American journal of obstetrics and gynecology
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The objective of the study was to obtain descriptive information about obstetricians/gynecologists who currently are practicing as hospitalists or laborists. ⋯ We analyzed the rapidly growing hospitalist/laborist model of care within the obstetrician/gynecologist specialty. The laborists and hospitalists model provides an alternative type of practice for obstetricians/gynecologists, and it is associated with high career satisfaction. It is important that we continue to monitor the needs of this burgeoning field of clinical practice.
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Am. J. Obstet. Gynecol. · Aug 2010
Deficits in the provision of cardiopulmonary resuscitation during simulated obstetric crises.
Previous work suggests the potential for suboptimal cardiopulmonary resuscitation (CPR) in the parturient but did not directly assess actual performance. ⋯ Multiple deficits were noted in the provision of CPR to parturients during simulated arrests, despite current ACLS certification for all participants. Current requirements for ACLS certification and training for obstetric staff may require revision.
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Am. J. Obstet. Gynecol. · Aug 2010
Randomized Controlled Trial Comparative StudyCan pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial.
The aim of this study was to investigate the effectiveness of pelvic floor muscle training in reversing pelvic organ prolapse and alleviating symptoms. ⋯ Pelvic floor muscle training is without adverse effects and can be used as treatment for prolapse.
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Am. J. Obstet. Gynecol. · Aug 2010
Randomized Controlled Trial Comparative StudyPostoperative pain after laparoscopic and vaginal hysterectomy for benign gynecologic disease: a randomized trial.
To compare postoperative pain after laparoscopic and vaginal hysterectomy for benign disease. ⋯ Laparoscopic hysterectomy provides an advantage over vaginal hysterectomy in terms of postoperative pain, need for rescue analgesia and hospital stay, with similar perioperative outcomes.
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Am. J. Obstet. Gynecol. · Aug 2010
CommentDiscussion: 'Treatment of symptomatic uterine fibroids' by van der Kooij et al.
In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: van der Kooij SM, Hehenkamp WJK, Volkers NA, et al. Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-years outcome from the randomized EMMY trial. Am J Obstet Gynecol 2010;203:105.e1-13.