OB/GYN Clinical Alert – July 1, 2015
July 1, 2015
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Antral Follicle Count Does Not Predict Pregnancy During Unstimulated Donor Insemination Cycles
Early follicular phase antral follicle count as a method of analyzing ovarian reserve is not helpful in predicting subsequent pregnancy in women with normal cycles.
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Non-medically Indicated Inductions of Labor
A recent study in patients having non-medically indicated inductions of labor has shown that this option is associated with higher cesarean section rate at 38 and 40 weeks, but not, interestingly, at 39 weeks, at which time there was a lower rate of peripartum infections, fewer newborn special care unit admissions, but longer labors. However, these data do not speak for empiric induction of labor at 39 weeks without medical indication.
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Liletta: A New LNG-IUS Option
Initial clinical results with a new 52 mg levonorgestrel intrauterine system recently introduced to the market and approved for three years of use are similar to those seen with the existing system.
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Why Aren’t Women Using Contraception?
ABSTRACT & COMMENTARY: This cross-sectional study highlights new risk factors for nonuse of contraception among women at risk for unintended pregnancy.
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Progesterone and Indomethacin and PTL
One recent study has questioned the efficacy of the ability of 17 alpha-hydroxyprogesterone caproate to prevent preterm birth, and the other suggests that indomethacin, used to stop preterm labor, may have unwanted neonatal consequences.