Obstetrics/Gynecology General
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Abortion Access and Pregnancy Dangers Continue
This issue will look at some of the repercussions of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization and hear from providers and researchers on what can be done to mitigate the damage to their patients’ health and lives.
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The Factors Affecting How Women Access Reproductive Healthcare in Appalachia
Women living in small, rural communities tied together by religion and social traditions may have difficulty accessing their preferred contraception because of both social barriers and having fewer reproductive healthcare providers near their homes.
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Ohio Offers Case Study on How Abortion Laws Affect Providers and Patients
Since the U.S. Supreme Court overturned Roe v. Wade, many states have changed their laws about abortion care — sometimes making three or more changes over the past couple of years. This has resulted in abortion providers and clinics having to make quick changes in policies and which patients they will accept.
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Medicaid Rules May Hinder Receiving Permanent Contraception Postpartum
People giving birth while receiving Medicaid have 56% lower odds of obtaining postpartum sterilization than people who gave birth while on private insurance, a new study shows.
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Up to 1 in 20 People Can Get Pregnant After Tubal Sterilization Procedure
Permanent contraception may not be as permanent as people think. New research shows the challenges physicians have when providing contraceptive counseling to patients who do not want to be pregnant now or in the future.
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Placenta Accreta Spectrum Among Patients Seeking Abortion
Placenta accreta spectrum (PAS) in patients seeking abortions poses significant risks, especially for those with prior cesarean deliveries. PAS, often related to prior cesarean deliveries, increases abortion-related complications. Ultrasound is key for detection, but access to skilled care may be limited because of state-based abortion restrictions, leading to worse outcomes for affected patients.
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Antibiotic Choice for Preventing SSIs in Gynecologic Surgery
In a retrospective review of 3,087 patients undergoing hysterectomy or laparotomy for gynecologic surgery at a single institution who received cefazolin alone or a combination cefazolin and metronidazole for surgical prophylaxis, the combination resulted in a significantly lower surgical site infection rate (4.5% vs. 2.3%; P = 0.0115).
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Malpositioned IUDs: How Easy Are They to Remove?
In this retrospective cohort study of 436 malpositioned intrauterine devices (IUDs), of the 281 that underwent removal, 82% were removed on the first attempt and 73% were removed using only ring forceps. Most embedded and partially perforated IUDs also were removed using only ring forceps (59% and 67%, respectively).
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Multicomponent Breastfeeding Interventions in Women with a Body Mass Index > 25
The study found no statistically significant differences in breastfeeding outcomes between the intervention and control groups at various postpartum time points, although the intervention group received more hospital-based support, while the control group sought more private lactation support.
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What Do Patients Know About Anti-Müllerian Hormone Testing?
In this randomized, controlled, online questionnaire trial, participants who received evidence-based information about anti-Müllerian hormone (AMH) testing had lower interest in getting an AMH test (mean difference, 1.05; 95% confidence interval, 0.83-1.30) than individuals who viewed the control information from a direct-to-consumer website.