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FDA’s Decision to Allow Pharmacy Sales of Mifepristone Faces Challenges
The decision by the FDA to permit retail pharmacies to dispense medication abortion pills could remove barriers related to time, distance, and costs for patients in states with laws legalizing abortion care. One possible risk is a lawsuit filed by the Alliance for Hippocratic Medicine, an anti-abortion group that claims the FDA did not approve mifepristone with sufficient scientific evidence.
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Texas Abortion Ban Is a Warning About the Future
Abortion access was hit hard by the Texas six-week abortion ban bill and by the Supreme Court’s decision to overturn Roe v. Wade in June 2022. But abortion demand remained high, and women increasingly sought telehealth and out-of-state abortion care.
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Lawmakers Propose Creating Essential Stockpile of Important Medicines
Congressional act would allow for keeping a robust supply of 50 important generic medications to prevent shortages.
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Breast Milk Feeding Among Women Who Had Been Infected with SARS-CoV-2 During Their Pregnancy
Both breast milk feeding during the postpartum hospital stay and infant rooming-in during this time were common in the five states studied from March 29 to Dec. 31, 2020, among the births that occurred to women who had a laboratory-confirmed case of SARS-CoV-2 during their pregnancy.
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Identifying High-Risk Cancer Patients Through Appropriate Screening
Less than 20% of average-risk women receive guideline-adherent cervical cancer screening, and guideline-adherent screening was highest for primary human papillomavirus testing.
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Second Trimester Induction of Labor: Do Multiple Prior Cesarean Deliveries Increase the Risk of Complications?
In this retrospective cohort study among patients who underwent second trimester induction of labor for fetal demise or pregnancy termination, those with two or more prior cesarean deliveries had an increased risk of uterine rupture (6.25%) compared to those with one prior cesarean delivery (0%) or no prior cesarean delivery (0%) (P = 0.004).
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Vaginal Cleansing at the Time of Cesarean Delivery to Prevent Puerperal Infection
Povidone-iodine (Betadine) vaginal cleansing prior to an unplanned cesarean delivery for labor-related indications did not lessen the postoperative infectious morbidity, and, therefore, its regular use in women having a cesarean delivery for labor-related indications is not supported.
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Hyponatremia: Evaluation and Management in the Emergency Department
Hyponatremia is one of the most common electrolyte derangements among adults presenting to the emergency department and is associated with significant morbidity and mortality. A variety of factors and disease processes can contribute to the development of hyponatremia, varying in both chronicity and in subsequent symptomatology. Understanding the varied etiologies of hyponatremia is essential for the emergency physician to appropriately manage this electrolyte disorder, ensuring appropriate treatment and disposition in a common but potentially dangerous disease process.
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Cumulative Estrogen Exposure Linked to Lower Stroke Risk
These findings could help clinicians sustain their postmenopausal patients’ neurological health.
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For Older Americans, More Steps Lead to Better Cardiovascular Health
In a meta-analysis, researchers found walking 6,000 to 9,000 steps daily lowered the risk of cardiovascular disease by 40% to 50% vs. walking 2,000 steps daily.