Obstetrics/Gynecology
RSSArticles
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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.
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With Domestic Violence Increasing, Family Planning Providers Should Screen for Signs
Recent research suggests domestic violence may be increasing during the COVID-19 pandemic. Family planning clinics will need creative techniques to screen for signs as many visits continue through telehealth.
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Application of Acetic Acid to Identify Lesions During Colposcopy
In this prospective study, one minute of acetic acid application was found to be sufficient to identify the most severe colposcopic lesion in 96.7% of subjects.
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Outcomes in Pregnant Women Treated with Anti-Tumor Necrosis Factor-Alpha Biologic Therapy
In this population-based cohort study of 1,027 infants born to women treated with anti-TNF-α biologic therapy, there was an increased prevalence of preterm birth (adjusted odds ratio [aOR], 1.61; 95% confidence interval [CI], 1.29-2.02), cesarean delivery (aOR, 1.57; 95% CI, 1.35-1.82), and small for gestational age neonates (aOR, 1.36; 95% CI, 0.96-1.92) when treatment with anti-TNF was compared to non-biologic systemic treatment. Since disease processes varied greatly in these pregnant women, it was difficult to rule out confounding by disease severity (confounding by indication).
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Tamoxifen for the Management of Bleeding Irregularities in Contraceptive Implant Users
In this double-blind, randomized controlled trial, etonogestrel implant users with prolonged or frequent menses who took 10 mg of tamoxifen twice daily for seven days as needed for irregular bleeding had an average of 9.8 (95% confidence interval, 4.6-15.0) more consecutive days of amenorrhea over a 90-day period compared to those who took a placebo.