UROGYN UPDATE
Kidney Stones and Pregnancy
Matthew E. Karlovsky, MD
Urinary tract changes are common in pregnancy, but the presence of kidney stones requires prompt attention in order to prevent preterm labor. This article discusses the pathophysiology, diagnosis, and treatment of kidney stones, including how they may differ from presentation in a nongravid woman.

GYNECOLOGIC ONCOLOGY
Persistently Elevated hCG in Nonpregnant Patients
Donald P. Goldstein, MD; Ebony Boyce, MD; Ross S. Berkowitz, MD
Variants in human chorionic gonadotropin (hCG) levels require appropriate diagnosis in order to prevent potentially harmful treatments. Five clinical scenarios presented here exemplify the source and nature of varying levels of hCG, along with differential diagnoses.

FERTILITY
The Effect of Lifestyle on Fertility
Jayme S. Bosler, MD; Halina Wiczyk, MD

Editorial
The Difficult Challenges of Counseling in Today’s Environment
Ronald T. Burkman, MD

MATERNAL-FETAL MEDICINE
Gene-Environment Interactions and Birth Defects
Huiping Zhu, MD, PhD; Richard H. Finnell, PhD

OBSTETRICS
Update on Obstetric Emergencies
Fadi G. Mirza, MD; Patricia C. Devine, MD; Sreedhar Gaddipati, MD

DON’T MAKE THIS MISTAKE!
Managing Postpartum Hypertension
Steven L. Clark, MD

LEGALEASE
Severe Shoulder Dystocia: 5 Minutes of Sheer Terror?
Ronald T. Burkman, MD; Jennifer L. Fennell, Esq

VIEWPOINT
Implementing an Outpatient Laparoscopic Hysterectomy Program: 8 Steps Toward Success
Richard Rosenfield, MD

REPRODUCTIVE PSYCHIATRY
Postpartum Depression: Prevalence and Considerations in Screening
Barbara P. Yawn, MD, MSc

News & Clinical Resources

Patient Handout
What You Should Know About Causes of Infertility

Folleto Informativo Para La Paciente
Lo que Usted Debe Saber Sobre los Causas de Infertilidad

Author Guidelines

Career center

Coming in March

Chronic Pelvic Pain Ovulatory Heavy Menstrual Bleeding Smoking Cessation in the Female Patient The Study of Stillbirth and the "12 Steps" Toward Prevention The Nonhormone Clinical Trials of the Women's Health Initiative