OB/GYN Clinical Alert
RSSArticles
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Who Seeks an Infertility Evaluation?
Demographic and lifestyle factors influence who receives a fertility evaluation.
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Zika Virus: Effects on the Fetus
While the Zika virus has been indolent in many South American, Central American, and Caribbean countries, its recent association with microcephaly (and neurologic impairment) has created an outburst of media alerts, response from the Centers for Disease Control and Prevention, and travel recommendations, particularly as the world moves closer to the 2016 Summer Olympics in Brazil.
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By Using In Vitro Fertilization, Pregnancy Rates Can Approach Those in Fertile Women
Cumulative live-birth rates were more than 65% after the sixth cycle of in vitro fertilization.
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Use of CNMs and Hospitalists
A study assessing the effects of instituting a model of certified nurse midwife with MD laborist backup on a private patient population showed a decrease in cesarean section rate and an increase in vaginal birth after cesarean delivery rate without any change in combined neonatal outcome.
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Fluconazole Use During Pregnancy
In this large cohort study from Denmark, use of oral fluconazole during pregnancy was associated with a slightly increased risk of spontaneous abortion and no increased risk of stillbirth.
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2016 USPSTF Update: Recommendations for and Effectiveness of Screening Mammography
The U.S. Preventive Services Task Force recently released updates to the 2009 recommendations on breast cancer screening. Additional studies published since the last review strengthen the conclusion that mammography screening results in a reduction in the risk of death from breast cancer.
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Is There a Link Between Miscarriage and Future Cardiovascular Disease?
In this Scottish retrospective cohort study of 60,000 women, two or more miscarriages were found to increase the risk of future ischemic heart disease by two- to three-fold.
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Does a History of D&C Increase the Risk of Premature Delivery?
In a meta-analysis, a history of dilation and curettage for management of miscarriage or termination of pregnancy was associated with an increased risk of preterm birth in a subsequent pregnancy but the association is weak and most likely explained by confounding.
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Low-dose Aspirin and Preeclampsia
A study comparing outcomes before and after offering low-dose aspirin to patients who were deemed to be high risk by a first trimester protocol showed a decrease in preterm birth prior to 34 weeks and a decrease in early-onset preeclampsia.
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Menopausal Hormone Therapy: Useful and Indicated for Vasomotor Symptoms
The benefits may exceed the risks for most women within 10 years of menopause.