Proceedings in Obstetrics and Gynecology
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On becoming a cancer biologist
I am not a cancer biologist but I am becoming one. Becoming is a process, a transformation. Taking what was and using it as the foundation for what is or what will be
Postoperative instructions—mastectomy
Keep your incision clean and dry. You may take the bandage off and shower after the first day. Protect the drain with a piece of Saran wrap
Wandering womb, water and worms: the history, myths and messy immunologic etiology of preeclampsia/eclampsia
This paper will examine the development of the modern conception of preeclampsia/eclampsia, its surrounding myths, and the current understanding of its etiology
A select issue in the postpartum period: contraception
One half of pregnancies in the United States are unintended and associated with adverse pregnancy outcomes. The postpartum period is an important, yet underutilized, time to initiate contraception. The U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 provides evidence-based guidelines for choosing a contraceptive method and an update in 2011 specifically addresses contraceptive method use in the puerperium. The variety of contraceptive methods include hormonal contraception, lactational amenorrhea, barrier contraception, natural family planning, and sterilization. Ideally, counseling about contraceptive choice should begin early in pregnancy care and continue postpartum; it should also include a variety of teaching modalities. Specifically we recommend LARC options such as intrauterine devices and etonorgestrel implants, postpartum tubal sterilization, and progestin-only pills for those desiring an oral method
Sonographic prenatal diagnosis of congenital Marfan syndrome
Congenital Marfan syndrome is a rare and severe disease of the newborn, causing devastating and often fatal effects on the cardiovascular, pulmonary, and musculoskeletal systems. Familial mutations of FBN1 have been studied and identified in Marfan syndrome, but the congenital variant is often due to de novo mutations, limiting the diagnostic capabilities of genetic screening. Ultrasound is essential for early diagnosis and management, yet few cases of sonographic diagnosis have been cited in the literature. This report outlines one such case of congenital Marfan syndrome diagnosed at 24-week ultrasound. Further detailed reports should aim to improve screening, diagnosis, and treatment of congenital Marfan syndrome to advance options in family planning and disease management
Curriculum renewal at the University of Iowa Carver College of Medicine
It has been more than fifteen years since the last curriculum renewal occurred. During the review for the most recent LCME review of the College, opportunities were identified to better prepare today’s medical students to prepare for the future practice of medicine. These include the need for greater integration between courses and clerkships, and between material presented in the basic sciences and the clinical disciplines. As medical knowledge increases exponentially, the provider of the future will need to be well-versed in electronic information retrieval and evidence-based practice principles including biostatistics and epidemiology
Simulation as a training modality
Simulation has become an increasingly important training modality in the training of our obstetrics and gynecology residents. There are number of reasons for this trend: patient safety, work hour restrictions, increases in minimally invasive procedures, and improvement in communication and team dynamics in a group situation
ACOG Junior Fellow Activity
The junior fellows in the Iowa section have had an exceptionally successful year. Section Chair Dr. Rachel Mejia and Vice Chair Dr. Amandeep Mahal attended the Annual District Meeting for District VI. The junior fellows worked with other representatives within the district to develop and promote medical student recruitment, networking, transition to practice, and fundraisin