Obstetrics and gynecology
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Obstetrics and gynecology · Mar 2011
Practice GuidelineCommittee Opinion No. 480: Empathy in women's health care.
Empathy is the process through which one attempts to project oneself into another's life and imagine a situation from his or her point of view. Most individuals do have an innate capacity to show empathy toward others. ⋯ This may interfere with an empathic approach in the clinical setting. In this Committee Opinion, the Committee on Ethics of the American College of Obstetricians and Gynecologists defines empathy and related terms, describes the role of empathy in medicine, outlines objections and barriers to incorporating empathy into clinical care, reviews research on measuring empathy, discusses the inclusion of empathy in medical education, and makes recommendations about empathic care for health care providers and the health care system.
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Obstetrics and gynecology · Mar 2011
Practice GuidelineCommittee Opinion No. 481: Newborn screening.
Newborn screening programs are mandatory, state-based public health programs. They provide newborns in the United States with presymptomatic testing and necessary follow-up care for a variety of medical conditions for which early intervention will improve neonatal and long-term health outcomes for the individual. Although current state requirements vary, the results of surveys and focus groups of expectant parents demonstrate that women and their families would like to receive information about newborn screening during their prenatal care. The Committee on Genetics recommends that obstetric care providers make resources regarding newborn screening available to patients through informational brochures, electronic sources, or through discussion during prenatal visits.
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Obstetrics and gynecology · Mar 2011
Breast milk hydrocodone and hydromorphone levels in mothers using hydrocodone for postpartum pain.
To estimate the extent of passage of hydrocodone and its active metabolite, hydromorphone, into breast milk. ⋯ Standard postpartum dosages of hydrocodone bitartrate appear to be acceptable to use in women nursing newborns. Prolonged use of high dosages is not advisable.
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Obstetrics and gynecology · Feb 2011
Comparative StudyMaternal morbidity in cases of placenta accreta managed by a multidisciplinary care team compared with standard obstetric care.
To compare maternal morbidity in cases of placenta accreta managed by a multidisciplinary care team with similar cases managed by standard obstetric care. ⋯ II
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Obstetrics and gynecology · Feb 2011
Case Reports2009 pandemic influenza A (H1N1) and vaccine failure in pregnancy.
Emerging data suggest that pregnancy conveys high risk for severe complications from the 2009 pandemic influenza A virus (2009 H1N1) infection. ⋯ With the expectation that 2009 H1N1 will continue to cause disease in the immediate future, the virus has been included as a component of the 2010-2011 seasonal influenza vaccine. Vaccination of pregnant women is strongly encouraged. However, regardless of vaccination history, clinicians should remain vigilant for 2009 H1N1 infection when the virus is in circulation, and should not delay antiviral treatment of pregnant women with suspected influenza.