Louisiana Medical Mutual Insurance Company (LAMMICO)

EFM Case Study #21: Failure to Monitor

Prolonged periods of uninterpretable or absent fetal heart rate data (FHR) or uterine contraction (UC) data on the EFM strip can lead to legal complications. Failing to maintain a continuous EFM strip can imply that the perinatal team was inattentive…

Medical Marijuana Issues in Louisiana: An Overview

Cannabis is one of the world’s oldest cultivated plants, yet federal and state laws have greatly hindered the research and study of cannabis and its products. The goal of this activity is to provide an overview of the current issues,…

Preterm Birth: Management Options

The preterm birth (PTB) rate in the United States is one of the worst in the world. Of approximately 3.6 – 3.7 million babies born annually, 10.4% are born prematurely. Of the 10.4% of births occurring before term, half are…

Preterm Birth: Prevention

Preterm birth (PTB) is one of the most challenging issues in perinatal medicine today. The preterm birth rate in the United States is one of the worst among all developed countries and it is on the rise. Failing to monitor…

Preterm Birth: Predicting Risk

Of approximately 3.7 million babies born annually, 10.4% are born prematurely. It is clear that PTB is one of the most challenging issues in perinatal medicine today. Predicting who is at risk of delivering early is one of the most…

Dismissing a Patient

A patient can end his or her relationship with a physician instantaneously, but physicians do not have the same option. Their professional responsibility to an established patient requires them to continue to provide care to the best of their ability….

Shoulder Dystocia Part 3: Prevention

Shoulder dystocia (SD) is a sudden and unpredictable obstetrical emergency and a significant cause of obstetric claims. Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer an appropriate approach to identifying populations at-risk, SD risk factors, and managing…

Shoulder Dystocia Part 2: Risk Assessment

Shoulder dystocia (SD) is a sudden and unpredictable obstetrical emergency and a significant cause of obstetric claims. Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer an appropriate approach to identifying populations at-risk, SD risk factors, and managing…

Shoulder Dystocia Part 1: Risk Implications

Shoulder dystocia (SD) is a sudden and unpredictable obstetrical emergency and a significant cause of obstetric claims. Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer an appropriate approach to identifying populations at-risk, SD risk factors, and managing…

Shoulder Dystocia Part 6: Safety

Shoulder dystocia (SD) is a sudden and unpredictable obstetrical emergency and a significant cause of obstetric claims. Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer an appropriate approach to identifying populations at-risk, SD risk factors, and managing…