Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2000
Workforce projections for subspecialists in obstetrics and gynecology.
To project the future supply of practicing subspecialists in obstetrics and gynecology based on the most recent numbers of physicians entering fellowships. ⋯ The number of fellows in GO continues to enlarge progressively though slightly, whereas those in MFM and REI have fallen sharply in recent years. Among four possible factors affecting growth or decline, the ones that seem most important are existing career opportunities for both generalist and subspecialist obstetrician-gynecologists and the length of subspecialty education.
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Obstetrics and gynecology · Feb 2000
Progesterone, inhibin, and hCG multiple marker strategy to differentiate viable from nonviable pregnancies.
To determine whether a combination of serum and urine biomarkers drawn from symptomatic pregnant women will help early differentiation of viable from nonviable pregnancies. ⋯ Serum progesterone appeared to be the single most specific biomarker for distinguishing viable from nonviable pregnancies. When a dual-biomarker strategy was applied, combining serum progesterone with hCG, specificity improved significantly, which suggests that a multiple biomarker strategy might help distinguish viable from nonviable pregnancies in early gestation.
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Obstetrics and gynecology · Feb 2000
Computed tomography-guided pudendal block for treatment of pelvic pain due to pudendal neuropathy.
Severe pelvic pain secondary to pudendal neuropathy can be treated with repeated local anesthetic nerve blocks or with surgical decompression of the nerve. Computed tomographic (CT) needle guidance to identified reliable anatomic points might be useful for improved success rates. ⋯ We believe this technique warrants further evaluation and application in instances where noninvasive therapy of pudendal neuropathy is indicated.