OB/GYN Clinical Alert – September 1, 2022

September 1, 2022

• Cervical Cancer Screening in Women Older than 65 Years of Age

  Women diagnosed with cervical cancer after age 65 years are more likely to have locally advanced or metastatic disease, and survival decreases with increasing age and stage of diagnosis.

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• Prevention of Perineal Injury During the Second Stage of Labor

  This randomized clinical trial in nulliparous women demonstrated that the hands-off technique reduced the risk for perineal injuries when compared to the hands-on technique during the second stage of labor.

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• What Is the Best Oral Emergency Contraceptive for Individuals with Obesity?

  In this randomized controlled trial of 70 obese women, double dosing levonorgestrel emergency contraception (3 mg vs. 1.5 mg) did not prevent more follicle ruptures and, therefore, is unlikely to improve emergency contraception performance in this population.

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• Postpartum Contraception Care at Catholic Hospitals

  A survey using a probability sample of adult, reproductive-age women in the United States revealed that most women did not expect restrictions on care at Catholic hospitals, especially for services viewed with less stigma than abortion, and did not realize that Catholic hospitals are restricted in providing contraception and female sterilization.

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