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OB/GYN General

Pap Smears, Guidelines, & "Churning"

Apr 22, 2013

A friend called me to say that his wife had just received a rather concerning message after a visit to her gynecologist. They had been away and returned to find this registered letter. Dear Patient, ...

Reducing Cesarean Section Births

Mar 07, 2013

A research review from the AHRQ suggests that few studies have explored strategies for reducing cesarean births in low-risk women. Available at www.ahrq.gov, the review notes that no single strategy w...

CROI 2013: HIV Testing in Commercially Insured Pregnant Women

Mar 06, 2013

The Particulars: Identification of HIV infection before or during pregnancy allows for interventions that can reduce perinatal transmission risk to less than 1%. Prenatal HIV testing rates among comme...

FDA Approves Osphena for Postmenopausal Women With Pain During Sex

Feb 26, 2013

The U.S. Food and Drug Administration today approved Osphena (ospemifene) to treat women experiencing moderate to severe dyspareunia (pain during sexual intercourse), a symptom of vulvar and vaginal a...

Study: Women With Severe Endometriosis More Attractive

Feb 11, 2013

Some researchers from Milan, Italy [it had to be from Italy] say that women with the most severe form of endometriosis are also the most attractive. Their study involved three groups of 100 women--...

STS 2013: Warfarin in High-Risk Pregnancy with MHVP

Jan 28, 2013

Purpose: Low-dose warfarin throughout pregnancy (≤5 mg/day) was suggested to be safe in patients with mechanical heart valve prosthesis (MHVP). Being only shown in selected small low-risk groups, we...

ISET 2013: Uterine Artery Balloon Occlusion During C-Section

Jan 22, 2013

The Particulars: Women with an abnormal placenta sometimes undergo cesarean section to reduce risks of hemorrhage during pregnancy. These women, however, are still at risk for excessive blood loss and...

Managing Thromboembolism in Pregnancy

Dec 26, 2012

Thromboembolism is a leading cause of maternal morbidity and mortality in the United States. The risk of venous thromboembolism (VTE) is increased four-fold during pregnancy and another five-fold for ...

Should Docs Prescribe Day-After Pill in Advance?

Dec 21, 2012

Although the teenage birth rate in the US has declined substantially over the past 20 years, it still surpasses those in other industrialized nations. In a continuing effort to reduce the number of...

Teen Birth Rates Declining

Dec 19, 2012

Data from the CDC indicate that the birth rate for females aged 15 to 19 declined 25% from 2007 to 2011, dropping from 41.5 to 31.3 births per 1,000, the lowest rate ever recorded for the United State...

Gaps in Gestational Hypothyroidism

Dec 13, 2012

In 2011, the American Thyroid Association (ATA) recommended more strin­gent thyroid stimulation hormone (TSH) testing criteria. More women will now be defined as having hypothyroidism during pregnanc...

A Closer Look at Stroke During Pregnancy

Oct 17, 2012

Although stroke risk during pregnancy appears to be low, morbidity and mortality rates are high among pregnant women who do have strokes. A population-based study estimated that there are just 1.5 cas...

Anesthesiology 2012: "Ancient Dream" of Pain-Free Labor for Chinese Women Becoming Reality

Oct 15, 2012

A study presented at the Anesthesiology 2012 annual meeting revealed sometimes dramatic findings from a 10-year initiative called the “No Pain Labor N’ Delivery China Mission.” In a two-year per...

Examining Attitudes Toward Pregnancy & Childbearing in Women Surgeons

Oct 11, 2012

The number of women applicants to medical school has increased steadily over the past few decades, rising to 50.8% of all American medical school applicants in 2003 to 2004. Despite this increase, wom...

Updated Guidelines for Thyroid Dysfunction During & After Pregnancy

Oct 11, 2012

The Endocrine Society has revised its clinical practice guideline for the management of thyroid disease during pregnancy and postpartum. Available for free in its entirety at www.endo-society/guidelin...

Recommendations for Cervical Cancer Screening

Oct 01, 2012

In 2012, the United States Preventive Services Task Force (USPSTF) updated screening recommendations for cervical cancer. According to the update, an annual Pap smear is not necessary to prevent death...

A Look at Near-Miss Mortality and Morbidity in Pregnancy

Sep 25, 2012

Previous research suggests that timely delivery of appropriate healthcare services may prevent almost half of all pregnancy-related deaths in the United States. Although maternal deaths are increasing...

Pregnancy Among Women Surgeons

Jul 23, 2012

A paper reporting the results of a survey of women surgeons on the topic of pregnancy appears in Archives of Surgery online ahead of print. Responses were received from 1,937 female surgeons — 49...

A Look at Births in 2010

Jun 05, 2012

Preliminary data in a report from the CDC indicate that births in the United States dropped 3% between  2009 and 2010 to about 4 million. According to the report, available at www.cdc.gov/nchs, the c...

Gynecologic NETs: Reviewing Treatments

May 01, 2012

Neuroendocrine tumors (NETs) can be classified as either poorly differentiated, aggressive neuroendocrine carcinomas (NECs) that have a high propensity for distant metastatic spread or well-differenti...

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