SIR Part One If your main aim is to control parturition and protect yourself against legal charges of negligence: 1) Belong to a huge, anonymous medical team, so that the 'patients' don't know you personally. 2) Be as conventional as possible in your medical practice. 3) Control the process of delivery as much as possible. 4) Never allow a labouring woman to be without a professional. 5) Chart ...

BACKGROUND Vaginal birth after caesarean (VBAC) is an alternative option for women who have had a previous caesarean section (CS); however, uptake is limited because of concern about the risks of uterine rupture. The aim of this study was to explore women's decision-making processes and the influences on their mode of birth following a previous CS. METHODS A qualitative approach was used. The...

BACKGROUND Periodontal disease is considered as a risk factor for poor pregnancy outcomes, including preterm birth and low birth weight. Only few studies have assessed the knowledge and practice behaviours of healthcare providers, concerning oral health during pregnancy, periodontal diseases and their role in adverse pregnancy outcomes. The present study aimed to compare the knowledge and pract...

While most obstetricians are familiar with fracture of the clavicle in newborns during birth, an unlucky minority of obstetricians has encountered long-bone fractures in newborns as well. This complication is traumatic not only for the neonate, but also for the family and the obstetrician; it is also difficult to explain. Fortunately, the long-term prognosis for fracture of the long bones is ex...

The development of prenatal tests to detect structural and chromosomal abnormalities in single and multiple foetuses started some 30 years ago. The use of amniocentesis and analysis of amniotic fluid allowed obstetricians to detect and assess the severity of rhesus disease in the unborn child and decide on the need for early delivery. Today, numerous prenatal testing techniques, including mater...

As obstetrics and gynecology (ob/gyn) practices move toward becoming patient-centered medical homes for their patients, the need for providing integrated behavioral health care has increased. Themes common in ob/gyn settings—such as menstruation concerns, initiation of contraception, pregnancy, childbirth, and menopause—serve as occasions for health promotion and as life transitions where behav...