OB/GYN Clinical Alert
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Breast MRI Exams Increase the Biopsy Rate Without Improving Cancer Detection
Compared to women who undergo breast cancer screening with mammography alone, those receiving MRI exams experience a two- to fivefold increased rate of core and surgical biopsy. However, the biopsies have a lower cancer yield rate than mammography alone.
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Obesity and Prolapse: Are They Related?
Women with a body mass index in the overweight and obese range are more likely to experience pelvic organ prolapse compared to women in the normal range.
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Induction of Labor at 39 Weeks
Inducing low-risk obstetrical patients at 39 weeks may be associated with lower rates of cesarean delivery and the need for neonatal respiratory support.
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Prevalence of Cognitive Impairment in Older Women With Pelvic Floor Disorders
Mild cognitive impairment and early dementia are prevalent in women seeking care for pelvic floor disorders.
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Oxytocin Discontinuation
A recent meta-analysis of randomized, clinical trials has shown that discontinuing oxytocin infusion once active labor has been attained in inductions and augmentations of labor will result in a reduction of cesarean delivery and tachysystole, but an increase in the length of labor.
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Which Antibiotics Are Safe in the First Trimester of Pregnancy?
A total of 7.2% of pregnant women were diagnosed with a urinary tract infection, and of these, 69% filled an antibiotic prescription. The most common antibiotics prescribed in the first trimester were nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole.
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Fetal Fibronectin: Its Role in Threatened Preterm Labor
A recent letter to the editor disputes the conclusion of an earlier study that fetal fibronectin is of little value in threatened preterm labor, despite other studies suggesting that when used in conjunction with cervical length measurements, it can diminish unnecessary hospitalizations appreciably.
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The Debate Continues on Salpingectomy
The role of routine salpingectomy during vaginal hysterectomy is controversial.
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Intrauterine Device String Checks: Are They Necessary?
Two-thirds of women complied with the recommendation for a six-week follow-up visit after intrauterine device (IUD) insertion. Among these women, 19.8% had their IUD removed in the first year compared to 12.6% among women who did not attend the follow-up visit. The majority of removals occurred outside the six-week follow-up period.
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Does Hysterosalpingography With Oil-based Contrast Increase Fertility?
A multicenter, randomized trial in the Netherlands documented higher rates of ongoing pregnancy and live births among infertile women who underwent hysterosalpingography with oil-based contrast compared to those who underwent the procedure with water-based contrast.