OB/GYN Clinical Alert – September 1, 2019

September 1, 2019

• Should Obesity Be a Contraindication to Postpartum Tubal Sterilization?

  In this retrospective cohort study of 279 women undergoing postpartum partial salpingectomy after vaginal delivery, the mean operative time for women with a BMI ≥ 30 kg/m² was only 5.5 minutes longer than the time for women with a BMI < 30 kg/m².

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• Patients' Views on Adverse Events Following Pelvic Reconstructive Surgery

  Patients see poor functional outcomes as severe adverse events following pelvic floor surgery.

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• Identify and Treat Urologic Injuries at Hysterectomy to Reduce Fistulas

  In a large population-based cohort study, genitourinary fistulas were increased significantly if ureteral and/or bladder injuries were not identified and treated at the time of hysterectomy.

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• Hormonal Contraception and HIV: Does DMPA Increase Risk of Transmission?

  This special feature includes a review of the evidence for the effect of hormonal and nonhormonal methods on HIV risk.

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