OB/GYN Clinical Alert
RSSArticles
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Obesity: The New Epidemic
Obesity has risen significantly worldwide and is associated with an increased risk of morbidity and mortality in women throughout their lives. Risks include infertility, gestational diabetes, type 2 diabetes, heart disease, and cancer.
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AUGS Consensus Statement: Anticholinergic Medication Use and Cognition in Women With Overactive Bladder
Available evidence has shown significant associations between anticholinergic medication use and increased risk of cognitive impairment. Behavioral therapies for overactive bladder should be first-line treatment. If these treatments fail and pharmacologic treatment is considered, providers should counsel patients on associated risks, prescribe the lowest effective dose, and consider alternative treatments in patients at risk.
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Opioid Prescriptions After Cesarean Delivery: How Much Should We Prescribe?
This cross-sectional survey of 720 women found that 85% filled an opioid prescription after cesarean delivery, and the median number of tablets dispensed was 40. The median number of tablets consumed was only 20 tablets and the number dispensed did not correlate with patient satisfaction, pain control, or the need for a refill.
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What Are Your Patients ‘Hearing’ About Menopausal Hormonal Therapy?
Data from the prospective Nurses’ Health Study demonstrate a weak association between menopause onset after age 50 years and use of hormone therapy and hearing loss. The most likely explanation is “noise.”
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Genital HPV in Men: How Common Is It?
In this U.S. cross-sectional survey, the prevalence of genital human papillomavirus (HPV) infection in adult men was 45%, of which 25% were high-risk subtypes. The overall rate of HPV vaccination among those who were eligible was 11%.
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Don’t Forget About Functional Hypothalamic Amenorrhea
Functional hypothalamic amenorrhea is a common but often overlooked cause of menstrual dysfunction that remains a diagnosis of exclusion.
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Maternal Mortality, Postpartum Hemorrhage, and Tranexamic Acid: The WOMAN Study
A multicenter study involving patients in 193 countries has shown a decrease in maternal mortality in women with postpartum hemorrhage who were given tranexamic acid once the diagnosis was made.
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Obesity and Endometrial Cancer
Obesity is a major risk factor for endometrial cancer as well as for other major comorbidities.
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Oral Contraceptives and Quality of Life
In this three-month randomized, double-blind trial comparing oral contraceptives to placebo, the authors found a small decrease in general well-being scores but no effect on depressive symptoms. The short time period and small effect size introduce doubt into the validity of these findings.
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Contraindications to Home Birth
A new study of neonatal death rates over a four-year period in the United States has identified two new contraindications to home birth.