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Browse Barbieri, Robert L.

1-141 out of 141 article(s)
Title Type Date Words
New hormonal medical treatment is an important advance for AUB caused by uterine fibroids: Women with fibroids causing symptomatic abnormal uterine bleeding who choose to avoid a therapeutic procedure have a new hormonal treatment option. Medical condition overview Aug 1, 2020 2833
The Fetal Pillow: A new option for delivering the deeply impacted fetal head: For laboring women with a prolonged second stage who require a cesarean delivery, use of the Fetal Pillow will decrease traumatic extensions of the uterine incision and facilitate delivery of the fetal head. Jul 1, 2020 1488
In your practice, are you planning to have a chaperone present for all intimate examinations? The American College of Obstetricians and Gynecologists now recommends that a chaperone be present for all breast, genital, and rectal examinations. Jun 1, 2020 1927
Out of the pipeline: Remdesivir: What do we know about this drug, recently FDA approved under emergency use authorization to treat COVID-19, and how can it be used safely in pregnant women? Jun 1, 2020 1616
COVID-19: We are in a war, without the most effective weapons to fight a novel viral pathogen: Although we are in the midst of battle, we will win this fight, alongside the global community of clinicians. Cover story May 1, 2020 4355
Prescribing aspirin to improve pregnancy outcomes: Expand the indications? Increase the dose? Medical condition overview Apr 1, 2020 2424
What is the role of the ObGyn in preventing and treating obesity? Mar 1, 2020 2922
Progestin-only systemic hormone therapy for menopausal hot flashes. Feb 1, 2020 1457
What is optimal hormonal treatment for women with polycystic ovary syndrome? Jan 1, 2020 2191
Retained placenta after vaginal birth: How long should you wait to manually remove the placenta? Dec 1, 2019 2384
Subclinical hypothyroidism and pregnancy: Public health problem or lab finding with minimal clinical significance? There is no clear evidence that thyroxine can improve pregnancy outcomes in women with subclinical hypothyroidism. Medical condition overview Nov 1, 2019 1908
Women with epilepsy: 5 clinical pearls for contraception and preconception counseling. Sep 1, 2019 2833
Why do so many women aged 65 years and older die of cervical cancer? Many women aged >65 years who are at risk for cervical cancer are not being actively screened, resulting in a high rate of cervical cancer mortality after 65 years of age. Aug 1, 2019 2280
One versus two uterotonics: Which is better for minimizing postpartum blood loss? Jun 1, 2019 2116
Good news for ObGyns: Medical liability claims resulting in payment are decreasing! Not as good news: Claims settling for a payment of greater than $1 million are increasing. May 1, 2019 1752
Screening and counseling interventions to prevent peripartum depression: A practical approach: After successful implementation of screening for perinatal depression, the USPSTF is recommending a new approach: screen for women at high risk for peripartum depression and recommend that screen-positive women receive preventive counseling. Apr 1, 2019 2244
What is your approach to the persistent occiput posterior malposition? One of the peskiest problems in labor obstetrics is the persistent OP position. Cover story Mar 1, 2019 2512
How do you feel about expectantly managing a well-dated pregnancy past 41 weeks' gestation? Most women with a well-dated pregnancy should be offered the option of induction of labor before or at 41 weeks' gestation. Medical condition overview Feb 1, 2019 1745
Maternal health benefits of breastfeeding. Dec 1, 2018 1604
Elagolix: A new treatment for pelvic pain caused by endometriosis. Nov 1, 2018 2299
Postpartum hemorrhage: Aortic compression to reduce pelvic bleeding. Oct 1, 2018 2157
Optimize the medical treatment of endometriosis--Use all available medications. Disease/Disorder overview Aug 1, 2018 2199
Tactics for reducing the rate of surgical site infection following cesarean delivery: Consider these practices in your approach to preventing surgical site infection. Apr 1, 2018 2403
Hidradenitis suppurativa: An underdiagnosed skin problem of women: Gynecologists are uniquely positioned to diagnose this common skin problem. Mar 1, 2018 2281
The new normal in blood pressure diagnosis and management: Lower is better: The revised definition of normal blood pressure (systolic blood pressure <120 mm Hg and diastolic blood pressure <80 mm Hg) will result in major changes in the clinical care of mid-life women. Disease/Disorder overview Feb 1, 2018 2081
30 years in service to you, our community of women's health clinicians: It is all about your professional development and well-being, as well as your patients' health and well-being. Jan 1, 2018 1406
Stop using codeine, oxycodone, hydrocodone, tramadol, and aspirin in women who are breastfeeding. Oct 1, 2017 2418
Are combination estrogen-progestin oral contraceptives associated with an increased risk of cancer? Sep 1, 2017 2504
For the management of labor, patience is a virtue: start using the ACOG/SMFM labor management guidelines in your practice. Aug 1, 2017 3917
Start offering antenatal corticosteroids to women delivering between 34 0/7 and 36 6/7 weeks of gestation to improve newborn outcomes. May 1, 2017 2028
Treating polycystic ovary syndrome: start using dual medical therapy. Apr 1, 2017 2143
Why are there delays in the diagnosis of endometriosis? As leaders in women's health care, we can do much more to improve the timely diagnosis of endometriosis in women with pelvic pain. Clinical report Mar 1, 2017 1933
Women's Preventive Services Initiative Guidelines provide consensus for practicing ObGyns: in a remarkable demonstration of collaboration and unity, 21 independent major health organizations have reached agreement on 9 high-priority women's preventive services guidelines. Feb 1, 2017 1775
Do you utilize vasopressin in your difficult cesarean delivery surgeries? Nov 1, 2016 1996
Have you measured lactate in your sick obstetrics and gynecology patients during the past year? Measuring lactate can facilitate the rapid identification of the sickest obstetrics and gynecology patients. Oct 1, 2016 2007
In which clinical situations can the use of the 52-mg levonorgestrel-releasing IUD (Mirena) and the TCu380A copper-IUD (ParaGard) be extended? Sep 1, 2016 2160
Protecting the newborn brain--the final frontier in obstetric and neonatal care. Aug 1, 2016 1875
Stop using rectal misoprostol for the treatment of postpartum hemorrhage caused by uterine atony. Cover story Jul 1, 2016 1610
Start offering aspirin to pregnant women at high risk for preeclampsia. May 1, 2016 1905
Update: a distinguished Board of Editors. May 1, 2016 939
Intractable shoulder dystocia: a posterior axilla maneuver may save the day. Apr 1, 2016 1892
Can we solve the problem of inadequate contraception for women at high risk for adverse pregnancy outcomes? Feb 1, 2016 1764
Should you adopt the practice of vaginal cleansing with povidone-iodine prior to cesarean delivery? Among women with ruptured membranes or spontaneous labor, precesarean vaginal cleansing with povidone-iodine may reduce the risk of endometritis. Jan 1, 2016 1352
Should newborns at 22 or 23 weeks' gestational age be aggressively resuscitated? Dec 1, 2015 1959
Can we reduce the use of abdominal hysterectomy and increase the use of vaginal and laparoscopic approaches? Nov 1, 2015 1333
Does hormone therapy reduce mortality in recently menopausal women? Oct 1, 2015 2135
Every surgeon knows that, if you operate, complications will follow. Oct 1, 2015 226
Reducing maternal mortality in the united states--let's get organized! With teamwork, we can impact women and their families on a national scale. Sep 1, 2015 1539
Why is breast density a weighty matter? Aug 1, 2015 3140
Advances in protection against oncogenic human papillomaviruses: the 9-valent vaccine: can the HPV vaccine help prevent oropharyngeal cancer--a disease that is predicted to become more common than cervical cancer in 5 years? Jun 1, 2015 1764
Why is obstetrics and gynecology a popular career choice for medical students? About 7% of 2014 graduating medical students did not get matched to a residency program for their first-choice ObGyn specialty. May 1, 2015 1037
Uterus transplantation: medical breakthrough or surgical folly? Although uterus transplantation has been proven to be feasible, is it practical or ethical? Apr 1, 2015 2033
What is the risk that a patient will have an occult uterine cancer at myomectomy? Apr 1, 2015 485
Hysterotomy incision and repair: many options, many personal preferences: is there evidence of a best approach to managing the hysterotomy incision. Mar 1, 2015 2002
Optimal pharmacologic treatment of nausea and vomiting of pregnancy: is ondansetron associated with congenital anomalies when used in early pregnancy? Medical condition overview Feb 1, 2015 2260
Stop using the hCG discriminatory zone of 1,500 to 2,000 mlU/mL to guide intervention during early pregnancy. Cover story Jan 1, 2015 2333
Letrozole versus clomiphene for ovulation induction: will you start using letrozole for ovulation induction in your practice? Nov 1, 2014 1756
Tackle the challenging shoulder dystocia emergency by practicing delivery of the posterior arm: successful delivery of the posterior arm may require finding and firmly grasping the fetal hand, wrist, and/or distal forearm. Oct 1, 2014 2019
Farewell to indigo carmine: with a nationwide shortage of this marker dye, what are the options, and cautions, for obstetricians and gynecologists? Sep 1, 2014 1622
Transfer to the hospital for women planning a home birth: a high-risk obstetrics problem. Aug 1, 2014 2084
Hormone therapy for menopausal vasomotor symptoms: given our available (better) options for treating hot flashes, can we reduce our use of medroxyprogesterone acetate? Jul 1, 2014 2522
Q: Following cesarean delivery, what is the optimal oxytocin infusion duration to prevent postpartum bleeding? Apr 1, 2014 2604
Options for reducing the use of open power morcellation of uterine tumors: the most promising alternative to open power morcellation is morcellation in a bag, described here. Mar 1, 2014 1975
Benefits and pitfalls of open power morcellation of uterine fibroids. Cover story Feb 1, 2014 2429
21st Century norms for assessing the progress of labor. Dec 1, 2013 1044
Osteoporosis treatment and breast cancer prevention: two goals, one treatment? Nov 1, 2013 1725
Should you start prescribing lorcaserin or orlistat to your overweight or obese patients? Oct 1, 2013 1747
What is the gynecologist's role in the care of BRCA previvors? Here, your patient's options for surgery and your best options for her follow-up care and ongoing surveillance. Sep 1, 2013 2001
Develop and use a checklist for 3rd- and 4th-degree perineal lacerations. Aug 1, 2013 1805
Successful treatment of chronic vaginitis: arm yourself with these best options for tackling insistent infection. Disease/Disorder overview Jul 1, 2013 1166
You are the second responder to a shoulder dystocia emergency. What do you do first? May 1, 2013 1772
The natural history of obstetric brachial plexus injury: ten percent to 30% of these injuries persist for years following birth. Can we reduce the incidence? Can we reduce our risk of litigation? Feb 1, 2013 2091
25 years in service to you, our readers: it is all about your professional development and your patients' health and well being. Jan 1, 2013 639
A stitch in time: the B-Lynch, Hayman, and Pereira uterine compression sutures: all three of these uterine compression sutures are effective at treating postpartum hemorrhage caused by uterine atony--remember to use them. Dec 1, 2012 1525
Your age-based guide to comprehensive well-woman care: primary care interventions vary with the age of the patient, but there are similarities, too. A look at recommendations for four age intervals: 13-18, 19-39, 40-64, and over 65. Oct 1, 2012 5276
Let's increase our use of implants and DMPA and improve contraceptive effectiveness in this country: second of 2 parts. Editorial Sep 1, 2012 2026
Kudos to our community of expert clinicians. Sep 1, 2012 360
Let's increase our use of IUDs and improve contraceptive effectiveness in this country: first of 2 parts. Editorial Aug 1, 2012 1701
Routine use of oxytocin at birth: just the right amount to prevent postpartum hemorrhage: administering the appropriate amount of oxytocin maximizes its benefits and minimizes its side effects. Regrettably, too little, too much or none at all is often administered at birth. Jul 1, 2012 1490
Be active, not passive, with how you screen for type 2 diabetes: we can do a better job of uncovering the likely significant number of our patients whose diabetes has gone undiagnosed, at their peril. Jun 1, 2012 1985
Stop performing median episiotomy! Start using a mediolateral incision when episiotomy is indicated. Editorial Apr 1, 2012 2511
Act fast when confronted by a coagulopathy postpartum: don't waste valuable time waiting for coagulation studies to return from the lab--use your clinical judgment and start transfusing clotting factors. Clinical report Mar 1, 2012 1991
Have you tried a progestin for your patient's pelvic pain? Progestins are highly effective for pelvic pain caused by endometriosis that's refractory to other treatments. Case study Feb 1, 2012 1966
Difficult fetal extraction at cesarean delivery: what should you do? Next time you face this hazardous scenario, try reverse breech extraction. Jan 1, 2012 1889
How to repair bladder injury at the time of cesarean delivery: you're well-trained to take primary responsibility for repair of most of these urinary tract injuries. Dec 1, 2011 1333
Insomnia is a troubling and under-treated problem: consider gabapentin or eszopiclone to help wakeful women get some sleep at last. Report Nov 1, 2011 1894
Medicare and Medicaid are on the brink of insolvency, and you're not just a bystander: the federal government might resuscitate these two popular benefit programs by siphoning revenue from private medical practices. Oct 1, 2011 1857
What determines choice? Not all contraceptives are suitable immediately postpartum: the prenatal period is the time to counsel your patient about risks and advantages of post-delivery contraceptives--and encourage her to choose one. Editorial Sep 1, 2011 1992
Have you made best use of the Bakri balloon in PPH? Reach for the balloon often and, for greatest benefit, apply it early in the postpartum hemorrhage treatment algorithm. Editorial Jul 1, 2011 1610
OB and neonatal medicine practices are evolving--in ways that might surprise you: in the first 5 min of life. Report Jun 1, 2011 2085
Big step forward and downward: an OC with 10 [micro]g of estrogen: Lo Loestrin Fe delivers an ultra-low close of ethinyl estradiol--a novel and noteworthy option when you're considering an estrogen-progestin contraceptive. Editorial May 1, 2011 1818
Stop staring at that Category-II fetal heart-rate tracing ... and do something instead to improve fetal status! Apr 1, 2011 1625
Levonorgestrel or ulipristal: is one a better emergency contraceptive than the other? Comparison of these two FDA-approved agents should take more into account than just efficacy measured by the crude pregnancy rate. Editorial Mar 1, 2011 1277
What can "meaningful use" of an EHR mean for your bottom line? It can mean as much as $44,000 from the federal government. Are you prepped to claim these funds, starting this year? Feb 1, 2011 1989
Consider denosumab for postmenopausal osteoporosis: easy to use and effective, this recently approved agent appears well suited to ObGyn office practice. Editorial Jan 1, 2011 1687
The ubiquitous, drawn-out, annoying wait to see the doctor: excessive wait time is costly to you and your patients. It's possible to cut that time and transform the experience for patients in meaningful ways. Editorial Dec 1, 2010 1230
Poll: these ObGyn "practice enhancers" shone brightly in 2010: with the year drawing to a close, we asked a cross section of your peers to reveal what especially boosted their efficacy, efficiency, and bottom line in 2010--so that you might benefit from what they discovered. Dec 1, 2010 3003
Therapeutic hypothermia for newborns who suffer hypoxicischemic birth injury: can whole-body cooling reduce the rate of cerebral palsy and thus help OBs limit their professional liability? Nov 1, 2010 1244
Long offered abroad by Rx, OTC: a new (to the US) first-line agent for heavy menstrual bleeding: tranexamic acid has a track record of efficacy and safety in Europe. Consider it an addition to your therapeutic options. Oct 1, 2010 1124
Potential for better cycle control: in the news, now on the shelf: a novel estradiol-based OC: the first birth control pill was sold in the United States in 1960. Fifty years later, oral contraceptives continue to evolve--as Natazia demonstrates. Sep 1, 2010 1254

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