Ob/Gyn Information Center News Archive

Increase in Proportion of Births at Gestational Age 39 to 40 Weeks

From 2007 to 2015 there was a decrease in perinatal mortality at gestational ages 39 to 40 weeks

Long-Term Cardiovascular Risk for Endometrial Cancer Survivors

Elevated risk of various cardiovascular outcomes, including pulmonary heart disease, atrial fibrillation

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

This updated Committee Opinion includes more recent data on the safety and efficacy of influenza vaccination during pregnancy, as well as recommendations for treatment and postexposure chemoprophylaxis.

USPSTF Recommends Screening for Partner Violence in Reproductive-Aged Women

The USPSTF has found that screening for intimate partner violence is beneficial for reproductive-aged women, although there is inadequate evidence to weigh the balance of benefits and harms of screening for abuse in elderly and vulnerable adults.

Autism Linked to Prenatal Ultrasonography Depth

No statistically significant difference was observed in the number or duration of prenatal ultrasonographic scans across the entire pregnancy in children with later autism compared with controls with non-ASD developmental delay or typical development.

Number of IUD Insertions Increases After ACA Contraceptive Mandate

Increase in use depends on the amount of reduction in out-of-pocket costs

In Utero Exposure to Multiple AEDs, Sodium Valproate Linked to Poor Educational Attainment in Childhood

In utero exposure to AEDs in combination, or sodium valproate alone, is associated with a significant decrease in attainment in national educational tests for 7-year-old children.

Pap Tests May Help Diagnose Endometrial, Ovarian Cancers

Genetic mutations assays using PapSEEK may facilitate the detection of certain cancers using fluids from Pap tests.

Fatigue, muscle aches more common in women with HIV than men

The two most prevalent HIV symptoms, fatigue and muscle aches, are more common in women than men and can worsen with menopause.

Postpartum Depression Screening Effective in the Pediatric Setting

Standardizing postpartum depression screening in the ambulatory pediatric setting coupled with implementing a referral algorithm and referral guide can help more PPD cases be identified, further evaluated, and treated.

Childhood bullying, abuse may increase teen pregnancy risk

Bullying and maltreatment may be factors that explain the high pregnancy levels in teenage sexual minorities.

Metformin, statins not associated with ovarian cancer

The incidence of ovarian cancer was not related to metformin or statin usage among women with type 2 diabetes.

Medical schools on childbearing, family leave policies

Many medical schools provide paternity and maternity leaves, though the duration may among schools.

Over 7% of pregnant women smoked in 2016

Of the women who gave birth in 2016, over 7% smoked cigarettes while pregnant.

Cesarean delivery linked to long-term pregnancy complications

Cesarean delivery is associated with a reduced rate of urinary incontinence and pelvic organ prolapse, but this should be weighed against the association with increased risks for fertility, future pregnancy, and long-term childhood outcome.

USPSTF: Syphilis screenings recommended for pregnant women

The USPSTF reports that pregnant women can benefit from screening for syphilis infection.

Ovarian cancer screening: updated recommendations from the USPSTF

The USPSTF has issued an updated recommendation statement on ovarian cancer screening.

Laparoscopic hysterectomies increased in popularity from 2010 to 2013

Laparoscopy became the most common surgical approach for hysterectomy between 2010 and 2013, with associated changes in payments statistics for hysterectomy.

Multi-analyte blood test detects 8 common cancers

A multi-analyte blood test, CancerSEEK, can detect 8 common cancer types, with high sensitivity and specificity.

Early menarche, menopause linked to increased CVD risk

Several reproductive variables were independently linked to increased CVD risks.

BRCA might not affect young-onset breast cancer survival rates

Both patients with and without BRCA mutations have comparable survival rates.

Cancer risk in women who work night shifts long-term

For women who work night shifts, breast cancer risks increase by 3.3% for every 5 years of work.

Maternal folic acid, multivitamin use linked to reduced autism risk

Use of folic acid or multivitamins during pregnancy is associated with a significantly reduced risk of ASD in offspring.

Some infants are prematurely exposed to complementary foods

About 16% of infants under 4 months were fed foods other than breast milk or formula.

Early treatment of nausea, vomiting in pregnancy may prevent complications

Early treatment of nausea and vomiting of pregnancy can prevent complications.

Prenatal marijuana use increased from 2009 to 2016

Prenatal marijuana use increased from 2009 to 2016 for pregnant women of all ages.

Hormonal contraception use linked to an increased risk of breast cancer

Breast cancer diagnosis is higher among women who currently use or recently used contemporary hormonal contraceptives than among women who have never used hormonal contraceptives.

BMI may not indicate obesity in postmenopausal women

Body mass index BMI at a cut-point of 30 kg/m2 may not be an appropriate indicator of obesity in postmenopausal women.

Menopausal hormone therapy for chronic conditions: USPSTF's final recommendation

The USPSTF has updated its recommendations on the use of menopausal hormone therapy for the primary prevention of chronic conditions.

ADHD medication in pregnancy linked to few absolute increased risks

Women with significant attention-deficit/hyperactivity disorder do not need to stop treatment during pregnancy.

Prenatal ADHD treatment linked to neonatal morbidity

Treatment with ADHD medication during pregnancy was associated with a higher risk for neonatal morbidity, especially central nervous system-related disorders such as seizures.

CDC updates contraception recommendations for women at risk for HIV

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

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

ACOG issues recommendations for long-acting reversible contraception

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

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

Cervical cancer screening: recommendations from the USPSTF

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

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

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

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

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

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

Non-hormone options available for estrogen depletion after breast cancer

A variety of non-hormone options and therapies are available for treatment of estrogen-depletion symptoms and clinical problems after a diagnosis of breast cancer.

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

Information about vaccines received during pregnancy could influence infant immunization.

Previous cesarean delivery increases risk of complications after hysterectomy

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

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

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

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

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

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

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

Breast, ovarian cancer risks estimated for BRCA1/BRCA2 mutation carriers

Breast cancer risk is increased with a larger number of first- and second-degree relatives diagnosed as having breast cancer for both BRCA1/BRCA2 carriers.

Mammogram referral, screening rates boosted with point-of-care screening program

A breast cancer screening program helped improve mammography referral and screening rates in a federally qualified health center.

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

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

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

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

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

One alcoholic drink per day may increase breast cancer risk

Drinking the equivalent of a small glass of wine or beer a day increases pre-menopausal breast cancer risk by 5% and post-menopausal breast cancer risk by 9%.

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

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

Low-dose aspirin reduces breast cancer risk

Developing breast cancer was associated inversely with taking 3 or more tablets of low-dose aspirin per week.

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

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

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

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

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 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

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

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

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

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

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

Postpartum depression incidence declining

Reducing postpartum depression involves universal screening and appropriate referral and treatment by clinicians.

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

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

Low vitamin E in pregnant women increases asthma risk in offspring

Research presented at the AAAAI Annual Meeting suggests a link between maternal vitamin E levels and childhood asthma development.

USPSTF: evidence insufficient for pelvic exams in asymptomatic nonpregnant women

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 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 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

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

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

Intervention during labor and birth: new recommendations from ACOG

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

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

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

Risk for postpartum depression higher among women with diabetes

Among all women, PPD risk increased with advanced age and gestational diabetes.

USPSTF recommends folic acid for all women who may become pregnant

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

Breast cancer screening rates improve with the Affordable Care Act

Waiving costs of cancer screenings appears to improve mammography rates, even among individuals with low levels of income.

Delayed umbilical cord clamping beneficial for infants

Delayed umbilical cord clamping is associated with significant neonatal benefits, including improved transitional circulation and better establishment of red blood cell volume.

In-utero MRI more accurate than ultrasound for diagnosing fetal brain abnormalities

This finding suggests that any fetus with a suspected brain abnormality on ultrasound should have iuMRI to better inform counseling and management decisions.

Women using statins may have a lower risk of uterine fibroids

Researchers examined the association between statin use and the risk of uterine fibroids and fibroid-related symptoms.

Birth defect rate is 6% among US women with possible Zika virus infection

Birth defects potentially related to Zika virus were identified in 6% of fetuses or infants of women included in the study.

FDA approves new drug for postmenopausal pain during sex

Intrarosa provides an additional treatment option for women with dyspareunia caused by vulvar and vaginal atrophy.

Pain from IUD insertion is not reduced from naproxen sodium

Oral naproxen sodium does not reduce pain with IUD insertion but does reduce pain after insertion.

Calculator predicts success of live birth after in vitro fertilization

The findings may help couples plan infertility treatments more effectively.

Effects of maternal age on the decline of preterm birth

The CDC examined the effects of maternal age on the decline of preterm birth in the United States between 2007 and 2014.

Tdap vaccine safe for mother and infant during pregnancy

The tetanus, diphtheria, and pertussis vaccine does not appear to cause birth defects.

Pain relief during labor may lower risk of postpartum depression

Women who received epidural pain relief during labor had lower scores on the Edinburgh Postnatal Depression Scale.

Water immersion during delivery may lead to health problems

Although a birthing pool may offer some advantages during labor, this could lead to serious health problems.

USPSTF recommends primary care breastfeeding intervention support

The USPSTF reviewed evidence on the benefits and harms of breastfeeding support interventions.

Sex hormone-binding globulin and estradiol associated with type 2 diabetes in women

Women may have a higher risk of type 2 diabetes with low levels of sex hormone-binding globulin and high levels of total estradiol.

Cervical cancer screening intervals effective beyond 5 years

Data from the POBASCAM trial support the extension of screening intervals for cervical cancer beyond 5 years.

Zika virus in amniotic fluid may help predict prenatal diagnosis

Researchers examined prenatal evolution and perinatal outcomes in neonates with developmental abnormalities associated with Zika virus infections.

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