Obstetrics & Gynecology

Liletta Now Approved for Pregnancy Prevention for Up to 5 Years

Liletta Now Approved for Pregnancy Prevention for Up to 5 Years

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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

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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

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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

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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

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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.

Effect of Folic Acid Supplementation on Pre-Eclampsia Prevention in High-Risk Patients

Effect of Folic Acid Supplementation on Pre-Eclampsia Prevention in High-Risk Patients

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High-dose folic acid supplementation beyond the first trimester does not prevent pre-eclampsia in high-risk women.

Gestational Diabetes Tied to Subsequent Glucose Disorders

Gestational Diabetes Tied to Subsequent Glucose Disorders

Long-term effects seen in mothers, but offspring not significantly overweight, obese.

NAMS: Breast Cancer Diagnosis May Indicate Lower Vitamin D Levels, Obesity in Postmenopausal Women

NAMS: Breast Cancer Diagnosis May Indicate Lower Vitamin D Levels, Obesity in Postmenopausal Women

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The North American Menopause Society has found that postmenopausal women with a breast cancer diagnosis may have vitamin D deficiency as well as higher rates of obesity.

Imvexxy Now Available in 4mcg Dosage Strength for Dyspareunia Due to Menopause

Imvexxy Now Available in 4mcg Dosage Strength for Dyspareunia Due to Menopause

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According to the Imvexxy prescribing information, women should generally be started at the 4mcg dosage strength with dosage adjustment guided by clinical response.

Depression or Psychosis Predicts Perinatal Recurrence of Bipolar Disorder

Depression or Psychosis Predicts Perinatal Recurrence of Bipolar Disorder

Investigators sought to determine clinical predictors to identify risk for perinatal recurrence in women with bipolar disorder.

Perinatal Photoperiod May Influence Lifetime Depression in Offspring

Perinatal Photoperiod May Influence Lifetime Depression in Offspring

Extreme differences in daily photoperiod during pregnancy may be related to risk for lifetime depression in offspring.

Prenatal Tdap Vaccination Not Associated With an Increased Risk of Autism

Prenatal Tdap Vaccination Not Associated With an Increased Risk of Autism

No association was observed between prenatal vaccination of Tdap vaccination and an increased risk of autism spectrum disorder risk in children.

Adverse Effects of Marijuana Use in Pregnancy: Current Research Is Questionable at Best

Adverse Effects of Marijuana Use in Pregnancy: Current Research Is Questionable at Best

Many women are unconvinced of the potential harmful effects of marijuana use in pregnancy due to the lack of available evidence.

Adding Fish Oil in Pregnancy May Lead to Higher Child BMI

Adding Fish Oil in Pregnancy May Lead to Higher Child BMI

Supplementation linked to higher BMI z score at age 6 years but no higher proportion of obese children.

Recent Increase in Contraception Use Noted Among US Teenagers

Recent Increase in Contraception Use Noted Among US Teenagers

Increases in use of 1 or more contraceptive methods, dual-method use, long-acting reversibles.

Labor Induction Linked to Hypertensive Complication Prevention in Women With Chronic Hypertension

Labor Induction Linked to Hypertensive Complication Prevention in Women With Chronic Hypertension

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For expectant mothers with chronic hypertension, labor induction after 38 weeks of gestation may prevent hypertensive complications without increasing the risk of cesarean delivery.

Cell-Free DNA vs Invasive Fetal Karyotyping for High-Risk Pregnancies

Cell-Free DNA vs Invasive Fetal Karyotyping for High-Risk Pregnancies

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For women with pregnancies at high risk for trisomy 21, performing cell-free DNA tests over direct invasive karyotyping procedures did not reduce the risk for miscarriage.

Guidelines for Managing Perimenopausal Depression Now Available

Guidelines for Managing Perimenopausal Depression Now Available

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The 5 topics addressed by the 11-member expert panel include epidemiology, clinical presentation, therapeutic effects of antidepressants, effects of hormone therapy, and the effectiveness of other therapies (eg, psychotherapy, exercise, natural health products).

Dexamethasone Improves Outcomes for Patients Undergoing In Vitro Fertilization

Dexamethasone Improves Outcomes for Patients Undergoing In Vitro Fertilization

Investigators assessed whether adrenal suppression with low-dose dexamethasone improved IVF outcomes.

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