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Research Shows Need for Better Person-Centered Care
Reproductive healthcare is moving toward a more holistic understanding of reproductive autonomy. It is no longer just about pregnancy intention. As a new study shows, a better goal is to provide a nondirective conversation about the patient’s desire to parent and to assess how important it is for them to prevent pregnancy.
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The Studied and Unstudied Dangers of ‘Abortion Reversal’
Colorado’s Senate Bill 190, signed in May 2023, declared the practice of “abortion reversal” to be unprofessional conduct, meaning that healthcare providers providing this treatment could face sanctions to their licensure. However, Colorado’s Medical Board subsequently issued a draft rule declaring “abortion reversal” as “generally accepted standard of practice” and, therefore, potentially acceptable. Clearly, confusion exists among state medical boards and legislatures, and, potentially, among healthcare providers. This commentary will review both the medical evidence regarding “abortion reversal” and the legal context so that providers can be better informed and communicate the best evidence to their patients.
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LARC Initiative for Teens Leads to 36% Decrease in Pregnancy Rate
A 2016 Kaiser Permanente Northern California initiative improved adolescent access to a long-acting reversible contraceptive through patient education resources, protocols, and insertion training for pediatric, family medicine, and gynecology providers.
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The Degree of Pyuria Can Help Determine Urinary Tract Infection in Elderly Women
Elderly women with a urinary tract infection had a higher median number of urinary leukocytes compared to uninfected controls, including those with asymptomatic bacteriuria. For 264 leukocytes/µL, the sensitivity and specificity of microscopy were 88%. Using the standard pyuria threshold of 10 leukocytes/µL gave a specificity of 36% and a sensitivity of 100%.
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Use of Dexamethasone for Fetal Lung Maturity: A Secondary Analysis of the WHO ACTION-I Trial
The neonatal advantages of prenatal dexamethasone administration seem to increase with longer administration-to-birth intervals than previously believed in women at risk of preterm birth before 34 weeks of gestation.
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The Progestin-Only Pill: How Effective Is It?
In this systematic literature review of 54 studies, the median typical use Pearl Index failure rate was 1.63 (range 0.00 to 14.20) and the median perfect use Pearl Index failure rate was 0.97 (range 0.40 to 6.50).
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Study: Family Planning Services Need Better Integration in Primary Care
There is a growing need for primary care providers to integrate family planning services into their practices, particularly in rural areas and other places where there is no access to OB/GYNs and family planning centers.
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Traumatic Hemorrhagic Shock
This issue will review the management of traumatic hemorrhage in the emergency department, highlighting prehospital care, recognition of hemorrhagic shock, initial resuscitative measures, massive hemorrhage protocol, reversal agents, and technological advancements in medical and mechanical support for traumatic hemorrhage.
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CDC Publishes Guide to Help Hospitals Diagnose, Treat Sepsis
The agency details seven pillars upon which leaders can build a successful program.
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Virtual Rounds Shorten Lengths of Stay
An Arizona facility cut more than 3,000 excess days for a savings of more than $6 million over 10 months.