eventual human morbidity and mortality (from Womb to Tomb). This issue, edited with expertise from D. Michael Nelson, MD, PhD and Leslie Myatt, PhD, brings to our attention how much we have to learn about both normal placental function and the abnormal function that accompanies many complications of pregnancy. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research

The Human Placenta in Health and Disease
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Authors: D. Michael Nelson, Leslie Myatt Source Type: research

Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Source Type: research

Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Source Type: research

Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Source Type: research

Forthcoming Issues
Telemedicine and Connected Health in Obstetrics and Gynecology (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - January 31, 2020 Category: OBGYN Source Type: research