Obstetrics/Gynecology
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Studies Show the Benefits of School-Based Contraceptive Counseling
The results of two recent studies suggest benefits for adolescents who receive contraceptive services through school-based health centers in Oregon. Contraceptive Technology Update asked lead author Emily R. Boniface, MPH, research associate in Oregon Health and Science University’s department of obstetrics and gynecology, to answer questions about the new research. -
Physician Training with IUDs Partly Affected by Medicaid Expansion Status
A survey of OB/GYN residents revealed a significant difference in exposure to placement of intrauterine devices (IUDs) based on whether they were working as residents in states that expanded Medicaid vs. states that did not. The responses revealed those who worked in university programs in states that accepted Medicaid expansion inserted more IUDs and received more experience with immediate postpartum IUD training than did those in states that did not expand Medicaid. -
U.S. Teens Less Likely Than Peers in Norway to Use Hormonal Contraceptives
Teen birth rates have fallen in recent years, but the rate in the United States is higher than in other high-income countries, including the Netherlands and all Scandinavian countries. The U.S. teen birth rate is 16.7 births per 1,000 teens — 73% lower than the peak in 1991. In Norway, the teen birth rate is 2.8 births per 1,000 teens. -
Researchers Make Case for Same-Day LARC Access
In recent years, studies have shown the benefits of same-day contraception access. But practice has not always caught up with research. -
Contraceptive Counseling Lacking in Southern Clinics, New Study Shows
Only one in 10 patients who received a recent positive pregnancy test reported their reproductive health provider discussed all pregnancy options at clinics in a Southern publicly funded family planning system, researchers noted. The patients whose providers mentioned all pregnancy options were more likely to rate their counseling as excellent on all items, compared with patients who did not receive information on all options. -
Pandemic Affected Family Planning, Abortions, Contraceptive Counseling
New research highlights the challenges many reproductive health providers and family planning clinics faced during the COVID-19 pandemic. These include discontinuation of services, such as placing long-acting reversible contraception and prescribing emergency contraceptive pills in advance. -
Use of Ursodeoxycholic Acid in Pregnant Women with Obstetric Cholestasis
Ursodeoxycholic acid might be beneficial in reducing the risk of spontaneous preterm birth and meconium-stained amniotic fluid, but not stillbirths, in women with pregnancies complicated by obstetric cholestasis.
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Menopausal Hot Flashes: Can a Plant-Based Diet Provide Effective Treatment?
In this clinical trial, women randomized to a low-fat, vegan diet including one-half cup of cooked whole soybeans daily experienced a reduction in total hot flashes of 79% compared to 49% in the control group over 12 weeks of observation.
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Do Women 64 to 66 Years of Age Qualify to Discontinue Cervical Screening?
These studies evaluated adherence to national guidelines for exiting from cervical cancer screening at 65 years of age and managing abnormal results on screening with human papillomavirus (HPV) and Pap co-testing and found that the majority of women 64 to 66 years of age do not qualify to discontinue screening, and the majority of women with discordant Pap and HPV test results are managed incorrectly.
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SARS-CoV-2 Infection During Pregnancy and Increased Risk of Preeclampsia
A meta-analysis of 28 observational studies found that having SARS-CoV-2 infection during pregnancy was associated with a 58% increase in the adjusted odds of having preeclampsia compared to those without SARS-CoV-2 infection during pregnancy.