OB/GYN Clinical Alert
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Intrauterine Device Use and Ovarian Cancer Risk
In this systematic review, the odds ratio of ever-use of an intrauterine device and incident ovarian cancer was 0.68 (95% CI 0.62-0.75).
Sedentary Behavior, Physical Activity, and Nighttime Urinary Symptoms
Sedentary behavior is associated with more severe symptoms of nocturia and nocturnal enuresis in women with urinary incontinence.
Molecular Analysis of Endometrial Cancer Corresponds With Outcomes in Young Women
SYNOPSIS: In this retrospective cohort study, researchers studied the prognosis and outcomes for young women with endometrial cancer and compared them according to tumor molecular classification.
Association Between Self-Reported Prenatal Cannabis Use and Maternal, Perinatal, and Neonatal Outcomes
Cannabis use during pregnancy has become commonplace in states and countries (Canada) where it has been legalized for medical and/or recreational use. The authors of this study attempted to determine whether associations exist between self-reported prenatal cannabis use and maternal and perinatal outcomes.
Does Vaginal Estradiol Reduce Pain With Sexual Activity?
A post-hoc analysis of data from a 12-week randomized study that compared vaginal estradiol to vaginal moisturizers found no increase in sexual frequency or decrease in pain associated with either treatment, compared to placebo.
Diagnostic Imaging Trends Among Pregnant Women
This retrospective cohort study estimated that the use of CT scans has increased 3.7-fold in the United States and 2-fold in Ontario, Canada, from 1996 to 2016. Overall, 5.3% of pregnant women in the United States and 3.6% in Ontario underwent imaging with ionizing radiation.
Hormonal Contraception and HIV: Does DMPA Increase Risk of Transmission?
This special feature includes a review of the evidence for the effect of hormonal and nonhormonal methods on HIV risk.
Identify and Treat Urologic Injuries at Hysterectomy to Reduce Fistulas
In a large population-based cohort study, genitourinary fistulas were increased significantly if ureteral and/or bladder injuries were not identified and treated at the time of hysterectomy.
Patients' Views on Adverse Events Following Pelvic Reconstructive Surgery
Patients see poor functional outcomes as severe adverse events following pelvic floor surgery.
Should Obesity Be a Contraindication to Postpartum Tubal Sterilization?
In this retrospective cohort study of 279 women undergoing postpartum partial salpingectomy after vaginal delivery, the mean operative time for women with a BMI ≥ 30 kg/m2 was only 5.5 minutes longer than the time for women with a BMI < 30 kg/m2.