OB/GYN Clinical Alert
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Postpartum Contraception Care at Catholic Hospitals
A survey using a probability sample of adult, reproductive-age women in the United States revealed that most women did not expect restrictions on care at Catholic hospitals, especially for services viewed with less stigma than abortion, and did not realize that Catholic hospitals are restricted in providing contraception and female sterilization.
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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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Prevention of Perineal Injury During the Second Stage of Labor
This randomized clinical trial in nulliparous women demonstrated that the hands-off technique reduced the risk for perineal injuries when compared to the hands-on technique during the second stage of labor.
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Cervical Cancer Screening in Women Older than 65 Years of Age
Women diagnosed with cervical cancer after age 65 years are more likely to have locally advanced or metastatic disease, and survival decreases with increasing age and stage of diagnosis.
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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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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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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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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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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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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.