Obstetrics and gynecology
-
Obstetrics and gynecology · Aug 2014
Single-nucleotide polymorphism-based noninvasive prenatal screening in a high-risk and low-risk cohort.
To estimate performance of a single-nucleotide polymorphism-based noninvasive prenatal screen for fetal aneuploidy in high-risk and low-risk populations on single venopuncture. ⋯ II.
-
Obstetrics and gynecology · Aug 2014
Practice GuidelineStandardized severe maternal morbidity review: rationale and process.
Severe maternal morbidity and mortality have been rising in the United States. To begin a national effort to reduce morbidity, a specific call to identify all pregnant and postpartum women experiencing admission to an intensive care unit or receipt of 4 or more units of blood for routine review has been made. While advocating for review of these cases, no specific guidance for the review process was provided. ⋯ This opinion was developed by a multidisciplinary working group that included general obstetrician-gynecologists, maternal-fetal medicine subspecialists, certified nurse-midwives, and registered nurses all with experience in maternal mortality reviews. A process for standardized review of severe maternal morbidity addressing committee organization, review process, medical record abstraction and assessment, review culture, data management, review timing, and review confidentiality is presented. Reference is made to a sample severe maternal morbidity abstraction and assessment form.
-
Obstetrics and gynecology · Aug 2014
Patterns of use and predictors of receipt of antibiotics in women undergoing cesarean delivery.
Perioperative antibiotics are recommended during cesarean delivery to reduce the risk of postoperative infections and resulting maternal morbidity. We examined the patterns of use and predictors of receipt of antibiotics in women undergoing cesarean delivery. ⋯ III.
-
Obstetrics and gynecology · Aug 2014
Case ReportsMultiple myeloma presenting as hypercalcemic pancreatitis during pregnancy.
Multiple myeloma is typically a disease found in older women and is a rare diagnosis in pregnancy. ⋯ Multiple myeloma is unusual during pregnancy. However, in patients with significant and unexplained hypercalcemia, malignancy should remain high on the differential diagnosis.