BACKGROUND Clinical practice guidelines (CPGs) recommend universal prenatal screening for Group B Streptococcus (GBS) to identify candidates for intrapartum antibiotic prophylaxis to prevent early onset neonatal GBS infection. Interventions to promote physician adherence to these guidelines are imperative. This study examined the effectiveness of academic detailing (AD) of obstetricians, compar...

BACKGROUND Companionship during labor is known to have both physical and psychosocial benefits to mother and baby. Sri Lanka made a policy decision to allow a labour companion in 2011. However, implementation has been unsatisfactory. Given the leading role Obstetricians play in the implementation of policy, a study was undertaken to assess the knowledge, attitudes and practices among them. ME...

To the Editor:—In their recent obstetric anesthesia workforce survey, Bucklin et al. observed that anesthesiologists provided regional analgesia for labor more often in 2001 than in 1992 or 1981. Obstetricians provided correspondingly less, with the main decrease occurring between 1981 and 1992. In 1981, obstetricians provided 26, 31, and 46% of regional analgesia in the three sizes of institut...

For several years past the cephalotribe has been attracting the attention of obstetricians, as the journals of medicine testify. Much ingenuity has been exerted in profoundly modifying its original construction by A. Baudelocque, nephew of the great accoucheur of the same name, and by other Parisians. These modifications, especially as made by British obstetricians, have appeared to me, on theo...

BACKGROUND In 2009 the Institute of Medicine updated its guidelines for weight gain during pregnancy, in part because women of childbearing age now weigh more pre-pregnancy and tend to gain more weight during pregnancy than women did when the previous set of guidelines were released in 1990. Women who begin pregnancy overweight or obese and women who gain weight outside IOM recommendations are ...

OBJECTIVE To evaluate whether responses to dynamic case-vignettes accurately reflect actual practices in complex emergency situations. We hypothesized that when obstetricians were faced with vignette of emergency situation identical to one they previously managed, they would report the management strategy they actually used. On the other hand, there is no reason to suppose that their response t...

BACKGROUND Few studies in the US have evaluated patient satisfaction with physicians across different specialties. We examined patient satisfaction and attitudes toward physicians during outpatient visits in the health care system, including obstetricians and gynecologists and other specialty physicians. METHODS We conducted a cross-sectional and national Web-based survey among anonymous pati...