Obstetrics/Gynecology
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Does Maternal BMI Influence the Success of Trial of Labor After Cesarean?
In this retrospective cohort study between May 2007 and April 2016, women undergoing a trial of labor after cesarean (TOLAC) were analyzed to determine if pre-pregnancy or delivery obesity status made an impact on TOLAC success. Overall, maternal body mass index did not have a significant effect on TOLAC success rates.
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Tranexamic Acid for the Prevention of Obstetric Hemorrhage
In this prospective, cohort, pharmacokinetic-pharmacodynamic (PKPD) dose-finding study by Ahmadzia and colleagues, 30 pregnant women (10 women in each study arm) received 5 mg/kg, 10 mg/kg, or 15 mg/kg doses of tranexamic acid for the prevention of postpartum hemorrhage. Advanced PKPD modeling demonstrated that 600 mg of tranexamic acid was the optimal dose to use in the prevention of postpartum hemorrhage.
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Drospirenone and Estetrol Tablets (Nextstellis)
Nextstellis can be prescribed to women of reproductive potential to prevent pregnancy.
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Study: STIs Can Affect State Medicaid Budgets
Screening and treatment of STIs can cost states tens of millions of dollars in Medicaid budgets, but public health activities to prevent STIs can help reduce these costs, according to a new study.
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Intervention Reduces Positive STI Tests and Increases Condom Use
A culturally tailored intervention for a particularly vulnerable group of Black women has reduced the odds of testing positive for a sexually transmitted infection and increased condom use in vaginal or anal intercourse, the authors of a recent study found.
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Fewer Tests, Possible Increases in Sexually Transmitted Infections During Pandemic
Public health officials still do not know the full effect of the pandemic on the incidence of sexually transmitted infections (STIs) in the United States. The COVID-19 pandemic disrupted STI testing. It is unknown if people engaged in risky behavior during various regional and national shutdowns.
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Study: Abortions Do Not Lead to Mental Health Problems
The authors of a new paper noted the reasons why women decide to undergo an abortion include many mental health risk factors, such as poverty, lack of social supports, domestic violence, rape, incest, pre-existing mental illness, and lack of education. But post-abortion, women’s mental health status does not deteriorate, although stress levels might increase if they experience barriers in obtaining the abortion.
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FDA Makes Medication Abortion Available Via Telehealth
The FDA enabled reproductive health providers to prescribe mifepristone, the abortion medication, via telemedicine — at least through the duration of the pandemic. The FDA approved lifting the requirement of in-person dispensing of mifepristone, since the COVID-19 pandemic presents additional COVID-related risks to patients and healthcare personnel when patients visit a clinic solely to receive a prescription.
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Biden Administration Proposes New Title X Rule
The U.S. Department of Health and Human Services proposed a new Title X rule to ensure access to quality family planning services. The proposed changes would revise the Trump administration’s 2019 rules that Title X advocates say are harmful to women served by these public health services.
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Positive Contraceptive Outcomes Seen in Teen Pregnancy Prevention Program
A comprehensive intervention for preventing unintended pregnancies among teens led to greater use of long-acting reversible contraception, fewer incidences of unprotected sex, and a big reduction in unintended pregnancies, results of a new study revealed.