OB/GYN Clinical Alert – February 1, 2024

February 1, 2024

• Respiratory Syncytial Virus Infection During Pregnancy

  Although women who developed respiratory syncytial virus (RSV) infection during pregnancy had a higher risk of preterm birth compared to those without RSV infection, the risk of miscarriage, stillbirth, low birth weight, and small for gestational age fetus were similar between the RSV and placebo groups.

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• Why It Is Worth Making Sure All Your Pregnant Patients Receive the Influenza Vaccine

  Infants younger than 6 months of age are at risk for severe influenza infections. Vaccination during pregnancy reduces infection and hospitalization risk by nearly 70%.

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• The Best Treatment for Heavy Menstrual Bleeding

  This randomized controlled trial among 62 individuals compared the 52-mg levonorgestrel intrauterine device to combined oral contraceptives for heavy menstrual bleeding and found that, in the intention-to-treat analyses, there was no significant difference in Menstrual Bleeding Questionnaire scores at six months or 12 months (mean difference, 2.5; 95% confidence interval [CI], -10.0, 5.0; and mean difference, -1.1; 95% CI, -8.7, 6.5, respectively).

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• Perioperative Practice Patterns in the Surgical Treatment of Female Stress Urinary Incontinence

  Board-certified urogynecologists had higher surgical volumes of stress incontinence surgeries, were more likely to perform perioperative tasks, and had lower readmission rates compared with non-urogynecologists performing anti-incontinence procedures.

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