Posted on February 9th, 2021 by Bill Sivarais
A shift in the care of low-risk pregnant women has occurred. Moving away from a high-interventional approach towards a low-interventional approach has started, but universal adoption by providers and hospitals is lagging. Intermittent Auscultation (IA) should be included in the…
Posted on February 9th, 2021 by Bill Sivarais
After decades of rigorous comparison in 13 randomized controlled trials, continuous electronic fetal monitoring (CEFM) shows no clinical benefit over intermittent auscultation (IA) but it remains the primary method of fetal surveillance during labor. There is a current disconnect between…
Posted on February 9th, 2021 by Bill Sivarais
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…
Posted on November 13th, 2020 by Bill Sivarais
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…
Posted on November 13th, 2020 by Bill Sivarais
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…
Posted on September 9th, 2020 by Bill Sivarais
Prescriptions for proton pump inhibitors (PPIs) for infants and children have risen steeply and disproportionately to the incidence of severe cases, such as GERD with erosive esophagitis, for which they are intended. Pediatricians and other pediatric healthcare professionals should be…
Posted on September 8th, 2020 by Bill Sivarais
Not so long ago, bariatric or obesity surgery was considered experimental and not covered by health insurance. Now, numerous high-quality randomized controlled studies have shown that metabolic surgery has powerful antidiabetic effects for obese Type 2 Diabetic (T2D) patients. In…
Posted on February 12th, 2020 by Academic Programs
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…
Posted on February 12th, 2020 by Academic Programs
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…
Posted on February 12th, 2020 by Academic Programs
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…