Current opinion in obstetrics & gynecology
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Curr. Opin. Obstet. Gynecol. · Dec 2009
ReviewUsing electronic medical records to reduce errors and risks in a prenatal network.
To provide a review of the literature on the impact of implementation of electronic medical records (EMRs) on quality of care, particularly in obstetrics, and to make recommendations concerning key components of a computerized record based on this review. ⋯ Implementation of the EMR in obstetrics is gaining popularity. However, data to support its use are only now emerging. Here, we highlight the literature studying the impact of EMRs on patient care and make recommendations for key components of a computerized system based on these studies. We also emphasize the need for continued study in this area, particularly in obstetrics, in which improvement in care may be able to be demonstrated.
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This bibliography is compiled by clinicians from the journals listed at the end of this publication. It is based on literature entered into our database between 1 February 2008 and 31 January 2009 (articles are generally added to the database about two and a half months after publication). In addition, the bibliography contains every paper annotated by reviewers; these references were obtained from a variety of bibliographic databases and published between the beginning of the review period and the time of going to press. The bibliography has been grouped into topics that relate to the reviews in this issue.
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Curr. Opin. Obstet. Gynecol. · Apr 2009
ReviewHerpes simplex virus: incidence of neonatal herpes simplex virus, maternal screening, management during pregnancy, and HIV.
Neonatal herpes simplex virus infection is often severe, if not fatal. What is our understanding of the epidemiology of this disease? How is it diagnosed? Would maternal screening for herpes simplex virus-2 (HSV-2) in pregnancy make a difference? Does maternal HSV alter transmission of HIV vertically or horizontally or both? These questions continue to be pursued and unfortunately, there are few clear answers. ⋯ Neonatal herpes simplex virus infection is a rare and serious neonatal illness. The true burden of disease is uncertain. Several recent retrospectively determined incidences identify a case rate of about one per eight thousand live births. HSV reactivation occurs more often than previously thought. Current prophylactic HSV strategies do not decrease horizontal or vertical transmission of HIV-1.
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Curr. Opin. Obstet. Gynecol. · Feb 2009
ReviewTechniques for fertility preservation in patients with breast cancer.
To outline the risks of infertility from breast cancer treatment, and to illustrate current techniques in preserving fertility in breast-cancer patients who wish to become pregnant after treatment is concluded. ⋯ Ovarian stimulation with retrieval of ooctyes for in-vitro fertilization remains the best known option for fertility preservation in women with early stage breast cancer whose risk of fertility may be compromised by adjuvant chemotherapy.
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Curr. Opin. Obstet. Gynecol. · Dec 2008
ReviewCesarean delivery on maternal request: maternal and neonatal complications.
A complicated but relevant and timely concept, cesarean delivery on maternal request (CDMR) is defined as a cesarean delivery for a singleton pregnancy on maternal request at term in the absence of medical or obstetrical indications. ⋯ Discussions regarding CDMR should be individualized. Until there are more data on CDMR and guidelines implemented, an explicitly executed informed consent should form the framework of any decision regarding mode of delivery.