With collaboration of Dr. William Rayburn, Consulting Editor, Drs. Guille and Newman have created a state-of-the art issue that examines the mental health of pregnant women and those planning to become pregnant. Expert authors have contributed current clinical reviews on the following topics: Identification and treatment of peripartum anxiety disorders; Non-pharmacological treatments for peripartum depression; Management of opioid addiction in pregnancy (pro/cons of maintaining meds vs opioid withdrawal); Perinatal sleep problems: causes, complications and management; Impact of pregnancy loss on psychological functioning and grief outcomes; Eating disorders and body image disturbances among childbearing women; Postpartum psychosis: Identification, management and treatment; Working with childhood sexual abuse survivors in reproductive health care; Psychosocial aspects of fertility and assisted reproductive technology; Treatment of peripartum bipolar disorder; Treatment of peripartum depression; Perinatal domestic violence; and Management of ADHD during pregnancy. Readers will come away with the information they need to have better mental health outcomes in their obstetrical and gynecologic patients.

This much-needed text provides guidance for health care professionals on the issues and controversies surrounding screening and on good practice in the use of screening tests. The role of the UK National Screening Committee is explored, along with the problems faced when implementing screening programmes in developing countries.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editor Dr. Sharon T. Phelan brings her considerable expertise to the topic of Prenatal Care. Prenatal care can help prevent complications and inform women about important steps they can take to protect their infant and ensure a healthy pregnancy. This issue not only provides timely updates but also touches on current issues in this fast-changing field, including social determinants of health care, health care disparities, and advocacy for the underserved pregnant patient. - Contains 15 practice-oriented topics including updates in genetic testing for the general obstetrician; updates on evaluation and treatment of common complaints in pregnancy; social determinants of health and health care disparities; updates in mental health care in the prenatal patient; health advocacy for the underserved pregnant patient; and more. - Provides in-depth clinical reviews of prenatal care, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editor Dr. Catherine Stika brings her considerable expertise to the topic of Drugs in Pregnancy. The use of medications during pregnancy can be difficult to manage because not only is research lagging in this area, but typically drugs are not studied for use in pregnant women. In this issue, key experts provide a state-of-the-art review on clinical pharmacology in pregnancy, with a look at commonly prescribed medications as well as over-the-counter medications. - Contains 17 practice-oriented topics including obstetrical pharmacology; over-the-counter medications in pregnancy; antibiotic use in pregnancy; opioids in pregnancy; mood disorder medications in pregnancy; and more. - Provides in-depth clinical reviews on drugs in pregnancy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Together with Consulting Editor Dr. William Rayburn, Dr. Curtis Lowery has put together a unique issue that discusses the telemedicine in obstetrics and gynecology. Expert authors have contributed clinical review articles on the following topics What is telehealth and what do I need to know about it; Licensing, reimbursement and regulatory issues in the delivery of telemedicine and connected health; Telemedicine for low-risk obstetrics; Telemedicine In high-risk obstetrics; Telemedicine for gynecology; Telemedicine and Connected Health for GYN oncology; Telemedicine and connected health for contraception; Maternal Health and monitoring devices for obstetrics and gynecology; Telepsychiatry and drug treatment in obstetrics; Telemedicine as a method to reduce perinatal mortality; and Telemedicine and distance learning for OB/GYN provider education. Readers will come away with the information they need to incorporate telemedicine into their care of gynecologic or obstetric patients.

Obstetrician Gynecologists are frequently responsible for management of the primary care needs of their patients. A survey performed in 2005 found an estimated 37% of, non-pregnant patients, relies on gynecologists for routine primary care. The same study found that almost a quarter of gynecologists reported they needed additional primary care training across a broad set of medical topics (Acad Med. 2007; 82:602–607). The impetus for training in primary care skills is increasing. In response to language in the Affordable Care Act, the Institute of Medicine developed a report on clinical preventative services necessary for women (Clinical Preventative Services for Women: Closing the Gaps IOM. 2011; also Current Opinion in Obstetrics and Gynecology 2011, 23:471–480). The US Department of Health and Human services has adopted these IOM recommendations and, as a result, health plans are required to include these services. While initiatives such as the American Congress of Obstetricians and Gynecologists’ Well-Woman Task Force and recent cross-specialty ACOG educational collaborations have begun to address supplemental educational needs, additional resources covering key primary care topics are necessary. This issue of Obstetrics and Gynecology Clinics is an ideal means for accomplishing this important goal.

Dr. Caughey has recruited top experts to address the current questions and thinking with regard to the management of labor and delivery. Authors have presented current clinical reviews on the following topics: Defining and managing normal and abnormal first stage of labor; Defining and managing normal and abnormal second stage of labor; Laborist models on labor and delivery; Quality Improvement on Labor and Delivery; Fetal Malposition; Is there a place for outpatient pre-induction cervical ripening; Management of twins on labor and delivery; Cervical ripening techniques: Which is the best; Augmentation of labor: What are the approaches; Elective induction of labor: What is the impact; VBAC trends: Which way is the pendulum swinging; and Update on fetal monitoring. Readers will come away with the current clinical trends and information they need to successfully manage labor and delivery.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Amy VanBlaricom and Brigid McCue bring their considerable expertise to the topic of Obstetrics and Gynecologic Hospitalists and Laborists. Top experts provide clinical updates to help obstetrics and gynecology hospitalists stay current, including important topics such as restricted access to termination; medical innovations; crisis management; risk mitigation; and diversity, equity, and inclusion. - Contains 14 relevant, practice-oriented topics including obstetric and gynecologic hospitalist fellowships; medical innovation for obstetrics and gynecologist hospitalists' practice and patient experience; the gynecologic hospitalist; can obstetrics/gynecology hospitalists reduce severe maternal morbidity; and more. - Provides in-depth clinical reviews on obstetrics and gynecologic hospitalists and laborists, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This issue provides a timely update for for the ob/gyn on genetics in reproductive medicine. Dr. Dugoff has created an issue with the goals of providing the most currently clinical information on genetic screening and prenatal genetics. Top authors have written reviews on the following topics: Genetic counseling overview for the ob/gyn; Cell-free DNA screening for aneuploidy; Cell-free DNA screening for single gene disorders; The use of microarray in prenatal diagnosis; Whole exome sequencing: Applications in prenatal diagnosis; Screening for aneuploidy in multiple gestations: The challenges and available options; Expanded carrier screening; Ethnicity-based carrier screening overview; Prenatal genetic diagnosis and prenatal genetic screening; Ethical issues in prenatal genetics; Ultrasound findings and associated genetic syndromes; Hereditary cancers in gynecology: and What physicians should know about genetic testing, screening and risk reduction. Readers will come away with the knowledge they need to diagnose, treat, and manage patients based on the most current evidence and data.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.