Obstetrics & Gynecology

Assessment of Bacterial Vaginosis Screening, Treatment for Prevention of Preterm Delivery

Assessment of Bacterial Vaginosis Screening, Treatment for Prevention of Preterm Delivery

By

Treatment with oral clindamycin for pregnant women with bacterial vaginosis in their first trimester does not reduce the risk of late miscarriage or very preterm delivery.

Many Women Have Not Heard of Ovarian Cancer Before Diagnosis

Many Women Have Not Heard of Ovarian Cancer Before Diagnosis

Nine in 10 women experience multiple symptoms prediagnosis; 8 in 10 of them consult a doctor.

Women Fed Soy Formula as Infants More Likely to Experience Menstrual Pain

Women Fed Soy Formula as Infants More Likely to Experience Menstrual Pain

By

Researchers at the National Institute of Environmental Health Sciences (NIEHS), Vanderbilt University Medical Center, and the Henry Ford Health System analyzed patient data from African-American women aged 23 to 35 years (N=1553) who were participating in the NIEHS Study of Environment, Lifestyle, and Fibroids (SELF).

Tissue-Selective Estrogen Complex May Benefit Postmenopausal Women With Vaginal Bleeding, Breast Discomfort

Tissue-Selective Estrogen Complex May Benefit Postmenopausal Women With Vaginal Bleeding, Breast Discomfort

By

Switching to tissue-selective estrogen complex from hormone therapy may benefit women with breast discomfort or vaginal bleeding.

Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

There is a lack of consensus among experts and professional organizations whether HCV screening in pregnant women should be risk based or universal.

CDC: Prevalence of Gestational Diabetes 6.0% in 2016

CDC: Prevalence of Gestational Diabetes 6.0% in 2016

Based on data from 40 jurisdictions, increase from 5.2 to 5.6% in GDM from 2012 to 2016.

Significant Increase Seen in Cesarean Deliveries Worldwide

Significant Increase Seen in Cesarean Deliveries Worldwide

By

The number of cesarean deliveries has nearly doubled from 2000 to 2015, with overuse occurring most frequently in middle- and high-income countries.

Prenatal Exposure to Phthalates Linked to Language Delay

Prenatal Exposure to Phthalates Linked to Language Delay

Prenatal exposure to phthalates is associated with language delay in children.

Paid Family Leave Policies May Modestly Increase Breastfeeding

Paid Family Leave Policies May Modestly Increase Breastfeeding

Women in states with paid family leave policies have a modestly greater likelihood of exclusively breastfeeding at 6 months.

Encouraging Emotional Awareness, Expression of Life Stress in Women With Chronic Urogenital Pain

Encouraging Emotional Awareness, Expression of Life Stress in Women With Chronic Urogenital Pain

Researchers developed a 4-phase life stress interview to determine whether women with chronic urogenital pain could derive benefits from disclosing stressors and gaining awareness of links between stress, emotions, and symptoms.

Atherosclerosis Progression Differs According to Timing of Estradiol Therapy After Menopause

Atherosclerosis Progression Differs According to Timing of Estradiol Therapy After Menopause

Higher levels of estradiol were inversely associated with carotid artery intima-media thickness progression in the early postmenopausal cohort but positively associated with it in the late postmenopausal group.

Preeclampsia Tied to Increased Risk for Vascular Dementia

Preeclampsia Tied to Increased Risk for Vascular Dementia

Preeclampsia seems to be associated with an increased risk for dementia, especially vascular dementia, with a stronger correlation for late-onset disease.

Midwifery Care Cuts Poor Birth Outcomes vs Physician Care

Midwifery Care Cuts Poor Birth Outcomes vs Physician Care

Rates of preterm birth, low-birth weight lower among low-income women.

Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Paying a surrogate to carry a fetus shoehorns a fourth, and fifth, party into the already tight therapeutic triangle formed by the biological mom, fetus, and physician.

Liletta Now Approved for Pregnancy Prevention for Up to 5 Years

Liletta Now Approved for Pregnancy Prevention for Up to 5 Years

By

The expanded approval was supposed by safety and efficacy data from the Phase 3 ACCESS IUS trial (N=1751) in women receiving Liletta. In the trial, Liletta demonstrated >99% efficacy in preventing pregnancy for up to 5 years in a broad patient population.

β-Blockers in Early Pregnancy Not Linked to Significant Risk for Overall, Cardiac Malformations

β-Blockers in Early Pregnancy Not Linked to Significant Risk for Overall, Cardiac Malformations

By

The use of β-blockers in the first trimester of pregnancy may not greatly increase the risk for major congenital malformations in offspring.

Minority Women at Higher Risk for Severe Maternal Morbidity

Minority Women at Higher Risk for Severe Maternal Morbidity

Higher risk for problems seen among black women, women with other health conditions.

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes.

Need for Adequate Screening for Infants With HCV Infected Mothers During Pregnancy

Need for Adequate Screening for Infants With HCV Infected Mothers During Pregnancy

One of the goals of the US Department of Health and Human Services National Viral Hepatitis Action Plan is to eliminate mother-to-infant transmission of HCV infection.

A Zebra in the Emergency Department

A Zebra in the Emergency Department

Many cases of vaginal foreign body are unusual and often difficult to detect.

Disorders in Pregnancy May Increase Risk for Hot Flashes During Menopause

Disorders in Pregnancy May Increase Risk for Hot Flashes During Menopause

By

Hypertensive disorders of pregnancy and gestational diabetes may increase the risk for hot flashes during menopause.

Ondansetron in Pregnancy Not Linked to Most Birth Defects

Ondansetron in Pregnancy Not Linked to Most Birth Defects

Use of ondansetron for the treatment of nausea and vomiting in pregnancy does not appear to be associated with birth defects.

Celecoxib Offers Pain Relief Comparable to Ketorolac After Robotic Hysterectomy

Celecoxib Offers Pain Relief Comparable to Ketorolac After Robotic Hysterectomy

Patients undergoing robotic hysterectomy were found to report comparable pain scores when receiving celecoxib perioperatively or ketorolac postoperatively.

Uncertain Future for Health Laws After Supreme Court Crisis Pregnancy Center Ruling

Uncertain Future for Health Laws After Supreme Court Crisis Pregnancy Center Ruling

The recent Supreme Court decision on crisis pregnancy centers is expected to complicate the future of some health laws.

Optimizing Pregnancy Outcomes With Micronutrients

Optimizing Pregnancy Outcomes With Micronutrients

As healthy levels of folic acid, iodine, magnesium, vitamin D, and iron demonstrate improved outcomes in pregnancy, understanding of the function of these essential nutrients on health would benefit family practitioners caring for women of childbearing age.

Gestational Diabetes Associated With Increased Risk for Postpartum Depression

Gestational Diabetes Associated With Increased Risk for Postpartum Depression

These findings suggest an increased risk for postpartum depressive symptoms in mothers with gestational diabetes, independent of depressive symptomatology during pregnancy.

Case Study: Worsening Headache After Giving Birth

Case Study: Worsening Headache After Giving Birth

By

A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.

The Ethics of Forced Cesareans: An Unthinkable Practice, Examined

The Ethics of Forced Cesareans: An Unthinkable Practice, Examined

"Moral norms" in the medical domain must be applied to pregnant women and their physicians.

Knowledge, Confidence Barriers Hinder Effective Management of Vulvovaginal Atrophy

Knowledge, Confidence Barriers Hinder Effective Management of Vulvovaginal Atrophy

By

Researchers created a 3-part online survey to assess the knowledge, attitudes, and barriers of primary care providers and gynecologists regarding vulvovaginal atrophy.

Lifestyle Interventions Cut Excess Gestational Weight Gain

Lifestyle Interventions Cut Excess Gestational Weight Gain

Findings among diverse population of overweight, obese women.

Sign Up for Free e-newsletters