OB/GYN Clinical Alert – February 1, 2003
February 1, 2003
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Cesarean Section for all Breeches? Is the Final Answer In?
In December, a group from Austria published a report evaluating outcomes of infants presenting at term with breeches whose mothers were scheduled to have either an elective cesarean section or a planned vaginal birth. -
Walking and Leisure-Time Activity and Risk of Hip Fracture in Postmenopausal Women
Moderate levels of activity, including walking, are associated with substantially lower risks of hip fracture in postmenopausal women. -
Management of Invasive Carcinoma of the Uterine Cervix Associated with Pregnancy: Outcome in Intentional Delay in Treatment
Delay in treatment to allow for fetal maturity is safe in patients with early stage I cervical carcinoma associated with pregnancy. -
Better Methods for Emergency Contraception
A single dose of 1.5-mg levonorgestrel and a single low dose of 10-mg mifepristone are effective methods for emergency contraception. -
Suspected Pulmonary Embolism in Pregnancy
Ventilation/perfusion scanning appears to be safe and effective, at least in ruling out significant clinical pulmonary embolism in pregnant patients. However, prospective studies over longer time periods should be undertaken to validate these conclusions. -
Special Feature: Total or Subtotal Hysterectomy: Which is Superior?
As the new kid on the OB/GYN Clinical Alert block, and as the generalist among the editors, I intend to focus on topics that come up commonly in my own practice of obstetrics and gynecology. The beauty of having this format is that cutting edge science can be presented, but also sacred cows can be challenged. -
Pharmacology Watch: FDA Issues ‘Black Box’ Warning Based on WHI Study
The FDA has mandated a Black Box warning for all estrogen and estrogen/progestin products for use by postmenopausal women. The new warnings are based on analysis of data from the Womens Health Initiative (WHI) study that was published July 2002. -
Clinical Briefs in Primary Care Supplement