Despite the frequency with which obstetrics providers manage labor, evidence has emerged in the past few years challenging our historical understanding of normal labor progress over time. We are also confronted with the dearth of evidence to guide the optimal management of labor. With these data, we are presented with both the challenge of changing practice at the bedside and the opportunity fo...

1 Dept. of Obstetrics and Gynecology, Isala Zwolle, the Netherlands 2 Dept. of Obstetrics and Gynecology, Máxima Medisch Centrum Veldhoven, the Netherlands 3 Dept. of Obstetrics and Gynecology, Gelre Ziekenhuizen Apeldoorn, the Netherlands 4 Dept. of Obstetrics and Gynecology, Spaarneziekenhuis Hoofddorp, the Netherlands 5 Dept. of Obstetrics and Gynecology, Sint Lucas Andreas Ziekenhuis Amster...

background: maternal health care utilization continues to focus on the agenda of health care planners around the world, with high attention being paid to the developing countries. the devastating effect of maternal death at birth on the affected families is untold. this study examines the utilization of obstetric care in the democratic republic of congo. we have used the nationally representati...

Physical exhaustion, anxiety, stress, and sleep deprivation are common in the life of a physician. Residents of Internal Medicine, General Surgery, Psychiatry, Emergency Medicine, and Obstetrics and Gynecology work around 80 hours per week in their residency years. Residency training is physically demanding and highly stressful, and can become even difficult if the female resident is pregnant. ...

1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, South Carolina 2Department of Obstetrics and Gynecology, University of Texas Health Science Center at Houston, Houston, Texas 3Center of Behavioral Epidemiology and Community Health (CBEACH), San Diego State University, San Diego, California 4Department of Obstetrics ...

BACKGROUND The loss of family physicians as obstetrics providers during the last decade has had a significant impact on access to obstetric services, especially for rural populations. The expense of malpractice premiums has been cited often as a reason for physicians' discontinuation of this service. METHODS Seventy-six family physicians in northern California who recently discontinued obstet...

OBJECTIVE To provide guidance on the implementation of a surgical safety checklist in the practice of obstetrics and gynaecology. OUTCOMES OUTCOMES evaluated include the impact of the surgical safety checklist on surgical morbidity and mortality. EVIDENCE Medline databases were searched for articles on subjects related to "surgical safety checklist" published in English from January 2001 to...

BACKGROUND Women with polycystic ovary syndrome (PCOS) often are infertile and even if they become pregnant, there are complications with some adverse outcomes. It has been reported that aspirin and metformin improve uteroplacental circulation and reduce pregnancy complications. OBJECTIVE To determine and compare uteroplacental circulation and obstetrics complications in pregnant women with P...