Obstetrics/Gynecology
RSSArticles
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Physicians Need Better Information, Training in Miscarriage Management
Many women — maybe even most pregnant patients with miscarriage complications — are not offered a full range of options of the best evidence-based miscarriage management.
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Social Issues Are a Big Challenge in Adolescent Contraceptive Access
A decade of failed improvements has shown that money needs to be focused less on a game changer and more on using strategies that work, including those that address social norms.
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Contraceptive Implant Can Lead to Weight Gain, But It Is Not Medically Concerning
Clinicians providing contraceptive counseling should be aware of recent research showing that young people can experience weight gain when using hormonal implants, when compared with young people using some other types of contraceptives.
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California’s Efforts to Reduce Maternal Mortality and Morbidity Show Promise
When California was faced with unacceptably high rates of maternal deaths and disparities among minority patients, the state formed a collaborative to tackle this problem and find solutions.
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How Are Maternal Deaths Counted and Investigated?
Determining a city, state, or country’s maternal mortality rate is challenging and can be a controversial process. It depends on the time frame measured, whether maternal deaths are considered only if there are biomedical causes, or when there are factors related to pregnancy, such as suicides and homicides that would have not occurred if the person had not had a pregnancy.
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Some States Upend Maternal Mortality Committees and Investigations
Maternal mortality review committees are facing changes that could affect how maternal deaths are investigated and reported. This could lead to fewer initiatives to lower maternal mortality and morbidity rates and also mask could increases in abortion-ban states.
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Endometrial Cancer: An Update to Classification Using Molecular Features
The classification of endometrial cancer is evolving, transitioning from histological subtypes to molecular profiling. Four key molecular subtypes (POLE ultramutated, MSI unstable, p53 mutant, and NSMP) guide prognosis and treatment. The integration of molecular features into staging highlights their clinical relevance for improving diagnostic accuracy and therapeutic strategies.
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Adverse Outcome Predictors in Pregnancies Complicated by SLE
A prior history of lupus nephritis, active systemic lupus erythematosus (SLE) at conception, secondary antiphospholipid syndrome, and chronic hypertension are critical predictors of adverse pregnancy outcomes in women with SLE.
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Twelve-Month Contraceptive Prescriptions: Do They Make a Difference?
In this national retrospective cohort study of patients on Medicaid, states with 12-month hormonal contraceptive supply policies increased their 12-month dispensing by only 4.39% compared to the pre-policy period. The majority of this increase was contributed by the state of California.
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Individualizing Opioid Prescriptions After Cesarean Delivery
A multicenter, randomized controlled trial of 5,521 participants who underwent uncomplicated cesarean deliveries found that an individualized opioid prescription protocol (IOPP) with shared decision-making was noninferior to a fixed prescription regarding the proportion of participants experiencing moderate to severe pain one week post-discharge, while significantly reducing the number of opioid tablets prescribed at discharge (median of 14 tablets vs. 20 tablets, P < 0.001).