There is concern regarding the teratogenic risks of antiepileptic drugs (AEDs) and the effect of seizures during pregnancy. Pre-pregnancy assessment and collaboration with the patient's neurologist may improve outcome. This study examined by postal questionnaire how senior obstetricians in Scotland cared for their patients with epilepsy in March 1994. One hundred and nine of 127 (86%) practisin...

OBJECTIVE To assess the association between obstetricians' years of experience after training and the maternal complications of their patients during their first 40 years of post-residency practice. DESIGN Retrospective cohort analysis. SETTING Obstetrical discharges from acute care hospitals in Florida and New York between academic years 1992 and 2009. POPULATION 6,704,311 deliveries per...

This was a case report of 32 years old pregnant woman with 9+6 weeks gestation presented hyperemesis gravidarum who diagnosed lupus nephritis mixed connective tissue disorder (MCTD) 7 months back. Renal biopsy-lupus class 4 activity score 9/24 and chronicity 0/12. She advised contraception in view active MCTD but she to us conception being within 20 days her last dose cyclophosphamide. managed ...

Professor Anisur Rahman explains why it is important for patients with antiphospholipid syndrome to be managed during pregnancy by multi-disciplinary teams, including obstetricians and midwives

This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins—Gynecology with the assistance of David Soper, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warranted based...

This Practice Bulletin was developed by the ACOG Committee on Practice Bulletins— Gynecology with the assistance of Andrew M. Kaunitz, MD. The information is designed to aid practitioners in making decisions about appropriate obstetric and gynecologic care. These guidelines should not be construed as dictating an exclusive course of treatment or procedure. Variations in practice may be warrante...

The U.S. Selected Practice Recommendations for Contraceptive Use, 2013 (U.S. SPR), issued by the Centers for Disease Control and Prevention is a companion piece to the Centers for Disease Control and Prevention's U.S. Medical Eligibility Criteria for Contraceptive Use, 2010. The U.S. Medical Eligibility Criteria for Contraceptive Use, 2010, provides guidance for which contraceptive methods are ...

Recommendations to patients about testing should be based on current medical knowledge, a concern for the patient's best interests, and mutual consultation. In addition to establishing a diagnosis, testing provides opportunities to educate, inform, and advise. The ethical principles of respect for autonomy (patient choice) and beneficence (concern for the patient's best interests) should guide ...

BACKGROUND In India a lack of access to emergency obstetric care contributes to maternal deaths. In 2005 Gujarat state launched a public-private partnership (PPP) programme, Chiranjeevi Yojana (CY), under which the state pays accredited private obstetricians a fixed fee for providing free intrapartum care to poor and tribal women. A million women have delivered under CY so far. The participatio...

BACKGROUND Obstetric ultrasound has come to play a significant role in obstetrics since its introduction in clinical care. Today, most pregnant women in the developed world are exposed to obstetric ultrasound examinations, and there is no doubt that the advantages of obstetric ultrasound technique have led to improvements in pregnancy outcomes. However, at the same time, the increasing use has ...