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Posts Tagged ‘obstetrics’

obstetrics(Caring for Women During Pregnancy)

obstetrics, branch of medicine that specializes in caring for women during pregnancy, labor, and immediately following childbirth.

The term derives from the Latin obstare, meaning to stand by, or opstare, meaning to render aid, and obstetrix, meaning the woman who stands by. Until the early 18th century, childbirth assistants were usually midwives, women who provide care to other women during pregnancy and childbirth. During the 19th century, obstetrics evolved as a medical specialty. Physicians who specialize in obstetrics are called obstetricians.

Obstetricians are commonly also certified in gynecology, to provide care for a wide range of problems involving the reproductive system. Obstetricians with special training in high-risk pregnancy are referred to as maternal-fetal medicine specialists or perinatologists. Many physicians in family practice include obstetrics and some gynecologic surgery in their practices. In addition, midwifery is practiced in many parts of the United States, as well as throughout the world. Women may choose midwives in areas where physicians are unavailable or unaffordable, or because they believe in a less medicalized approach to childbirth.

Obstetrical care ideally begins with the counseling of a woman who is either planning a pregnancy or at risk for an unplanned pregnancy. Preconception counseling may include assessment of lifestyle, including issues such as diet, exercise, consumption of alcohol or tobacco, and ways of dealing with stress; recommendation of vitamins; administration of necessary vaccinations; and general advice about maintaining healthy habits. Throughout a pregnancy a woman may schedule eight to ten or more visits to her obstetrician, during which tests are performed, such as blood typing—in preparation for possible blood transfusion, and to determine if there are incompatibilities between the mother’s and baby’s blood—and screening for infectious diseases. Specialized tests to monitor the health of the fetus may be recommended, including ultrasound to visualize the fetus, and genetic testing to learn the risk for genetic diseases such as Down syndrome.

An obstetrician attends the woman during labor and delivery and is trained to handle any complications that would endanger the mother and fetus. Complications may include premature rupture of the membranes, in which the water bag ruptures but labor does not begin spontaneously; failure to progress, in which labor has begun but the woman’s cervix—the small organ that connects the uterus to the vagina—fails to widen or dilate properly; or breech presentation, in which the fetus is oriented feet first down the birth canal instead of head first. Obstetricians perform cesarean sections, in which the fetus is removed through an abdominal incision, and they also surgically repair injuries to the birth canal that may occur during delivery. Immediate care of the mother for several weeks after delivery is generally considered part of obstetrical practice. Once a baby is delivered, its care may be assumed by a pediatrician (seePediatrics), a specialist in the care of children.

Obstetricians complete four years of medical school, followed by four or more years of primary care training and training in obstetrics and gynecology. After completing an approved training course and a period of practice, obstetricians may take an examination for board certification, a nationally recognized acknowledgment of expertise in a specialty. In addition, physicians planning to specialize in gynecologic cancer, infertility, or reconstructive surgery may complete two to three years of additional training to receive board certification in their particular subspecialty.

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About the Author

Nelson Ndalila is an infertility expert from Nottingham. He can be reached through his blog infertilityhospital.blogspot.com

Joel Henry, MD, UW Health Obstetrics and gynecology

Finding obstetrics Nursing Las Vegas, NV

Any treatment or medical activity related to pregnancy is called obstetrics. Since the preparation for pregnancy to conceive a baby, it all falls under the practice of obstetrics. It is a highly specialized and extremely sensitive to practice. Anyone responsible for a baby before birth must be very skilled and well versed in the subject to be efficient.

Prenatal care is generally much more sensitive and delicate post-natal treatment. An unborn baby is more vulnerable than a child born and ready to face the outside world. With a preterm delivery, the field of pediatrics obstetrics merges with the care of the child. The mother, in these cases is equally susceptible to the dangers risky and is treated by a gynecologist.

Obstetrics involves a great number of medical procedures, treatments and activities, but are one of the most common:

1. Family planning

2. Management and treatment of infertility

3. High-risk obstetrics, including cesarean

4. Pre-and postnatal

5. Parent Education about child care

6. Natural childbirth

7. Genetic testing

8. Recurrent pregnancy loss and the diagnosis of abortion involuntary treatment.

Broadly defined, from the decision to have a child, to care for her vulnerable in its early days, obstetrics is a medical specialty that combines all.

Since 2000, a sharp decrease was observed in physicians who choose obstetrics and gynecology as a postgraduate specialization. Obstetrics is an area of ??critical care and always in demand. No parent can afford to take risks with their offspring and require professional help from obstetrics regularly. Neither does the field of obstetrics income opportunity offers no less than other majors alike. To date, America faces a shortage of available OB / GYN professionals.

This sorry state of affairs is being examined by the authorities, but the solution is still far. It is therefore important to verify the skill and ability of the obstetrician to visit before, during or after pregnancy. A licensed medical professional mere or the long list of degrees and diplomas do not decide the skills of a doctor. This is a question of whether the doctor cares for the patient and the health of your child with the dedication required.

In preparation for pregnancy or already pregnant, it is urgent that professional medical help.

About the Author

Henderson Wellness provides a broad spectrum of women health services to the residents of Las Vegas and Henderson, NV. For more details on
ob/gyn Henderson
, check out website Hendersonwellness.com.

Dr. Michael Smith, Obstetrics and gynecology – UAMS

In Massachusetts, long waits for doctor visits almost everyone in Massachusetts have health insurance under a state mandate, but many doctors not accept subsidized insurance programs available to low-income residents, according to a new study.
Endometrial Ablation

help on this math problem?

Specialties — Office –Hospital –Other –Total
General Surgery –24,128 –12,225 –1,658 –38,011
obstetrics/gynecology — 24150 –6,734 –1,140 –32,024
Orthopedics –13,364 –4,248 –414 –18029
Ophthalmology –12,328 –2,694 –518 –15,540
Total –73,970 –25,901 –3,730 –103,601

1) 15,540
2) 73,970 + 15,540 = 89,510
3) 6,734

obstetrics and gynecology Doctors Episode 1.1

Em-You Guides final ICD code does go for Ob-Gyn Coding

Situation: A patient came to a first OB visit. Some other clinic confirmed her pregnancy, but she never received prenatal care. She received her initial OB service department (ie, orders Laboratory), Pap smear, and Chlamydia trachomatis (CT) / Neisseria gonorrhoeae (GC) detection. After discussing some concerns with the patient, OB ordered another pregnancy test, the result was negative. Then he ordered an ultrasound (U.S.), which showed no intrauterine pregnancy. The gynecologist noted bilateral polycystic ovaries, however. In summary, the complete office OB initial visit prior to knowledge of a negative pregnancy test (given documentation confirming a positive pregnancy test). Not sure if it counts as a first or an office visit. What code should I use for first diagnosed?

Solution: The suggestion is that the code knows what the end of the visit. Since the patient was not pregnant, should report an outpatient E / M visit (from 99,201 to 99.205, the Office or other outpatient visit for the evaluation and management of a new patient …; 99212-99215, Office or other outpatient visit for the evaluation and management of an established patient …). As it turned out, were not paying attention or were the OB global monitoring pregnancy after all.

His final diagnosis should be 256.4 (PCOS) with V72.41 (exam or pregnancy test, negative result). According the CPT Assistant, which is the code of ultrasound as an OB ultrasound (76805-76815). Therefore, you must link the ultrasound to V72.41. Here's what phone says:

"For a patient with an established diagnosis of pregnancy (Determined by any means), with signs and symptoms that may be related to pregnancy and require a screening ultrasound of the pelvis, obstetric ultrasound code (s) from 76.805 to 76.815 must be reported even if the outcome of the procedure is that the patient is not pregnant or have a diagnostic ultrasound that can be drawn as independent of pregnancy (eg, appendicitis acute, torso ovarian fibroma, necrotic). "

Report to ICD-10: The new ICD-10 system will show 256.4 as E28.2 (syndrome polycystic ovary). Z32.02 is replaced by V72.41 (Encounter for pregnancy test, negative result).

About the Author

Suzanne Leder, M.Phil., CPC, COBGC can answer your ob-gyn coding questions, as she has been the Ob-gyn Coding Alert editor for five years and counting. Also, she holds a specialty OB/GYN coding certification. Currently, she is an Executive Editor at the Coding Institute and has covered topics in cardiology, physical medicine and rehab, gastroenterology, neurology, neurosurgery, orthopedics, and otolaryngology. She has a BA from N.C. State University and an international Master’s degree (M. Phil) from Trinity College Dublin.

What Ob-Gyn Coders Need to Know About ICD-10

Try PMS Treatment Options

Women who are suffering from premenstrual syndrome share many common symptoms with women who are depressed, periomenopausal or who have thyroid disorders. Therefore, doctors usually ask their patients to keep a daily record of symptoms for several consecutive months before recommending a specific PMS treatment. Often big changes occur once one’s diet is modified and regular exercise is introduced into the mix. Many over-the-counter drugs can treat some of the physical symptoms of PMS too.

Calcium supplements are an often-recommended PMS treatment. Calcium is the most common mineral in the body, yet most people do not consume their daily requirement of 1,000 mg per day. This “king of minerals” is needed to give you strong bones and teeth, but also to regulate your heart function, transmit nerve impulses, prevent blood clots, regulate your metabolism and regulate your hormones. In a 2000 study by St. Luke’s-Roosevelt Hospital Center in New York City, researchers studied 466 healthy, pre-menopausal women between the ages of 18 and 45. They concluded that the PMS group taking calcium supplements had a 48% reduction in symptoms of pain, food cravings, water retention and mood swings.

Treatment for PMS may also consist of herbal supplements. In Germany, St. John’s wort is used as an antidepressant. The active ingredient, hypericin, works by inhibiting serotonin reuptake and monoamine oxidase. Eight separate randomized, controlled trials have found that the herb worked the same as tricyclic antidepressants in treating depression. A preliminary study conducted at The University of Exeter in England found that 300 mg of St. John’s wort daily improved PMS related symptoms like anxiety and depression by 50%. Chasteberry, which affects the pituitary gland and the hypothalamus region of the brain, has also shown to improve PMS symptoms in 57% of all cases and complete relief for 33% of women suffering from PMS. Other herbal remedies may include evening primrose oil, dong quai, licorice, black cohosh, kava kava and valerian root.

Since chronic stress is another culprit behind exaggerated symptoms of PMDD and PMS, doctors recommend stress reduction methods as part of a balanced PMS treatment. Stress increases a hormone called cortisol, as well as the production of prolactin. Chronically elevated levels of cortisol can cause you to have a progesterone deficiency since the local receptors can only take in so much of either chemical at any given time. Cortisol keeps the body running during times of great stress, but it also increases feelings of irritability, anger and anxiety. Doctors recommend exercising 3-5 days per week, picking up a hobby like yoga or meditation, improving time management skills, seeking massage therapy and attending psychological therapy to relieve stress if that’s a likely factor.

Matthew McMillan is a leading expert in the genital wart treatments. His works are regularly featured in online health publications on matters relating genital warts medication. For more information, visit TreatmentForGenitalWarts.com.

NATIONAL INFERTILITY AWARENESS WEEK

Choosing C-section may not prevent incontinence
Having a Cesarean section may not lower a woman’s chance of incontinence later in life — unless she delivers all of her children that way, according to a new study.
You Are My Everything [Obstetrics and Gynecology Doctors OST] vietsub.AVI

Major Nursing Colleges Generating Superior Graduates For Demanding Careers

Top Private Schools. If you’re a registered nurse or even a student operating toward a nursing degree, you might think about taking your education – along with your profession – to yet another stage. On the advanced practice specialty level, you may work much more independently, producing your personal clinical choices. You might also discover that your services as an state-of-the-art practice registered nurse are in wonderful demand.

Innovative practice registered nurses include medical nurse specialists, nurse practitioners, nurse midwives and nurse anesthetists. Exactly where nurse practitioners may prescribe medication, and diagnose and deal with popular small illnesses and injuries, they also serve at the forefront of main and preventive healthcare services. Clinical nurse experts may well manage bodily and psychological wellness challenges and operate in consultation with physicians, also as research, schooling and administration in their facility, the American Nurses Association notes. Certified nurse-midwives usually function in gynecological and low-risk obstetrical care, helping provide babies in hospitals, birth centers, and private residences. Certified registered nurse anesthetists, the oldest of superior practice nurses, administer the majority of anesthetics provided to sufferers every yr, based on the American Nurses Association.

High School Rankings. The Bureau of Labor Statistics anticipates that technological advances in affected person care, a rising increase in affected person care, and expanding numbers of older people today are to fuel fast employment development for registered nurses overall. Registered nurses with a minimum of a bachelors diploma are to possess greater career prospects than these with out, and sophisticated practice registered nurses are to become in higher demand – specially in interior cities, rural areas along with other health care care challenged communities, the Labor Bureau notes.

Accelerated and on the web degree elements in nursing and innovative practice specialties may possibly allow it to be easier for professionals to additional their training without as well a lot employment interruption. You can find also quite a few scholarships and grants to assist pay the tuition related with campus and on the web college and university programs. Occupation safety, as well as attractive salaries, could offer the payoff. Registered nurses, based on exactly where they reside and operate, may possibly make $47,000 to $67,000 a year, including overtime, bonuses and profit sharing, based on PayScale.com. The common annual salaries for nurse practitioners: About $70,000 to $92,000, PayScale.com data reveals.

Some campus and on-line diploma programs, such as an providing from American Sentinel College, are known as “RN to MSN” programs, and so they permit registered nurses to advance directly from a hospital diploma or associates diploma to a masters degree. Boston-based Northeastern University, on the other hand, offers conventional and accelerated masters diploma programs having a nurse anesthesia specialty, too as being a US Army Graduate System in Nurse Anesthesia. Thanks to a Department of Wellness and Human Services grant to increase its system dimension and diversity, Northeastern College also supplies quite a few of its college students, grants, even stipends. Registered nurse anesthetists are also the highest compensated nurses, according to the Nationwide League for Nursing. In Massachusetts, the common wage for nurse anesthetists is between $130,000 and $150,000 a yr, an August write-up inside the Boston Herald mentioned.

Best Private Schools. The University of Cincinnati and Tennessee-based Vanderbilt University also provide flexible options for college students seeking masters degrees in innovative practice specialties, based on their websites. At Vanderbilt University, an acute care nurse practitioner system for example, makes it possible for registered nurses with two years of knowledge to function toward a masters degree without needing to relocate or quit employment, its internet site shows. Vanderbilt University students on this nursing specialty system via on line conferencing take programs on campus in blocks of time to ensure that they are not away from property for extended periods and, where possible, are positioned in clinical programs close to where they live.

Lecture 11 (Part2/3) of 1st International Deuterium Symposium

The Worst Menopause Symptoms May Start in the Brain

A new study challenges the old notion that menopause starts in the ovaries. Some of the most unpleasant symptoms of menopause, such as hot flashes and night sweats, have long been believed to originate in the ovaries.

But new research challenges that assumption, and instead suggests that menopausal symptoms, at least in part, may begin in the human brain.

That’s because the hypothalamus and the pituitary gland stop reacting normally to estrogen in some women, suggesting they may have developed a reduced sensitivity to estrogen, researchers at the New Jersey Medical School report in the Dec. 22/29 issue of the Journal of the American Medical Association.

“This is an important new concept: Menopause doesn’t just originate in the ovary, but also in the brain,” said Laura Goldsmith, a professor of obstetrics and gynecology and women’s health at the New Jersey Medical School of the University of Medicine and Dentistry of New Jersey.

These findings may lead the way to further research that will ultimately help doctors predict the type of menopausal transition a woman might have, and help to design non-estrogen medications that could help reduce symptoms that women experience as they enter this phase of life, said Dr. Gerson Weiss, chairman of obstetrics and gynecology and women’s health at the New Jersey Medical School.

Menopause refers to the time when menstruation stops. A woman is not considered menopausal until she has not had a period for 12 consecutive months, according to the North American Menopausal Society. The time before menopause, which is often rife with symptoms due to hormonal fluctuations, is called perimenopause. During perimenopause, common symptoms include hot flashes, trouble sleeping, vaginal dryness, mood swings and irregular periods.

This study stemmed from research done for the Study of Women’s Health Across the Nation (SWAN), which was funded by the National Institutes of Health, that examined women’s’ health as they approached menopause.

The SWAN study included more than 3,300 women between the ages of 42 and 52 at the start of the study. A subset group of 840 women provided daily urine samples, which were tested for hormone levels. The samples were collected daily for one full menstrual cycle or 50 days, whichever came first.

From that group, the researchers learned that 160 did not ovulate. After further analyzing the hormone levels from the non-ovulating women, the researchers discovered that these women fell into three distinct groups.

The first group had an increase in their levels of estrogen, and then had an appropriate surge of luteinizing hormone (LH) that should have triggered ovulation, but didn’t. According to Weiss, this lack of response indicated a problem originating in the ovary.

In the second group, estrogen levels peaked, but there was no correlating surge in LH, which Weiss said should be triggered by the hypothalamus and pituitary gland responding to higher estrogen levels.

The third group had similar estrogen levels early in their cycles, but didn’t have an increase in estrogen later as the first and second groups did. LH levels didn’t surge, but were higher for most of the cycle than they were in the other groups.

According to Weiss, this is “clear evidence that the brain is not responding to hormones,” suggesting the second and third groups showed different kinds of decreased sensitivity to estrogen in the brain.

The women in the third group were also the ones most likely to report symptoms, such as hot flashes and night sweats.

Goldsmith said the researchers hope to continue studying these women. She said they’d especially like to learn how the timing of menopause correlates with their findings. For example, the researchers would like to see if the women in the third group were, perhaps, further along in the menopausal process.

“It appears that what’s going on in menopause isn’t only ovarian,” said Dr. Steven Goldstein, a professor of obstetrics and gynecology at New York University School of Medicine. “We thought the pituitary responded to lower levels of estrogen, but there may be a lack of sensitivity to estrogen in the hypothalamus and pituitary.”

What’s important for women to know, said Goldsmith, is that there are “real biochemical changes occurring during menopause.” Researchers are beginning to understand how those changes start to occur, which is the first step in trying to come up with more effective treatments.

SOURCES: Gerson Weiss, M.D., professor and chairman, Obstetrics And Gynecology and women’s health; Laura Goldsmith, Ph.D., professor, Obstetrics And Gynecology, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark; Steven Goldstein, M.D., professor , Obstetrics And Gynecology, and obstetrician/gynecologist, New York University School of Medicine and Medical Center, New York City; Dec. 22/29, 2004, Journal of the American Medical Association

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