Obstetrics/Gynecology
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As Title X Advocates Wait for Biden to Lift Gag Rule, Top Court Takes Case
The U.S. Supreme Court will hear the multiorganization challenge to the former Trump administration’s Title X regulatory changes that caused one out of four Title X providers to leave the program.
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After Decades of Highs and Lows, IUDs Once Again Rising in Popularity
After falling in and out of favor, the intrauterine device (IUD) is once again gaining popularity among women in the United States and worldwide. By 1995, only 0.8% of American women on contraceptives used the IUD. But 20 years later, that percentage shot up to almost 12% using a device. The IUD’s ranking in preferred contraceptive methods rose from 10th to fourth.
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Study: Hormonal IUDs Provide Safe, Effective Emergency Contraception
A recent study reveals hormonal intrauterine devices (IUDs) are safe and effective as emergency contraception. Hormonal IUDs are more effective at preventing pregnancy than the Plan B levonorgestrel emergency contraceptive pill, and they provide a long-term contraception solution.
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Does Prescription of Contraception During the Postpartum Hospitalization Affect Postpartum Visit Adherence?
In this retrospective cohort study of 1,015 women at one institution, there was no association between type of contraceptive prescribed immediately postpartum and attendance at the postpartum visit.
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Is it Safe to Discharge Patients Without an Opioid Prescription After Gynecologic Surgery?
In this quality improvement initiative study, patients undergoing scheduled gynecologic abdominal surgery via both minimally invasive and open routes were able to be discharged safely without a prescription of opioids without significant increases in postoperative calls about pain or the need for filling opioid prescriptions after discharge.
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Loop Electrosurgical Excision Procedure of the Cervix: Which Is the Best Method of Anesthesia?
In this randomized controlled trial comparing local anesthesia and general anesthesia for loop electrosurgical excision procedure of the cervix, there was no difference in patient satisfaction. However, women in the local anesthesia group had significantly smaller cone volumes and less blood loss than those in the general anesthesia group.
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A Prospective Look at the Course of Untreated ADHD in Pregnancy Gains Attention
Twenty-five women with perinatal attention-deficit hyperactivity disorder were followed prospectively during pregnancy for changes in anxiety, depression, perceived stress, and functional impairment. Statistically significant differences in mood and functional impairment in the family domain were found in those who discontinued their psychostimulant.
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Oral Progestogens for Prevention of Miscarriage
In this double-blind, randomized clinical trial, 406 pregnant women were randomized to dydrogesterone or placebo. There were no statistically significant differences in the primary outcome (miscarriage before 20 weeks of gestation; relative risk, 0.897; 95% confidence interval, 0.548-1.467; P = 0.772), which occurred in 12.8% and 14.3% in the dydrogesterone and placebo arms, respectively. The use of dydrogesterone in women with threatened miscarriage for the prevention of early pregnancy loss in the first trimester failed to decrease the miscarriage rate or increase the live birth rate.
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Is HPV Testing Superior to Pap Testing Alone in Women at Risk of Cervical Cancer?
In this registry-based screening study of women in Catalonia, Spain, a negative human papillomavirus (HPV) and cytology co-test at baseline was associated with a cumulative incidence of cervical precancer of 0.4% at five years and 1.3% at nine years, compared to 27% among women with abnormal HPV testing at baseline.
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Pregnancy After Treatment for Pelvic Floor Disorders
This consensus document was developed as a reference for physicians caring for and advising women in pregnancy following prior surgical treatment for pelvic floor disorders.