Stroke in Pregnancy
Pregnancy confers a substantially increased risk of stroke, especially during the third trimester and until 6 weeks postpartum. Hypertensive disorders of pregnancy and gestational hypercoagulability are important contributors to obstetric stroke. Preeclampsia and eclampsia confer risk for future cardiovascular disease. Hemorrhagic stroke is the most common type of obstetric stroke. Ischemic stroke can res ult from cardiomyopathy, paradoxical embolism, posterior reversible encephalopathy, reversible cerebral vasoconstriction syndrome, and dissections. Cerebral venous sinus thrombosis is a frequent complication of pregnanc...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Erica C. Camargo, Aneesh B. Singhal Source Type: research
Racial/Ethnic Inequities in Pregnancy-Related Morbidity and Mortality
Racism in America has deep roots that impact maternal health, particularly through pervasive inequities among Black women as compared with White, although other racial and ethnic groups also suffer. Health care providers caring for pregnant women are optimally positioned to maintain vigilance for these disparities in maternal care, and to intervene with their diverse skillsets and knowledge. By increasing awareness of how structural racism drives inequities in health, these providers can encourage hospitals and practices to develop and implement national bundles for patient safety, and use bias training and team-based trai...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Rebecca D. Minehart, Allison S. Bryant, Jaleesa Jackson, Jaime L. Daly Source Type: research
Psychiatric Medication Use in Pregnancy and Breastfeeding
This article provides a framework and knowledge base for management of psychiatric illness during peripartum. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Jennifer L. Payne Source Type: research
Neuroimaging During Pregnancy and the Postpartum Period
New onset or exacerbation of preexisting neurologic symptoms during pregnancy often necessitates brain or spinal cord imaging. Magnetic resonance techniques are preferred imaging modalities during pregnancy and the postpartum period. Ionizing radiation with computed tomography and intravenous contrast material with magnetic resonance or computed tomography should be avoided during pregnancy. New onset of headaches in the last trimester or in the postpartum period may indicate cerebrovascular disease or a mass lesion, for which brain imaging is necessary. The continuum of cerebrovascular complications of pregnancy and enlar...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Dara G. Jamieson, Jennifer W. McVige Source Type: research
Burnout in Obstetricians-Gynecologists
Studies indicate that burnout rates among obstetricians-gynecologists range from 40% to more than 75%, which is in the middle to upper one-third of medical specialties. Symptoms range from feelings of underappreciation and unresolved fatigue, to cynicism, depression, physical symptoms, and illness. Burnout is associated with poor job satisfaction, questioning career choices, and dropping out of practice, impacting workforce concerns and patient access. Awareness of the symptoms and some simple stress and fatigue reduction techniques can decrease the risk of being trapped in the downward spiral of burnout. Successful interv...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Roger P. Smith, William F. Rayburn Source Type: research
The Midlife Transition, Depression, and Its Clinical Management
The World Health Organization estimates that more than 260 million people are affected by depression worldwide, a condition that imposes a significant burden to individuals, their families, and society. Women seem to be disproportionately more affected by depression than men, and it is now clear that some women may experience windows of vulnerability for depression at certain reproductive stages across their life span, including the midlife transition. For some, age, the presence of cardiovascular or metabolic problems, and the emergence of significant, bothersome vasomotor symptoms and sleep problems may result in a compo...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Claudio N. Soares, Alison K. Shea Source Type: research
Interprofessional Collaboration in Women ’s Health Care
Interprofessional collaboration has the potential to impact our complex, dynamic health care system through team-led or collective core competencies (professionalism, communication, teamwork, interprofessional education) that promote system improvements for quality care and patient safety. Strategies to reduce errors and subsequent adverse outcomes focus on interactive training; simulations and drills; development of protocols, guidelines, and checklists; use of information technology; and relevant interactive educational activities in the workplace. When sustained with a shared vision, good communication, and enthusiasm f...
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: William F. Rayburn, Carolyn Jenkins Source Type: research
Management of Viral Complications of Pregnancy
Viral infections are common complications of pregnancy. Although some infections have maternal sequelae, many viral infections can be perinatally transmitted to cause congenital or chronic infection in fetuses or infants. Treatments of such infections are geared toward reducing maternal symptoms and complications and toward preventing maternal-to-child transmission of viruses. The authors review updates in the treatment of herpes simplex virus, cytomegalovirus, hepatitis B and C viruses, human immunodeficiency virus, and COVID-19 during pregnancy. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Sarah C. Rogan, Richard H. Beigi Source Type: research
Benign Uterine Disease
Benign uterine diseases are very common gynecologic conditions that affect women mostly in reproductive age. Ultrasound examination is the first-line imaging technique, but MRI is more accurate for diagnosis, characterization, and patient management. In this review, we especially highlight the added value of MRI in the diagnosis of benign uterine disease, discuss their imaging characteristics, and describe the therapeutic options and the added value of MRI in the treatment planning. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: Stephanie Nougaret, Teresa Margarida Cunha, Nadia Benadla, Mathias Neron, Jessica B. Robbins Source Type: research
Interprofessional Collaboration and Its Importance to Women ’s Health
It is a pleasure for me to serve as the editor of this special issue of Obstetrics and Gynecology Clinics of North America pertaining to “Interprofessional Collaboration to Address Specific Women’s Health Issues.” The ability to work with professionals from other disciplines and specialties has been identified as a key skill necessary for delivering patient-centered high-quality and safe care. A review of the literature about c ollaborative practice and teamwork has identified key competencies needed to enable health care professionals to work effectively as part of a team. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: William F. Rayburn Tags: Preface Source Type: research
Interprofessional Collaboration for Women ’s Health Issues
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Authors: William F. Rayburn Source Type: research
Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Source Type: research
Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Source Type: research
Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Source Type: research
Forthcoming Issues
Fetal Growth (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - February 9, 2021 Category: OBGYN Source Type: research
