Obstetrics & Gynecology

Cesarean delivery linked to long-term pregnancy complications

Cesarean delivery linked to long-term pregnancy complications

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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.

Ovarian cancer screening: updated recommendations from the USPSTF

Ovarian cancer screening: updated recommendations from the USPSTF

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

Laparoscopic hysterectomies increased in popularity from 2010 to 2013

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.

Longer lactation duration linked to lower risk of diabetes in women

In this 30-year prospective cohort study, self-reported duration of lactation in women of childbearing age was associated with a lower risk of development of diabetes.

Early menarche, menopause linked to increased CVD risk

Early menarche, menopause linked to increased CVD risk

Several reproductive variables were independently linked to increased CVD risks.

Maternal folic acid, multivitamin use linked to reduced autism risk

Maternal folic acid, multivitamin use linked to reduced autism risk

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

Long-acting reversible contraceptives: a review

Long-acting reversible contraceptives: a review

Because of the high number of unintended pregnancies and the effectiveness of LARCs, they should be a first-line contraceptive option for most women.

Some infants are prematurely exposed to complementary foods

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, 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

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

Hormonal contraception use linked to an increased risk of breast cancer

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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

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

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

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

CDC updates contraception recommendations for women at risk for HIV

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

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.

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