Obstetrics & Gynecology

Aspirin effective in preventing preterm preeclampsia in women at high risk

Aspirin effective in preventing preterm preeclampsia in women at high risk

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Preterm preeclampsia occurred in 13 participants (1.6%) in the aspirin group, as compared with 35 (4.3%) in the placebo group.

Postpartum antiretroviral therapy is beneficial in HIV-positive women

Postpartum antiretroviral therapy is beneficial in HIV-positive women

Continued antiretroviral therapy was found to be safe and beneficial in HIV-positive postpartum women with high CD4+ T cell counts.

Majority of birth defects have unknown etiology

Majority of birth defects have unknown etiology

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About 80% of birth defects between 2005 and 2009 have an unknown etiology.

Too much or too little gestational weight gain increases risk of adverse outcomes

Too much or too little gestational weight gain increases risk of adverse outcomes

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Gestational weight gain greater than or less than guideline recommendations is associated with an increased risk of adverse outcomes.

Tenofovir prevents prenatal transmission of HBV in pregnancy

Tenofovir prevents prenatal transmission of HBV in pregnancy

Pregnant women with a high hepatitis B viral load who receive tenofovir have a reduced risk for passing the virus to their child.

Use of antidepressants in pregnancy does not alter newborn behavior

Use of antidepressants in pregnancy does not alter newborn behavior

The baby's behavior at 2 to 4 weeks after birth is not likely due to exposure to medication or depression.

Genetic testing: an overview for clinicians

Genetic testing: an overview for clinicians

Understanding genetic testing allows providers to make the most of this resource in patient care.

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

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Use of azithromycin, clarithromycin, metronidazole, sulfonamides, tetracyclines, and quinolones was associated with an increased risk of spontaneous abortion during pregnancy.

Integrative therapies during and after breast cancer treatment: a clinical practice guideline

Integrative therapies during and after breast cancer treatment: a clinical practice guideline

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Evidence supports the routine use of mind-body practices, such as yoga, meditation, relaxation techniques, and passive music therapy, to address common mental health concerns in patients with breast cancer.

Screening for preeclampsia throughout pregnancy recommended by USPSTF

Screening for preeclampsia throughout pregnancy recommended by USPSTF

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The USPSTF recommends that pregnant women receive screening for preeclampsia with blood pressure measurements throughout pregnancy.

Probiotics may lower risk of gestational diabetes

Probiotics may lower risk of gestational diabetes

Women who took probiotics in their second trimester had lower rates of gestational diabetes.

Marijuana use higher among pregnant teens vs nonpregnant teens

Marijuana use higher among pregnant teens vs nonpregnant teens

The reports show that some pregnant women are using marijuana as an antiemetic, particularly during the first trimester.

Vitamin D and calcium supplementation not effective for lowering cancer risk in postmenopausal women

Vitamin D and calcium supplementation not effective for lowering cancer risk in postmenopausal women

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Vitamin D and calcium did not result in a significantly lower risk of all-type cancer, including breast cancer, in postmenopausal women.

Pertussis vaccination during pregnancy lowers risk for newborns

Pertussis vaccination during pregnancy lowers risk for newborns

Infants whose mothers got the Tdap vaccine during pregnancy had a lower risk of pertussis during the first 2 months of life.

Oral contraceptives may be protective against some types of cancer

Oral contraceptives may be protective against some types of cancer

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Use of oral contraceptives did not increase the risk for cancer in women and decreased the risk for colorectal, endometrial, ovarian, and lymphatic and hematopoietic cancers.

Clinical guideline released for functional hypothalamic amenorrhea

Clinical guideline released for functional hypothalamic amenorrhea

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The Endocrine Society has released a clinical guideline for the diagnosis and treatment of functional hypothalamic amenorrhea.

Annual rate of perinatal HIV infection decreased in United States

Annual rate of perinatal HIV infection decreased in United States

However, missed opportunities for prevention were common among infected infants and their mothers in recent years.

Screening for spontaneous preterm birth has low predictive accuracy

Screening for spontaneous preterm birth has low predictive accuracy

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Using measurements of vaginal fetal fibronectin levels and cervical length did not indicate spontaneous preterm birth among first-time pregnant women.

High-dose steroids increase infection risk in pregnant women with inflammatory conditions

High-dose steroids increase infection risk in pregnant women with inflammatory conditions

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Risk of serious infections is similar among pregnant women with systemic inflammatory conditions using steroids, non-biologics, and TNF inhibitors.

USPSTF: evidence insufficient for pelvic exams in asymptomatic nonpregnant women

USPSTF: evidence insufficient for pelvic exams in asymptomatic nonpregnant women

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The USPSTF concludes that evidence is insufficient to assess the balance of benefits and harms of performing screening pelvic examinations in asymptomatic women for the early detection and treatment of a range of gynecologic conditions.

ACOG recommends genetic screening in all women before pregnancy

ACOG recommends genetic screening in all women before pregnancy

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ACOG recommends that carrier screening should be provided to all women who are pregnant but ideally should be provided to women as they are considering pregnancy.

Digital mammograms increase cancer detection, false-positive rates

Digital mammograms increase cancer detection, false-positive rates

Digital technology leads to increased rates of cancer detection, as well as false-positive rates.

Prolapse surgery outcomes not improved with transvaginal mesh or biological graft

Prolapse surgery outcomes not improved with transvaginal mesh or biological graft

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Using transvaginal mesh and biological graft in prolapse surgery did not improve outcomes of effectiveness, quality of life, or adverse events.

Post-cesarean infections detected in 8.8% of women

Post-cesarean infections detected in 8.8% of women

Pre-incision azithromycin prophylaxis was associated with reduced odds of infection.

Intervention during labor and birth: new recommendations from ACOG

Intervention during labor and birth: new recommendations from ACOG

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The ACOG releases an updated committee opinion suggesting that low-risk women can benefit from minimal intervention during labor and delivery.

Counseling patients about annual Pap smears

Counseling patients about annual Pap smears

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Counseling patients on the difference between a Pap smear and a pelvic exam will help them realize the importance of following up with a gynecologist for an annual visit.

Vulvar lichen sclerosus: breaking the silence

Vulvar lichen sclerosus: breaking the silence

Early diagnosis and treatment play a substantial role in a patient's prognosis and result in a decreased risk of malignancy and scarring.

Thyroid hormone treatment linked to reduced risk of pregnancy loss in subclinical hypothyroidism

Thyroid hormone treatment linked to reduced risk of pregnancy loss in subclinical hypothyroidism

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Treatment is associated with decreased loss of pregnancy among women with subclinical hypothyroidism.

Abnormal Pap test follow-up in a 30-year-old woman

Abnormal Pap test follow-up in a 30-year-old woman

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A 30-year-old Caucasian woman reports a history of abnormal Pap test results with no other complaints.

USPSTF recommends folic acid for all women who may become pregnant

USPSTF recommends folic acid for all women who may become pregnant

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The USPSTF recommends folic acid supplement for all women who are capable of pregnancy or who are planning to become pregnant.

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