Professionally Responsible Counseling About Fetal Analysis
This article provides ethically justified, clinically applicable guidance for supporting the pregnant patient’s decision making about fetal analysis. Topics include ethical reasoning using key ethical concepts, confidentiality, clarity about the pregnant woman as ultimate decision maker, offering fetal analysis, counseling about results, counseling about accepted maternal-fetal intervention, and counseling about innovation and research on maternal-fetal intervention. Professional ethics is an essential component of counseling pregnant patients about fetal analysis and referra l for investigative maternal-fetal interventi...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Frank A. Chervenak, Laurence B. McCullough Source Type: research
Contraceptive Technology
Many sexually active, reproductive-aged persons capable of becoming pregnant use some method of contraception. To expand options for those desiring birth control, new choices include a vaginal ring, transdermal patch, progestin-only pill, and spermicide. Compared with currently available methods, additional technologies that are highly effective, easy to use, cost efficient, and well-tolerated lay on the horizon. During contraceptive counseling, patient choice, and reproductive autonomy should remain paramount. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Allison L. Gilbert, Barbara L. Hoffman Source Type: research
Seeing Past the Horizon
We would like to welcome you to this issue of Obstetrics and Gynecology Clinics of North America entitled, “A Vision of the Future of Obstetrics and Gynecology.” (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Denisse S. Holcomb, F. Gary Cunningham Tags: Preface Source Type: research
Simulation in Obstetrics and Gynecology
Simulation in obstetrics and gynecology has advanced significantly since its beginnings in the seventeenth century with wooden birthing and pelvic models. In recent years, more and more evidence has emerged showing improvements in participant confidence, skills, behaviors, and, finally, patient outcomes following simulation program implementation. Several regulatory bodies and national organizations have begun to require simulation of obstetrician-gynecologists, and the newer generation of physicians has experienced simulation throughout their training. Simulation is embedded in the medical culture and hopefully is making ...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Shena Dillon Source Type: research
Robotic Surgery
Robotics has become an essential part of the surgical armamentarium for a growing number of surgeons around the world. New companies seek to compete with established robotic systems that have dominated the market to date. Evolving robotic surgery platforms have introduced technologic and design advancements to optimize ergonomics, improve visualization, provide haptic feedback, and make systems smaller and cheaper. With the introduction of any new technology in the operating room, it is imperative that safeguards be in place to ensure its appropriate use. Current processes for granting of hospital robotic surgery privilege...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Esther S. Han, Arnold P. Advincula Source Type: research
Infertility Treatment Now and in the Future
Treatment of infertility has evolved as understanding of reproduction has improved. Fertility promoting surgery still is performed and recent advances have broken new ground. Hormonal treatments to correct gonadal dysfunction have been developed, but multiple gestation continues to be a significant complication. Assisted reproductive technologies have improved such that in vitro fertilization and its variants increasingly are used to treat nearly all causes of infertility. Advances in assisted reproduction are of 2 types: (1) incremental optimization of existing techniques and (2) development of new, disruptive technolog...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Kevin J. Doody Source Type: research
Learning from the Past for a Better Future in Women ’s Health Care
This issue of the Obstetrics and Gynecology Clinics of North America is a vision into the future of several issues affecting obstetricians-gynecologists. Edited by Denisse Sanchez Holcomb, MD and Gary Cunningham, MD from the University of Texas Southwestern Medical Center in Dallas, Texas, the readers become aware of the expansion in knowledge from the distant and recent past. Advancements in contraceptive technology, infertility, fetal diagnostic testing and surgery, early screening of gynecologic cancers, and robotic surgery are examples highlighted in this issue. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research
Social Media Superpowers in Obstetrics and Gynecology
This article encourages the obstetrician-gynecologists to use social media platforms to share their wealth of clinical expertise and experience with the public in an engaging and empowering way. Social media is a powerful tool that increases communication, education, and support that can be leveraged to increase comprehension of women's health topics and advocate for our patients, both inside and outside the examination room. Included are tips for physicians on how to harness their social media superpower to connect with patients on social media, build a brand, and network in a meaningful and authentic way. (Source: Obstet...
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Meadow Maze Good, Staci Tanouye Source Type: research
The Vision of the Future of Obstetrics & Gynecology
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Authors: Denisse S. Holcomb, F. Gary Cunningham Source Type: research
Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Source Type: research
Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Source Type: research
Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Source Type: research
Forthcoming Issues
Management of Benign and Malignant Breast Disease (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 30, 2021 Category: OBGYN Source Type: research
Pelvic Organ Prolapse
This article discusses a few of the most prominent controversies currently confronting providers and patients when planning for surgical repair of pelvic organ prolapse including preoperative counseling and patient preparedness, preoperative urodynamics and concomitant anti-incontinence procedures, uterine preservation, total versus supracervical hysterectomy at the time of sacrocolpopexy, same-day discharge, and use of telemedicine for routine postoperative care. These current controversies reflect some of the larger questions and themes confronting the field at this time, and this discussion serves to highlight opportuni...
Source: Obstetrics and Gynecology Clinics - August 18, 2021 Category: OBGYN Authors: Alexis Anne Dieter Source Type: research
Stress Urinary Incontinence
Synthetic midurethral slings offer optimal cure rates for the minimally invasive treatment of stress urinary incontinence in women. Performed via a retropubic or transobturator technique, midurethral sling approaches demonstrate comparable efficacy, with unique adverse event profiles. Single incision slings were introduced to minimize the complication of groin pain with full-length transobturator slings and enhance operative recovery. The earliest therapies for stress urinary incontinence including urethral bulking, retropubic colposuspension, and autologous sling offer alternative methods of surgical management without us...
Source: Obstetrics and Gynecology Clinics - August 18, 2021 Category: OBGYN Authors: Lauren Caldwell, Amanda B. White Source Type: research
