Obstetrics & Gynecology

ACP Pain Management 3: Pain Management Principles

Chronic pain affects over 50 million people in the US and 1.5 billion world-wide. This is the third of a series of 9 interactive modules on Pain Management; 7 didactic modules and 2 modules of case studies. Using current evidence-based…

ACP Pain Management 2: Pain Assessment

Chronic pain affects over 50 million people in the US and 1.5 billion world-wide. This is the second of a series of 9 interactive modules on Pain Management; 7 didactic modules and 2 modules of case studies. Using current evidence-based…

ACP Pain Management 1: Pain Fundamentals

Chronic pain affects over 50 million people in the US and 1.5 billion world-wide. This is the first of a series of 9 interactive modules on Pain Management; 7 didactic modules and 2 modules of case studies. Using current evidence-based…

Intermittent Auscultation Safety

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…

EFM Case Study #22: Intermittent Auscultation Risks

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…

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…

Preterm Birth: Treatment Benefits

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: 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…

Surgeons and Burnout

Between 40% and 65% of surgeons are suffering from at least one symptom of burnout, according to a recent national study. Evidence indicates that burned-out surgeons are more likely to experience negative personal consequences such as addictions, sleep disorders, cardiovascular…

EFM Case Study #17: Oxytocin Truths and Myths

Exogenous oxytocin (Pitocin) may be the most commonly used drug in obstetrics but it is not benign. Its use in clinical practice is riddled with myths, unsubstantiated by science, that perpetuate poor practice habits. Misuse, overuse, and sometimes abuse in…