Cervical Lacerations: A Review of Risks.

Cervical laceration (CL), although infrequent, is an often-unrecognized complication of vaginal birth and can cause significant blood loss in the immediate postpartum period. The rate of clinically significant CL ranges from 0.14% to 0.

A surprising case of sustained antenatal fetal bradycardia.

Persistent fetal bradycardia noted in the antenatal period can occur secondary to maternal conditions, fetal cardiac structural defects, or from congenital heart block. Fetal bradycardia can be mistaken for maternal pulse and should be confirmed with ultrasound whenever possible. Prompt evaluation of the fetus with bradycardia can lead to early interventions designed to prevent cardiac damage and/or hydrops.

Assessment and management of the obese adult female: a clinical update for providers.

Obesity is epidemic in the United States, affecting 61% of adults and 14% of children. Today's health care providers should recognize obesity as a chronic disease and offer up-to-date information and management. Treatment options currently available are diet and behavior modification, medications, and surgical procedures.