Child Mortality

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Ever heard of the Child Mortality Rate? It’s the number of children, per 1000, who die before the age of 5.  This includes Neonatal Mortality and Infant Mortality, but it doesn’t include Fetal Mortality and therefore doesn’t include Perinatal Mortality. Confused? Here’s a refresher (each rate is reported per 1,000): Fetal Mortality: Fetal deaths which […]

Four Tips for Performing a Hysterosalpingogram (HSG)

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Hysterosalpingogram (HSG) is performed less commonly in modern gynecology than in the past, but it is still a valuable tool for some patients. A well performed HSG should be relatively painless and its results need to be correctly interpreted in context of what is already known about the patient. Here are four tips for performing […]

Simplified Vaginal Hysterectomy: The Book

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My new book is now shipping! This is the definitive book for the definitive surgery and it’s just $39 so you have no excuse not to become a great vaginal surgeon! If you’re one of the thousands of people who have used my YouTube videos describing the basic techniques of simplified vaginal hysterectomy with an […]

The AMH Syndrome

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If you’ve never heard of the Antimullerian Hormone (AMH) Syndrome before, don’t worry: I just made it up. I’ll tell you what it is in a minute. But first, let’s talk about AMH. AMH has been used by fertility clinics over the last few years as a test to determine ovarian reserve and predict fertility […]

Afraid of anesthesia? Read this … (or the story of Victoria)

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Simpson and assistants discovering anesthetic effect of chloroform Next to Pitocin, obstetric anesthesia is probably the second-most hated intervention among the natural birth community. Like Pitocin, obstetric anesthesia is blamed for excess Cesarean deliveries and various other obstetric complications, and it is also claimed by many that women who undergo pain relief during delivery simply […]

Afraid of Pitocin? Read this… (or the story of Charlotte)

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Princess Charlotte of Wales In the natural birth community, Pitocin is a dirty word. It is blamed, wrongfully, for nearly every ill that affects modern obstetrics: the high cesarean delivery rate, the pain associated with labor that leads women to want epidurals, postpartum hemorrhage, postpartum depression, fetal distress, autism, and just about anything else you […]

It’s All in the Counseling …

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Physicians have a lot of power over patient choices. In theory, physicians present patients with choices and then patients make informed decisions. In practice, this almost never happens. A physician can manipulate a patient into doing almost anything by counseling patients in a biased and skewed way; a doctor may even tell the truth, but […]