OB/GYN Clinical Alert
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Screening for von Willebrand Disease: Warranted in Young Women With Heavy Menstrual Bleeding
A large, retrospective cohort study using a national claims database revealed that fewer than 20% of young women with heavy menstrual bleeding were screened for von Willebrand disease.
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A New Treatment for Early Pregnancy Loss
In a recent trial, researchers found that pretreatment with mifepristone followed by treatment with misoprostol resulted in a higher likelihood of successful management of first-trimester pregnancy loss than treatment with misoprostol alone. The rate of surgical evacuation also was reduced in the mifepristone pretreatment arm compared to the misoprostol-alone arm.
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Marijuana in Pregnancy
A group of investigators posing as pregnant patients called marijuana dispensaries in Colorado to determine whether the stores’ staff recommended it for nausea and vomiting, if there were risks in pregnancy, and if providers should be consulted. The results were enlightening.
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All About Cesarean Delivery
A collection of articles and letters to the editors suggests that postpartum ultrasound evaluation of uterine wall thickness is of little value in predicting uterine wall complications in subsequent pregnancies, that two-layer closure of the uterus during cesarean delivery probably is better than single-layer closure, and that staple closure of the skin in patients with three or more previous cesarean deliveries is associated with more wound complications than suture closure.
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Is Human Placentophagy Safe? What Patients Should Know
In this cross-sectional study of U.S. women who delivered at home or at a birth center, 30.8% consumed their placenta, and, of those, 58% consumed the placenta in a raw form. The most common reason for consuming placenta was to prevent or treat postpartum depression. There was no association between placentophagy and neonatal hospitalization or death within six weeks of birth.
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Recommendations for Surgical Treatment of Pelvic Organ Prolapse
This is a summary of the 2017 International Consultation on Incontinence recommendations for surgical treatment of pelvic organ prolapse.
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Management of Pain Associated With Intrauterine Device Placement
With long-acting reversible contraceptive methods (intrauterine devices and implants) showing an increased proportion of users each year at the expense of permanent and short-acting hormonal methods, it makes sense to consider how best to improve the IUD placement experience, particularly for young nulliparous women.
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Management of IUGR: Revisited
This special feature will discuss enlightening information that has surfaced about management of intrauterine growth restriction.
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Ovarian Function: Use It or Lose It
A larger epidemiologic study from Norway found no association between early menarche and age of menopause. Women with early menarche experience a longer fertility window, which may increase certain risks.
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An Arcuate Uterus (Apparently) Does Not Impair Fertility
No decreases in implantation rates and live birth rates were present in a retrospective study from a single fertility center examining outcomes of in vitro fertilization in women with an arcuate uterus.