Protrusion of placental tissue through the cervical os as an unusual presentation of placenta accreta: A case report.

Introduction: Abnormal placentation commonly occurs in women with a history of uterine surgery or placenta previa. Placenta accreta spectrum can occur in the setting of lesser-known risk factors and anatomical locations.

Case: A 41-year-old woman (G6P4014) at 18 weeks of gestation without major risk factors was diagnosed with a placenta accreta after presenting for desired termination of pregnancy.

A randomized controlled trial of liposomal bupivacaine for pain following obstetrical laceration.

Background: Postpartum pain management is critical after vaginal delivery involving a second, third, or fourth degree laceration as patients heal from their repair. Uncontrolled postpartum pain can affect both the physical and mental recovery period, extend hospital stays, and increase the potential for serious adverse reactions with pain medications. In light of the opioid crisis and increase in dependency after utilization, finding alternatives for pain management after procedures is paramount.

Antenatal Monitoring After Preterm Prelabor Rupture of Membranes.

Preterm prelabor rupture of membranes is a complication of pregnancy with significant associated maternal and fetal risks. Expectant management of this complication requires inpatient admission with close monitoring of maternal and fetal status until delivery. Close antepartum monitoring ensures rapid intervention if indicated, allowing for best possible maternal and neonatal outcomes.

Simulation and Shoulder Dystocia.

Shoulder dystocia is an unpredictable obstetric emergency that requires prompt interventions to ensure optimal outcomes. Proper technique is important but difficult to train given the urgent and critical clinical situation. Simulation training for shoulder dystocia allows providers at all levels to practice technical and teamwork skills in a no-risk environment.