Proceedings in Obstetrics and Gynecology
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Division of Reproductive Endocrinology and Infertility
Get PDFThe Reproductive EndocrinologyDivision at theUniversityofIowanow consists of five staff physicians at theUniversityofIowaand one who is at our Quad Cities outreach office. We are pleased to announce thatDivya Shah, M.D. will be joining our faculty in September, 2012. Dr Shah recently completed her fellowship atHarvardMedicalSchooland has particular interests in minimally invasive surgery and medical education.We remain very active clinically and are proud of our highly successful IVF Program. We have one of the highest rates of single embryo transfer with IVF in the country and continue to maintain outstanding pregnancy rates while reducing multiple rates leading to safer IVF treatment. In addition to our IVF and regular Reproductive Endocrinology clinics, we have a Pediatric and Adolescent Gynecology Clinic that is run by Dr. Ginny Ryan
The influence of fetal sex on patterns of change in anti-Mullerian hormone during pregnancy
Get PDFMaternal anti-mullerian hormone declines sharply between 13-15 weeks, likely as a result of feto-placental signaling. Fetal AMH levels are known to be widely disparate after the first trimester, with high levels in male and absent levels in female. However, it is unclear as to whether differing fetal AMH levels influence the pattern of change of maternal AMH. Our objective was to examine AMH throughout gestation to determine if the maternal concentration varies according to the gender of the fetus
Marygrace Elson, MD, MME
Get PDFMarygrace Elson, MD, MME, joins us as guest editor for this issue of Proceedings in Obstetrics and Gynecology, which is focused on topics related to education. Dr. Elson is the Vice-Chair for Education, Residency Program Director, and Clinical Professor, Dr. William C. Keettel Chair of Obstetrics and Gynecology in the Department of Obstetrics and Gynecology at the University of Iowa
Outcomes of pregnancies complicated by maternal tuberous sclerosis
Get PDFWe present three cases of maternal tuberous sclerosis without major complications in pregnancy and several other patients who delivered with a low risk obstetrician, from this we conclude that maternal tuberous sclerosis may not be as high risk for pregnancy as previously reported in the literature. Tuberous sclerosis (TS) is a genetic disorder that is inherited in an autosomal dominant fashion with variable clinical manifestations including seizures, mental retardation, renal failure and pneumothorax. This case series can aid obstetricians in counseling of patients with this rare disorder
Placenta pathology evaluation: are CAP guidelines useful? A preliminary analysis
Get PDFThe College of American Pathologists (CAP) established a revised set of recommendations for placental evaluation in 1997. In review of the literature and anecdotally, there is discrepancy regarding placental submission to pathology. We evaluated adherence to CAP guidelines for placental pathology and clinical utility of the results
Invited commentary: Simulation training at a large community hospital
Get PDFWe recommend that those who train tomorrow’s providers increase their modeling of many of the attitudes displayed by the authors of The Initiation of Simulation Training at a Large Community Hospital (Article #9 of this issue of Proc Obstet Gynecol). Challenging low-volume, high-risk clinical situations are identified, experienced senior providers are coached using scientifically-informed educational methods with support and resources from leaders in the organization, and an attempt is made to measure progress
