More Women Are Pursuing Majority-Male Specialties and Changing Patients ’ Perceptions
By AMY E. KRAMBECK, MD With the exceptions of pediatrics and obstetrics/gynecology, women make up fewer than half of all medical specialists. Representation is lowest in orthopedics (8%), followed by my own specialty, urology (12%). I can testify that the numbers are changing in urology – women are up from just 8% in 2015, and the breakdown in our residency program here at Indiana University is now about 20% of the 5-year program. One reason for the increase is likely the growth of women in medicine – 60% of doctors under 35 are women, as are more than half of medical school enrollees. I also credit a generat...
Source: The Health Care Blog - June 5, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Amy Krambeck female physicians majority male specialties Patients Source Type: blogs

What's new in midwifery - 3rd June 2020
Some things you may need to know.  Nothing last week as I was " on holiday " , so two weeks ' worth this time.COVID-19A systematic scoping review of COVID-19 during pregnancy and childbirth (International Journal of Obstetrics and Gynecology)ResearchProgression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta-analysis (BMJ)**Leicester authors**Comparative impact of pharmacological treatments for gestational diabetes on neonatal anthropometry independent of maternal glycaemic control: A systematic review and meta-analysis (PLoS Medicine)Maternal cardiovascular ri...
Source: Browsing - June 3, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

What's new in midwifery - 20th May 2020
Some new things you might like to know...COVID-19COVID19 during pregnancy: a systematic review of reported cases (American Journal of Obstetrics and Gynecology)ResearchAnalgesic Efficacy and Adverse Effects of Meperidine in Managing Postoperative or Labor Pain: A Narrative Review of Randomized Controlled Trials(Pain Physician)Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal women. (Cochrane)Vaginal preparation with antiseptic solution before cesarean section for preventing postoperative infections. (Cochrane) Acknowledgements: McMaster Evidence Alerts (Source: Browsing)
Source: Browsing - May 20, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

" Strike Two " : A Pediatrician's " Dance " with Alan Levine/Ballad Health - And WHY We Need Federal Medical Whistle-blower Protection For ALL Healthcare " Workers " NOW
This is the story of how government failed me as a Pediatrician - for the second time.  The saddest thing of all is that there is a " Strike Three " .  Nobody cares about Pediatrics - or Pediatricians.  They haven ' t for a very long time.  This is a long post.  Don ' t whine about it.  Read it. CARE that somebody trying to stand up for your children lived it - and not for the first time.Twenty-two years ago, the morally-bankrupt executives of my now fiscally-bankrupt hometown hospital (in Asheboro, North Carolina) railroaded me out of town . . . after I intervened in a nursery case being...
Source: Dr.J's HouseCalls - May 12, 2020 Category: American Health Tags: Alan Levine Ballad Health Cooperative Agreement COPA ETSU Medical Whistle-blower Pediatric Hospitalist Ralph Northam Randolph Hospital Tennessee Department of Health Virginia Department of Health Source Type: blogs

Difficult calls in cardiology : Be ready for DC cardioversion during pregnancy !
This report from Taiwan  reassures there is no adverse effect by measuring umbilical artery flow (Yu-Chi Wang European Journal of Obstetrics & Gynecology and Reproductive Biology 126 (2006) 268–274)While we consider DC shock during pregnancy is safe for the fetus, still, shock pads close to the abdomen, amniotic fluid being a good conductor of electricity at least one mother showed a sustained contraction of the uterus and fetal distress. This was possibly attributable to DC shock  Eleanor J. Barnes BJOG 2003 https://doi.org/10.1046/j.1471-0528.2002.02113. Final message Most cardiac arrhythmias in pregnancy ...
Source: Dr.S.Venkatesan MD - May 11, 2020 Category: Cardiology Authors: dr s venkatesan Tags: cardiology women Pregnancy and heart Uncategorized amiodarone verapamil in pregnancy avnrt avrt during pregnancy cardioversion during pregnancy dc shock during pregnancy fetal distress during dc shock peripartum cardiomyopathy vt vpd managem Source Type: blogs

Understanding Maternal Depression
The role of motherhood is complex and profound. Psychology and development experts agree — the role of the mother is critical to child development, for better or worse. This role is also packed full of societal expectations and emotional milestones for an individual to navigate.  From the moment the pregnancy test confirms impending birth, an individual begins to conjure expectations they have of their own for this experience as well as what significant others, family members, friends, and society will hold for this new mother. While becoming a mother can be one of the most joyful and fulfilling passages of a woman...
Source: World of Psychology - May 8, 2020 Category: Psychiatry & Psychology Authors: Bonnie McClure Tags: Depression Women's Issues Coping on Mother's Day Maternal Depression postpartum depression Source Type: blogs

What's new in midwifery - 6th May 2020
Some recent things you might need to know about...COVID-19Maternal and perinatal outcomes with COVID-19: a systematic review of 108 pregnancies (Acta Obstetricia et Gynecologica Scandinavica) (Open access)StatisticsChild and Maternal Health (Public Health England)A range of data including mental health in pregnancy, teenage pregnancy, anda profile of data relating to conception and birth.  Data can be searched by geographical areaMaternity services monthly statistics, January 2020 (NHS Digital)BooksGuardian Book clinic: Which novels or memoirs will help prepare me for motherhood?Acknowledgemen...
Source: Browsing - May 6, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

The patient who no-shows
“Your patient just had their 6th no-show, this exceeds our policy limit, please call to investigate barriers to care, also we recommend formal dismissal from the clinic.” The message regarding one of my obstetric patients was waiting when I opened my inbox this morning.   In our primary care office, we have a policy regarding“no-shows”: […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 1, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/erin-hoffman" rel="tag" > Erin Hoffman, DO < /a > < /span > Tags: Physician Primary Care Source Type: blogs

What's new in midwifery - 30th April 2020
Updated 30th April after posting (sorry)Some new things that you may need to know...  ResearchEffects of psychoeducation on the mental health and relationships of pregnant couples: A systemic review and meta-analysis.  (International Journal of Nursing Studies)Outcome of Coronavirus spectrum infections (SARS, MERS, COVID 1 -19) during pregnancy: a systematic review and meta-analysis (American Journal of Obstetrics and Gynecology MFM)Screening for Bacterial Vaginosis in Pregnant Adolescents and Women to Prevent Preterm Delivery: Updated Evidence Report and Systematic Review for the US Preventive Services...
Source: Browsing - April 30, 2020 Category: Databases & Libraries Source Type: blogs

What's new in midwifery - 22nd April 2020
Some new things to know about...ResearchEffect of delayed cord clamping on umbilical blood gas values in term newborns: a systematic review.  (Obstetrics and Gynecology)Effects of maternal smoking on body size and proportions at birth: a register-based cohort study of 1.4 million births (BMJ Open)Ask your librarian for advice if you can ' t see full text.Acknowledgements: Science X Newsletter, Evidence Alerts (McMaster) (Source: Browsing)
Source: Browsing - April 22, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

COVID-19 Podcast: Mom Driven, Doctor Aligned & HeyMama Join Forces
Transcript [00:00:00] Agatha: Hi!  It’s Agatha Luczo.  Welcome to “Mom Driven, Dr. Aligned”.  Dr. Alan Greene and I were just on with the HeyMama Community doing a Q&A about COVID-19.  Dr. Greene gave us such amazing advice and tips about how to deal with immunity health and how to take care of ourselves during this time. And some advice I haven’t heard anywhere else. I’m excited to bring all of the conversation to our family and friends.  [00:00:36] Dr. Greene:  Wonderful to get to be with the HeyMama Community. I’ve gotten a bunch of questions already ...
Source: Conversations with Dr Greene - April 16, 2020 Category: Child Development Authors: Alan Greene MD Tags: Dr. Greene's Blog Uncategorized COVID COVID-19 Parenting Source Type: blogs

What's new in midwifery - 15th April 2020
Things you might want to know about...ResearchThe cost-effectiveness of progesterone in preventing miscarriages in women with early pregnancy bleeding: an economic evaluation based on the PRISM trial (BJOG)Antibiotic prophylaxis for operative vaginal delivery (Cochrane review)Umbilical cord milking in preterm infants: a systematic review and meta-analysis (Archives of Diseases in Childhood)Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes: A Systematic Review (Obstetrics and Gynecology)Includes discussion related to smoking cessation, breastfeeding and pre-eclampsia.Ask your librarian if you hav...
Source: Browsing - April 15, 2020 Category: Databases & Libraries Tags: midwifery Source Type: blogs

5 Steps Health Insurance CEOs Must Take to Help with COVID-19
By JEFF LIVINGSTON, MD Imagine a country where you can not see a doctor. Who will refill your blood pressure prescription, see your sick child, mend your broken arm, deliver your baby, or run the ventilator if you fall victim to Coronavirus? The COVID-19 pandemic created a cash-flow crisis causing mass physician layoffs and closure of medical practices. A world without doctors puts us all at risk. The pandemic is the invisible enemy, and the CEOs of large insurance companies have the tools to help doctors stay in the fight. Our government, healthcare providers, and individuals are doing our part to flatten the curve ...
Source: The Health Care Blog - April 8, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Health Policy health insurance companies Jeff Livingston Source Type: blogs

Giving birth during the COVID-19 pandemic: an obstetric anesthesiologist ’s perspective
“It’s a strange time to be having a baby,” my patient said as she sat alone in her labor room. The state order to shelter-in-place in California had left her family with few options as her husband had to stay home to take care of their toddler. She is one of many pregnant women who […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 2, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/maria-sheikh" rel="tag" > Maria Sheikh, MD, MPH < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease OB/GYN Source Type: blogs

Immediate Changes Needed for Physicians to Stay in Business During the Pandemic
Practices cannot survive the COVID-19 cash flow crisis By JEFF LIVINGSTON, MD Will doctors be able to keep their practices open during the worst pandemic in our lifetime? Our country needs every available doctor in the country to fight the challenges of Covid-19. Doctors working in independent practices face an immediate cash flow crisis threatening their ability to continue services. The CARES Act was signed into law on Friday, March 27, 2020. The law offers much-needed help to the acute needs of hospitals and the medical supply chain. This aid will facilitate the production of critical supplies such as...
Source: The Health Care Blog - March 31, 2020 Category: Consumer Health News Authors: Christina Liu Tags: COVID-19 Economics Physicians The Business of Health Care Jeff Livingston Medical Practice Pandemic private practice Source Type: blogs