Other common and significant reactions were self-doubt (17.2%), depression (16.9%) and self-blame (16.4%).

Significant psychological impact on the obstetrician was associated with older age, solo practice, higher volume practices and higher proportion of Medicaid patients; gender was not found to be associated with psychological impact when controlling for age. Further, greater self-reported performance and training regarding maternal and family counseling, management of stillbirth, and knowledge of stillbirth evaluation was associated with greater levels of grief.

Conclusion: Physician grief is a common reaction among obstetricians after caring for a patient who has had a stillbirth.”
“Although smoking is common S3I-201 datasheet in human immunodeficiency virus (HIV) infected individuals, in resource-constrained, high HIV prevalence settings, information on smoking click here cessation intent and acceptability is limited. Of 150 self-reported current smokers surveyed in two South African HIV clinics, 62 (42%) reported intent to quit smoking in the next year, while 86 (58%) were not interested in quitting or had no plan to quit; 132 (82%) had attempted to quit at least once in the past. Respondents’ preferred cessation strategics were counseling and nicotine replacement. A high proportion of HIV-infected smokers want to quit, and

interventions should be provided as part of HIV care.”
“Objective: In light BI 2536 of the limited evidence directing cesarean skin closure techniques, we evaluated the factors guiding obstetricians’ preferences for closure method.

Methods: From 07/11 to 12/11, an online survey was sent to obstetricians in ACOG Regions I and II.

Obstetricians were asked to indicate their cesarean skin closure preferences when considering various factors and to rank the importance of these factors in their decision. Practice type, experience and usual method of closure were also assessed.

Results: Responses were received from 470 of 1400 surveyed (34% response rate), of which 422 were analyzed. Similar proportions reported primarily using sutures (39%) or staples (48%); 13% use both methods equally. More obstetricians at community hospitals primarily use sutures (48% versus 39%, p<0.001), while more at university hospitals primarily use staples (57% versus 30%, p<0.001). Listed in decreasing order of importance, sutures were preferred when considering patient satisfaction, keloid susceptibility, cosmesis, first Pfannenstiel incisions or cost. Staples were preferred when considering wound infections, obese patients, chorioamnionitis, HIV/AIDS or busy labor floors (p<0.001).

Conclusion: The limited evidence to guide cesarean skin closure forces obstetricians to rely on personal experience. Our survey indicates that despite this limitation, obstetricians have specific preferences for cesarean skin closure method.