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High-risk HPV types: risk of SIL greater in lupus patients.(News)
September 1, 2004... BERLIN -- Women with systemic lupus erythematosus have a greater prevalence of cervical abnormalities detected on Pap smears than do healthy women; they are at heightened risk for infection with high-risk types of human papillomavirus and for...
Distribution of national health expenditures.(Vital Signs)
September 1, 2004... Distribution of National Health Expenditures
Note: Percentages may not add up to 100% because of rounding.
* Dental health services, durable medical equipment, etc.
** Administration, net cost of private health insurance, research,...
Large survey: forty percent of gyn. Ca patients have incontinence; May be caused by pelvic surgery and radiation treatment modalities.(News)
September 1, 2004... SAN DIEGO -- About 40% of women with gynecologic malignancies experience urinary incontinence, results of a large survey suggested.
The finding supports results from a previous survey of women with cervical cancer (Gynecol. Oncol....
Small, ongoing trial: Botox effective for motor urge incontinence in study; Described as innovative, 'exciting therapy.'.(News)
September 1, 2004... SAN DIEGO -- Injection of Botox into the detrusor muscle appears to be an effective and safe treatment option for patients with idiopathic motor or sensory urge incontinence who have failed conservative treatment, results of an open-label,...
Manufacturer price changes for brand name drugs widely used by older Americans, 2000-2003.(Data Watch)
September 1, 2004...
Manufacturer Price Changes for Brand Name Drugs Widely Used by Older
Americans, 2000-2003
Aver. Annual
Sales Rank Drug Formulation % Chg. in Price
1 ...
USPSTF: guideline on routine syphilis screening revised.(News)
September 1, 2004... A recently updated guideline on syphilis screening includes a new recommendation against routine screening of low-risk asymptomatic individuals, according to the U.S. Preventive Services Task Force.
"Given the low incidence of syphilis...
Rx for civil justice system.(Letters)(Letter to the Editor)
September 1, 2004... Blaming lawyers, insurers or anyone else for the malpractice crisis has been a fatal mistake of the medical profession for decades ("Line Drawn in War With Trial Lawyers," July 15, 2004, p. 1).
Physicians and many of their representative...
Treat them, but don't elect one.(Letters)(Letter to the Editor)
September 1, 2004... After several lawsuits, I have to say that I do not like malpractice lawyers ("Line Drawn in War With Trial Lawyers").
Still, even trial lawyers deserve medical care. We, the doctors, should continue our struggle against the scourge of...
Pain relievers.(Opinion)
September 1, 2004... "Your procedure turned out to be expensive.... I asked our interpreter here from accounting to explain billing..."
Skillful marketing brings in patients.(Guest Editorial)
September 1, 2004... These days, almost every ob.gyn. I meet complains that he or she can't make ends meet, that overhead is too high, that gynecology doesn't reimburse like it used to. So how is a doctor to survive in this environment?
One way to survive is...
Latin America, Great Britain: trends abroad suggest more elective C-sections in U.S.(Obstetrics)
September 1, 2004... YOSEMITE, CALIF. -- None of the goals that have been set for the cesarean section rate are likely to be met because the number of women requesting a primary elective cesarean will continue to increase, speakers predicted at a conference on...
Large survey: most Urogyn., MFM specialists give nod to elective C-section.(Obstetrics)
September 1, 2004... SAN DIEGO -- Most urogynecology and maternal-fetal medicine specialists would perform an elective primary cesarean section, according to results from a large survey.
"Elective primary cesarean section is a controversial and highly debated...
Women want to avoid pelvic floor injury: expert outlines risks, benefits of elective cesarean.(Obstetrics)
September 1, 2004... YOSEMITE, CALIF. -- One of the main reasons women may want a primary elective cesarian delivery is to protect the pelvic floor from injury leading to urinary and fecal incontinence, but they need to know that current evidence suggests it will...
Small, prospective study: MRI for abdominal, pelvic pain during pregnancy.(Obstetrics)
September 1, 2004... MIAMI BEACH -- Magnetic resonance imaging safely and accurately diagnosed the source of abdominal or pelvic pain in 28 of 29 pregnant women in a prospective study.
MRI is considered safer for pregnant women than x-rays or CT scans because...
Doesn't help detection: repeat ultrasound and fetal anomalies.(Obstetrics)
September 1, 2004... PHOENIX, ARIZ. -- Repeat second-trimester ultrasound exams performed in a tertiary care center over a 4-month period did not increase the detection rate of fetal anomalies, Dr. Marguerite Lisa Bartholomew reported in a poster session at the...
Underappreciated by providers: discuss anesthesia risks associated with obesity.(Obstetrics)
September 1, 2004... FORT MYERS, FLA. -- Certain risks associated with the use of anesthesia in obese women are underappreciated by obstetric care providers, and even the most well-known anesthetic risks are not routinely discussed with obese patients, Dr. Jill M....
Total of 27% had emergency cesareans: high BMI associated with slower labor progression from 4 to 10 cm dilation.(Obstetrics)
September 1, 2004... SALT LAKE CITY -- Overweight and obese women demonstrated a slower progression of labor from 4 to 10 cm dilation, compared with normal-weight women, Anjel Vahratian, Ph.D., said at the annual meeting of the Society for Pediatric and Perinatal...
Prepregnancy weight: maternal overweight alone is not linked to CVM.(Obstetrics)
September 1, 2004... SALT LAKE CITY -- Prepregnancy over-weight was not associated with increased incidence of cardiovascular malformations in a study of 2,551 infants diagnosed with cardiovascular malformations by 1 year of age and 3,494 healthy controls, Dr....
Effects in pregnancy: better data needed on newer anticonvulsants.(Obstetrics)
September 1, 2004... VANCOUVER, B.C. -- Evidence of the teratogenic effects of many older generation anticonvulsants is strong, but data on the newer generation drugs remain inconclusive, Dr. Lewis B. Holmes said at the annual meeting of the Teratology Society.
...
Modest difference: prenatal phenobarbital tied to lower cognitive ability.(Obstetrics)
September 1, 2004... VANCOUVER, B.C. -- Maternal use of phenobarbital in pregnancy has been linked with major malformations in children, but even in the absence of such malformations, those who were exposed to the drug in utero show mild reductions in general...
Trisomy accounted for 41% of miscarriages: chromosomal abnormalities linked to age seen in most miscarriages.(Obstetrics)
September 1, 2004... VANCOUVER, B.C. -- Chromosomal abnormalities accounted for more than half of 1,103 miscarriages karyotyped in a recent study, and the majority of abnormalities in women aged over 40 years were trisomic.
Overall, trisomy accounted for 41% of...
Motor vehicle accidents: clinical signs can flag some injuries that are missed by ultrasound.(Obstetrics)
September 1, 2004... YOSEMITE, CALIF. -- Ultrasound will not detect every case of placental abruption in women who've had a relatively minor car accident, so physicians need to look for clinical signs such as increased uterine activity. Dr. Washington C. Hill said...
Preterm births, low birth weights: affluence doesn't change racial differences in birth outcomes.(Obstetrics)
September 1, 2004... SAN FRANCISCO -- Money alone doesn't guarantee a good birth outcome. Dr. Dyan M. Simon said at the annual meeting of the Pediatric Academic Societies.
A retrospective study of 777 African American women and 2,327 white women who were...
Five mutations to watch for: VTE risk and thrombogenic mutations in pregnancy.(Obstetrics)
September 1, 2004... LAS VEGAS -- There are six key thrombogenic mutations to be concerned about in pregnant patients, Dr. Charles Lock-wood said at the Fifth World Congress on Controversies in Obstetrics, Gynecology, and Infertility.
These include:
*...
Large study of singleton pregnancies: conception delay doesn't raise perinatal risk.(Obstetrics)
September 1, 2004... SALT LAKE CITY -- Delayed time to conception was not associated with an increased risk of preterm delivery, low birth weight, or small size for gestational age, Maureen Hoover said at the annual meeting of the Society for Perinatal and...
Cohort study: childhood epilepsy strongly linked to eclampsia.(Obstetrics)
September 1, 2004... SALT LAKE CITY -- Childhood epilepsy is associated with several prenatal and neonatal conditions, Linda Dodds, Ph.D., said at the annual meeting of the Society for Pediatric and Perinatal Epidemiologic Research.
In a population-based...
Two studies; Menstrual migraines: more severe but treatable.(Gynecology)
September 1, 2004... Menstrually associated migraines tend to be more severe than attacks that occur at other times of the month, an observational study has shown.
In addition, the intensity and duration of menstrual migraines can be mitigated in some women...
Careful selection required: options abound for treating patients who have fecal incontinence.(Gynecology)
September 1, 2004... FORT LAUDERDALE, FLA. -- Many modalities can bring relief and improve the quality of life of patients with fecal incontinence, but physicians must weigh the potential risks and benefits of conservative and surgical treatments, speakers said at...
ob.gyn. departments: barriers to mental health referrals in HIV.(Gynecology)
September 1, 2004... MIAMI -- There are many barriers to mental health referrals for HIV-positive women screened in the ob.gyn. department at the University of Miami, according to a study that was presented at a conference sponsored by the American Foundation for...
Identifying potential problems: annual exam called great time to discuss breast-feeding.(Gynecology)
September 1, 2004... ASHEVILLE, N.C. -- Gynecologists can do much to support and encourage breast-feeding by educating women about their breasts and identifying potential lactational challenges during a regular gynecologic exam, Dr. Edward Newton said at the annual...
Two studies: benefits seen with limiting OC hormone-free interval.(Gynecology)
September 1, 2004... MONTREAL -- Limiting the hormone-free portion of OC regimens can reduce side effects and may improve contraceptive effectiveness, according to two studies presented at the World Congress on Fertility and Sterility.
"For a lot of women, the...
Age at issue in aneuploidy screening: questions raised about IVF screening practice.(Gynecology)
September 1, 2004... MONTREAL -- Aneuploidy screening of embryos created through in vitro fertilization will not improve pregnancy rates in women over age 37 if centers already transfer at least three embryos per cycle in this age group, results of a recent study...
Off-label use: aromatase inhibitors show promise in fertility Tx.(Gynecology)
September 1, 2004... LAS VEGAS -- Aromatase inhibitors may be the answer for women in whom clomiphene fails to induce ovulation, Dr. Robert F. Casper said at the Fifth World Congress on Controversies in Obstetrics, Gynecology, and Infertility.
Studies have...
Infertility patients: when to treat subserous or intramural fibroids.(Gynecology)
September 1, 2004... MONTREAL -- Asymptomatic subserous or intramural uterine fibroids should be left untreated, even if a patient desires pregnancy, two experts said at the 18th World Congress on Fertility and Sterility.
"Most studies show that these fibroids...
Before intrauterine insemination: three-day abstinence improves semen quality.(Gynecology)
September 1, 2004... SAN FRANCISCO -- Three days of sexual abstinence seems to be the optimal amount of time to improve semen quality, a study of 889 men suggests.
Men providing semen samples for intrauterine insemination or other procedures should be advised...
Expert opinion: metformin first-line therapy in some patients with PCOS.(Gynecology)
September 1, 2004... LAS VEGAS -- Metformin may be a good first-line therapy for inducing ovulation in selected patients with polycystic ovary syndrome, Dr. Rogerio Lobo said at the Fifth World Congress on Controversies in Obstetrics, Gynecology, and Infertility....
Findings from 34-year review: prognosis poor for recurrent vulvar cancer.(Gynecology)
September 1, 2004... SAN DIEGO -- The prognosis for women with recurrent vulvar cancer is best for those under age 70 with late, local recurrence amenable to resection, Dr. Arnim Bader reported at the joint annual meeting of the American Urogynecologic Society and...
Study of 72 girls: reproductive organs larger in obese girls.(Gynecology)
September 1, 2004... NEW ORLEANS -- Childhood obesity has significant effects on ovarian and uterine morphology in prepubertal girls, Dr. Arlene Mercado said in a poster session at the annual meting of the Endocrine Society.
Dr. Mercado, a fellow at the...
Detects calcification: CAD increases Ca discovery with mammography.(Gynecology)
September 1, 2004... MIAMI BEACH -- A second interpretation of mammograms with computer-aided detection increased the cancer detection rate by 5% in a study of 4,341 consecutive screening mammograms.
Patients were more likely to be called back for additional...
MRI also helpful: mammography helps distinguish surgical sequelae from breast cancer recurrence.(Gynecology)
September 1, 2004... MIAMI BEACH -- Mammography can be used after breast cancer surgery to distinguish surgical sequelae from recurrence of cancer, according to a presentation at the annual meeting of the American Roentgen Ray Society.
Comparison of follow-up...
Breast Ca survivors: PET scan imaging depicts 'chemobrain'.(Gynecology)
September 1, 2004... PHILADELPHIA -- PET imaging reveals decreased resting metabolism in certain brain regions of breast cancer survivors treated with adjuvant chemotherapy, and the severity correlated with the severity of cognitive impairments in these women, Dr....
Cardiovascular, diabetes screening: Medicare to cover more preventive services.(Practice Trends)
September 1, 2004... Get ready to offer more preventive services to Medicare beneficiaries in the coming year.
On Jan. 1, 2005, Medicare will start paying physicians for "Welcome to Medicare" physicals, and cardiovascular and diabetes screening tests, all of...
Seniors not very knowledgeable about new Medicare drug benefits.(Data Watch)
September 1, 2004...
Seniors Not Very Knowledgeable About New Medicare Drug Benefits
Is there a prescription drug discount card for seniors available this
year?
YES NO DON'T KNOW
38% 7% ...
Oct. 4 deadline: CMS seeks comments on Medicare drug benefit rules.(Practice Trends)
September 1, 2004... Want to give the Centers for Medicare and Medicaid Services a piece of your mind on how it should implement the new Medicare prescription drug benefit? Now's your chance.
CMS released its proposed regulations on the drug benefit in late...
'You're going to have it for awhile': former CMS chief defends the Medicare Modernization Act.(Practice Trends)
September 1, 2004... CHICAGO -- The Medicare Modernization Act is here to stay, former Medicare chief Tom Scully said at a conference sponsored by America's Health Insurance Plans.
Even if Sen. John F. Kerry (D-Mass.) is elected president and the Democrats...
Keepsake ultrasound.(Policy & Practice)
September 1, 2004... The American College of Obstetricians and Gynecologists discourages the use of obstetric ultrasonography for nonmedical purposes such as keepsake photos and videos, the college said in a new opinion from its Committee on Ethics. Ultrasounds...
Medical malpractice reform.(Policy & Practice)
September 1, 2004... America's patients are more likely to vote for a candidate who supports medical malpractice reform--regardless of their political affiliation--according to a survey of 800 registered voters in 17 "swing" states. More than two-thirds of the...
Donor egg origins.(Policy & Practice)
September 1, 2004... Whether eggs are donated from a known donor or an anonymous donor doesn't impact whether parents who used assisted reproductive technology procedures will tell their children how they were conceived, according to a recent study. Instead,...
Contraception misperception.(Policy & Practice)
September 1, 2004... Teenagers say they know a lot about birth control and ways to protect themselves against STDs, but many teens have dangerous misperceptions, a survey of 519 adolescents aged 15-17 years indicated. Although teens seem to trust oral...
HIV-positive pregnancy.(Policy & Practice)
September 1, 2004... Many HIV-positive women are reluctant to conceive because they fear they will infect their children during pregnancy, according to a recent study (Perspect. Sex. Reprod. Health 36[3]:106-13, 2004). The women tended to overestimate the risk of...
House of Delegates meeting: DOs debate joint osteopathic/allopathic match.(Practice Trends)
September 1, 2004... CHICAGO -- The American Osteopathic Association's House of Delegates weighed in at its annual meeting on a number of hot topics in medicine, including medical liability reform, the use of placebos in end-of-life care, and a proposal for a joint...
Overcoming cost concerns: incentives urged to promote adoption of electronic prescribing.(Practice Trends)
September 1, 2004... FORT LAUDERDALE, FLA. -- Reimbursement for the use of electronic prescribing programs is needed to spur faster adoption, according to a report from the Electronic Prescribing Project of the eHealth Initiative.
"Doctors are concerned about...
Acknowledge anger, sadness: how to deal with difficult patient interactions.(Practice Trends)
September 1, 2004... AMELIA ISLAND, FLA. -- Do not move forward with treatment before resolving issues of anger and trust in your relationship with a patient, Dr. Thomas L. Campbell advised at a meeting sponsored by the Society of Teachers of Family Medicine.
...
Electronic health records: feds outline strategies for increasing use of EHRs.(Practice Trends)
September 1, 2004... WASHINGTON -- A new report from the Department of Health and Human Services outlines 12 strategies aimed at bringing electronic health records into clinical practice, interconnecting physicians, personalizing care, and improving population...
Automation of health care: first czar of health information technology takes the helm.(Practice Trends)
September 1, 2004... Dr. David J. Brailer has an ambitious job description--to aid the widespread deployment of health information technology within 10 years.
Department of Health and Human Services Secretary Tommy G. Thompson appointed Dr. Brailer as the first...
Nurses' Health Study: moderate drinking may preserve cognitive function in elderly.(Clinical Rounds)
September 1, 2004... SAN FRANCISCO -- Light to moderate alcohol consumption by elderly women is associated with improved cognitive function, compared with that of nondrinkers, according to new data from the landmark Nurses' Health Study.
This relationship...
Mild asthma.(Women's Health Adviser)
September 1, 2004... Asthma is often undiagnosed or incorrectly diagnosed, experts say, and this is especially problematic among women of reproductive age. While pregnant women with moderate to severe asthma face at least a doubling in the risk of intrauterine...
Discontinue 2 weeks before surgery: consider bleeding risk associated with herb use.(Clinical Rounds)
September 1, 2004... NEW YORK -- Herb-using individuals who are at risk of bleeding should be advised to use caution, despite uncertainty about the actual degree of risk that may be involved, Dr. Adrian Fugh-Berman said at a meeting on botanical medicine sponsored...
Navy strategy: Situational Briefs bolster teamwork.(Clinical Rounds)
September 1, 2004... SAN FRANCISCO -- Some hospitals are using a communication strategy borrowed from the U.S. Navy to promote efficient transfer of key information between nurses and doctors, Dr. Paul Preston said at a meeting on antepartum and intrapartum...
Physical inactivity at issue: emphasize fitness over weight loss, expert says.(Clinical Rounds)
September 1, 2004... QUEBEC CITY -- Physical inactivity, more than obesity, is to blame for a large chunk of America's battle with chronic illness, according to Dr. Steven N. Blair president and CEO of the Cooper Institute, a nonprofit research and education center...
Costs of inactivity have decreased: 'economics' of weight loss said to fuel obesity epidemic.(Clinical Rounds)
September 1, 2004... WASHINGTON -- The "economics" of weight loss need to be improved before many Americans will make a serious effort to lose weight, Eric Finkelstein, Ph.D., said at a meeting on obesity sponsored by Global Business Research Ltd.
The...
Morning meals provide greatest satiety: eating breakfast may help decrease total daily food intake.(Clinical Rounds)
September 1, 2004... Your mother was right: Breakfast really is the most important meal of the day, at least as far as reducing total food intake goes.
People who eat a higher proportion of their total daily food during the morning hours have a significantly...
Oculorespiratory syndrome: adverse event from flu vaccine identified.(Clinical Rounds)
September 1, 2004... NASHVILLE, TENN. -- Oculorespiratory syndrome is a newly recognized--but apparently not new--adverse event following influenza immunization, Dr. Nooshin Ahmadipour said at the National Immunization Conference sponsored by the Centers for...
Some doctors boost dose after 4 weeks: time to antidepressant response underestimated.(Clinical Rounds)
September 1, 2004... PARIS -- A patient with depression may take as long as 8 weeks to respond to treatment with an antidepressant, and the length of this possible lag is often underestimated by physicians, Dr. Andrew A. Nierenberg said at the 24th congress of the...
Obesity.(Drug Update)
September 1, 2004... Withdrawal of the popular obesity drugs fenfluramine and dexfenfluramine (Redux) from the U.S. market in 1997 left Americans hungry for new obesity drugs with long-term efficacy. They're still waiting, as their waistlines continue to grow.
...
Fetal surgery offers window to the womb.(The Master Class)
September 1, 2004... Until the middle of the 20th century, pregnancy was mired in mystery. The womb existed as a sacred, protected environment that no one dared explore. Physicians awaited the outcome with the sense that "what will be, will be." Eventually the...
Fetal surgery comes of age.(The Master Class)
September 1, 2004... Just decades ago, most fetal anomalies developed invisibly in the womb, presenting only at birth as a medical emergency for unsuspecting obstetricians and as a psychosocial emergency for traumatized parents and families.
With sonographic...
Patch for osteoporosis.(Products)
September 1, 2004... Menostar (estradiol transdermal system) 14 [micro]g/day delivers a low dose of plant-derived estrogen through the skin to combat osteoporosis. For more information, contact Berlex Inc., www.berlex.com, 888-237-5394.
Medicare training tool.(Products)
September 1, 2004... The Medicare Rights Center offers the "Let's Learn Medicare" training manual and reference guide for physicians caring for older adults and people with disabilities. A $30 discount off the $150 cost is available by visiting...
Pelvic organ prolapse mesh.(Products)
September 1, 2004... The Pelvitex polypropylene mesh combines a synthetic material with a collagen coating to treat pelvic organ prolapse. For more information, contact C.R. Bard Inc., 800-367-2273, 908-277-8000.
Vinyl document protectors.(Products)
September 1, 2004... These 8.5-by-11-inch vinyl record protectors are designed to hold medical records, stock medication lists, and other documents. The protectors are adhesive on one side, for mounting on smooth surfaces. For more information, contact Carstens...
Mayor pushes new legislation: ob.gyns. in D.C. drop obstetrics.(News)
September 15, 2004... When Dr. John H. Niles got his malpractice premium bill on April 1, he knew it was finally time to pack up and move his practice out of Washington, D.C.
After 33 years in the city, Dr. Niles moved his practice to neighboring Greenbelt,...
Median annual compensation inches up for ob.gyns.(Vital Signs)
September 15, 2004... Median Annual Compensation Inches Up for Ob.Gyns.
Note: Based on data from more than 1,800 medical groups.
Source: Medical Group Management Association
Labor and delivery, emergency care: ob.gyns. seek new arrangements with hospitals; Hospitalist programs emerging, fueled by malpractice crisis and lifestyle issues.(News)
September 15, 2004... In a few select areas of the country. ob.gyn. hospitalist programs are starting up, a trend motivated not just by the malpractice crisis, but also by lifestyle issues and the need to run ob.gyn. practices more efficiently.
The concept of...
Distribution of primary cancers among living persons who have ever received a cancer diagnosis, 2001.(Data Watch)
September 15, 2004...
Distribution of Primary Cancers Among Living Persons Who Have Ever
Received a Cancer Diagnosis, 2001.
Other 16%
Lung & Bronchus 4%
Melanomas 6%...
May affect developing brain: high mercury levels seen in many freshwater fish; Women of childbearing age said to be at risk.(News)
September 15, 2004... More than half of all freshwater fish samples in a recent Environmental Protection Agency study contained mercury levels that exceed the limit considered safe in women of childbearing age.
In fact, mercury, which is a neurotoxin that is...
BV follow-up at 3 months; Single-dose metronidazole: 65% clinical cure rate.(News)
September 15, 2004... SAN DIEGO -- A single, 2-g dose of metronidazole given orally for the treatment of bacterial vaginosis resulted in a clinical cure rate of 65% and a therapeutic cure rate of 25% at 3 months, results from the largest study of its kind have...
Affects serotonin, norepinephrine: FDA approves duloxetine for the treatment of major depressive disorder.(News)
September 15, 2004... Approval of duloxetine hydrochloride by the Food and Drug Administration offers an additional drug for the treatment of major depressive disorder that affects both serotonin and norepinephrine.
In a statement announcing the approval, Dr....
Fixing health care disparities.(Guest Editorial)
September 15, 2004... We hear a great deal about "closing the gap" in health disparities in this country. To address these disparities, we must apply a multifaceted approach with leadership from the federal, educational, professional, financial, and business...
Should the FDA consider cost-effectiveness when approving new drug applications?(Pro & Con)
September 15, 2004... YES
If incorporated appropriately, the review of economic factors by the Food and Drug Administration could help facilitate a new drug's entrance into the market.
A new drug isn't going to get far in the marketplace if managed care...
Eight-fold increase in women under 20 years: maternal youth linked to gastroschisis risk.(Obstetrics)
September 15, 2004... WASHINGTON -- Younger mothers have a greater risk of having a child with gastroschisis, according to preliminary data presented at a meeting of the Centers for Disease Control and Prevention's National Center for Birth Defects and Developmental...
African Americans: ethnicity parity may affect labor pain perception.(Obstetrics)
September 15, 2004... FORT MYERS, FLA. -- African American women tend to experience more pain during labor than white women, according to a recent study.
In the multicenter study of 174 women, the 74 African American participants reported higher mean pain scores...
Study says it doesn't add information: rectal culture not needed for GBS screening?(Obstetrics)
September 15, 2004... SAN DIEGO -- Rectal culture is not necessary when screening pregnant women for group B streptococcal colonization, Dr. Whitney E. Jamie reported at the annual meeting of the Infectious Diseases Society for Obstetrics and Gynecology.
The...
Gestational diabetes: watch changing insulin needs in pregnancy.(Obstetrics)
September 15, 2004... ASHEVILLE, N.C. -- Pregnancy introduces a new set of challenges for diabetic women, including changing insulin needs and blood glucose parameters, Dr. Robert Strauss commented at the annual Southern Obstetric and Gynecologic seminar.
...