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Pregnancy

Q: Is caffeine safe during pregnancy?

May 29, 2012

What is behind this postpartum puzzler?

Joe R. Monroe, PA-C, MPAS January 10, 2012

A young mother has a healthy baby boy—and a new-onset vesicular, bullous rash that developed very quickly after the birth.

Preimplantation genetic diagnosis

R. Lynn Holt, MS, CGC September 22, 2011

This article reviews the use of preimplantation genetic diagnosis (PGD), an assisted reproductive technology that has been used to evaluate embryos for genetic conditions prior to implantation.

Vaginal bleeding, suprapubic cramping, and blood clots in a female patient

Kelly K. Devine, PA-C, Michael H. Stella, MD; Ali S. Raja, MD, MBA, MPH July 26, 2011

A patient with a history of two cesarean sections and one therapeutic abortion presented after she passed several small blood clots and experienced cramping over the past hour.

Sudden cramps and vaginal bleeding during pregnancy

Sara Lolar, MS, PA-C April 22, 2011

A female patient with sudden onset vaginal bleeding and cramps and a positive pregnancy test presented to the emergency department for evaluation.

Out of season: Coping with  an adolescent in crisis

Brian T. Maurer, PA-C October 20, 2010

An exchange with a troublesome adolescent girl incites contemplation about whether the teenage years are always a time for blooming.

A Day in the Life of Gina Brown, MPAS, PA-C

Gina Brown, MPAS, PA-C June 25, 2010

A PA working at a family practice clinic in Kabul, Afghanistan, describes her day as a Mother-Child Health Coordinator.

Does the right to bear children guarantee access to treatment for infertility?

Torry Grantham Cobb, MPH, MHS, PA-C June 21, 2010

The law protects the right of all patients to procreate, but clinicians should consider the welfare of the child born as a result.

Drain placement with antibiotics provides effective therapy for appendicitis in pregnancy

Megan Bales Fulton, PA-C; Bennett Fontenot, MD; Stuart M. Leon, MD, FACS March 15, 2010

Conservative management is used effectively to treat a woman with a ruptured appendix at 32 weeks' gestation.

Why was antiphospholipid antibody syndrome not included?

August 13, 2009

Genetic susceptibility to VTE: A primary care approach

Extremes of opinion about this PA's 'Day'

July 09, 2009

A Day in the Life: Michelle M. Howe, MPAS, PA-C

Genetic susceptibility to VTE: A primary care approach

Herbert D. Ridings, MA, PA-C; Lynn Holt; Rebecca Cook, MD; Marisa B. Marques, MD July 01, 2009

Patients with a genetic thrombophilia must be referred to a hematology specialist for long-term management.

A Day in the Life: Michelle M. Howe, MPAS, PA-C

Michelle M. Howe, MPAS, PA-C June 11, 2009

Facing down protesters, reassuring anxious patients, and conducting research for a better future are all in a day's work for a PA working at a large family planning clinic.

Erythema infectiosum: Recognizing the many faces of fifth disease

Ellen D. Mandel, DMH, MPA, PA-C June 02, 2009

The multiple manifestations of this viral infection are described. Are you able to recognize these etiologies?

Is metformin beneficial for the treatment of infertility in women with PCOS?

Meredith Wisniewski, MPA, PA-C; Martha Petersen, MPH, PA-C April 27, 2009

The conventional initial treatment for women who have infertility due to PCOS has been clomiphene. Do recent studies suggest that metformin is more effective?

A pregnant woman with persistent headaches and seizures

Hilary D. Sugar; Denise Rizzolo, PA-C, PhD February 20, 2009

A 21-year-old Hispanic woman, 29 weeks pregnant, presents to the emergency department with a persistent headache and subsequent seizures. Her headache began 1 week earlier with pain predominantly on the right temporal side and was associated with blurry vision.

Preconception Care: Ensuring healthier pregnancies

Eileen M. Van Dyke, MPS, PA-C September 01, 2008

Preconception care stresses risk assessment and health promotion and education in preparation for childbearing.

Acute appendicitis: Pregnancy complicates this diagnosis

Alicia Borst December 01, 2007

In pregnant women, the clinical signs and test results that typically are used to diagnose appendicitis become unreliable. What do you rely on instead?

Can emergency contraception help to reduce teen pregnancy?

Lisa Waller, PA-C, MMSc; William Bryson, PA-C, MMSc June 01, 2007

The authors argue that PAs cannot provide optimal care to adolescents if they aren't familiar with all pregnancy prevention options—including emergency contraception.

Pelvic pain, vaginal spotting, and a right adnexal mass

Julie Vajnar, PA-C, RT March 01, 2007

A 36-year-old woman presents to the emergency department with complaints of lower abdominal and pelvic cramps that began the previous day. She denies nausea, vomiting, diarrhea, and fever. She reports vaginal spotting and states that it is not like her normal menses. Her last period was more than 2 months ago. She is sexually active and uses no contraception.

Rapid diagnosis of ectopic pregnancy using emergency bedside ultrasonography

Barbara Piccirillo, MS, RPA-C January 01, 2007

Is your patient's abdominal pain a pregnancy gone wrong? Using bedside ultrasonography can improve your diagnostic proficiency and provide expedient care for your patients.