OB/GYN Clinical Alert
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What Is the Best Oral Emergency Contraceptive for Individuals with Obesity?
In this randomized controlled trial of 70 obese women, double dosing levonorgestrel emergency contraception (3 mg vs. 1.5 mg) did not prevent more follicle ruptures and, therefore, is unlikely to improve emergency contraception performance in this population.
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Researchers Explore Connections Between Epilepsy and Postpartum Anxiety, Depression
Clinicians should monitor for signs of depression among patients with epilepsy who are pregnant or patients who are thinking about conceiving.
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Self-Assessment of Gestational Duration Among People Seeking Abortion
In a national sample of people seeking abortion, broadening screening questions beyond last menstrual period to self-assess gestational duration improves accuracy in determining eligibility for medication abortion using a 70-day threshold. In-person ultrasound may not be necessary.
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Permanent Contraception: How Effective Is it, Really?
In this retrospective cohort study using Medicaid claims data from 2008-2014 in California, the rate of pregnancy was 4.74% after hysteroscopic sterilization among 5,906 women and 5.57% after laparoscopic sterilization among 23,965 women. These rates are higher than reported previously.
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Breast Cancer Screening: Tomosynthesis Is Beneficial for High-Risk Patients
This cohort study examined rates of advanced breast cancer diagnosis among women screened with digital mammography and digital breast tomosynthesis (DBT). Women with extremely dense breasts and who were at high risk for breast cancer benefited from DBT, with a 53% lower risk of developing advanced cancer compared to those screened with digital mammography alone. No differences were seen for women at low to average risk.
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Pregnancy Outcomes in Cancer Survivors
This study demonstrated that women with a prior history of chemotherapy exposure have a higher prevalence of adverse pregnancy outcomes compared to those without a previous history, with no differences in neonatal outcomes.
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OB/GYN Clinical Alert Welcomes Michael Roche as Peer Reviewer
Michael Roche, MD, joins OB/GYN Clinical Alert as peer reviewer.
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Too Much Phthalate Exposure Could Induce Preterm Labor
Common chemical could lead to births occurring three weeks or more early.
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Contraception for Patients with Disabilities
Contraception is an important part of healthcare for patients with disabilities, whether physical or intellectual. In 2018, investigators analyzed 2011-2015 survey data from the National Survey of Family Growth to estimate the use of contraception among women by disability status. These data show that individuals with disabilities may be treated differently than those without disabilities in terms of contraceptive care.
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Pregnant, Influenza-Infected, and Hospitalized
Almost one-third of women ages 15-44 years hospitalized with influenza were pregnant and almost 5% required intensive care.