Is it physician burnout or perimenopause?
I am an experienced OB/GYN, well-versed in obstetrics, infertility, gynecology, surgery and — yes — menopause, or so I thought. So why was I so blindsided by my own menopause transition? I thought I was going through burnout, with anxiety, anger, mood swings, irritability, and depression. I was at a point in my career as […]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 - September 20, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/beverly-joyce" rel="tag" > Beverly Joyce, MD < /a > < /span > Tags: Conditions OB/GYN Source Type: blogs

Birth Plans and Options
Where will your baby come into the world (and into your arms)? Will it be in your own bed at home? In a high-tech hospital birthing room? In a family-focused birthing center? How will you be doing that birthing? In water? While squatting? On your hands and knees? How about the environment around you? Do you want the lights to be dimmed? The noise level in the birthing room to be hushed? The background music to come from your favorite CD? These days, you’ve got plenty of childbirth locales to choose from, not to mention plenty of birthing options once you get there. Assuming the choice is yours to make (sometimes it&#...
Source: Cord Blood News - September 17, 2019 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: babies brain development medical research parents pregnancy stem cells cord blood treatment for Leukemia private cord blood bank Source Type: blogs

Will separating obstetrics from gynecology help specialist burnout?
At the end of a long table covered with hors d ’oeuvres and a birthday cake, I struck up a conversation with three primary care physicians. I was hungry for their opinions. Inside the crowded apartment, we spoke for some 20 minutes about the systemic and cultural causes of burnout in primary care—a conversation that informed the […]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 - August 30, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/robert-pearl" rel="tag" > Robert Pearl, MD < /a > < /span > Tags: Physician OB/GYN Specialist Source Type: blogs

What's new in midwifery - 28th August 2019
Maternite, by RenoirMaternite, or, L ' enfant au sein, in the Musee d ' Orsay in Paris.  Read more about itin French here. Some recent things...NICE ConsultationsIntrapartum care: women with existing medical conditions or obstetric complications and their babies: quality standard consultationThis is a draft quality standard, due for publication in February 2020, and you can comment until 23rd September at 5 pm.StatisticsFemale genital mutilationGlobal healthDeveloping and applying a " living guidelines " approach to WHO recommendations on maternal and perinatal health" Living guidelines " is a continuous app...
Source: Browsing - August 28, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs

The secret to ending cynicism in medicine
To fill an assignment in an undergraduate medical sociology class, my friend and I made an appointment with the assistant administrator in a local hospital. After the interview, we proceeded towards the exit by cutting through the obstetrical wards. We passed an exhausted young doctor with a stethoscope draped over his neck and hunched over […]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 - July 19, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/roger-harrie" rel="tag" > Roger Harrie, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

The fourth trimester: What you should know
We hear a lot about the three trimesters of pregnancy. But many women (and even some medical professionals) know little about a newly described and critical time period in women’s lives that desperately needs our attention: the fourth trimester. As a practicing obstetrician-gynecologist, I know that the medical care of women before, during, and immediately after pregnancy has long focused on the goal of achieving a healthy pregnancy and a healthy baby. But too often, the fourth trimester — that time between birth and 12 weeks postpartum — is swept aside. For example, we encourage all women to start taking prenatal vi...
Source: Harvard Health Blog - July 16, 2019 Category: Consumer Health News Authors: Ilona T. Goldfarb, MD, MPH Tags: Parenting Pregnancy Women's Health Source Type: blogs

Hyperemesis: (Way) beyond morning sickness
Morning sickness — the common term for nausea and vomiting during early pregnancy — is not unusual, as many women know. Starting around the sixth to eighth week of pregnancy, as many as 80% of women report having nausea and 50% experience vomiting. But as comedian Amy Schumer can attest, hyperemesis goes well beyond what people generally think of as morning sickness. Marked by doggedly persistent nausea and vomiting, hyperemesis occurs in up to three out of 100 pregnancies. Not surprisingly, women who have hyperemesis often lose weight: losing approximately 5% of pre-pregnancy weight is common. Why does hyperemesis occ...
Source: Harvard Health Blog - July 9, 2019 Category: Consumer Health News Authors: Huma Farid, MD Tags: Parenting Pregnancy Women's Health Source Type: blogs

What's new in midwifery - 26th June 2019
Some recent things you might want to know about...Case studyWomen frightened of childbirth to be helped by new specialist support serviceGuidelinesRoyal College of Obstetricians and Gynaecologists: Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation (Green-top Guideline No. 73)ResearchAntimicrobial central venous catheters do not reduce infections in pre-term babies (NIHR Signal, reporting research published in the Lancet Child and Adolescent Health)Acknowledgements: Embed Health Consortium Health Bulletin. (Source: Browsing)
Source: Browsing - June 26, 2019 Category: Databases & Libraries Tags: midwifery Source Type: blogs

How Employers Can Support Women During Postpartum Depression
Pregnancy and childbirth are often an exciting, happy time in a family’s life, but it is also an incredibly stressful time to the whole family. This becomes even more difficult when mom works. Caring for a newborn (especially the first born or a child with special needs) is a significant time commitment. This becomes more challenging as moms and other caregivers lack proper sleep. There are also additional financial pressures in caring for a new family member and taking time (sometimes unpaid) away from work. Post-birth, the medical focus is primarily on the new baby. Though newborns are checked multiple times in the fir...
Source: World of Psychology - June 5, 2019 Category: Psychiatry & Psychology Authors: Psych Central Guest Author Tags: Depression Industrial and Workplace Mental Health America Publishers Women's Issues employers Motherhood New Mothers paid family leave Parenting postpartum depression Work Life Balance Source Type: blogs

Psychology Around the Net: June 1, 2019
Happy June, sweet readers! This week’s Psychology Around the Net is packed with information about exercise and anxiety (and it’s probably not what you’re expecting), the unhealthy relationship between self-worth and professional achievements, the new official definition of work-related burnout, and more. Can Working Out Make Your Anxiety Worse? Experts Weigh In: You probably associate exercise with anxiety in the way that exercise is a great way to manage anxiety, and that’s true — just not true for everyone. Holistic psychiatrist Ellen Vora, M.D. and gynecologist and obstetrician Anna Cabeca,...
Source: World of Psychology - June 1, 2019 Category: Psychiatry & Psychology Authors: Alicia Sparks Tags: Psychology Around the Net achievements Anthony Rostain anxiety campus mental health Children chronic workplace stress college Emily Esfahani Smith Exercise Janet Hibbs kids military school counseling services self-worth Seth Source Type: blogs

Can Digital Health Go Off-Grid And Still Save Lives?
What would you do without your smartphone or laptop for a week? Some cannot even imagine putting them down for a second, not thinking much of the vulnerability of our entire digital existence. What if a hurricane destroys the electric grid? What if power supplies will get cut off by unstoppable rain? What about a future dystopic scenario with our traditional energy sources depleted due to overconsumption? And what if we just look at less fortunate parts of the world where stable electricity service is a rare treasure? We collected some examples of how medicine could become more independent from the traditional electricity ...
Source: The Medical Futurist - May 25, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Africa asia Caribbean development digital digital health Healthcare smartphone solar sustainability technology Source Type: blogs

Prevena Negative Pressure System FDA Approved for Superficial Surgical Site Infections
KCI, now a part of the Acelity Company, has announced that its PREVENA negative pressure incision management system is the first to receive FDA’s indication to help with reducing superficial surgical site infections in those at high risk of post-op infections. The approval comes under the FDA’s de novo pathway that was designed to bring forward new technologies that may help address important medical necessities. The PREVENA system is a disposable product that is used to cover and protect a wound, and it negative pressure force of -125mmHg helps to drain the wound of fluids. It was previously approved by the F...
Source: Medgadget - May 16, 2019 Category: Medical Devices Authors: Editors Tags: Plastic Surgery Vascular Surgery Source Type: blogs

Ultrasound Case 090
Dr James Rippey Ultrasound Case 090 A 30 year old woman presents with right iliac fossa pain. Quantitative BHCG is positive at 2500 IU. Her bladder is empty so you proceed to transvaginal ultrasound. (Source: Life in the Fast Lane)
Source: Life in the Fast Lane - April 17, 2019 Category: Emergency Medicine Authors: Dr James Rippey Tags: Obstetrics Gynaecology TOP 100 Ultrasound Corpus luteum double decidual ring intrauterine pregnancy IUP ring of fire transvaginal ultrasound TV ultrasound uterus Source Type: blogs

What's new in midwifery - 17th April 2019
Some recent things you might want to know about...NHS England Atlas of Shared Learning (Case studies)Introduction of the ‘RAPP’ (Respiration, Activity, Perfusion, Position) Tool to minimise the risk of Sudden Unexpected Postnatal Collapse (Bedford)NICE ConsultationsComment invited on these draft guidelines:Preterm labour and birth (update): draft guidance consultation.  Closing date for comments: 30 April 2019.Intrapartum care: women with existing medical conditions or obstetric complications and their babies: topic engagement.  Closing date for comments: 2 May 2019.Twin and triplet pregnancy (updat...
Source: Browsing - April 17, 2019 Category: Databases & Libraries Source Type: blogs

INNOVO Transcutaneous Electrical Stimulator for Urinary Incontinence Coming to U.S.
Atlantic Therapeutics, a company out of Galway, Ireland, will soon be releasing its INNOVO transcutaneous electrical stimulator to treat stress urinary incontinence in women. The device was FDA approved late last year as the first transcutaneous stimulator with such an indication. It delivers electric current through the body toward muscles that control the pelvic floor, which in turn can help maintain continence. The technology provides women a non-invasive option that, in a clinical trial, demonstrated that 87% of women were dry or nearly so after a three month treatment. 80% of the women studied had results after only a...
Source: Medgadget - April 11, 2019 Category: Medical Devices Authors: Editors Tags: Medicine Neurology Ob/Gyn Rehab Source Type: blogs