Obstetrics/Gynecology
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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.
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Reproductive Health Is Important Among Communities with Opioid Use Disorder
Pregnancy-capable individuals with a history of opioid use disorder (OUD) hold an inherent distrust of the healthcare system. This is one reason why contraceptive counseling could be a challenge for this population. New research through Boston Medical Center shows that individuals with OUD exhibit similarities to individuals with other chronic medical conditions when they are choosing a contraceptive method. -
Research Shows Ultrasound Is Not Necessary for Medication Abortion
Researchers suggest reproductive health providers could offer patients a faster, less expensive medication abortion via telemedicine. Study findings show that omitting the pre-abortion ultrasound does not appear to compromise safety or result in more ongoing pregnancies. -
What Is New in Contraception?
The new editions of Contraceptive Technology and Managing Contraception include important updates to several forms of contraception, including progestin-only pills. -
Title X Program Saved by Biden Administration’s New Final Rule
Title X organizations and other groups praised the Biden administration for reversing the draconian changes to the Title X family planning program that were enacted in 2019 under the Trump administration.