Trauma and/or accidental injury complicates 6-7% of all pregnancies. The management protocols for trauma in pregnancy are based largely on case reports and small series. purposes this study were to: describe the demographics pregnant patients at a tertiary care center large community hospital; identify variables predictive fetal outcome including an examination Kleihauer-Betke nonstress testing; recommend evaluation protocol after empirical data rather than anecdotal reports. Data from...

Importance State-specific abortion restrictions currently affect the training of approximately 44% obstetrics and gynecology (OBGYN) residents in US. Examination where future trainees apply for residency is important. Objective To assess changes percentage applicants to OBGYN programs by state based on place after Dobbs v Jackson Women’s Health Organization (hereafter, ) US Supreme Court decision examine whether applicants’ preference programs, as suggested distribution application signals...

In Brief OBJECTIVES: To reevaluate both discriminatory and threshold levels associated with visualization of gestational sacs, yolk fetal poles in patients presenting vaginal bleeding, pain, or bleeding pain the first trimester pregnancy using current ultrasonographic technology. METHODS: We reviewed records first-trimester pelvic who were evaluated a serum β-hCG level transvaginal ultrasonogram within 6 hours each other had known outcome. Discriminatory for sac, pole identified all...

The incidence of pubic symphysis separation during delivery is 1 in 300 to 30,000 pregnancies, and it can cause a variety problems such as pain, bladder dysfunction, difficulty ambulating. There no consensus on how treat pregnancy-related symphyseal separation.A patient, gravida para 1, who underwent vacuum-assisted vaginal was found have severe sidewall laceration 6.2-cm disruption. patient treated with external fixation an open book pelvis physical therapy. She discharged home postpartum...

Ensuring residents develop operative skills requires application of the principles guided learning, deliberate practice, and directed feedback.We sought to create implement a tool promote procedural "key" step review immediate feedback on surgical skills, examined faculty resident satisfaction with created (SurF) cards for 8 gynecologic procedures. Faculty/fellows completed prestudy surveys querying frequency preoperative key skill feedback, SurF card each time 1 procedures was performed,...

The objectives of this study were to evaluate how obstetrics and gynecology residency program directors used applicant signaling understand two tiers signals influenced interviews, ranking, matching into programs. A multimethod, deductive-sequential design was employed using a national survey convenience sampling programs in the 2022–2023 residency-application cycle. total 80.5% (236/293) receiving provided information about signaling, 20 application outcome data for applicants who signaled...

Objectives The aim of this study was to assess how the projected increase in prevalence pelvic floor disorders (PFDs) will impact number patients per female medicine and reconstructive surgery (FPMRS) subspecialist between 2015 2045. Methods We performed a workforce analysis FPMRS subspecialists United States by developing model predict 5-year increments from Our allowed for selection current subspecialists, sex new added year, retirement age subspecialists. women with PFDs 2045 then...

This study aimed to compare a backfill-assisted voiding trial (VT) with and without postvoid residual (PVR) after pelvic reconstructive surgery.This was nonblinded randomized controlled of women undergoing organ prolapse and/or stress incontinence surgery. Participants were immediately surgery either PVR VT or PVR-free VT. Our primary outcome the rate failure at discharge. Secondary outcomes included days catheterization, urinary tract infection (UTI), prolonged dysfunction. With power 80%...

To evaluate residents planning fellowship, their preferences for fellowship start date, and the acceptability of resultant gaps in pay insurance coverage.A survey was conducted during 2022 in-service training examination querying obstetrics gynecology about desire to pursue preferred date (understanding salary gap), a medical gap.Survey analysis respondents demonstrated that, acknowledging gap that would occur, 93.9% after July 1, with majority (65.1%, 593/911) preferring an August 1 date....

The COVID-19 pandemic caused a disruption of in-person workforce development programs. Our immersive physician-oriented leadership institute suspended in 2020, resumed 2021 with virtual program, and 2022 reconvened training. We used this opportunity to compare the participant experience, including reported knowledge acquisition ability gains, between these nearly identical curricula delivered vastly different circumstances formats.We describe differences training implementation adaptations...

Investigators sought to assess whether age was related patient understanding of pelvic floor disorders; given studies show that increased is associated with lower health literacy.This a cross-sectional survey new urogynecology patients. Enrolled participants completed including demographics, history urinary incontinence (UI) and organ prolapse symptoms treatment, the Prolapse Incontinence Knowledge Questionnaire (PIKQ), self-assessment UI knowledge, anatomy diagram label. To achieve 80%...

Given limited information regarding digital technology use among patients, we sought to evaluate Internet younger (<65 years) as compared older (≥65 women and assess factors associated with use.We administered an anonymous questionnaire on English-speaking who presented our Urogynecology practice during a 1-month period. The assessed the following sociodemographics: age, race, education, income, insurance status. For primary outcome, versus women. We also conducted logistic regression...

Difficulties encountered with deans' letters have prompted residency directors to rely on performance indicators, including class rank, that indicate the comparative positions of applicants. However, validity rank as a predictor in is not well established. The present investigation studied relationship ranks residents' performances, systems ranking correlated and procedures strengthened between information performances. Three are described. With each system, authors used same study group 124...

To assess the implementation of Clinical Activities Tool (CAT) for facilitating Liaison Committee on Medical Education-required documentation comparability obstetrics-gynecology (ob/gyn) clinical experiences and midclerkship feedback at multiple sites during one academic year.Ob/gyn clerkship students six U.S. medical schools were given CATs to guide document from June 2006 2007. Students used a paper CAT five institutions an electronic version one. listed procedures, skills, topics...