"Individually we are one drop, but together we are an ocean." -Ryunosuke Satoro. The wisdom underlying the power of teamwork has never been so true as when it is applied to delivering medical care. From restructuring care teams to center around patients and their families to encouraging collaboration between medical centers, improvements in medicine rely on increasing teamwork. A collaborative in Ohio has recently shown the tremendous benefits that can be achieved in the field of obstetrics when groups team up to prevent preterm birth through better access to progesterone treatments.
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.
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.
There are few things we can do to prevent preterm birth. One of the primary tools in the toolkit is progesterone. Mothers with a history of spontaneous preterm birth are at increased risk of a repeat preterm birth and are routinely prescribed progesterone to decrease this risk. Another group of women who benefit from progesterone therapy are women with a short cervical length. How would you know if someone has a short cervix? One way is to measure the cervical length with ultrasound- but who should get this ultrasound exam? Everyone? Just high-risk women? Is this strategy cost-effective? And, are women who are eligible even getting their treatment?
I am very excited to introduce our new feature: a podcast! Dedicated to reviewing and editorializing the latest information in women's health, I hope this podcast will serve as a trusted source of information for on-the-go OBGYNs and other providers of women's health.