OB/GYN Clinical Alert
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Opportunistic Salpingectomy at the Time of Cesarean Delivery for Postpartum Permanent Contraception
In this retrospective cohort study, almost 20% of women who desired bilateral complete salpingectomy for permanent contraception at the time of cesarean delivery could not undergo the procedure because of adhesions or engorged vasculature.
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Are There Risks With Early-term Birth?
The authors of a multicenter study suggest that composite neonatal outcome is worse when pregnancy is interrupted in uncomplicated pregnancies at 37 to 38 weeks, even with documented fetal lung maturity, compared to pregnancies delivered at full term (39 to 40 weeks).
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Expedited Partner Therapy: We Can Do More
This article reviews the current status of expedited partner therapy (EPT), which involves treating the heterosexual partners of patients diagnosed with chlamydia or gonorrhea by providing the medication or a prescription for the patient to give to the partner without a healthcare provider first examining the partner.
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Nocturia: Does Salt Intake Play a Role?
Researchers suggest that excessive salt intake can contribute to urinary frequency and nocturia.
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Premature Rupture of Membranes Revisited
An individual participant data meta-analysis from Australia suggests that expectant management of patients with premature rupture of membranes between 34 and 36 weeks, compared with immediate intervention, results in comparable levels of composite neonatal adverse outcomes but in mixed maternal adverse outcomes that balance out in the final analysis.
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Childhood Obesity: A Risk Factor for Infertility?
Results from a 25-year prospective study demonstrate a moderate association between childhood obesity before age 12 years and female infertility in adulthood.
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Why Are Cesarean Delivery Rates Higher With IVF Pregnancies?
SYNOPSIS: The major factors leading to increased odds of cesarean delivery in all infertile women, but particularly in those who conceive following in vitro fertilization, are advanced maternal age and previous uterine surgery.
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Does Every Woman Deserve a High-volume Gynecologic Surgeon?
Generally, gynecologic surgical complications are higher with lower-volume surgeons.
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Vaginal Progesterone vs. Cerclage to Prevent Preterm Birth
SYNOPSIS: A recent indirect comparison meta-analysis has shown that vaginal progesterone is as useful in decreasing preterm birth and its associated adverse outcomes as cervical cerclage in patients with a history of preterm birth and short cervices.
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Intrauterine Devices and Cervical Cancer
In this case-control study, levonorgestrel IUD use was associated with a slightly increased rate of CIN 2 but not CIN 3. Copper IUD use was not associated with CIN 2 or CIN 3.