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Obstetrics and Gynecology

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https://www.readbyqxmd.com/read/30399114/connect-the-dots-december-2018
#1
Jeffrey How, Erin Kathleen Fee, Heather Link, Nancy C Chescheir
No abstract text is available yet for this article.
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399113/the-menopausal-brain
#2
Pauline M Maki
No abstract text is available yet for this article.
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399112/what-is-new-in-ovarian-cancer-best-articles-from-the-past-year
#3
Jason D Wright
This month we focus on current research in ovarian cancer. Dr. Wright discusses four recent publications, which are concluded with a "bottom-line" that is the take-home message. A complete reference for each can be found on Box 1 on this page along with direct links to abstracts.
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399111/the-patient-physician-relationship-the-death-of-intimacy
#4
Wayne R Cohen
No abstract text is available yet for this article.
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399110/antepartum-testing-for-the-prevention-of-stillbirth-where-do-we-go-from-here
#5
Grace J Johnson, Steven L Clark, Mark A Turrentine
Unexpected antepartum fetal demise remains one of the most tragic complications of pregnancy. Various approaches to antepartum fetal assessment have been developed as a means of either reassuring the clinician of fetal well-being or identifying potential fetal jeopardy and the need for delivery. As additional high-risk groups of women are identified, indications for antenatal testing continue to expand despite a paucity of good-quality data linking such testing to improved outcomes for women with these additional risk factors...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399109/nonsteroidal-antiinflammatory-drug-administration-and-postpartum-blood-pressure-in-women-with-hypertensive-disorders-of-pregnancy
#6
Hannah B Anastasio, Lauren E Campbell, Alison Buermeyer, Gabriele Saccone, Sindy Moreno, Yuri Cruz, Vincenzo Berghella, Corina Schoen, Amanda Roman
OBJECTIVE: To evaluate whether postpartum nonsteroidal antiinflammatory drug (NSAID) administration is associated with increased blood pressure in women with hypertensive disorders of pregnancy and to estimate the association between NSAID administration and use of opioid medication. METHODS: We conducted a retrospective cohort study of women with hypertensive disorders of pregnancy. Patients were analyzed in two groups according to whether they received NSAIDs postpartum...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399108/child-neurodevelopmental-outcomes-by-prepregnancy-body-mass-index-and-gestational-weight-gain
#7
Michelle A Kominiarek, Marcela C Smid, Lisa Mele, Brian M Casey, Yoram Sorokin, Uma M Reddy, Ronald J Wapner, John M Thorp, George R Saade, Alan T N Tita, Dwight J Rouse, Baha Sibai, Jay D Iams, Brian M Mercer, Jorge Tolosa, Steve N Caritis
OBJECTIVE: To study the association of prepregnancy body mass index (BMI) and gestational weight gain with child neurodevelopmental outcomes. METHODS: We performed a secondary analysis of data from two parallel, multicenter, randomized, double-blind, placebo-controlled thyroxine replacement trials in pregnant women with either hypothyroxinemia or subclinical hypothyroidism who delivered at term. Body mass index was categorized as normal (18.5-24.9), overweight (25...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399107/chromosomal-microarray-analysis-results-from-pregnancies-with-various-ultrasonographic-anomalies
#8
Lena Sagi-Dain, Idit Maya, Adi Reches, Ayala Frumkin, Julia Grinshpun-Cohen, Reeval Segel, Esther Manor, Morad Khayat, Tamar Tenne, Ehud Banne, Adel Shalata, Hagith Yonath, Racheli Berger, Amihood Singer, Shay Ben-Shachar
OBJECTIVE: To examine chromosomal microarray analysis results in pregnancies with various ultrasonographic anomalies and to characterize the copy number variants in diverse fetal phenotypes. METHODS: We retrospectively examined chromosomal microarray analyses of amniocenteses performed nationwide as a result of fetal ultrasonographic anomalies (structural defects, fetal growth restriction, and polyhydramnios) between January 2013 and September 2017. The rate of abnormal chromosomal microarray findings was compared between the different phenotypes and with a previously described control population of 15,225 pregnancies with normal ultrasonographic findings...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399106/terminal-complement-activation-in-preeclampsia
#9
Richard M Burwick, Jesús A Velásquez, Catalina M Valencia, Jorge Gutiérrez-Marín, Francisco Edna-Estrada, Jaime L Silva, Juliana Trujillo-Otálvaro, Johanna Vargas-Rodríguez, Yamile Bernal, Alvaro Quintero, Mónica Rincón, Jorge E Tolosa
OBJECTIVE: To evaluate whether C5b-9 concentrations in blood and urine are increased in preeclampsia with severe features. METHODS: The Complement and Preeclampsia in the Americas study is a prospective, multicenter case-control study performed at six centers in Colombia from November 2015 to July 2016. The case group included women with preeclampsia with severe features, and the control group included women who were healthy or had chronic hypertension, gestational hypertension, or preeclampsia without severe features...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399105/preconception-coverage-before-and-after-the-affordable-care-act-medicaid-expansions
#10
Mark A Clapp, Kaitlyn E James, Anjali J Kaimal, Jamie R Daw
OBJECTIVE: To estimate the effects of the Affordable Care Act Medicaid expansion provision that was largely implemented in 2014 on preconception insurance coverage among low-income women. METHODS: We used a quasiexperimental, difference-in-difference design to compare changes in preconception insurance coverage among low-income women living in expansion compared with nonexpansion states before and after the Medicaid expansions. Women with family incomes 138% the federal poverty level or less who participated in the Pregnancy Risk Assessment Monitoring System from 2009 to 2015 from states that did or did not expand their Medicaid programs on January 1, 2014, were included...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399104/levels-of-maternal-care-verification-pilot-translating-guidance-into-practice
#11
Christopher M Zahn, Arlene Remick, Andrea Catalano, David Goodman, Sarah J Kilpatrick, M Kathryn Menard
Development of systems for perinatal regionalization and for the provision of risk-appropriate maternal care is a key strategy to decrease maternal morbidity and mortality. Regionalized systems pertaining to neonatal care are broadly implemented in many states, but networks for risk-appropriate maternal care are lacking. In response to increases in maternal morbidity and mortality over the past decade, the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) developed and published the levels of maternal care guidelines in 2015...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399103/neonatal-morbidity-after-management-of-vaginal-noncephalic-second-twin-delivery-by-residents
#12
Thomas Schmitz, Diane Korb, Elie Azria, Philippe Deruelle, Gilles Kayem, Patrick Rozenberg, Nicolas Sananès, Marie-Victoire Sénat, Loic Sentilhes, Christophe Vayssière, Norbert Winer, François Goffinet
OBJECTIVE: To assess neonatal mortality and morbidity according to whether a resident or senior obstetrician initially managed vaginal delivery of noncephalic second twins. METHODS: The JUmeaux MODe d'Accouchement study was a national, prospective, population-based, cohort study of twin deliveries in 176 maternity units in France, where active management of second-twin delivery is recommended. The primary outcome of our study was a composite of neonatal mortality and morbidity...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399102/induced-abortion-in-a-population-entitled-to-free-of-charge-long-acting-reversible-contraception
#13
Frida K Gyllenberg, Tuire H Saloranta, Anna But, Mika Gissler, Oskari Heikinheimo
OBJECTIVE: To study the rate of induced abortion in a population in whom long-acting reversible contraceptive (LARC) methods are offered free of charge as part of primary health care services. METHODS: We conducted a register-based cohort study on females aged 15-44 years in the city of Vantaa, Finland. We assessed the rate of abortion among females entitled to LARC methods free of charge by survival analysis in four cohorts: those visiting public family planning clinics and initiating free-of-charge LARC methods during 2013-2014 (LARC cohort, n=2,035); those visiting public family planning clinics not choosing LARC methods (no LARC cohort, n=7,634); and three age-matched control participants for every LARC and no LARC participant from the general population not using the services (nonservice users, n=5,981 and 22,748)...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399101/the-residency-interview-season-time-for-commonsense-reform
#14
Eric A Strand, Tammy S Sonn
Residency applicants and residency programs invest significant resources in attempting to match applicants into the best possible programs. However, recent trends have made the process increasingly inefficient. Decisions made by all parties-students, medical schools, and residency programs-have contributed to a system that has become increasingly anxiety-provoking for the students and unnecessarily cumbersome for the programs. Relatively straightforward solutions exist, however, that would improve the process for all parties involved...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399100/pregnancy-and-childbirth-after-sexual-trauma-patient-perspectives-and-care-preferences
#15
Lauren Sobel, Danielle OʼRourke-Suchoff, Erica Holland, Kimberly Remis, Kirsten Resnick, Rebecca Perkins, Shannon Bell
OBJECTIVE: To explore the pregnancy and childbirth experiences and preferences of women with a history of sexual trauma in order to identify trauma-informed care practices that health care providers may use to improve obstetric care. METHODS: We conducted a qualitative study consisting of semistructured interviews with women who either self-identified as having a history of sexual trauma or did not. Participants were recruited from a tertiary care ambulatory clinic and had at least one birth experience within the past 3 years...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399099/menopause-related-cognitive-impairment
#16
Gayatri Devi
BACKGROUND: Identifying the cognitive changes associated with the menopausal transition prevents misattribution of symptoms to more ominous causes such as neurodegenerative disease. CASE: Two women with cognitive loss and objective evidence of menopause-related cognitive impairment are presented, misattributed to Alzheimer disease in one case and frontotemporal dementia in the other. Neurocognitive testing, neuroimaging, and laboratory findings are reviewed. Both women were diagnosed with menopause-related cognitive impairment and were stable in follow-up over 4 or more years...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399098/a-colposcopy-trainer-to-simulate-visualization-and-biopsy-of-the-cervix
#17
Heidi M Felix, Amy Lannen
BACKGROUND: Colposcopy is a common office procedure providing a magnified view of the cervix for the evaluation of an abnormal cytology result. Traditionally the procedure has been replicated in simulation training by using a sausage or hotdog to represent the cervix and allow for target biopsy. This is neither reusable nor sustainable. METHOD: We developed a cervix model comprised of food coloring and ballistics gel. After cooling, the surface was dotted with gel that can be activated by a black light to mimic acetowhite changes...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399097/quality-of-information-available-online-for-abortion-self-referral
#18
Laura E Dodge, Sharon J Phillips, Dayna T Neo, Siripanth Nippita, Maureen E Paul, Michele R Hacker
OBJECTIVE: To assess the quality of information available online for abortion self-referral and to determine whether quality varies by region or distance to an abortion provider. METHODS: This was a cross-sectional study. We used a standard protocol to perform internet searches from August 2016 to June 2017 for abortion services in the 25 most populous U.S. cities and the 43 state capitals that were not one of the 25 most populous cities. We classified the first 10 webpage results and the first five map results and advertisements as facilitating abortion referral (local independent abortion provider, local Planned Parenthood facility, national abortion provider or organization, prochoice website, or abortion directory), not facilitating abortion referral (nonproviding physician office, nonmedical website, abortion provider greater than 50 miles from the location, news article, general directory, other), or hindering abortion referral (crisis pregnancy center or antichoice website)...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399096/retroperitoneal-ectopic-pregnancy
#19
Janie O Pak, John Keyes Durfee, Lucio Pedro, Alicea Osborne, Margaret Larkins-Pettigrew
BACKGROUND: Retroperitoneal ectopic pregnancies are rare and have a tendency to implant along major vessels of the abdomen and pelvis. Clinical manifestations can vary from no symptoms to hypovolemic shock and death. CASE: A 30-year-old woman presented in hypovolemic shock with left flank and abdominal pain after attempting to medically terminate her first-trimester pregnancy. Intraoperative findings revealed normal pelvic organs with a massive retroperitoneal hematoma containing chorionic villi confirmed on histopathology...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30399095/massive-hemorrhage-from-suspected-iatrogenic-uterine-rupture
#20
Kim T Nguyen, M James Lozada, Phillip Gorrindo, Feyce M Peralta
BACKGROUND: Intrauterine balloon tamponade is recommended for refractory postpartum hemorrhage resulting from atony, but few studies have assessed complications associated with placement. CASE: A 39-year-old woman, gravida 4 para 1, with posterior placenta previa and suspected placenta accreta had a postpartum hemorrhage after a scheduled cesarean delivery. An intrauterine balloon tamponade device was easily placed transcervically; however, the patient required additional analgesia for constant severe stabbing pain worsened on examination...
November 5, 2018: Obstetrics and Gynecology
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