OB/GYN Clinical Alert – January 1, 2014

January 1, 2014

• Bariatric Surgery: Does It Affect Pregnancy Outcomes?

  In this large, retrospective cohort study, women with a history of bariatric surgery were at a small increased risk of both spontaneous and medically indicated preterm birth and small for gestational age births.

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• Surgical Excision of Endometriomas and Effect on Ovarian Reserve

  In a prospective cohort study, women with endometriomas (> 2 cm) were found to have a decrease in ovarian reserve parameters compared to healthy controls 1 and 6 months after the endometriomas were removed.

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• Emergency Contraception: A Copper IUD May Be the Best Choice

  Women presenting for emergency contraception were offered a copper IUD or Plan B. Those who chose an IUD had a lower cumulative risk of unintended pregnancy at 1 year.

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• Pelvic Radiation in Endometrial Cancer:Are We Cutting Off Our Nose to Spite Our Face?

  Long-term complications, particularly secondary cancers, were significantly more common in patients receiving whole pelvic radiation (vs brachytherapy alone) for early-stage endometrial cancer.

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