Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2016
Multicenter StudyAnatomical Cystocele Recurrence: Development and Internal Validation of a Prediction Model.
To develop a prediction model that estimates the risk of anatomical cystocele recurrence after surgery. ⋯ This prediction model, including history of assisted delivery, preoperative stage, number of compartments, levator defects, and levator hiatus, estimates the risk of anatomical cystocele recurrence.
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Obstetrics and gynecology · Feb 2016
ReviewWhat is New in the Management of Acute Preterm Labor?: Best Articles From the Past Year.
This month we focus on current research in the management of acute preterm labor. Dr. Malone discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts.
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Obstetrics and gynecology · Feb 2016
Comparative StudyProphylactic Antibiotic Choice and Risk of Surgical Site Infection After Hysterectomy.
To evaluate associations between prophylactic preoperative antibiotic choice and surgical site infection rates after hysterectomy. ⋯ Compared with women receiving β-lactam antibiotic regimens, there is a higher risk of surgical site infection after hysterectomy among those receiving a recommended β-lactam alternative or nonstandard regimen.
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The obstetric hospitalist and the obstetric and gynecologic hospitalist evolved in response to diverse forces in medicine, including the need for leadership on labor and delivery units, an increasing emphasis on quality and safety in obstetrics and gynecology, the changing demographics of the obstetric and gynecologic workforce, and rising liability costs. Current (although limited) research suggests that obstetric and obstetric and gynecologic hospitalists may improve the quality and safety of obstetric care, including lower cesarean delivery rates and higher vaginal birth after cesarean delivery rates as well as lower liability costs and fewer liability events. ⋯ The leadership of the Society of Obstetric and Gynecologic Hospitalists proposes standardized definitions of an obstetric hospitalist, an obstetric and gynecologic hospitalist, and obstetric and gynecologic hospital medicine practices to standardize communication and facilitate program implementation and research. Clinical investigations regarding obstetric and gynecologic practices (including hospitalist practices) should define inpatient coverage arrangements using these standardized definitions to allow for fair conclusions and comparisons between practices.
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Obstetrics and gynecology · Feb 2016
ReviewCommittee Opinion No. 657 Summary: The Obstetric and Gynecologic Hospitalist.
The term "hospitalist" refers to physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities may include patient care, teaching, research, and inpatient leadership. ⋯ Effective patient handoffs, updates on progress, and clear follow-up instructions between ob-gyn hospitalists and patients, nurses, and other health care providers are vital to maintaining patient safety. Hospitals and other health care organizations should ensure that candidates for positions as ob-gyn hospitalists are drawn from those with documented training and experience appropriate for the management of the acute and potentially emergent clinical circumstances that may be encountered in obstetric care.