SASGOG's Pearls of Exxcellence

SASGOG's Pearls of Exxcellence is a collection of documents that help Residents and Practicing ObGyn's stay up to date on common conditions and their management. The Editorial Board continuously reviews, reaffirms and/or revises the library of articles to maintain relevant and up to date content.

 

SASGOG Pearls of Excellence

Notice Regarding Use

** SASGOG is committed to accuracy and will review and validate all Pearls on an ongoing basis to reflect current practice.

These documents are designed to aid practitioners in providing appropriate obstetric and gynecologic care. Recommendations are derived from major society guidelines and high quality evidence when available, supplemented by the opinion of the author and editorial board when necessary. It should not be construed as dictating an exclusive course of treatment or procedure to be followed.

Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. SASGOG reviews the articles regularly; however, these publications may not reflect the most recent evidence. While we make every effort to present accurate and reliable information, the publications are provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. SASGOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither SASGOG nor their respective officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.

 

Pearls of Exxcellence articles
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Intrahepatic Cholestasis of Pregnancy

Intrahepatic cholestasis of pregnancy (ICP) is the most common pregnancy-specific liver disease. While the incidence of ICP varies greatly among ethnic groups, in the United States incidence ranges from...

Updated: 5/6/2025
Published: 1/1/2019
Category: Obstetrics
Author: Shelby Dickison, MD

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Contraception for Women with Diabetes

The prevalence of diabetes mellitus is increasing worldwide, including among women of childbearing age, with an additional 150 million adult cases projected by 2030. According to the U.S. Medical Eligibility...

Updated: 1/7/2025
Published: 5/1/2017
Category: Office Practice
Author: Jane S. Limmer, MD

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Contraception in Women with Cardiovascular Risk Factors

Cardiovascular risk factors include hypertension, diabetes, obesity, smoking and increasing age, and may limit options for contraception, particularly hormonal methods. Clinicians should use the USMEC to guide their counseling and...

Updated: 11/5/2024
Published: 1/18/2017
Category: Office Practice
Author: Margaret M. Boozer, MD

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Monochorionic Twins

The risk for fetal and neonatal mortality and long-term morbidity in monochorionic twins is higher than dichorionic twins, with a 3- fold to 4-fold increase in intrauterine demise. Placental vascular...

Updated: 5/7/2024
Published: 7/1/2016
Category: Obstetrics
Author: Sharon L. Seidel, MD

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Antepartum Management of Dichorionic/Diamniotic Twins

Chorionicity in twins is determined by ultrasonography in the late first or early second trimester (preferably before 14 weeks), with sensitivity of 90% or better. The twin peak sign...

Updated: 9/9/2025
Published: 5/4/2016
Category: Obstetrics
Author: Marygrace Elson, MD

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Management of the Breech Presenting at the Introitus

Breech presentation occurs in 2-3% of pregnancies at term. Frank breech accounts for over 50% of breech presentations. Risk factors vary by gestational age, which, at term, include advanced maternal...

Updated: 9/9/2025
Published: 5/4/2016
Category: Obstetrics
Author: Joseph E. Peterson, MD

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Hematoma after Delivery

Puerperal hematomas occur in 1:300 to 1:1,500 deliveries and may pose life-threatening morbidity. A puerperal hematoma is an accumulation of blood in a pelvic avascular potential space. Injury...

Updated: 11/11/2025
Published: 12/1/2012
Category: Obstetrics
Author: Theodore Barrett, MD

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