Obstetrics/Gynecology
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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.
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.
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.
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.
Drug-related HIV outbreak spurs CDC to issue nationwide alert
The CDC has issued a national health advisory in light of its investigation with the Indiana State Department of Health of a large outbreak of recent HIV infections among persons in Indiana who inject drugs.
CDC clinical advisory: Be on the lookout for ocular syphilis cases in the United States
Since December 2014, 24 cases of ocular syphilis have been reported from California and Washington, with several other states reporting potential cases, according to the CDC.
Guidelines aim to improve contraceptive coverage
On May 11, the federal government issued expanded guidance for private health plans about how to implement the ACA’s requirement to cover dozens of preventive care services, including the full range of contraceptive methods, services, and counseling, without any out-of-pocket costs, such as copayments and deductibles.
Stigma, lack of affordability keep many transgender people from pursuing care
For many patients, discussing sexual history with a healthcare provider can be an uncomfortable experience. However, for many transgender people, the conversation never takes place because they aren’t seeking healthcare, according to a University of Buffalo (NY) researcher.
Mammograms a personal decision for women in their 40s, panel says
The U.S. Preventive Services Task Force has released draft health recommendations indicating that mammography screening is most beneficial for women ages 50-74, and that women ages 40-49 should make an individual decision in partnership with their doctors in seeking such screening.
Title X clinics see upswing in use of long-acting reversible contraceptives by teens
Although adolescent use of LARCs remains low nationwide, efforts to improve access among teens seeking contraception at Title X service sites have increased use of these methods, according to the CDC.