Obstetrics/Gynecology
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Labor, Pain Management, and Acupuncture: A Cochrane Review
This Cochrane review evaluating acupuncture and acupressure for pain management during labor finds acupuncture may lead to reduced use of pharmacological agents for pain control while acupressure may reduce pain intensity. Higher-quality studies are needed.
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Opioids May Lower Conception Odds, Cause Pregnancy Loss
Researchers urge careful pain management planning among this patient population.
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Etonogestrel Contraceptive Implant and VTE in Postpartum Women
In this national retrospective cohort study of postpartum women, use of the etonogestrel contraceptive implant immediately postpartum was not associated with an increased rate of readmission for venous thromboembolism within 30 days of delivery.
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Teen Pregnancy Part 1: The First Trimester
Acute care providers will frequently encounter an adolescent with a new diagnosis of pregnancy or a known pregnancy (complicated or uncomplicated). The unique features of teenage pregnancy are critical to be familiar with, so as not to miss the diagnosis of pregnancy or identify a complication and initiate timely, appropriate management.
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Maternal and Pregnancy Characteristics Associated with Periviable Interventions
In this case control study using U.S. live birth records between 22 and 23 weeks of gestation, maternal intervention was positively associated with increasing maternal age, Medicaid use, preeclampsia, birth defects, twin gestation, multiparity, and infertility treatments while being negatively associated with non-Hispanic Black race. Positive associations for neonatal intervention included non-Hispanic Black race, preeclampsia, Medicaid use, infertility treatments, less than a high school education, increasing maternal age, and twin gestation, and negative associations included birth defects and small for gestational age pregnancies.
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Apical Suspension at the Time of Vaginal Hysterectomy
The main objective of this study was to determine whether the use of apical suspension at the time of vaginal hysterectomy varies by surgeon specialty.
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Is Vaginal Progestogen Equivalent to Intramuscular Progestogen for Preventing Preterm Birth in High-Risk Women?
In this open-label, equivalence randomized trial of vaginal progestogen compared to intramuscular progestogens for preventing preterm birth in high-risk women, the difference in the risk of preterm birth at < 37 weeks of gestation between both groups was 3.1% (95% confidence interval, -7.6% to 13.8%), which was within the equivalence margin of 15% used in the study.
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Stress Linked to STIs, Poor Sexual Health of Black Women
Black women with high levels of stress are more likely to experience sexually transmitted infections and poor sexual and reproductive health, according to the authors of new research.
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Disparities Found When Women Visit Reproductive Health Providers
Results of a new study revealed Black women are more likely to be asked about their sexual risk behavior and condom use than are white women in sexual health counseling settings.
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Engaging Young Males in Family Planning Settings
By the time most American adolescents reach the age of 13 they stop seeing a pediatrician. Young females most often transition seamlessly to a provider for gynecologic and contraceptive needs that connects them, even if loosely, to providers who can flag health issues beyond gynecological needs. However, young males often do not have a regular healthcare provider who serves as a gatekeeper for their ongoing health needs.