Inappropriate, unsafe, or lack of transport when clinically indicated increases medical-legal risk to obstetricians and hospitals. Early identification of a perinatal patient (mother or fetus) requiring transport to a higher level of care improves outcomes. In 2015, ACOG & SMFM…
Since the CDC recommended expanded HIV testing, screening of patients for HIV will increase. In addition, with the approval by the FDA of rapid HIV tests and in-home HIV tests, screening will take place both in primary care and at-home…
Since the CDC recommended expanded HIV testing, screening of patients for HIV will increase. In addition, with the approval by the FDA of rapid HIV tests and in-home HIV tests, screening will take place both in primary care and at-home…
It is estimated that only half of those infected with Hepatitis C Virus in the US are diagnosed and perhaps a third receive treatment. The arrival of new direct-acting antiviral medications with high cure rates has spurred the creation of…
New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NNE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads…
Over 90% of obstetric-related malpractice involves EFM negligence. EFM-related malpractice claims decrease in facilities that adopt, implement, and consistently use standardized EFM terms and guidelines. Universal adoption of standardized nomenclature by every practitioner skilled in EFM is a national goal….
The majority of obstetric triage encounters include an assessment of both mother and fetus but under certain conditions, clinical data may be unavailable. EFM triage is a skill of necessity that includes a brief and rapid assessment of fetal heart…
Four out of five prescriptions for psychotropic medications in the US are prescribed by primary care providers. Psychotropic medications have a relatively high rate of adverse side effects, and are an increasing source of claims for medical malpractice. Clinical practice…
Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…
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