Obstetrics & Gynecology blog
Clinical teaching and practical ideas for your next study session.
After Preeclampsia at 33 Weeks: Build the Postpartum Handoff
A delivery for severe preeclampsia should lead to more than a discharge diagnosis. Learn how to hand off postpartum blood-pressure care, long-term risk assessment, and planning for another pregnancy.
Paracentesis in OHSS: When to Drain Pressure-Driven Ascites
Learn when OHSS ascites warrants paracentesis, why persistent oliguria matters, how to interpret dyspnea, and how to practise this focused short-answer decision.
Severe Vomiting in Pregnancy: When to Exclude a Molar Pregnancy
Learn when severe early-pregnancy vomiting should prompt evaluation for molar pregnancy, what ultrasound can and cannot show, and why hCG alone is not diagnostic.
Fetal Goiter in Graves Pregnancy: Read the Thyroid Before Changing the Dose
An enlarged fetal thyroid in a Graves pregnancy does not reveal whether the fetus is hyperthyroid or hypothyroid. Learn how antibodies, medication exposure, and ultrasound findings shape the next step.
Twin Chorionicity: Why Placental Count Can Mislead
One placental mass cannot settle twin chorionicity. Learn to weigh membrane architecture, avoid false certainty, and use a focused retrieval drill for twin MCQs.
PMOS (Formerly PCOS): Why Test Glucose, Not Fasting Insulin?
Insulin can amplify ovarian androgen production and raise free testosterone, but a fasting insulin level is not a useful routine decision tool. Learn which glycemic assessment guides care—and why.
Gestational Diabetes and a Large 32-Week Fetus: Does Size Mean Cesarean?
A 32-week fetus above the 95th percentile in a gestational-diabetes pregnancy raises concern, but it does not choose cesarean birth. Separate fetal size from the 4,500-g counseling threshold and account for ultrasound uncertainty.
Misoprostol Exposure: Counseling a Continuing Pregnancy
A continuing pregnancy after medication-abortion exposure calls for careful counseling, not pressure. Separate the evidence for mifepristone from misoprostol, assess the pregnancy, and build a board answer that describes uncertainty without predicting an individual outcome.
When a Partner Can See the Portal: Safer IPV Documentation in OB/GYN
When a patient discloses partner violence, the documentation decision is not just what to write—it is who may see the note, diagnosis, after-visit summary, messages, and linked records. Learn how to map access, preserve useful clinical facts, and use only verified privacy safeguards.
Oligohydramnios Does Not Dictate the Cervical-Ripening Method
At 42+3 weeks with decreased fetal movement and a 1.6-cm deepest fluid pocket, delivery is the direction of travel. But low fluid alone does not make a Foley balloon mandatory or prostaglandins forbidden.
CT After Trauma in Pregnancy: What the 50-mGy Threshold Means
For this trauma MCQ, the key is to explain what the fetal radiation threshold does—and does not—mean: don’t equate lower risk of certain fetal effects with zero risk or delay indicated maternal imaging.
C. perfringens in Septic Abortion: Gas, Hemolysis, and Source Control
Clostridium perfringens is the classic gas-gangrene organism, but uterine gas is not synonymous with myonecrosis—and the organism alone does not mandate hysterectomy. Learn how toxin-related hemolysis changes urgency and how to distinguish uterine source control from removal of the uterus.