What to Decide When You ’ re Expecting
By ERIN LANDAU and REENA AGGARWAL, MD
Selecting an obstetrician or midwife and birth center or hospital is arguably one of the most important decisions that a pregnant woman makes. This choice will determine many aspects of a woman’s pregnancy journey, including the likelihood that she delivers via C-section. To understand how women choose their obstetric provider and their delivery facility, Ovia Health has teamed up with Ariadne Labs to survey women and help shed light on this important decision-making process.
C-sections in America
Few would debate that the United States is experiencing a C-section epidemic. One out ...
Source: The Health Care Blog - March 7, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Aridane Labs c-section Ovia Health Ovia Pregnancy App Source Type: blogs
Inducing labor: A way to avoid a cesarean?
This study was not designed to create a far-reaching strategy or method to reduce the already-way-too-high cesarean delivery rate in this country. It was designed to make sure we weren’t causing harm to babies by inducing labor at 39 weeks.
So, the ARRIVE trial has given us something to think about
The results were announced for the very first time at a recent meeting of the Society for Maternal Fetal Medicine and will be published soon in a peer-reviewed journal. The process of peer review, during which the methods, results, and limitations of the study are evaluated by experts, is going to help us to focus on the most ...
Source: Harvard Health Blog - March 7, 2018 Category: Consumer Health News Authors: Toni Golen, MD Tags: Children's Health Family Planning and Pregnancy Women's Health Source Type: blogs
The Pregnancy Choice — How Women Make Their Most Important Pregnancy Decision
By ERIN LANDAU and REENA AGGARWAL, MD
Selecting an obstetrician or midwife and birth center or hospital is arguably one of the most important decisions that a pregnant woman makes. This choice will determine many aspects of a woman’s pregnancy journey, including the likelihood that she delivers via C-section. To understand how women choose their obstetric provider and their delivery facility, Ovia Health has teamed up with Ariadne Labs to survey women and help shed light on this important decision-making process.
C-sections in America
Few would debate that the United States is experiencing a C-section epidemic. One out o...
Source: The Health Care Blog - March 4, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Aridane Labs c-section Ovia Health Ovia Pregnancy App Source Type: blogs
Artificial Intelligence & How Doctors Think: An Interview with Thomas Jefferson ’ s Stephen Klasko
AJAY KOHLI, MD
As I walk into the building, the sheer grandiosity of the room is one to withhold — it’s as if I’m walking into Grand Central station. There’s a small army of people, all busy at their desks, working to carry out the next wave of innovations helping more than a million lives within the Greater Philadelphia region. However, I’m not here to catch a train or enjoy the sights. I’m at the office of the President and CEO of Thomas Jefferson University, Dr. Stephen Klasko, currently at the helm of one of the largest healthcare systems in the U.S.
Let me backup a little.
The theme of nearly every con...
Source: The Health Care Blog - February 11, 2018 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Ajay Kohli Internet of Things Stephen Klasko Thomas Jefferson University Thomas Klasko Watson Source Type: blogs
Dr Malpani, thanks for your website !
I just received this emailLet me tell you what a tremendously helpful website you have created. It gives HOPE to those who are in the same path. In fact I have read through most of your blogs and success as well as failure stories. Your blogs helped me logically understand what my own Gynac is following and empowered me with knowledge to ask the right questions and take INFORMED DECISIONS.I now understand that the uterus usually is very receptive and readily accepts an embryo whether good or bad. It all depends now on how good the embryo is. So in my case if only I can manage at least one good embryo with other things rema...
Source: Dr.Malpani's Blog - February 9, 2018 Category: Reproduction Medicine Source Type: blogs
Male Doctors Make More in Industry Payments Than Females
A new gender wage gap has been found. A recent study suggests that male physicians in the United States took in more money from the biopharmaceutical industry in 2015 than their female peers, across almost every specialty.
Researchers analyzed the general industry payments, including research grants, consulting fees, and food and beverage expenses, earned by 933,925 physicians.
Two-thirds of the doctors in the study were male. Across all specialties, men received a higher per-physician value of general payments versus women, with a median difference of $1,470. The discrepancy in neurosurgery was particularly wide, with t...
Source: Policy and Medicine - January 19, 2018 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
Access to safe, affordable birth control is a maternal health issue
I am a physician.
As a high-risk obstetrician (maternal-fetal medicine specialist) I pride myself on caring for women who are likely to become (or who are already) so ill that many others view caring for them as a burden. I help women achieve a safe pregnancy when colleagues have advised against pregnancy altogether. Whether it is the patient with such a complex surgical history that her cesarean delivery will include massive blood loss and a hysterectomy, or the patient with a history of liver transplant trying to carry a pregnancy for the fourth time (each unsuccessful as she struggles in and out of graft rejection), or ...
Source: Harvard Health Blog - January 18, 2018 Category: Consumer Health News Authors: Scott Shainker, DO, MS Tags: Family Planning and Pregnancy Health Women's Health birth control Source Type: blogs
“Not as bad as you think”: women who’ve gone through the menopause have a more positive take than those who haven’t
Discussion of the menopause tends be negative. Take the video introduction to “menopause week” held this week on BBC Radio 4 and BBC Radio Sheffield. The well-meaning presenters talk of “distress”, the impact, the “troubling” changes, and “how to get through it”. Of course the aim is to support and educate, and it’s important to acknowledge the seriousness of some women’s problems. However, there’s arguably a risk that an overly negative tone perpetuates beliefs and stereotypes that may foster unjustified dread about the menopause.
In fact, according to a re...
Source: BPS RESEARCH DIGEST - January 18, 2018 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: Health Source Type: blogs
LITFL Review 311
LITFL • Life in the Fast Lane Medical Blog
LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Welcome to the 311th LITFL Review! Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chunk of FOAM.
The Most Fair Dinkum Ripper Beauts of the Week
Do you have an ED spa at your shop? Invest in yourself and see the results as you flourish. O...
Source: Life in the Fast Lane - December 18, 2017 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: LITFL review LITFL R/V Source Type: blogs
Doctors ignore politics? Not so fast.
If all politics is local, then Washington’s health care debacle has brought politics to the front stoop of every health care provider in America. There is no escaping it – debates taking place on Capitol Hill are set to affect the very survival of our patients. Irrespective of political leanings, doctors, nurses and providers of all stripes have ethical and professional obligations to speak up and become engaged in order to protect their patients.
While politics have always affected medicine – obstetricians and gynecologists have long fought for women’s health issues, for example – current political events have p...
Source: Kevin, M.D. - Medical Weblog - December 7, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/farzon-a-nahvi" rel="tag" > Farzon A. Nahvi, MD < /a > Tags: Policy Public Health & Washington Watch Source Type: blogs
Practicing Medicine While Black (Part II)
By KIP SULLIVAN
Managed care advocates see quality problems everywhere and resource shortages nowhere. If the Leapfrog Group, the Medicare Payment Advisory Commission, or some other managed care advocate were in charge of explaining why a high school football team lost to the New England Patriots, their explanation would be “poor quality.”
If a man armed with a knife lost a fight to a man with a gun, ditto: “Poor quality.” And their solution would be more measurement of the “quality,” followed by punishment of the losers for getting low grades on the “quality” report card and rewards for the winners. The ob...
Source: The Health Care Blog - November 27, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized CMS Kip Sullivan value-based care Source Type: blogs
Clinical report 2017: based on births in NHS maternity services between 1st April 2015 and 31st March 2016
This report identifies areas of good practice and opportunities for improvement in the care of women and babies in maternity services across Britain. It finds that while the vast majority of women have a safe birth, and despite on-going improvements in the safety of maternity services, variation exists in a number of clinical processes and outcomes in maternity care. Some of the variation found will be due to differences in data quality, completeness and the risk profile of women being seen in different units.ReportRoyal College of Obstetricians and Gynaecologists - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 9, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS measurement and performance Quality of care and clinical outcomes Source Type: blogs
Why the cell-free fetal DNA test is a game-changer
As a practicing OB/GYN, I feel lucky to be working in a field so full of promise and with space for advancement of medical technology. Although prospects of improved fetal imaging, cervical cancer prevention, and techniques of minimally invasive surgery are game-changing, new discoveries in the genetics arena of our field strike me as simply incredible.
Prenatal genetic testing has only been reasonably available to mothers since about 1970, and at that time was limited to invasive testing using amniocentesis, which carried significant risks. Although “amnio” still has a place in obstetrics, the availability of ...
Source: Kevin, M.D. - Medical Weblog - November 2, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/danielle-jones" rel="tag" > Danielle Jones, MD < /a > Tags: Conditions OB/GYN Source Type: blogs
This doctor became her colleagues ’ patient
According to a recent publication by the Robert Graham Center, the number of family physicians practicing high-volume obstetrics (more than 50 deliveries per year) dropped by over one-half from 2.3 percent of practicing family physicians in 2003 to 1.1 percent in 2016.1 In small corners of the country, though, innovative training programs continue to foster these skills among learners and build supportive communities for family physicians to safely practice obstetrics.
Throughout my residency training, I felt fortunate to train in one of these innovative types of places, where obstetrics remained an integral part of family...
Source: Kevin, M.D. - Medical Weblog - November 1, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/patricia-martin" rel="tag" > Patricia Martin, MD < /a > Tags: Physician Hospital-Based Medicine OB/GYN Primary Care Source Type: blogs
A patient called me callous. She was right.
Many years ago, on a busy day in my obstetrics and gynecology office, one of my partner’s patients came in for “bleeding, early pregnancy.” Since my partner wasn’t in that day, I saw the woman, whose name was Sarah. After we’d talked a bit, I examined her and did an ultrasound. As I’d expected, she was having a miscarriage. Feeling sorry that Sarah had to hear it from me, rather than from her own doctor, I broke the sad news.
We discussed the options: Did she want to have a D&C, or let nature take its course?
“I’m not sure,” she said. “I need some time to deci...
Source: Kevin, M.D. - Medical Weblog - November 1, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/andrea-eisenberg" rel="tag" > Andrea Eisenberg, MD < /a > Tags: Physician OB/GYN Practice Management Primary Care Source Type: blogs
