Obstetrics/Gynecology
RSSArticles
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Understanding the Utility of Hemoglobin A1c in Diagnosing Gestational Diabetes in Early Pregnancy
In this retrospective cohort study of 243 pregnant women who had combined hemoglobin A1c (HbA1c) and a two-step oral glucose tolerance testing at less than 21 weeks of gestation, median values of HbA1c were higher in women with gestational diabetes compared to nondiabetics (5.8% compared to 5.3%; P < 0.001). The predictive probability of using HbA1c in diagnosing diabetes in early pregnancy was high compared to two-step testing (area under the curve, 0.8), with an optimal diagnostic threshold of 5.6%. Although a HbA1c level of > 6.5% is diagnostic of early gestational diabetes, a lower diagnostic threshold might be justified during pregnancy.
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Outpatient Foley Catheter for Induction of Labor in Nulliparous Women
In this randomized controlled trial among nulliparous patients with low Bishop scores, outpatient placement of a Foley catheter the day prior to scheduled admission, when compared to inpatient placement, showed a decreased mean time from admission to delivery.
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Maternal Sepsis: Risk Factors that Could Lead to Postpartum Readmission
In this analysis of California deliveries between 2008 and 2011, risk factors for maternal readmission for sepsis were found to include preterm birth, hemorrhage, obesity, and a primary cesarean delivery.
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Prenatal Care Visits During COVID-19
In this nested case-control study in the Boston area, there was no association between testing positive for COVID-19 during pregnancy or on admission to labor and delivery and the number of in-person prenatal care visits.
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Respiratory Syncytial Virus: Effective Prevention Still Needed
Prevention of respiratory syncytial virus infection is needed but challenging. New studies show some favorable effectiveness on infant outcomes with both vaccination of healthy pregnant women and passive single-dose immunization of prematurely born babies.
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Family Planning Centers Prepare for Fall as COVID-19 Pandemic Continues
Women across the United States will not lose access to contraception, thanks to family planning providers working to prepare for a fall with both flu and COVID-19. Providers and leaders describe their work in this Q&A.
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Weathering the COVID-19 Pandemic Proved Challenging for Providers
Family planning centers across the United States focused on telehealth and found creative ways to serve their clients after the COVID-19 pandemic rolled across North America in the winter and spring of 2020. Contraceptive Technology Update asked clinic leaders to participate in a Q&A about their operations during the pandemic.
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Special Report: Pandemic Response and Preparedness
Family planning clinics and contraceptive providers have had to search for creative ways to stay open and continue providing services during the COVID-19 pandemic. Contraceptive Technology Update interviewed seven family panning providers in this Q&A special report.
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Safely Screen Patients for Intimate Partner Violence During Telehealth Visits
As telehealth visits play an important role in family planning during the pandemic, providers should be aware their patients might be closely monitored by their partners, especially in cases of intimate partner violence. Abusers might check the woman’s phone messages, digital communication, and apps with messaging.
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Chief Reasons Domestic Violence Is Increasing
Pandemics, economic recessions, natural disasters, and other crises can lead to increases in intimate partner violence or domestic violence for a variety of reasons. Women and children are particularly vulnerable when disasters such as COVID-19 strike.