OB/GYN Clinical Alert
RSSArticles
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Pelvic Floor Changes in First Pregnancy: How Do They Affect Quality of Life?
Nulliparous women experience worsening urinary incontinence, fecal incontinence, and perineal pain in pregnancy. Urinary incontinence symptoms are associated with a negative effect on quality of life.
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Hot Flashes: A Marker of Increased Cardiovascular Risk?
Among otherwise healthy midlife women, the presence of frequent hot flashes was associated with impaired endothelial function, a risk factor for cardiovascular disease.
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Abortion for Fetal Anomalies: Trends in Gestational Age
In this retrospective cohort study, the median gestational age at the time of abortion for fetal aneuploidy decreased from 19 weeks in 2004 to 14 weeks in 2014. However, the gestational age at the time of abortion for fetal structural abnormalities remained at ≥ 20 weeks over the study period.
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Preparation for the Next Pregnancy
This special feature addresses ways a woman can optimize outcomes in her next pregnancy by following specific preparatory activities during her interpregnancy interval.
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Contraception: More Effective Than Ever?
A new analysis from the National Survey of Family Growth demonstrates a decrease from 12% in 2002 to 10% in 2006-2010 in the overall rate of failure among women using reversible methods of contraception.
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Nocturnal Enuresis: Are Your Patients Affected?
Nocturnal enuresis was prevalent in women seen in a urogynecology setting and can be associated with nocturia, overactive bladder symptoms, and stress incontinence.
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Group Prenatal Care
Group prenatal care is a different model for the delivery of prenatal care that typically consists of groups of eight to 12 women of similar gestational age who have each visit together. This contrasts with the one-on-one patient/provider prenatal care visits that are the traditional model. Women are enrolled in group prenatal care after they have had an individual initial prenatal visit and health risk assessment, and have completed the first trimester.
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More Confusion Over Whether HRT Prevents Dementia
A 20-year prospective cohort study from Finland did not provide strong evidence that hormone replacement therapy prevents dementia except among women who self-reported long-term use.
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Embryo Implantation
A recent study tracking embryos after embryo transfer has provided insight into why embryos have a greater tendency to ultimately implant in the lower uterine segment, thereby predisposing patients to a greater risk of placental complications.
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Contraception, Migraines, and Stroke
In this case-control study, women with migraines with aura using combined hormonal contraception had six times the odds of experiencing ischemic stroke compared to women without migraines not using combined hormonal contraception. Use of combined hormonal contraception among women with migraines without aura was not associated with an increased risk of stroke over baseline.