journal
https://read.qxmd.com/read/38497311/career-reflections-the-winding-path-from-county-mayo-ireland-to-new-york-city
#1
JOURNAL ARTICLE
Mary D'Alton
Dr. Mary D'Alton's career journey intertwines her upbringing in County Mayo, Ireland, with impactful contributions to Obstetrics and Gynecology in New York City. From childhood lessons in community care to transformative experiences in Canada and prestigious mentorships, her leadership at Columbia University and NewYork-Presbyterian has fostered innovative initiatives addressing maternal health. Philanthropy plays a pivotal role in realizing her vision, including mental health integration within women's health care...
March 18, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38488288/foreword
#2
JOURNAL ARTICLE
William A Grobman
No abstract text is available yet for this article.
March 15, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38483321/who-s-haywood-path-to-leadership-i-am-no-jackie-robinson
#3
JOURNAL ARTICLE
Haywood L Brown
Having been afforded many opportunities throughout my academic career, I took on the challenges that chronicled my path to leadership. In many instances, I was the first person of color to enter that educational and leadership environment. I am grateful to many mentors who have guided and supported me over the 4 decades since the time of my residency through fellowships and the various institutions to which I have been affiliated. It continues to be a great journey, making a contribution to the Ob Gyn academic community and advocating for quality and equitable women's health care...
March 14, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38468127/reflections-on-the-multicenter-randomized-trial-of-treatment-for-mild-gestational-diabetes
#4
JOURNAL ARTICLE
Mark B Landon
After the 2006 hyperglycemia and adverse pregnancy outcomes study, which confirmed the relationship between maternal glycemia and pregnancy outcomes, the debate remained on whether treatment benefited gestational diabetes mellitus (GDM). Nonetheless, practitioners continued to universally screen for and treat women identified as GDM. To assess the benefits and harms of screening and treatment of GDM, the National Institute of Child Health and Human Development Maternal and Fetal Medicine Unit Network designed and conducted a well-designed randomized controlled trial in women with mild GDM...
March 12, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38465909/clinical-trials-that-have-changed-obstetric-practice-the-chronic-hypertension-and-pregnancy-chap-trial
#5
JOURNAL ARTICLE
Ayodeji A Sanusi, Rachel G Sinkey, Alan T N Tita
We describe the evolution of treatment recommendations for chronic hypertension (CHTN) in pregnancy, the CHTN and pregnancy (CHAP) trial, and its impact on obstetric practice. The US multicenter CHAP trial showed that antihypertensive treatment for mild CHTN in pregnancy [blood pressures (BP)<160/105 mm Hg] to goal<140/90 mm Hg, primarily with labetalol or nifedipine compared with no treatment unless BP were severe reduced the composite risk of superimposed severe preeclampsia, indicated preterm birth <35 weeks, placental abruption, and fetal/neonatal death...
March 11, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38450526/clinical-trials-that-have-changed-clinical-practice-and-care-of-pregnant-people-with-hiv
#6
JOURNAL ARTICLE
Stephanie A Fisher, Nigel Madden, Mariana Espinal, Patricia M Garcia, Jennifer K Jao, Lynn M Yee
Over the last 4 decades, significant advances in the care of HIV during pregnancy have successfully reduced, and nearly eliminated, the risk of perinatal HIV transmission. The baseline risk of transmission without intervention (25% to 30%) is now <1% to 2% in the United States with contemporary antepartum, intrapartum, and postnatal interventions. In this review, we discuss 3 landmark clinical trials that substantially altered obstetric practice for pregnant individuals with HIV and contributed to this extraordinary achievement: 1) the Pediatric AIDS Clinical Trials Group 076 Trial determined that antepartum and intrapartum administration of antiretroviral drug zidovudine to the pregnant individual, and postnatally to the newborn, could reduce the risk of perinatal transmission by approximately two-thirds; 2) the European Mode of Delivery Collaboration Trial demonstrated performance of a prelabor cesarean birth before rupture of membranes among pregnant people with viremia reduced the risk of perinatal transmission compared with vaginal birth; and 3) the International Maternal Pediatric Adolescent AIDS Clinical Trials Network 2010 Trial identified that dolutegravir-containing, compared with efavirenz-containing, antiretroviral regimens during pregnancy achieved a significantly higher rate of viral suppression at delivery with shorter time to viral suppression, with fewer adverse pregnancy outcomes...
March 7, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38420788/the-beneficial-effects-of-antenatal-magnesium-beam-sulfate-trial
#7
JOURNAL ARTICLE
Dwight J Rouse
The BEAM Trial.
February 29, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38343037/when-change-chooses-you-my-journey-with-paralysis
#8
JOURNAL ARTICLE
Dale B Hull
Life sometimes provides unannounced challenges that threaten the structure of our existence. This personal account of an ob-gyn's encounter with paralysis will illustrate the impact of one such experience.
February 12, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38251758/the-road-well-traveled-making-choices-ensuring-progress-while-heeding-the-clarion-call
#9
JOURNAL ARTICLE
E Albert Reece
The career path of everyone is quite unique based on the goals and the choices we make, and success can take time to unfold. My career choices have been greatly influenced by remarkable mentors and opportunities. Reciprocally I have had the pleasure, as a faculty member, department chair, and medical school dean to mentor promising young physicians and scientists to launch successful careers. We need to continue to attract physicians and scientists to academic medicine to ensure that our field continues to innovate and improve the lives of our patients...
January 22, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38234166/teeter-totter-or-tapestry-a-life-in-academic-medicine
#10
JOURNAL ARTICLE
Kirtly Parker Jones
Constructing a career in academic medicine involves more than a focus on work-life balance. That image of a teeter-totter suggests that life is what happens when you are not working. The nature of the scope of interests (clinical, research, teaching) and values (service, leadership, curiosity, transparency, and honesty) creates a larger framework through which home life and work life become one interwoven tapestry. The author reflects on these perspectives as she looks back on a career in academic medicine.
January 18, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38230704/improving-the-lives-of-women-with-ovarian-cancer
#11
JOURNAL ARTICLE
Beth Y Karlan
Being a gynecologic oncologist is a privilege. Women with cancer address their challenges with grit and resilience. Their most basic questions motivated my career-long search for scientific answers hidden in genetics, novel therapeutics, and cancer prevention. But medicine is a team sport. Working alongside gifted colleagues and mentoring trainees to assume starring roles on the team has sustained and enriched my career. Advocating for patients and the specialty of gynecologic oncology provided another means to advance research and cancer awareness to improve patient outcomes...
January 15, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38224277/optimizing-management-of-the-second-stage-of-labor-a-multicenter-randomized-controlled-trial
#12
JOURNAL ARTICLE
Alexander M Saucedo, Alison G Cahill
To review the findings of the Optimizing Management of the Second Stage of Labor randomized controlled trial in the context of prior and subsequent obstetric literature. A multi-database search was performed in addition to a review of the parent trial and secondary studies. Nulliparous patients with neuraxial anesthesia randomized to either immediate or delayed pushing showed no difference in vaginal delivery rates. However, delayed pushing is associated with an increased duration of the second stage and perinatal morbidity...
January 15, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38174556/integrating-mental-health-care-in-ambulatory-obstetrical-practices-strategies-and-models
#13
JOURNAL ARTICLE
Keisha Bell, Bethany D Ashby, Stephen M Scott, Ellen Poleshuck
Perinatal mental health is recognized as a priority component of obstetrical care. Perinatal patients often turn to their obstetrician for help with mental health concerns as they view them as their primary health care provider. Unfortunately, obstetricians face challenges in providing adequate support due to time constraints and limited expertise. Integrated behavioral health care offers a collaborative and cost-effective solution to enhance patient care and clinician satisfaction. Integrated behavioral health clinicians possess fundamental skills to care for patients throughout the reproductive lifespan and assist obstetricians in identifying and managing common mood concerns...
January 4, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38173321/improving-sexual-health-across-the-life-span-through-integrated-care-in-obstetrics-and-gynecology
#14
JOURNAL ARTICLE
Winnifred Hunter, Jessica Pettigrew, Kristen M Carpenter, Brett Worly, Helen L Coons
Sexual health is a vital part of physical, emotional, and relational well-being among adults across the life span. While patients are reluctant to discuss their sexual concerns, Obstetrics and Gynecology providers are especially well positioned to improve sexual functioning and satisfaction through screening, education, prevention and early intervention, treatment, and integrating behavioral health and sexual medicine services in their clinical practices. This article sets out to provide applied information and perspectives to foster the development of interprofessional sexual medicine services in Obstetrics and Gynecology practices in hospital and community settings...
January 4, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38151958/into-the-unknown-navigating-a-path-as-an-early-stage-physician-scientist-in-obstetrics-and-gynecology
#15
JOURNAL ARTICLE
Sarah A Wernimont
This piece is a reflection of one early-stage physician-scientist's professional journey. It highlights a few challenges of navigating this path while calling for continued investment and support for physician-scientists to enhance maternal and child lifelong health.
December 28, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38149681/career-reflections-delivering-excellence-by-building-great-teams
#16
JOURNAL ARTICLE
Charles J Lockwood
Building great teams who can act rapidly and training energetic leaders who are empowered to innovate have been central themes in my leadership journey: Career reflections of Charles J. Lockwood, MD, MHCM, dean of the USF Health Morsani College of Medicine and executive vice president of USF Health at the University of South Florida (USF).
December 27, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38146084/integrated-behavioral-health-care-in-reproductive-medicine-how-and-why-to-include-mental-health-professionals-in-infertility-care-teams
#17
JOURNAL ARTICLE
Julia T Woodward, Nicole H Cirino, Susannah Copland, Teni Davoudian
Despite fertility patients' reports of significant distress, few have access to integrated mental health care services. We elucidate the benefits and challenges of mental health integration in infertility practices from the perspective of both patients and providers. We outline specific models of integration, financial viability, and the first steps fertility clinics could take to improve their patients' access to these critical supports.
December 25, 2023: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38281176/integrated-care-for-persons-with-persistent-gynecologic-conditions
#18
REVIEW
Kathryn A Witzeman, Alison Lieberman, Elizabeth Joy Beckman, Kaitlin V Ross, Helen L Coons
Persons with persistent gynecologic conditions frequently cope with complex biopsychosocial challenges and benefit from integrated behavioral health evaluation and treatment within gynecologic practices. Integrated care refers to the provision of behavioral health services within a health care setting which contributes to improved patient, provider, and practice outcomes, however, has not been commonly provided in traditional gynecologic practices. Several models of integrated behavioral health are reviewed...
March 1, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38281175/perinatal-psychopharmacology-innovative-approaches-to-care-delivery
#19
JOURNAL ARTICLE
Sarah Nagle-Yang, Emily S Miller, Lindsay G Lebin, Gabriella Blissett, Emily C Dossett
Perinatal mental health conditions are the most common complications of childbirth and have well-established enduring negative effects. Obstetric (Ob) clinicians care for patients with perinatal mental health conditions across a spectrum of acuity, severity, and complexity. Ob and psychiatric clinicians can collaborate to create a cohesive continuum of psychopharmacologic care for perinatal patients. This chapter provides an overall framework for Ob-psychiatric clinician collaboration with examples of innovation in care delivery...
March 1, 2024: Clinical Obstetrics and Gynecology
https://read.qxmd.com/read/38281174/behavioral-health-integration-on-inpatient-obstetric-units-program-development-strategies-for-implementation-and-lessons-learned
#20
JOURNAL ARTICLE
Melissa A Kwitowski, Lindsay G Lebin, Jessalyn Kelleher, Meggan Zsemlye, Sarah Nagle-Yang
Perinatal mood and anxiety disorders and substance use disorders are the primary causes of maternal mortality in the postpartum period and represent major public health concerns. Despite this, these conditions remain undertreated. Behavioral health integration in outpatient obstetric settings is necessary but insufficient to meet the needs of all patients. Inpatient behavioral health integration represents a promising avenue for addressing gaps in care. Results from recent program development indicate that needs assessment, stakeholder backing, collaboration with existing programs, and adaptability are key factors in successful implementation...
March 1, 2024: Clinical Obstetrics and Gynecology
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