Management of cervical ectopic pregnancy with uterine artery embolization: a case report.

Background: Cervical ectopic pregnancy is a rare occurrence but carries the risk of life-threatening maternal hemorrhage.

Case: A 35-year-old woman, gravida 4 para 2, presented to the Emergency Room with the complaint of pelvic cramping and vaginal spotting. Initial quantitative serum beta-hCG value was 79,506.

Naturally occurring heterotopic pregnancy in a multiparous patient: a case report.

Background: Heterotopic pregnancy, or simultaneous intrauterine and extrauterine pregnancy, occurs rarely. Consequently, clinicians might not always consider a diagnosis of heterotopic pregnancy. Transvaginal ultrasound or other imaging modalities cannot be completely relied upon to exclude heterotopic pregnancy from the differential diagnosis of pregnant patients with abdominal pain.

Using the Pregnancy Perception of Risk Questionnaire to assess health care literacy gaps in maternal perception of prenatal risk.

In order to make appropriate decisions, patients must be able to understand and use the context-specific health information with which they have been provided, and health providers must be able to convey information to patients who possess varying degrees of health literacy. Adherence to medical recommendations often depends on patient perception of their medical risks and the importance they attach to those risks. In obstetrics, maternity patients are generally identified as high risk or non-high risk (routine).

Diagnosis of macroamylasemia in a pregnant patient.

Background: Macroamylasemia occurs with the formation of macroamylase complexes that cannot be cleared via renal excretion. In patients with persistent serum amylase elevation or hyperamylasemia with normal urine amylase and lipase levels, the diagnosis of macromylasemia is suggested.

Main Findings: The patient is a 31-year-old G2P1 who presented to the ob/gyn triage with the complaint of recurrent right-sided abdominal pain.

The use of missing birth record data as a marker for adverse reproductive outcomes: a geocoded analysis of birth record data.

Adverse reproductive outcomes (AROs) disproportionately affect black American infants and significantly contribute to the U.S. infant mortality rate.

Generations of loss: contemporary perspectives on black infant mortality.

The U.S. black infant mortality rate (IMR) remains a significant public health concern.

Opportunistic approaches for delivering preventive care in illness visits.

Objective: To describe how clinicians create opportunities to deliver preventive care in illness visits and assess the impact this has on preventive service delivery.

Method: Detailed and descriptive fieldnotes were collected from 18 purposefully selected family practices, including direct observations of 53 primary care clinicians and 1620 patient encounters. Conversation analysis was used to examine the conversational techniques employed to deliver four preventive services (smoking counseling, immunization delivery, mammography, and cervical cancer screening) in illness visits.

Necrotizing soft tissue infections: a primary care review.

Patients with necrotizing soft tissue infections often present initially to family physicians. These infections must be detected and treated rapidly to prevent loss of limb or a fatal outcome. Unfortunately, necrotizing soft tissue infections have no pathognomonic signs.