Obstetrics/Gynecology General
RSSArticles
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Evaluating the Effectiveness of Treatment Strategies for Managing Cesarean Scar Ectopic Pregnancies
A review of 460 international cases of cesarean scar pregnancies demonstrated that surgical treatments were extremely effective options, with successful completion in 91.5% (95% confidence interval [CI], 87.8 to 95.2) of suction evacuations and 91.8% (95% CI, 83.8 to 99.9) of surgical excisions compared with a lower success rate for medical options, including local gestational sac injection or systemic methotrexate.
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The Effect of a Full Bladder on Endometrial Biopsy Success in the Office
In this randomized controlled trial of 214 patients, those with a full bladder prior to Pipelle endometrial biopsy had lower first insertion failure rates without the use of a tenaculum (23.4% vs. 42.1%) compared to those with bladder status not taken into account.
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A Tubal Sterilization Knowledge and Decision Aid Support Tool: Does it Make a Difference?
A patient-centered decision aid that improves tubal sterilization knowledge and decision-making quality may be able to fill gaps in counseling and supplement the existing Medicaid sterilization consent process.
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A Review of HIV Pre-Exposure Prophylaxis
Knowing one’s human immunodeficiency virus (HIV) status can help patients take steps to prevent transmission. Male and female condoms are options for preventing HIV during sexual intercourse. These products are widely available over the counter in retail stores and pharmacies and their use should be encouraged for preventing sexually transmitted infections. Yet, there is another option available, pre-exposure prophylaxis (PrEP), for patients to prevent HIV that many providers have not yet added to their armamentarium. This special feature will review the indications for PrEP, its use, and the medications recommended.
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Comparing Medications Used for Lactation Inhibition
A randomized controlled trial demonstrated superior efficacy of cabergoline compared to pyridoxine (78% vs. 35%; P < 0.001) at suppression of lactation seven days after delivery.
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How Common Is Cardiovascular Disease in Pregnant and Postpartum Women from Socioeconomically Disadvantaged Backgrounds?
Neighborhood-level socioeconomic inequities in early pregnancy were associated with higher risk of long-term cardiovascular disease in pregnant and postpartum women.
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Maternal Mortality in the United States Is Worse than in any Other High-Income Nation
This article compares U.S. maternal mortality to other nations and explores reasons why mortality in the United States is four to 10 times higher than in peer countries.
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Research Shows that Misoprostol Works Well Alone for Medication Abortion
When Americans think of medication abortion, they typically refer to the medication regimen of mifepristone and misoprostol, which together have been shown to be highly effective and safe.
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Opill’s Access Is Great, But Price Is Too Steep for Youth
As Opill, the first over-the-counter (OTC) oral birth control pill to be approved by the Food and Drug Administration (FDA), makes its way to grocery stores and pharmacies across the country, its usefulness remains a question mark for many young people.
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Preconception Consult Should Include Advice on Contraception
Separating preconception and contraceptive counseling between OB/GYNs and patients burdens patients and fractures reproductive healthcare. A better solution is to look at pregnancy planning, pregnancy prevention, and risk evaluation holistically.