OBGYN

Women in Women's Health: Who Holds the Leadership Roles?

The vast majority- 80%- of new OBGYN residents are women, and the proportion of male and female OBGYNs is quickly shifting to majority female. Now, women OBGYNs hold 57% of faculty positions. So, as women take over the majority of positions in the specialty, are they also taking over proportional leadership roles? Are female OBGYNs as likely as male OBGYNs to be given opportunities to lead in women's health? Or, do we still face the same inequalities in the topmost positions as we have in the past?

Plasma Energy Ablation, A New Option for Treating Endometriomas

Endometriosis is the number 1 cause of infertility in the US. Endometriosis occurs when the endometrial tissue that makes up the inner lining of the uterus migrates to other places, like the ovary or pelvic wall. Endometriosis affects up to 10% of US reproductive-aged women, and, of women with endometriosis, about 35% experience infertility. So, what can we do to help women with endometriosis achieve pregnancy? Unfortunately, the number of medical treatments to increase fertility in the face of endometriosis are limited. Read on to learn about a promising new study of a new treatment, plasma energy ablation. 

How exactly does obesity affect fertility?

The obesity epidemic is a popular topic in the media. Our news feeds are flush with articles about the dangers of obesity: hypertension, sleep apnea, cancer, dyslipidemia, and cardiovascular disease. In the OBGYN world, every month brings new journal articles about the dangers of obesity during pregnancy, everything from birth defects to obstetric complications to a higher risk of obesity in offspring. Recently, the American Society for Reproductive Medicine issued a committee opinion on the ways in which obesity affects fertility. So, how, exactly, does obesity affect fertility?

Long wait times? It's all about the e-consult

High costs, long wait times, inefficient care... Technology holds promise to fix these and many more problems with the current healthcare system. In Canada, healthcare is universal, and demand for specialists like OBGYNs is high. In Ontario alone, 54,000 patients are referred to specialists every day. The average wait time to see a specialist is now 8.5 weeks. How can a healthcare system manage this high demand, making sure patients get the right care in a timely manner? Technology to the rescue.

Common Surgery Rules that Do More Harm than Good

Have you ever had surgery? If so, you know recovery can feel like getting hit by a bus. Even after minimally invasive surgeries, it can take weeks or months to regain full functioning. A set of surgical recovery principles called "Enhanced Recovery Pathways" provide surgeons and patients alike with a set of evidence-based "life hacks" for speeding recovery. You might be surprised to see that many are the opposite of traditional teachings and hospital practice!

11/18/16 This Week's Top 5 for World Prematurity Day

This week marked the annual World Prematurity Day (Nov. 17) in which parents, providers, researchers and others come together to work towards advancements in preventing preterm births. As the number one cause of neonatal death, prematurity is one of the biggest challenges facing obstetrics. Read on for the Top Five facts about prematurity from this week.

11/4/2016 This Week’s Must-Read Women’s Health Articles

Welcome to November! It’s hard to believe the fall is coming to a close, especially here in San Francisco where the weather has been sunny! This week’s most popular women’s health articles are all pregnancy and obstetrics-related.  Three of the articles seek to explain risk factors for preterm birth: obesity and prior cesarean delivery. The fourth article provides an update on the fight to curb the spread of Zika, and finally we take a “sunny-side-up” look at OP fetal positioning.

Obesity & Fetal Brain Development

We’ve all heard about the “obesity epidemic” in America and about the increased risks associated with maternal obesity in pregnancy. But, a new body of research is uncovering risks of obesity that go beyond the infant’s risk for metabolic disorders and affect the infant’s brain development. Pregnancy is arguably the most important time period for neural development, and the ways in which maternal obesity and excessive weight gain in pregnancy can affect neural development are alarming.

10/21/2016 This Week's Must Read Women's Health Articles

Last week's Top 5 list got lots of love from Twitter (thank you all!), so here is the next installment. I hope you enjoy this week's selection of popular articles. Topics include severe maternal morbidity, urogynecology surgeries, laboring down, male infertility, and delayed effects of Zika. The laboring down article is especially interesting and potentially practice-changing.

10/14/16 This Week's Must Read Women's Health Articles

I'm trying out a new feature for the Friday blog post this week in the hopes that I can pack more cutting edge women's health updates into your inbox! Four times a day I feature highlights from the top women's health stories on Twitter @elmtreemedical. Here, I'll feature the top 5 most interesting and loved stories from the week with a brief summary for your skimming pleasure. This week's topics include: over-screening risks of mammography, acupressure for labor induction, no-strings-attached prenatal financial support, Kaiser's quiet digital health revolution, and timing of delivery for vasa previa. I hope you enjoy the new format!