Obstetrics & Gynecology blog
Clinical teaching and practical ideas for your next study session.
Fever After PPROM: When One Additional Sign Changes Management
An illustrative 31-week PPROM case tests a specific threshold: fever of 38.0–38.9°C plus fetal tachycardia supports suspected intra-amniotic infection. Learn why that changes management without requiring culture confirmation or cesarean delivery.
Three CHC MEC Flags—and One Migraine Trap on Boards
A migraine diagnosis is not automatically a fourth Category 3 or 4 finding. Learn to classify smoking, blood pressure, and lamotrigine with the qualifiers a U.S. MEC board question requires.
The Uterus as a Living Ligature: Placental-Bed Hemostasis After Birth
Learn how myometrial contraction and retraction compress vessels at the placental bed, why atony can cause bleeding despite normal coagulation tests, and how uterine tone should shape immediate assessment.
Preterm Labor at 29 Weeks: What a Short Delay Can—and Cannot—Buy
At 29 weeks, the key question is whether a short delay is safe—and what it will accomplish. Separate the roles of tocolysis, steroids, magnesium, GBS prophylaxis, and transfer.
Persistent Grade 1 Endometrial Cancer at 6 Months: When to Counsel Hysterectomy
A persistent six-month biopsy is not the same as progression—but it is not reassurance. Learn how to classify response, when to counsel hysterectomy, and when a closely monitored extension may be considered.
Postpartum Infant-Harm Thoughts: Distinguishing OCD From Psychosis
An unwanted thought about harming the baby is not, by itself, evidence of intent. Learn which questions help distinguish an obsessional thought from a psychotic belief—and when the response must be urgent.
After Trauma in Pregnancy, What the Kleihauer-Betke Test Should Change
After trauma with bleeding, the Kleihauer-Betke test estimates fetomaternal hemorrhage to refine RhIG dosing. Learn why it cannot diagnose abruption, replace fetal monitoring, or decide whether prophylaxis is indicated.
A Negative STI Test Too Soon: Three Clocks to Know
STI MCQs can blur an exposure window, a test of cure, and reinfection screening. Learn to match each clock to the assay and sampled site—and avoid treating one negative result as a verdict.
FGR at 32 Weeks: How Reversed Dopplers Shape Delivery Counseling
At 32 weeks, umbilical artery reversed flow reaches a delivery window; ductus venosus reversal adds evidence of fetal strain. Learn to recommend delivery while explaining prematurity and why pooled fetal-death figures are not individualized risk estimates.
Low TSH in Hyperemesis Gravidarum: When to Treat the Thyroid
At 10 weeks, a suppressed TSH and mildly elevated free T4 may reflect hCG-mediated gestational transient thyrotoxicosis rather than Graves disease. Learn which clues change the work-up and when thyroid-directed treatment is warranted.
Microcytosis That Does Not Respond to Iron: What to Test Next in Pregnancy
A three-week iron trial that fails to raise hemoglobin is a cue to test the diagnosis—not simply intensify treatment. Learn how to sequence iron-status studies and hemoglobinopathy testing.
When a Parent Asks “Did I Cause the Stillbirth?”: Separate Blame From Causation
A parent’s self-blame deserves an answer before the stillbirth evaluation is complete. Learn to offer honest reassurance, explain placental and cord findings without overcalling cause, and make follow-up and bereavement support dependable.