OB/GYN Clinical Alert
RSSArticles
-
The Levonorgestrel IUD Is Similarly Effective as the Copper IUD for Emergency Contraception
In this randomized, noninferiority trial among patients seeking emergency contraception after at least one episode of unprotected intercourse within five days of presentation, the levonorgestrel 52-mg intrauterine device (IUD) was noninferior to the copper T30A IUD at preventing pregnancy one month after IUD insertion. Adverse events between the two groups were similar.
-
Does Prescription of Contraception During the Postpartum Hospitalization Affect Postpartum Visit Adherence?
In this retrospective cohort study of 1,015 women at one institution, there was no association between type of contraceptive prescribed immediately postpartum and attendance at the postpartum visit.
-
Is it Safe to Discharge Patients Without an Opioid Prescription After Gynecologic Surgery?
In this quality improvement initiative study, patients undergoing scheduled gynecologic abdominal surgery via both minimally invasive and open routes were able to be discharged safely without a prescription of opioids without significant increases in postoperative calls about pain or the need for filling opioid prescriptions after discharge.
-
Loop Electrosurgical Excision Procedure of the Cervix: Which Is the Best Method of Anesthesia?
In this randomized controlled trial comparing local anesthesia and general anesthesia for loop electrosurgical excision procedure of the cervix, there was no difference in patient satisfaction. However, women in the local anesthesia group had significantly smaller cone volumes and less blood loss than those in the general anesthesia group.
-
A Prospective Look at the Course of Untreated ADHD in Pregnancy Gains Attention
Twenty-five women with perinatal attention-deficit hyperactivity disorder were followed prospectively during pregnancy for changes in anxiety, depression, perceived stress, and functional impairment. Statistically significant differences in mood and functional impairment in the family domain were found in those who discontinued their psychostimulant.
-
Oral Progestogens for Prevention of Miscarriage
In this double-blind, randomized clinical trial, 406 pregnant women were randomized to dydrogesterone or placebo. There were no statistically significant differences in the primary outcome (miscarriage before 20 weeks of gestation; relative risk, 0.897; 95% confidence interval, 0.548-1.467; P = 0.772), which occurred in 12.8% and 14.3% in the dydrogesterone and placebo arms, respectively. The use of dydrogesterone in women with threatened miscarriage for the prevention of early pregnancy loss in the first trimester failed to decrease the miscarriage rate or increase the live birth rate.
-
Is HPV Testing Superior to Pap Testing Alone in Women at Risk of Cervical Cancer?
In this registry-based screening study of women in Catalonia, Spain, a negative human papillomavirus (HPV) and cytology co-test at baseline was associated with a cumulative incidence of cervical precancer of 0.4% at five years and 1.3% at nine years, compared to 27% among women with abnormal HPV testing at baseline.
-
Pregnancy After Treatment for Pelvic Floor Disorders
This consensus document was developed as a reference for physicians caring for and advising women in pregnancy following prior surgical treatment for pelvic floor disorders.
-
The Pregnancy Perspective: What Has COVID-19 Affected?
In this cross-sectional descriptive study, women using the Ovia pregnancy app expressed receiving adequately safe maternal care during the COVID-19 pandemic, but voiced concerns related to obtaining infant supplies and prenatal education.
-
What Is the Optimal Mode of Delivery of the Second Twin?
In this randomized clinical trial, 343 pregnant women with twin gestations were randomized to planned cesarean delivery and planned vaginal delivery groups (208 patients vs. 135 patients, respectively) between October 2013 and March 2015. The cesarean delivery rate in the planned vaginal delivery arm was 49% compared to the cesarean rate of 99% in the planned cesarean delivery arm. If all criteria for vaginal delivery are met, it would be reasonable and appropriate to offer women with diamniotic twin gestations planned vaginal delivery between 34 0/7 to 37 6/7 weeks of gestation.