Obstetrics/Gynecology
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Providers, Parents, Adolescents, and Young Adults: Improving Preventive Care Discussions Together
An essential part of delivering critical preventive services to youth includes discussing confidentiality and private time (without a parent in the room) between adolescents and young adults and their healthcare provider to build trust and promote optimal health and well-being.
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Report Highlights Need for New STI Prevention, Treatment Options
According to a new report, serious gaps exist in the research pipeline regarding the development of prevention and treatment options for sexually transmitted infections such as gonorrhea, chlamydia, and syphilis.
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Examining Immune Treatment for Cervical Pre-Cancers
Researchers are moving ahead with studies of a potential immunotherapeutic, nonsurgical approach to treating cervical intraepithelial neoplasia caused by human papillomavirus infection (HPV).
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Researchers Investigate Potential Male Contraceptives
Early studies of a potential male contraceptive pill, which contains a modified testosterone that has the combined actions of an androgen and a progesterone, are underway. The experimental male oral contraceptive was the subject of a recent study to analyze its safety, tolerability, pharmacokinetics, and pharmacodynamics.
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Contraceptive Jewelry: Potential Family Planning Option?
Scientists are looking at administering contraceptive hormones through special jewelry backings to improve user compliance.
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Updated Guidance Issued to Aid in Care of Sexual Assault Survivors
The American College of Obstetricians and Gynecologists has issued updated guidance to aid clinicians with screening protocols and providing resources in caring for sexual assault survivors.
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Thank You, John Hobbins; Welcome Camille Hoffman
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Should All Pregnant Women Be Screened for Hepatitis C?
In this cost-effectiveness analysis using Markov modeling, investigators found that universal antenatal screening for hepatitis C was cost-effective, with a mean incremental cost-effectiveness ratio of approximately $3,000 per quality-adjusted life years gained compared to risk-based screening.
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Staged Preeclampsia Screening in Early Pregnancy
The use of 150 mg of daily aspirin from 11 to 14 weeks through 36 weeks of gestation reduces the rate of early preeclampsia (PE) in approximately 90% of at-risk pregnancies. In addition, aspirin also provides the benefit of reducing the risk of PE < 37 weeks by about 60% and the length of NICU stay by about 70%, primarily by reducing the number of neonates delivered before 32 weeks. What constitutes a high-risk patient and what quantifies patient-specific risks before PE develops remain to be answered.
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The Changing Face of Labor Management
Throught the years, clinicians' understanding of the conduct of labor has undergone periodic re-evaluation. In the 1950s, cesarean delivery was a major operation. Today, the procedures are shorter, accompanied by less surgical fanfare, and associated with fewer days in the hospital. Nevertheless, as the only other option to vaginal delivery, the operation, performed in 35% of cases for failure to progress, still should be considered “major” considering its potential for maternal complications.