OB/GYN Clinical Alert
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Handheld Ultrasound for Assessing Fetal Size
A recent study has shown abdominal circumference assessments with a portable handheld ultrasound machine to be superior to standard fundal height measurements in the prediction of small for gestational age and large for gestational age fetuses in utero and infants at birth.
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Mammography and the Overdiagnosis of Breast Cancer: What to Do?
A new study reports that the incidence of breast cancer is higher in counties with high rates of mammography screening, but screening is not associated with a decrease in breast-cancer deaths. The decision of whether and how often to perform mammography requires a discussion of the potential consequences of both true positive and false positive screening tests.
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Vulvar Lichen Sclerosus: How Long Should Women Be Treated?
In this prospective cohort study, women with vulvar lichen sclerosus who were compliant with preventive topical corticosteroids were significantly less likely to develop vulvar intraepithelial neoplasia and squamous cell carcinoma than women who were partially compliant with therapy.
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Reviewing VTE Risk with Newer Progestins — Journal Watch, We Think You're Wrong
We disagree with a review of a new study on the elevated risk of VTE in users of combined pills. Our abstract & commentary digs deep.
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Measuring the Quality of Care Provided to Women with Pelvic Organ Prolapse
Quality can be measured for women with pelvic organ prolapse, and in many areas the care of women with this condition can be improved.
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Liletta: A New LNG-IUS Option
Initial clinical results with a new 52 mg levonorgestrel intrauterine system recently introduced to the market and approved for three years of use are similar to those seen with the existing system.
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Non-medically Indicated Inductions of Labor
A recent study in patients having non-medically indicated inductions of labor has shown that this option is associated with higher cesarean section rate at 38 and 40 weeks, but not, interestingly, at 39 weeks, at which time there was a lower rate of peripartum infections, fewer newborn special care unit admissions, but longer labors. However, these data do not speak for empiric induction of labor at 39 weeks without medical indication.
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Why Aren’t Women Using Contraception?
ABSTRACT & COMMENTARY: This cross-sectional study highlights new risk factors for nonuse of contraception among women at risk for unintended pregnancy.
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Antral Follicle Count Does Not Predict Pregnancy During Unstimulated Donor Insemination Cycles
Early follicular phase antral follicle count as a method of analyzing ovarian reserve is not helpful in predicting subsequent pregnancy in women with normal cycles.
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Progesterone and Indomethacin and PTL
One recent study has questioned the efficacy of the ability of 17 alpha-hydroxyprogesterone caproate to prevent preterm birth, and the other suggests that indomethacin, used to stop preterm labor, may have unwanted neonatal consequences.