Obstetrics

Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

OBJECTIVE: Although there is a growing interest in the use of acupuncture during pregnancy, the safety of acupuncture is yet to be rigorously investigated. The objective of this review is to identify adverse events (AEs) associated with acupuncture treatment during pregnancy. METHODS: We searched Medline, Embase, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine Database (AMED) and five Korean databases up to February 2013.

Author(s): 
Park, Jimin
Sohn, Youngjoo
White, Adrian R.
Lee, Hyangsook
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

AIMS: To analyse the cost effectiveness of using the moxibustion technique to correct non-vertex presentation and to reduce the number of caesarean sections performed at term. METHOD: A deterministic model of decision analysis has been developed to analyse the cost of treatment in which heat is applied by moxibustion (the combustion of Artemisia vulgaris) at acupuncture point BL67 for pregnant women with non-vertex fetal position at 33-35?weeks' gestation. This approach was compared with conventional treatment recommendations based on the knee-chest posture technique.

Author(s): 
García-Mochón, Leticia
Martín, José J.
Aranda-Regules, José Manuel
Rivas-Ruiz, Francisco
Vas, Jorge
Publication Title: 
Obstetrics and Gynecology

Obesity is a major problem in American women, and there is great concern with regard to weight control among both the obese and the nonobese. Vast sums of money are spent in the area of weight reduction, often with little or no benefit. Although obesity affects longevity adversely, weight loss has not been clearly associated with a decrease in mortality risk. Reduction in weight, however, can decrease risk factors for certain diseases and improve the quality of life. Current methods of weight control include diet, exercise, surgery, and medication.

Author(s): 
O'Brien, W. F.
Publication Title: 
Bulletin of the History of Medicine

By 1800, the Roman Catholic Church and organized medicine faced the dilemma of how to resolve cases of obstructed births. American physicians usually practiced destructive operations, like craniotomy, in an attempt to save the lives of mothers. The church allowed such operations after the death of the infant. A new technique of surgery, the cesarean operation, offered hope that both patients would survive childbirth.

Author(s): 
Ryan, Joseph G.
Publication Title: 
American Journal of Public Health

As Catholic-owned hospitals merge with or take over other facilities, they impose restrictions on reproductive health services, including abortion and contraceptive services. Our interviews with US obstetrician-gynecologists working in Catholic-owned hospitals revealed that they are also restricted in managing miscarriages. Catholic-owned hospital ethics committees denied approval of uterine evacuation while fetal heart tones were still present, forcing physicians to delay care or transport miscarrying patients to non-Catholic-owned facilities.

Author(s): 
Freedman, Lori R.
Landy, Uta
Steinauer, Jody
Publication Title: 
Journal of Stem Cells

Since Rita Levi Montalcini and Stanley Cohen received Nobel Prize for their pioneering work on nerve growth factor (NGF), its role in female reproductive system has been reinforced in last two decades. The neurotrophins (NT) including nerve growth factor (NGF) are a family of related growth factors and their respective receptor tyrosine kinases that are of major importance in the regulation of neuronal survival and differentiation.

Author(s): 
Bose, Chinmoy K.
Publication Title: 
Obstetrics and Gynecology

The author reflects on his personal experiences in West Africa to express the benefits of participation in international medical practice in developing countries. Health care systems, medical emphases, and surgical techniques useful in the United States may be inspired by attempts to manage the extreme problems seen in developing countries. Attitudinal changes that result from international work may be helpful to US physicians and their patients, in the current era of health care. These include the qualities of humility, gratitude, pragmatism, and simplicity.

Author(s): 
Elkins, T. E.
Publication Title: 
BMC health services research

BACKGROUND: Despite attempts from the government to improve ante- and perinatal care, Afghanistan has once again been labeled "the worst country in which to be a mom" in Save the Children's World's Mothers' Report. This study investigated how pregnant women and health care providers experience the existing antenatal and obstetric health care situation in Afghanistan.

Author(s): 
Rahmani, Zuhal
Brekke, Mette
Publication Title: 
Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health

Referral patterns of physicians have a direct impact upon the care of patients, particularly in obstetrics and gynecology. The choice of referral is influenced by the history of specialization, physician altruism, and intricate patterns of financial conflicts of interest. The conflicts of interest are further obscured by the lack of clear definition of roles and responsibilities for generalist, specialist, and subspecialist. Alternate patterns for referral based on financial incentives or directed referral care plans are reviewed to examine the potential conflicts of interest.

Author(s): 
Cain, J. M.
Jonsen, A. R.
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges

PURPOSE: To assess attitudes and expectations of obstetric patients toward the involvement of medical students in their care. METHOD: At the Medical Center Hospital of Vermont in 1991, questionnaire responses were collected from 222 obstetric patients who had been assisted by clerkship students from the University of Vermont College of Medicine and 78 patients who had refused the participation of students.

Author(s): 
Magrane, D.
Gannon, J.
Miller, C. T.

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