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Infants of women initiating either a combined oral contraceptive, the levonorgestrel IUS, the etonogestrel implant, or a copper IUD at 42 days postpartum ingested similar volumes of breast milk and displayed similar growth.
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In this retrospective, cohort study, a see-and-treat protocol resulted in only a 4.5% overtreatment rate.
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A recent review of the literature evaluating methods to decrease preterm birth in twins has shown little or no benefit of bed rest, cerclage, or 17 alpha-hydroxy progesterone.
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In a prospective cohort of obese, reproductive-aged women, there were no changes in the number of ovulatory cycles, but there was a shortening of the follicular phase and an improvement in sexual function after gastric bypass surgery.
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OB/GYN Clinical Alert editorial board transitions.
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Overt maternal hypothyroidism and hyperthyroidism each complicate about 3/1000 pregnancies. However, subclinical hypothyroidism can accompany as many as 2.5% of pregnancies. Both problems require careful surveillance because of the potential to cause significant maternal and fetal complications.
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Although users of depot medroxyprogesterone acetate (DMPA) experienced more bone fractures than users of other contraceptives, their risk of bone fractures was higher at baseline before initiating DMPA and did not change while on DMPA. This suggests that confounding, unknown factors led to the association between DMPA and fractures in previous studies.
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In a large, multicenter, randomized study of women in Europe who presented with ectopic pregnancy, there was no significant difference in the rate of subsequent intrauterine pregnancy observed following early ectopic pregnancy managed with medical therapy or conservative (salpingostomy) surgery, or following acute ectopic pregnancy managed with radical (salpingectomy) or conservative surgery.
