Obstetrics/Gynecology
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Malaria Prophylaxis During Pregnancy
In a retrospective study of American military women involving 50 treated with atovaquone-proguanil and 156 exposed to mefloquine, no increase in risk of fetal loss or adverse infant outcomes was identified. Atovaquone-proguanil seems safe for use in pregnancy, but data are limited.
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Many Serious Cardiac Complications of Pregnancy Are Preventable
Investigators determined about half of serious cardiac complications of pregnancy are preventable.
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Macrolides During Pregnancy — Behind the Headlines
Despite published concerns, there is no good evidence that macrolide use during pregnancy causes birth defects.
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Is Nitrous Oxide an Effective Analgesic During Labor?
In this prospective cohort study at one large academic medical center in Colorado, 31% of women who opted for nitrous oxide for analgesia during labor did not require any other source of analgesia, such as an epidural or intravenous opioids. Risk factors for conversion to other modalities included labor induction, oxytocin augmentation, and labor after cesarean.
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Analysis: 1 in 6 EMTALA Settlements Involve OB Emergencies
Researchers analyzed 232 Emergency Medical Treatment and Labor Act-related Office of Inspector General settlements that occurred between 2002 and 2018. During the study period, obstetric emergency settlements rose from 17% to 40%.
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An Over-the-Counter Progestin-Only Pill Would Appeal to Millions
In a model based on a national survey of 2,539 reproductive-age women in the United States, an over-the-counter, progestin-only contraceptive pill would appeal to 12.5 million adults and 1.75 million teens, assuming there were no out-of-pocket costs.
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Intervention Reduces Pregnancy and STI Risk Among Young Women with Depression
Young women with depression experience a higher rate of unintended pregnancy and sexually transmitted infections than young women, in general. The challenge for family planning clinicians is to find an effective intervention to help them prevent pregnancy and maintain their health.
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Can COVID-19 Be Transmitted Sexually?
Researchers are beginning to investigate whether COVID-19 can be transmitted sexually. Early data from the study, as well as data from research in China, show the virus is present in some men’s semen. But other researchers who studied men who had recovered from COVID-19 did not find virus in semen samples. Authors of a new study hope to settle the question and answer questions about the transmissibility in semen.