OB/GYN Clinical Alert
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Recurrence Rate for Placental Abruption
A study from the Netherlands involving more than 1 million patients has shown that recurrence of placental abruption happens more frequently in those patients whose first abruption occurred at term and/or in their first pregnancy, as well as in those with a history of hypertension.
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Hormone Replacement Therapy Controversies: Have We Harmed Women?
The interpretation of hormone replacement therapy in postmenopausal women has varied dramatically before and after the publication of the Women’s Health Initiative study in 2002. New studies question the validity of the conclusions reached by the investigators.
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Molecular Diagnostics: A Step Forward in Breast Cancer Treatment?
Use of a gene-expression assay to predict prognosis may reduce the need for adjuvant chemotherapy in some women with early stage invasive breast cancer.
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New Data on Atraumatic Tenaculum Pain Scores
ABSTRACT & COMMENTARY: There was no difference in pain scores between the standard single-tooth tenaculum and the atraumatic vulsellum tenaculum.
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Immediate Postpartum IUD Insertion: Ready for Prime Time?
It is no secret that long-acting reversible contraception, such as intrauterine devices and implants, are among the most effective methods.
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Screening for Fetal Chromosome Abnormalities: What Combination Makes the Most Sense?
Recent studies using data from the California Prenatal Screening Program show that standard screening protocols, which combine first trimester ultrasound and biochemistry with second trimester biochemistry, has a very acceptable detection rate and outperforms NIPT in cost-effectiveness in low-risk patients.
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Urinary Urge Incontinence and Pelvic Floor Physical Therapy
Pelvic floor physical therapy with myofascial release techniques improves urinary symptoms and provides an alternate option to medications and more invasive therapies.
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Should Postmenopausal Women Be Encouraged to Take Calcium?
A systematic review of randomized, controlled trials of calcium supplementation found only small non-progressive increases in bone mineral density. This supports the clinical conclusion that supplementation alone is insufficient to prevent fracture risk.
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Should We Remove Every Woman’s Fallopian Tubes?
This article discusses the role of salpingectomy for the prevention of ovarian and fallopian tube cancer.
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Ultrasound for Dense Breasts — Is It Worth the Cost?
A cost-effectiveness model found that supplemental ultrasound screening after a negative mammogram for women with dense breasts substantially increases costs without yielding significant benefit.