OB/GYN Clinical Alert
RSSArticles
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Cervical Cancer Screening: Are We Going in the Wrong Direction?
Synopsis:Cervical cancer screening in the United States is underpacing targets to meet the Healthy People 2020 objectives of 93% compliance with guidelines. While overall incidence rates of cervix cancer have decreased slightly, mortality has not, and underserved, underinsured, and minority/ethnic populations continue to be at highest risk for cervical cancer development.
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Is Pregnancy a Risk Factor for Future Obesity?
Synopsis:In this prospective cohort study, being overweight or obese pre-pregnancy and excessive weight gain during pregnancy were associated with postpartum weight retention (> 20 pounds) at 1 year. Protective factors were breastfeeding at 6 months and moderate exercise.
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Robotic-assisted Adnexal Surgery: More Complications and Higher Cost
ABSTRACT & COMMENTARY: The performance of robotically assisted adnexal surgery increased dramatically over the last decade.
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Eat More Fish? Choose Fish Carefully to Avoid Mercury Toxicity
Synopsis: A recent review deals with the benefits, as well as the risks, of eating fish rich in omega-3 fatty acids and pinpoints which fish contain the most and least amounts of mercury.
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Use of Cervical Length and Fetal Fibronectin in Preterm Labor
SYNOPSIS: A large 10-center study has validated the concept of screening all patients who are presenting with preterm contractions in the third trimester with cervical length examinations by transvaginal sonography and using fetal fibronectin selectively only in those with cervical lengths between 1.5 and 3.0 cm.
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Does Single or Double Insemination During Ovulation Induction Cycle Increase Pregnancy Rates?
Synopsis: Performing intrauterine insemination with the use of donor sperm twice during a natural or stimulated ovulation induction cycle did not increase pregnancy rates over a single insemination.
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Swedish Case-control Study Sees Increase in DVT Risk with DMPA: Is This Real?
Synopsis: A large case-control study done in Sweden that evaluated thromboembolic complications in users of hormonal contraception found an increased risk in users of depomedroxyprogesterone acetate and the combined pill. Desogestrel-containing oral contraceptives showed an increase in risk relative to levonorgestrel pills.
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Preventing Pertussis: Are Your Patients and Their Families Cocooning
SYNOPSIS: Prior vaccination of both parents with Tdap (¡°cocooning¡±) protects newborn infants from contracting pertussis. -
VTE Prophylaxis in Gynecologic Surgery: Quo Vadis?
The objective of this study was to estimate the use of vte prophylaxis in women undergoing major gynecologic surgery and to estimate the patient, physician, and hospital characteristics associated with their use. -
Pharmacology Watch: HPV Vaccine Now Recommended for Males
In this issue: New recommendations for HPV vaccine; guidelines for treatment of essential tremor; updates on smoking cessation drugs; and FDA actions.