SYMPOSIUM: Perinatal GBS: Guidelines worth followingJanuary 1st 1999
In this symposium, two obstetricians and a pediatrician reflect on more than two years of experience with the CDC guidelines for prevention of perinatal Group B streptococcal disease. They address the effectiveness of prophylaxis, unforeseen problems with the guidelines, and more.
Pediatric Puzzler: Noisy breathing in a 9-month-old: No noise is good noiseJanuary 1st 1999
During a routine well-infant visit the mother of a smiling, chubby 9-month-old expresses concern about his noisy breathing. She states that her son has had noisy breathing since birth; in fact, the nurses in the well-baby nursery thought that he was very "mucousy." The mother calls the noisy breathing a "rattling in his chest" but denies that her son has had a chronic cough or wheezing.
At a routine visit you note multiple skin tags in the perianal area of an otherwise healthy 12-month-old girl. Her mother first noticed a small bump near the anus when the child was 2 months old but didn't mention it to you because it did not seem to bother the child.
Reducing adolescent pregnancy: Approaches that workJanuary 1st 1999
Pregnancy-prevention programs that succeed--and many don't--have certain characteristics in common. This review will help you evaluate the adolescent health services available to your patients and may suggest some new ways of looking at the counseling you offer during office visits.