OB/GYN Clinical Alert
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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.
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Obesity and Time to Pregnancy Among Those Discontinuing Contraception
Among people discontinuing contraception to try to become pregnant, those who were obese had a longer time to pregnancy compared to those who were underweight or optimal weight.
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Supplemental Oxygen Therapy for Category II Fetal Heart Rate Tracings
This study demonstrated a statistically significant change in the use of supplemental oxygen therapy in women with category II fetal heart rate tracings in the absence of maternal hypoxia pre- and post-intervention, with no significant change in maternal or perinatal outcomes.
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Hypertensive Disorders of Pregnancy and Increased Risk of Stroke
It has been established that women who have hypertension during pregnancy from any cause, compared to those without a history of hypertension, have an increased risk for subsequent stroke. Investigators in this study from Taiwan looked at the differences between the four major types of hypertensive disorders and the relative risks of subsequent stroke in women.
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Women Who Experienced Miscarriage or Stillbirth Early in Life Have an Increased Risk of Stroke in Later Life
Investigators performed a comprehensive literature search and meta-analysis of 16 cohort studies and two case-control studies that reviewed the records of 7,808,521 women who experienced complications around pregnancy to determine the subsequent risk of stroke and determined that women who had experienced miscarriage or stillbirth were at a higher risk of future stroke.
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Antihypertensive Therapy for Mild Chronic Hypertension in Pregnant Women
Antihypertensive treatment of mild chronic hypertension in pregnant women was associated with reduced risk of preeclampsia with severe features, medically indicated preterm birth at < 35 weeks’ gestation, placental abruption, and fetal or neonatal demise compared to no treatment.
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Does Bilateral Salpingo-Oophorectomy at the Time of Benign Hysterectomy Reduce Ovarian Cancer Risk?
In this retrospective cohort study of 195,282 women who underwent benign hysterectomy with or without bilateral salpingo-oophorectomy (BSO), the group who underwent BSO had a decreased ovarian cancer incidence (hazard ratio, 0.23; 95% confidence interval, 0.14-0.38) at 16 years of follow-up compared to those who retained their ovaries.
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Age and Risk of Sterilization Regret: Analysis of a Contemporary Dataset
In this retrospective analysis of the 2015-2017 and 2017-2019 National Survey of Family Growth female respondent files, women younger than 30 years of age were more likely to experience sterilization regret compared to women older than 30 years of age. As women got older, sterilization regret decreased, and no other demographic or clinical factors, including race, parity, educational attainment, or medical reasons for sterilization, were associated with regret.