Proceedings in Obstetrics and Gynecology
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Reducing preterm birth in Iowa with Centering Pregnancy
Get PDFCentering Pregnancy (CP) is a model of group care that integrates the three major components of care: Health assessment, education, and support, into a unified program within a group setting. Centering model’s evidence showing statistically significant improvements in 1) birth weights of infants born prematurely (gain of 400 gm), 2) a lengthening in the gestation of the babies born prematurely (34 weeks group vs. 32 weeks individual), 3) increased rates of breastfeeding, 4) higher satisfaction with care, and 5) feelings of increased preparation and knowledge. This article describes current efforts at the University of Iowa Hospitals and Clinics (UIHC) to implement the CP program
Toward a microRNA signature of endometrial cancer
Get PDFA simple meta-analysis of eight microRNA (miRNA) expression surveys of endometrial cancers reveals a panel of sixteen miRNAs that are significantly over-expressed (n = 15) or under-expressed (n = 1) in at least three surveys. Examination of these miRNAs indicates that they target mRNAs involved in a number of basic cellular processes including the crucial epithelial to mesenchymal transition (EMT) and hypoxia response. The central role played by these miRNAs is reinforced by the demonstration that they are all among the most ancient of all animal miRNAs. This suggests that they are members of a core set of miRNAs dysregulated as part of the carcinogenic cellular reprogramming process
Chronic ovarian torsion treated laparoscopically
Get PDFOvarian torsion is a rare gynecological emergency that may elude diagnosis leading to delayed operative intervention and ovarian resection. We report a 39 year old female who presented with acute one-sided abdominal pain whose diagnosis was missed by the emergency physician resulting in loss of the ovary. The surgery was performed by the gynecologist laparoscopically
"Caught between a rock and a hard place: obesity and delivery decisions"
Get PDFThe incidence of obesity has achieved epidemic proportions. The increase in the proportion of women gaining more than 40 pounds during pregnancy and the related increased perinatal morbidity demonstrates how obesity has affected the reproductive outcomes for women. Individualized counseling and preparation for the needs of an obese woman in labor are at the cornerstone of managing obese women in labor and delivery
Division of General Obstetrics and Gynecology
Get PDFThe Division of General Obstetrics and Gynecology provides well-woman care for women of all ages and complete care for pregnancy and birth. The practitioners also evaluate and treat gynecologic disorders as well as perform office, outpatient, and inpatient gynecologic surgery. The division offers minimally invasive hysterectomy including total laparoscopic and robotic surgery
Don't believe everything you read--an editor's view
No full textThe problem in medicine today is not that we lack information; rather, there is widespread information overload. Physicians are inundated with new and often poorly evidence-based and conflicting clinical information from journals, television, social media, marketing, and direct to consumer advertising. Clinical decisions are too often based on fads, publicity and what’s new which leads to premature introduction of unproven therapies into practice, later found to be harmful
Fetus papyraceous: a case report of preterm premature rupture of membrane with adherent placenta
Get PDFFetus papyraceous is a rare condition and is associated with obstetric complications. Antenatal diagnosis of this condition aids in follow-up care of co twin(s) as well as to predict future obstetric complications. In this report, we describe a case of fetus papyraceous identified after the manual removal of adherent placenta