Obstetrics & Gynecology

CDC updates contraception recommendations for women with HIV risk

CDC updates contraception recommendations for women with HIV risk

The CDC revised its US Medical Eligibility Criteria for Contraceptive Use categorization for DMPA injection in women at high risk for HIV infection from US MEC category 1 to US MEC category 2.

Underweight women have high risk of early menopause

Underweight women have high risk of early menopause

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Early menopause risk is highest in weight-cycling and severely underweight women.

Delayed vs immediate cord clamping: comparing the impact on preterm infant health

Delayed vs immediate cord clamping: comparing the impact on preterm infant health

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Delayed and immediate umbilical cord clamping show no major differences in health of preterm infants.

ACOG issues recommendations for long-acting reversible contraception

ACOG issues recommendations for long-acting reversible contraception

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The practice bulletin provides information for appropriate patient selection and evidence-based recommendations for intrauterine devices and contraceptive implants.

Diminished ovarian reserve not associated with infertility

Diminished ovarian reserve not associated with infertility

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Among women who are attempting to conceive naturally, diminished ovarian reserve is not associated with infertility.

Cervical cancer screening: recommendations from the USPSTF

Cervical cancer screening: recommendations from the USPSTF

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The major change includes screening with hrHPV testing alone as an alternative to cytology screening alone starting at age 30 years.

Clinical practice guideline for antiretroviral therapy in pregnant women with HIV

Clinical practice guideline for antiretroviral therapy in pregnant women with HIV

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Alternative treatments should be offered to pregnant women with HIV instead of tenofovir or emtricitabine.

Risk of premature birth, SGA with antiepileptic drugs

Risk of premature birth, SGA with antiepileptic drugs

Women on AEDs during pregnancy are at a higher risk of delivering prematurely and giving birth to SGA newborns.

Pain during IUD insertion reduced with lidocaine nerve block

Pain during IUD insertion reduced with lidocaine nerve block

A 1% paracervical nerve block may be useful for reducing patient-reported pain during IUD insertion.

Hormone replacement therapy for menopause not associated with increased mortality risk

Hormone replacement therapy for menopause not associated with increased mortality risk

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The researchers found no long-term increase in either all-cause or cause-specific mortality among women who received hormone therapy for up to 5.6 years or 7.2 years, depending on the type of therapy.

Breastfeeding associated with a lower risk of endometriosis

Breastfeeding associated with a lower risk of endometriosis

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Duration of total and exclusive breastfeeding was significantly associated with a decreased risk of endometriosis.

Annual mammography from age 40 decreases breast cancer mortality

Annual mammography from age 40 decreases breast cancer mortality

Thousands of US lives would be saved each year if women received annual mammograms starting at age 40.

Anti-vaccine information during pregnancy could delay infant immunization

Anti-vaccine information during pregnancy could delay infant immunization

Information about vaccines received during pregnancy could influence infant immunization.

Previous cesarean delivery increases risk of complications after hysterectomy

Previous cesarean delivery increases risk of complications after hysterectomy

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Women with at least 1 previous cesarean delivery have an increased risk of complications when undergoing a hysterectomy.

Birth control leads to a blood clot

Birth control leads to a blood clot

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A patient presents with chest pain 6 weeks after beginning use of a contraceptive device.

Less than 10% of women present to the ER after hysterectomy for benign disease

Less than 10% of women present to the ER after hysterectomy for benign disease

Risk factors for emergency department visits include younger age, higher parity, Medicare or self-pay insurance, and postoperative pain.

Contraception and adolescents: ACOG releases counseling recommendations for clinicians

Contraception and adolescents: ACOG releases counseling recommendations for clinicians

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The ACOG released recommendations to help clinicians counsel adolescents about using contraception.

Telbivudine prevents hepatitis B transmission during early pregnancy

Telbivudine prevents hepatitis B transmission during early pregnancy

Telbivudine administered during early and middle pregnancy prevented hepatitis B transmission from mother to infants in all participants receiving antiviral treatment.

Maternal lifestyle interventions reduce the odds of cesarean section

Maternal lifestyle interventions reduce the odds of cesarean section

Lifestyle interventions reduce gestational weight gain across various subgroups of women and lower the odds of cesarean section without affecting offspring outcomes.

Earlier menopause may increase risk of type 2 diabetes

Earlier menopause may increase risk of type 2 diabetes

Women who experienced early menopause were 2.4 times more likely to develop diabetes.

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.

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