OB/GYN Clinical Alert – December 1, 2014

December 1, 2014

• Association Between Maternal Characteristics, Abnormal Serum Aneuploidy Analytes, and Placental Abruption

  Synopsis: A study using data from the California State Prenatal Screening Program has indicated a strong relationship between abnormal first and second trimester analyte values, as well as maternal characteristics, with placental abruption. This has stimulated a discussion of the possible benefit of retaining this type of biochemistry screening for prediction of other pregnancy complications.

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• Risk Reduction Salpingectomy for Permanent Contraception: Ready for Prime Time?

  Synopsis: After a province-wide educational campaign advocating salpingectomy at the time of benign gynecologic surgery for ovarian cancer risk reduction, the incidence of salpingectomy rose sharply in British Columbia. This was associated with a modest increase in operative time but no increase in overall surgical morbidity.

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• Tubal Sterilization: Has the Time Come for Routine Bilateral Salpingectomy?

  Ovarian cancer causes approximately 14,000 deaths in the United States each year, making it the most common cause of gynecologic cancer death and the fifth leading cause of cancer death in women after lung, breast, colorectal, and pancreatic cancer.

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• The OPTIMAL Trial: SSLF and ULS for Apical Vaginal Prolapse

  Synopsis: Two years after vaginal surgery for prolapse and stress urinary incontinence, uterosacral ligament suspension and sacrospinous ligament fixation had similar outcomes. Perioperative pelvic floor muscle training did not improve urinary symptoms or prolapse symptoms.

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