OB/GYN Clinical Alert
RSSArticles
-
Does Heavy Menstrual Bleeding Cause More IUD Expulsions?
In this retrospective cohort study of 6,203 women, there was no difference in expulsion rates between individuals using the levonorgestrel intrauterine device (IUD) for heavy menstrual bleeding and those using it for contraception, using a protocol where the IUD for patients with heavy menstrual bleeding was inserted only after bleeding had ceased or lessened.
-
HPV Vaccination in Adolescence Prevents Cancer More than 10 Years Later
This long-term follow-up study of three cluster-randomized trials of human papillomavirus (HPV) vaccination evaluated cancer protection over up to 11 years of follow-up. During this time, 17 HPV-positive cancers were identified in the unvaccinated group, and 0 were identified in the vaccinated group, indicating 100% vaccine efficacy at preventing HPV-associated cancers.
-
Women’s Experiences of Racism and Reproductive Health
Black adult women in three cities in the United States describe using a range of actions to protect themselves against racism in the reproductive healthcare space.
-
Pregnancy Outcomes in Women with CVD
Pregnant patients with severe cardiac disease experience a higher risk of adverse cardiac outcomes compared to those with mild to moderate disease.
-
Sickle Cell Disease During Pregnancy
Sickle cell disease (SCD) is the most commonly inherited autosomal recessive genetic hemoglobinopathy in the United States. People with SCD account for only 0.1% of all deliveries, but approximately 1% of maternal deaths, a 10-fold increased risk.
-
Are Urine Dipsticks Accurate for Preeclampsia Diagnosis?
This systematic review found that urine dipsticks of 1+ protein had a sensitivity of only 68% for the diagnosis of preeclampsia (95% confidence interval, 0.57-0.77), which was considered poor. Performance improved at thresholds of 2+ and 3+ protein.
-
Patient Education Resources for Understanding Pelvic Floor Disorders
Online patient resources for pelvic floor disorders on the American Urogynecology Society patient portal are underused by women with pelvic floor disorders.
-
COVID-19 Vaccine and the Menstrual Cycle
In a retrospective cohort analysis of prospectively tracked menstrual cycle data from the smart phone application “Natural Cycles,” the COVID-19 vaccine is associated with a less than one day change in menstrual cycle length, and no change in menses length.
-
Glycemic Control During Labor in Women with Diabetes
This study demonstrated an increased risk of neonatal hypoglycemia in neonates born to patients with diabetes as the result of maternal hyperglycemia in labor. However, strict intrapartum maternal glycemic control appeared to be associated with a reduced risk of neonatal hypoglycemia only in patients with gestational diabetes on medication, but not for other diabetes subtypes.
-
Oral vs. IV Iron for the Treatment of Iron-Deficiency Anemia in Pregnant Women
Compared to oral iron, intravenous iron reduced maternal anemia at delivery (40% vs. 85%, P = 0.039), and rates of maternal hemoglobin < 10 g/dL were lower with intravenous iron compared to oral iron (10% vs. 54%, P = 0.029). Rates of mild to moderate adverse events were similar between the two groups, and no severe adverse reactions were noted with intravenous iron.