MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Ob.Gyn. News' source. Wed, 08 Feb 2012 23:01:07 +0100 http://www.medworm.com/index.php?rid=5585299&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700253%2Fabstract%3Frss%3Dyes The number and rate of abortions performed in the United States remained about the same from 2007 to 2008, according to the latest abortion surveillance data collected by the National Center for Chronic Disease Prevention and Health Promotion at the Centers for Disease Control and Prevention. The data, published in Morbidity and Mortality Weekly Report, showed that in 2008 more than 825,500 abortions were reported to CDC. This resulted in an abortion rate of 16 abortions per 1,000 women aged 15-44 years, the same as in 2007. This rate is consistent with the recent leveling off of the abortion rate after years of steady declines, the CDC researchers wrote. However, the abortion ratio, which calculates the number of abortions compared to live births, increased slightly between 2007 and 2008.... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585299 Sun, 01 Jan 2012 05:00:00 +0100 5585299 http://www.medworm.com/index.php?rid=5585298&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700241%2Fabstract%3Frss%3Dyes If it takes an entire village to raise a child, it's going to take an entire country to raise maternal/fetal outcomes. Everyone involved in maternity care – from payers and hospital administrators to laboring women and their nurses–needs to team up to improve the health of moms and newborns, even if that means admitting that mistakes can be made. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585298 Sun, 01 Jan 2012 05:00:00 +0100 5585298 http://www.medworm.com/index.php?rid=5585297&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371270023X%2Fabstract%3Frss%3Dyes Major Finding: Hysteroscopy for the diagnosis of endometrial cancer was associated with 94% sensitivity, 98% specificity, a 73% positive predictive value, and a 99.6% negative predictive value. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585297 Sun, 01 Jan 2012 05:00:00 +0100 5585297 http://www.medworm.com/index.php?rid=5585296&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700228%2Fabstract%3Frss%3Dyes Debilitating pain, abscess formation, and other serious complications associated with the use of vaginal synthetic mesh for pelvic organ prolapse surgery have been addressed in a joint statement issued by the American College of Obstetricians and Gynecologists and the American Urogynecologic Society that recommends the development of a national patient registry for “all current and future vaginal mesh implants.” (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585296 Sun, 01 Jan 2012 05:00:00 +0100 5585296 http://www.medworm.com/index.php?rid=5585295&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700216%2Fabstract%3Frss%3Dyes DR. BRILL said he is a consultant and speaker for Ethicon Endosurgery, Gynecare, Conceptus, and Karl Storz. The Food and Drug Administration's warning last summer of the risks associated with transvaginal placement of mesh for repair of pelvic organ prolapse and stress urinary incontinence – and its overall, ongoing review of how mesh products are cleared for use–have changed the climate for ob.gyns. and patients. It has upped the ante for comprehensive patient counseling and brought to the fore the fact that pelvic floor repair is a combination of art, science, judgment, skill, training, and experience. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585295 Sun, 01 Jan 2012 05:00:00 +0100 5585295 http://www.medworm.com/index.php?rid=5585294&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700204%2Fabstract%3Frss%3Dyes ADELPHI, MD. – Advisors to the Food and Drug Administration voted 19-5 that the benefits of the Ortho Evra contraceptive patch outweighed its risks, although they agreed with epidemiologic evidence that use of the patch is associated with an increased risk of venous thromboembolic events. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585294 Sun, 01 Jan 2012 05:00:00 +0100 5585294 http://www.medworm.com/index.php?rid=5585293&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700198%2Fabstract%3Frss%3Dyes Women who don't carry their family's BRCA1 or BRCA2 mutation showed no increase in breast cancer risk in a study of 3,047 population-based families reported . “These results support the standard clinical practice of advising noncarriers that they do not have any increase in breast cancer risk attributable to the family-specific BRCA mutation and, in the absence of other strong risk factors, should follow general population guidelines for breast cancer screening,” said Dr. Allison W. Kurian of Stanford (Calif.) University and her associates. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585293 Sun, 01 Jan 2012 05:00:00 +0100 5585293 http://www.medworm.com/index.php?rid=5585292&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700186%2Fabstract%3Frss%3Dyes SAN ANTONIO – A phase III trial of an adjuvant breast cancer vaccine began enrollment before the end of 2011 as a result of favorable 5-year efficacy and safety data in a phase II study. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585292 Sun, 01 Jan 2012 05:00:00 +0100 5585292 http://www.medworm.com/index.php?rid=5585291&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700174%2Fabstract%3Frss%3Dyes Major Finding: Screening mammogram patients with correctly matched breast and detector sizes received an average mean glandular dose per breast of 3.3 mGy vs. 4.9 mGy for mismatched patients with large breasts (P value less than .05). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585291 Sun, 01 Jan 2012 05:00:00 +0100 5585291 http://www.medworm.com/index.php?rid=5585290&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700162%2Fabstract%3Frss%3Dyes Major Finding: Robotic-assisted hysterectomy was associated with a significantly longer mean operating room time, 246 minutes, compared with a mean 172 minutes with a laparoscopic approach. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585290 Sun, 01 Jan 2012 05:00:00 +0100 5585290 http://www.medworm.com/index.php?rid=5585289&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700150%2Fabstract%3Frss%3Dyes Major Finding: Median estimated blood loss overall and in each BMI group was 100 mL. Median length of hospital stay of 1 day, likewise, was the same overall and in each group. The overall complication rate of 12%, including 4% major and 8% minor complications, did not differ significantly by BMI. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585289 Sun, 01 Jan 2012 05:00:00 +0100 5585289 http://www.medworm.com/index.php?rid=5585288&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700149%2Fabstract%3Frss%3Dyes HOLLYWOOD, FLA.–Women who undergo hysterectomy via one of three surgical approaches experience similar outcomes, with one caveat, according to findings of a retrospective study. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585288 Sun, 01 Jan 2012 05:00:00 +0100 5585288 http://www.medworm.com/index.php?rid=5585287&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700137%2Fabstract%3Frss%3Dyes SAN DIEGO – Triptans are routinely prescribed to migraine patients who have a history of cardiovascular disease, according to evidence from a large medical claims database study. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585287 Sun, 01 Jan 2012 05:00:00 +0100 5585287 http://www.medworm.com/index.php?rid=5585286&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700125%2Fabstract%3Frss%3Dyes Major Finding: Four months of a restricted-calorie diet produced lasting reductions in pericardial fat and improvements in left ventricular diastolic function in a study of obese adults with type 2 diabetes. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585286 Sun, 01 Jan 2012 05:00:00 +0100 5585286 http://www.medworm.com/index.php?rid=5585285&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700113%2Fabstract%3Frss%3Dyes Major Finding: Compared with normal weight women undergoing IVF, a live birth was significantly less likely among overweight (adjusted OR, 0.96) and obese women in class I (0.63), class II (O.39), and class III (0.32). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585285 Sun, 01 Jan 2012 05:00:00 +0100 5585285 http://www.medworm.com/index.php?rid=5585284&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700101%2Fabstract%3Frss%3Dyes Pregnant women taking selective serotonin reuptake inhibitors for depression may continue to do so, despite a 2006 warning that the drugs may predispose infants to persistent pulmonary hypertension, the Food and Drug Administration has announced. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585284 Sun, 01 Jan 2012 05:00:00 +0100 5585284 http://www.medworm.com/index.php?rid=5585283&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700095%2Fabstract%3Frss%3Dyes In a previous issue of Ob. Gyn. News (“Purity of Compounded 17P Is Questioned,” December 2011, p. 6), we mischaracterized Makena (17-alpha hydroxyprogesterone caproate [17P]). It is a Food and Drug Administration–approved prescription drug used to reduce the risk of certain preterm births in patients who had already experienced a prior preterm birth. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585283 Sun, 01 Jan 2012 05:00:00 +0100 5585283 http://www.medworm.com/index.php?rid=5585282&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700083%2Fabstract%3Frss%3Dyes Major Finding: Sixty-four of 65 patients saw hCG values return to normal without chemotherapy, and the remaining patient, who had chronic renal failure, remained healthy despite having elevated hCG. Among the 10 patients who received chemotherapy, 6 had complete responses, and 4 had partial or no responses but remained well, even though hCG concentrations in 2 patients continued to be elevated. There was no significant difference in time to normalization between the groups, and no deaths had occurred in either group after a median 2 years' follow-up. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585282 Sun, 01 Jan 2012 05:00:00 +0100 5585282 http://www.medworm.com/index.php?rid=5585281&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700071%2Fabstract%3Frss%3Dyes Major Finding: Mean operative time was 40 minutes, mean estimated blood loss was 63 mL, and 96% of women were discharged the same day. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585281 Sun, 01 Jan 2012 05:00:00 +0100 5585281 http://www.medworm.com/index.php?rid=5585280&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371270006X%2Fabstract%3Frss%3Dyes A nationwide texting program for new moms continues to grow in its second year, and an initial evaluation of the enrollees' feedback is showing promising results. The public-private partnership called text4baby sends free educational text messages to expecting and new moms. The program now has over 260,000 enrollees, up from more than 150,000 in April. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585280 Sun, 01 Jan 2012 05:00:00 +0100 5585280 http://www.medworm.com/index.php?rid=5585279&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700058%2Fabstract%3Frss%3Dyes SILVER SPRING, MD.–The iPLEDGE risk management program for isotretinoin has reduced fetal exposure to the teratogen but still needs to be tweaked to reduce burdens on physicians and improve patient access, advisers to the Food and Drug Administration said. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585279 Sun, 01 Jan 2012 05:00:00 +0100 5585279 http://www.medworm.com/index.php?rid=5585278&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700046%2Fabstract%3Frss%3Dyes Despite the Food and Drug Administration's finding that Plan B One-Step, an emergency contraceptive, is safe, effective, and should be approved for nonprescription use by all women of childbearing potential, the drug remains unavailable without a prescription for those under 17 years old. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585278 Sun, 01 Jan 2012 05:00:00 +0100 5585278 http://www.medworm.com/index.php?rid=5585277&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700034%2Fabstract%3Frss%3Dyes ADELPHI, MD. – The benefits of Yasmin and other drospirenone-containing oral contraceptives outweigh their risks, but more information about the agents' risk-benefit profile needs to be added to the labels, according to the majority of a Food and Drug Administration advisory panel. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585277 Sun, 01 Jan 2012 05:00:00 +0100 5585277 http://www.medworm.com/index.php?rid=5585276&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700022%2Fabstract%3Frss%3Dyes Major Finding: The age-standardized mean femoral neck bone density was significantly lower in women with oophorectomy before age 45 than in those with intact ovaries: 0.711 compared with 0.743 g/m2 (P = .017). In a multivariate logistic regression analysis, women with early oophorectomy had an adjusted 1.78-fold increased likelihood of having osteoporosis, compared with women with intact ovaries. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585276 Sun, 01 Jan 2012 05:00:00 +0100 5585276 http://www.medworm.com/index.php?rid=5585275&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743712700010%2Fabstract%3Frss%3Dyes BALTIMORE – In utero exposure to valproate appears to increase the risk of significant adverse effects on fetal brain development that persist into childhood. In two separate studies, children whose mothers took valproate during pregnancy had a higher risk for lower IQ and other cognitive deficiencies, as well as autism and other disorders along the autistic spectrum. “All women with epilepsy of childbearing potential should be informed of the risks. I feel that valproate should not be a first choice antiepileptic drug in women of childbearing potential,” Dr. Kimford J. Meador, director of the Emory Epilepsy Center and professor of neurology at Emory University, Atlanta, said in an interview. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5585275 Sun, 01 Jan 2012 05:00:00 +0100 5585275 http://www.medworm.com/index.php?rid=5478491&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703391%2Fabstract%3Frss%3Dyes Voters in Mississippi rejected a ballot initiative that would have granted legal rights to embryos, starting at fertilization. Opponents of the measure had said that the state-constitution change not only would ban abortion in all but rare cases, but also would make forms of birth control and fertility treatment unavailable. Dr. Douglas Laube, the board chair of Physicians for Reproductive Choice and Health, said that the “personhood” amendment would have disallowed birth control options that prevent implantation of an embryo, such as emergency contraception and the use of intrauterine devices. The amendment's ban on destroying human embryos would have curtailed in vitro fertilization, he said. Dr. Jennifer Mason, a spokeswoman for Personhood USA, which is promoting similar constitutio... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478491 Thu, 01 Dec 2011 05:00:00 +0100 5478491 http://www.medworm.com/index.php?rid=5478490&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170338X%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478490 Thu, 01 Dec 2011 05:00:00 +0100 5478490 http://www.medworm.com/index.php?rid=5478489&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703378%2Fabstract%3Frss%3Dyes Starting Nov. 21, the National Committee on Quality Assurance will begin to accredit accountable care organizations. The program offers three levels of accreditation based on the readiness of the ACO. As with the NCQA's recognition program for patient-centered medical homes, achieving accreditation at each level will be based on accruing a certain number of points by meeting standards and fulfilling some “must-pass” criteria. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478489 Thu, 01 Dec 2011 05:00:00 +0100 5478489 http://www.medworm.com/index.php?rid=5478488&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703366%2Fabstract%3Frss%3Dyes Major Finding: Cesarean section, most often done for failure to progress during the first stage of labor, was performed in 23% of 411 women induced using a Foley catheter, and in 20% of 408 women induced using vaginal prostaglandin E2 gel (relative risk, 1.13). Two serious maternal adverse events occurred, both in the prostaglandin group. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478488 Thu, 01 Dec 2011 05:00:00 +0100 5478488 http://www.medworm.com/index.php?rid=5478487&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703354%2Fabstract%3Frss%3Dyes ORLANDO – Uterine fibroids are bad for pregnancy and neonatal outcomes, and a new study shows just how bad. Women diagnosed with fibroids on their first obstetric ultrasound examination, for example, were significantly more likely to experience preterm labor or preterm premature rupture of the membranes (pPROM). Also, significantly more deliver before 37 weeks' gestation or via cesarean section, compared with a group of women without these noncancerous growths of the uterus. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478487 Thu, 01 Dec 2011 05:00:00 +0100 5478487 http://www.medworm.com/index.php?rid=5478486&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703342%2Fabstract%3Frss%3Dyes DR. CHAMBERS is associate professor of pediatrics and family and preventive medicine at the University of California, San Diego. She is director of the California Teratogen Information Service and Clinical Research Program. Dr. Chambers is a past president of the Organization of Teratology Information Specialists and past president of the Teratology Society. She said she had no relevant financial disclosures. To comment, e-mail her at obnews@elsevier.com. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478486 Thu, 01 Dec 2011 05:00:00 +0100 5478486 http://www.medworm.com/index.php?rid=5478485&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703330%2Fabstract%3Frss%3Dyes I found the commentary “Ob.Gyns. Need to Support Copay-Free Contraceptives” (September 2011, p. 8) that accompanied the article “HHS Mandates Copay-Free Contraception, With Exception” (September 2011, p.) interesting but one sided. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478485 Thu, 01 Dec 2011 05:00:00 +0100 5478485 http://www.medworm.com/index.php?rid=5478484&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703329%2Fabstract%3Frss%3Dyes A new, nonprofit foundation, the Foundation for Women & Girls with Blood Disorders (FWGBD), has been established to educate providers about disorders such as von Willebrand's disease, thrombophilia, sickle cell disease, and anemias. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478484 Thu, 01 Dec 2011 05:00:00 +0100 5478484 http://www.medworm.com/index.php?rid=5478483&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703317%2Fabstract%3Frss%3Dyes SAN DIEGO – Heart failure constitutes a previously unrecognized independent risk factor for major osteoporotic fractures, according to a Canadian cohort study. “Patients with heart failure have double the 5-year risk of fracture,” compared with those without heart failure. And “patients with heart failure have lower bone mineral density at every skeletal site at the time of their first test,” compared with those without heart failure. “Finally, neither differences in bone mass nor shared risk factors [are enough] to explain the increased risk,” said Dr. Sumit Majumdar at the meeting. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478483 Thu, 01 Dec 2011 05:00:00 +0100 5478483 http://www.medworm.com/index.php?rid=5478482&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703305%2Fabstract%3Frss%3Dyes SAN DIEGO – The risk of hip fracture nearly doubles during the week following a new prescription for a loop diuretic. In contrast, there is no spike in the risk of hip fracture in the 7 days following a new prescription for other classes of diuretics or for ACE inhibitors, according to an analysis of the massive The Health Improvement Network (THIN) database involving more than 400 U.K. primary care practices. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478482 Thu, 01 Dec 2011 05:00:00 +0100 5478482 http://www.medworm.com/index.php?rid=5478481&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703299%2Fabstract%3Frss%3Dyes PROVIDENCE, R.I. – A postpartum perineal clinic staffed by urogynecologists has been established at the University of Michigan to expedite the assessment and treatment of pelvic floor disorders resulting from maternal birth injuries, according to Dr. Cynthia Brincat, who described the clinic in an oral poster presentation at the meeting. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478481 Thu, 01 Dec 2011 05:00:00 +0100 5478481 http://www.medworm.com/index.php?rid=5478480&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703287%2Fabstract%3Frss%3Dyes A recent explosion of interest in robotic surgery for routine hysterectomies and treatment of other nononcologic gynecologic conditions is raising concern about the cost and comparative value of the robot over conventional laparoscopy, as well as the future of vaginal hysterectomy and current and future training needs. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478480 Thu, 01 Dec 2011 05:00:00 +0100 5478480 http://www.medworm.com/index.php?rid=5478479&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703275%2Fabstract%3Frss%3Dyes BOCA RATON, FLA. – Ovarian suppression to treat endometriosis might cause a woman to experience significantly more migraines, and more sleep disturbances, numbness, joint pain, hot flashes, and heart palpitations, a study showed. Some women also experience more depression. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478479 Thu, 01 Dec 2011 05:00:00 +0100 5478479 http://www.medworm.com/index.php?rid=5478478&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703263%2Fabstract%3Frss%3Dyes ORLANDO – A first of its kind study shows maternal weight does not play a role in pregnancy success via intrauterine insemination, in stark contrast to multiple trials that indicate as obesity increases, the chances for a woman to conceive via in vitro fertilization drop. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478478 Thu, 01 Dec 2011 05:00:00 +0100 5478478 http://www.medworm.com/index.php?rid=5478477&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703251%2Fabstract%3Frss%3Dyes NATIONAL HARBOR, MD. – Use of a combination of bazedoxifene and conjugated estrogens had no significant impact on breast density (a potential risk factor for breast cancer) in postmenopausal women, based on data from the SMART-5 trial. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478477 Thu, 01 Dec 2011 05:00:00 +0100 5478477 http://www.medworm.com/index.php?rid=5478476&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170324X%2Fabstract%3Frss%3Dyes Major Finding: A 3-day course of nitrofurantoin given immediately postoperatively to women who had a midurethral sling placed for stress incontinence reduced the incidence of urinary tract infections by almost 50%, compared with placebo. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478476 Thu, 01 Dec 2011 05:00:00 +0100 5478476 http://www.medworm.com/index.php?rid=5478475&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703238%2Fabstract%3Frss%3Dyes Major Finding: The relative risk of confirmed VTE in users of OCs containing 30-40 mcg of ethinyl estradiol with levonorgestrel was 2.9, compared with 6.6 in women using OCs containing desogestrel, 6.2 in users of gestodene, and 6.4 in women taking drospirenone. To prevent one VTE per year, about 2,000 women would need to switch to an OC with levonorgestrel. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478475 Thu, 01 Dec 2011 05:00:00 +0100 5478475 http://www.medworm.com/index.php?rid=5478474&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703226%2Fabstract%3Frss%3Dyes The Food and Drug Administration announced that Hemacord, a hematopoietic progenitor cells-cord preparation for allogenic hematopoietic stem cell transplantation, has received the first approval of a license for an umbilical cord blood therapy. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478474 Thu, 01 Dec 2011 05:00:00 +0100 5478474 http://www.medworm.com/index.php?rid=5478473&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703214%2Fabstract%3Frss%3Dyes The Food and Drug Administration is reviewing the results of tests conducted by the manufacturer of Makena, the approved version of a compounded product for preventing preterm births, which the company said has identified some problems with other compounded versions. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478473 Thu, 01 Dec 2011 05:00:00 +0100 5478473 http://www.medworm.com/index.php?rid=5478472&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703202%2Fabstract%3Frss%3Dyes ORLANDO – Women who received a single intrauterine injection of human chorionic gonadotropin before in vitro fertilization had significantly higher embryo implantation and pregnancy rates than did women who did not receive an injection, according to a prospective, randomized study. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478472 Thu, 01 Dec 2011 05:00:00 +0100 5478472 http://www.medworm.com/index.php?rid=5478471&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703196%2Fabstract%3Frss%3Dyes Major Finding: The per-cycle pregnancy rate was 25% with IVF, compared with 7% for women treated with clomiphene/intrauterine insemination and 8% for those treated with FSH/IUI. After two cycles, the live birth rate was 15% for IVF, compared with 5% for the superovulation treatments combined. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478471 Thu, 01 Dec 2011 05:00:00 +0100 5478471 http://www.medworm.com/index.php?rid=5478470&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703184%2Fabstract%3Frss%3Dyes Major Finding: Diabetes was independently associated with a 59% increase in the risk of fractures after researchers controlled for the FRAX risk factors and use of osteoporosis medications, implying the FRAX tool ought to add diabetes to its list of predictive factors. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478470 Thu, 01 Dec 2011 05:00:00 +0100 5478470 http://www.medworm.com/index.php?rid=5478469&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703172%2Fabstract%3Frss%3Dyes Major Finding: Women with a cervix of 5 cm or longer delivered at a mean of 37 weeks. This decreased to 35 weeks for those with a cervical length of 4.0 cm-4.9 cm and to 32 weeks for mothers with a cervix shorter than 4.0 cm. In a second study, 32% of women with a cervix shorter than 4 cm delivered before 37 weeks. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478469 Thu, 01 Dec 2011 05:00:00 +0100 5478469 http://www.medworm.com/index.php?rid=5478468&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703160%2Fabstract%3Frss%3Dyes Legislation introduced in the U.S. House of Representatives would require that women be informed of their breast density when they receive their mammogram results, and that those with denser breasts be advised that they could benefit from additional screening. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5478468 Thu, 01 Dec 2011 05:00:00 +0100 5478468 http://www.medworm.com/index.php?rid=5424032&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703159%2Fabstract%3Frss%3Dyes It is ethical for physicians to advertise their services, but they must be careful not to mislead the public or imply a lack of competence by their competition, according to an updated policy statement from the American College of Obstetricians and Gynecologists. It advises physicians to use caution when putting together advertisements because the public can easily be mislead. For example, potential patients might assume that any obstetrician advertising under the heading “infertility” has special training or certification in that area. Physicians should also be able to substantiate their claims if they use words like “top” or “pioneer.” If a physician is voted a “top doctor” by magazine readers, that fact can be advertised. But if that designation was paid for, that must b... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424032 Tue, 01 Nov 2011 04:00:00 +0100 5424032 http://www.medworm.com/index.php?rid=5424031&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703147%2Fabstract%3Frss%3Dyes In-utero exposure to diethylstilbestrol was associated with a high lifetime risk of a broad spectrum of adverse outcomes in a follow-up study of patients now in their 40s, 50s, and 60s. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424031 Tue, 01 Nov 2011 04:00:00 +0100 5424031 http://www.medworm.com/index.php?rid=5424030&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703135%2Fabstract%3Frss%3Dyes Dr. Landon reported that he has no relevant financial disclosures. Shoulder dystocia is not an uncommon obstetric complication, occurring in as many as 2 per 100 vaginal births. This obstetric emergency is associated with a number of adverse perinatal outcomes for both the mother and infant, the most serious of which remains neonatal brachial plexus injury. In a minority of cases in which there is prolonged impaction of the shoulders, birth asphyxia also may occur. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424030 Tue, 01 Nov 2011 04:00:00 +0100 5424030 http://www.medworm.com/index.php?rid=5424029&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703123%2Fabstract%3Frss%3Dyes LISBON – Women with a history of gestational diabetes had an overall 50% higher risk for cardiovascular events later in life, and the risk was doubled among overweight women, based on the results of a large, population-based, case-control study in Sweden. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424029 Tue, 01 Nov 2011 04:00:00 +0100 5424029 http://www.medworm.com/index.php?rid=5424028&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703111%2Fabstract%3Frss%3Dyes DR. KOREN is professor of pediatrics, pharmacology, pharmacy, medicine, and medical genetics at the University of Toronto. He heads the Research Leadership for Better Pharmacotherapy During Pregnancy and Lactation at the Hospital for Sick Children, Toronto, where he is director of the Motherisk Program. He also holds the Ivey Chair in Molecular Toxicology at the department of medicine, University of Western Ontario, London. Dr. Koren said he had no relevant financial disclosures. E-mail him at obnews@elsevier.com. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424028 Tue, 01 Nov 2011 04:00:00 +0100 5424028 http://www.medworm.com/index.php?rid=5424027&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170310X%2Fabstract%3Frss%3Dyes Urinary incontinence may rank as the most embarrassing condition a woman will face in her lifetime, but the good news is that 80%-90% of patients who seek treatment will experience symptom relief. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424027 Tue, 01 Nov 2011 04:00:00 +0100 5424027 http://www.medworm.com/index.php?rid=5424026&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703093%2Fabstract%3Frss%3Dyes Major Finding: LDL levels among women with 6 or more days of hot flashes peaked at approximately 125 mg/dL during a 2-week period, compared with a peak of approximately 120 mg/dL among women with 1-5 days of hot flashes and a peak of approximately 118 mg/dL among women with no reported days of hot flashes. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424026 Tue, 01 Nov 2011 04:00:00 +0100 5424026 http://www.medworm.com/index.php?rid=5424025&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703081%2Fabstract%3Frss%3Dyes Major Finding: There were 0.40 events per 100 person-years in transdermal estrogen users and 0.56 events per 100 person-years in oral estrogen users (P= .006). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424025 Tue, 01 Nov 2011 04:00:00 +0100 5424025 http://www.medworm.com/index.php?rid=5424024&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170307X%2Fabstract%3Frss%3Dyes Major Finding: In an intent-to-treat population, the change in the vaginal dryness severity score improved in the OSP group vs. the placebo group (−1.3 vs. −1.1). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424024 Tue, 01 Nov 2011 04:00:00 +0100 5424024 http://www.medworm.com/index.php?rid=5424023&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703068%2Fabstract%3Frss%3Dyes Major finding: Total mean 25(OH)D levels were 29.3 ng/mL in women with pelvic floor disorders and 35.0 ng/mL in women without PFDs. The difference was statistically significant (P= .001). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424023 Tue, 01 Nov 2011 04:00:00 +0100 5424023 http://www.medworm.com/index.php?rid=5424022&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703056%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424022 Tue, 01 Nov 2011 04:00:00 +0100 5424022 http://www.medworm.com/index.php?rid=5424021&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703044%2Fabstract%3Frss%3Dyes Women with high-quality diets during the year before pregnancy were at lower risk than were those with poor diets for delivering a baby with orofacial clefts or neural tube defects, according to a study. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424021 Tue, 01 Nov 2011 04:00:00 +0100 5424021 http://www.medworm.com/index.php?rid=5424020&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703032%2Fabstract%3Frss%3Dyes LISBON – Use of the recently proposed International Association of Diabetes and Pregnancy Study Group criteria for identifying women with gestational diabetes would increase the diagnosis by 240%, compared with the World Health Organization's criteria, according to the findings of a population-based multiethnic cohort study of 823 healthy pregnant women in Norway. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424020 Tue, 01 Nov 2011 04:00:00 +0100 5424020 http://www.medworm.com/index.php?rid=5424019&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703020%2Fabstract%3Frss%3Dyes BOULDER, COLO. – A buzz of excitement – a sense of history in the making – was palpable as the newly incorporated Society of Ob/Gyn Hospitalists held its first-ever annual meeting here. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5424019 Tue, 01 Nov 2011 04:00:00 +0100 5424019 http://www.medworm.com/index.php?rid=5325757&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703019%2Fabstract%3Frss%3Dyes WASHINGTON – To avoid a nearly 30% physician pay cut Jan. 1, Congress should instead adopt a 10-year plan that freezes primary care pay and cuts specialist pay by 5.9% three years in a row. That's according to a proposal presented by staffers. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325757 Sat, 01 Oct 2011 04:00:00 +0100 5325757 http://www.medworm.com/index.php?rid=5325756&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711703007%2Fabstract%3Frss%3Dyes President Obama's plan to bring down the federal deficit includes about $320 billion in cuts to Medicare, Medicaid, and other federal health programs, and gives more power to the Independent Payment Advisory Board. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325756 Sat, 01 Oct 2011 04:00:00 +0100 5325756 http://www.medworm.com/index.php?rid=5325755&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702993%2Fabstract%3Frss%3Dyes The federal government has awarded $224 million to states to support visits by nurses and social workers to families with at-risk children. Families that choose to participate in the Maternal, Infant, and Early Childhood Home Visiting Program can receive counseling to improve their parenting skills or to better prepare their children for school, as well as information on child health and development. Research indicates that home visits can improve maternal and child health, reduce the potential for child abuse, and help children reach developmental milestones, according to the Department of Health and Human Services' announcement of the awards. “Home visiting programs play a critical role in the nation's efforts to help children get off to a strong start,” HHS Secretary Kathleen Sebeli... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325755 Sat, 01 Oct 2011 04:00:00 +0100 5325755 http://www.medworm.com/index.php?rid=5325754&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702981%2Fabstract%3Frss%3Dyes SAN DIEGO – A 67-year-old woman with poorly controlled diabetes, diabetic retinopathy, and diabetic nephropathy visits your office for routine follow-up. Her blood pressure is 165/95 mm Hg, her pulse is 71 beats per minute, her body mass index is 36 kg/m2, and labs reveal that her creatinine level is 1.2 mg/dL, her potassium level is 5.5 mmol/L, and she is spilling 3,500 mg of albumin in her urine, “which is quite significant,” Dr. Kimberly Harper said at the meeting sponsored by the Scripps Clinic. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325754 Sat, 01 Oct 2011 04:00:00 +0100 5325754 http://www.medworm.com/index.php?rid=5325753&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170297X%2Fabstract%3Frss%3Dyes A test that measures the number of copies of the HER2 gene in breast tumor tissue has been approved by the Food and Drug Administration. If the Inform Dual ISH test is positive, then the patient is a candidate for treatment with trastuzumab, the recombinant monoclonal antibody directed against HER2 that is marketed as Herceptin by Genentech for the treatment of HER2 overexpressing breast cancer. The test is manufactured by Tucson, Ariz.—based Ventana Medical Systems, a member of the Roche group, as is Genentech. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325753 Sat, 01 Oct 2011 04:00:00 +0100 5325753 http://www.medworm.com/index.php?rid=5325752&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702968%2Fabstract%3Frss%3Dyes Major Finding: Women who had anemia preoperatively were ninefold more likely to receive a transfusion than their nonanemic counterparts. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325752 Sat, 01 Oct 2011 04:00:00 +0100 5325752 http://www.medworm.com/index.php?rid=5325751&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702956%2Fabstract%3Frss%3Dyes Major Finding: Overall, 65.5% and 29.8% of breast cancers were detected by mammography and palpation, respectively. Among the women younger than age 50, the corresponding values were 48.3% and 46.1%. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325751 Sat, 01 Oct 2011 04:00:00 +0100 5325751 http://www.medworm.com/index.php?rid=5325750&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702944%2Fabstract%3Frss%3Dyes Ob.gyns. and other primary care providers play a major role in helping women identify and manage symptoms of urinary incontinence, a condition estimated by the American Urogynecologic Society to affect 30%–50% of women, but that notion appears to be lost on some generalist clinicians. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325750 Sat, 01 Oct 2011 04:00:00 +0100 5325750 http://www.medworm.com/index.php?rid=5325749&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702932%2Fabstract%3Frss%3Dyes Dr. Diamond disclosed that he is a consultant to Genzyme, ZSX Medical, Neomend, Auxogyn, EMD Serono, Bioregen, Halt Medical, and Sanofi-Aventis. He receives grant/contract support from the National Institutes of Health, BioSante Pharmaceuticals, and Ferring. He owns stock in Synthemed and Neomend. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325749 Sat, 01 Oct 2011 04:00:00 +0100 5325749 http://www.medworm.com/index.php?rid=5325748&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702920%2Fabstract%3Frss%3Dyes CHICAGO – Even though the numbers remain small, fluconazole-resistant Candida albicans vulvovaginitis appears to be emerging as a thorny clinical problem, one expert suggests. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325748 Sat, 01 Oct 2011 04:00:00 +0100 5325748 http://www.medworm.com/index.php?rid=5325747&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702919%2Fabstract%3Frss%3Dyes WASHINGTON – Higher levels of stress may partially account for aggressive tumor growth in African American and Hispanic women with breast cancer, according to Garth H. Rauscher, Ph.D., of the University of Illinois at Chicago. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325747 Sat, 01 Oct 2011 04:00:00 +0100 5325747 http://www.medworm.com/index.php?rid=5325746&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702907%2Fabstract%3Frss%3Dyes Healthy prepubescent children with mothers who smoked during pregnancy have lower levels of high density lipoprotein (HDL) cholesterol compared with children born to women who do not smoke during pregnancy, Dr. Julian G. Ayer of the University of Sydney, and his colleagues, reported. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325746 Sat, 01 Oct 2011 04:00:00 +0100 5325746 http://www.medworm.com/index.php?rid=5325745&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702890%2Fabstract%3Frss%3Dyes SAN FRANCISCO – When a pregnant woman presents with a complaint of itching, consider a range of causes, not just those triggered by pregnancy, Dr. Bethanee J. Schlosser advised. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325745 Sat, 01 Oct 2011 04:00:00 +0100 5325745 http://www.medworm.com/index.php?rid=5325744&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702889%2Fabstract%3Frss%3Dyes Major Finding: Cases and controls had nearly identical birth weights (3,208 g vs. 3,219 g) and gestational ages at delivery (38.5 weeks vs. 38.7 weeks). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325744 Sat, 01 Oct 2011 04:00:00 +0100 5325744 http://www.medworm.com/index.php?rid=5325743&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702877%2Fabstract%3Frss%3Dyes Major Finding: Following training on a birth simulator, the percentage of clinicians pulling with more than 150 N during simulated shoulder dystocia deliveries fell from 75% to 43%. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325743 Sat, 01 Oct 2011 04:00:00 +0100 5325743 http://www.medworm.com/index.php?rid=5325742&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702865%2Fabstract%3Frss%3Dyes Mr. Briggs is a pharmacist clinical specialist, Outpatient Clinics, Memorial Care Center for Women at Miller Children's Hospital in Long Beach, Calif.; a clinical professor of pharmacy at the University of California, San Francisco; and an adjunct professor of pharmacy at the University of Southern California, Los Angeles. He also is a fellow of the American College of Clinical Pharmacy, coauthor of “Drugs in Pregnancy and Lactation,” and coeditor of “Diseases, Complications, and Drug Therapy in Obstetrics.” He had no disclosures related to the topic of this article. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325742 Sat, 01 Oct 2011 04:00:00 +0100 5325742 http://www.medworm.com/index.php?rid=5325741&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702853%2Fabstract%3Frss%3Dyes Major finding: Three months after surgery, the rate of urinary incontinence failure in those who received a prophylactic sling (23.6%) was less than half of that seen in the sham-operated group (49.4%). The greatest benefit was seen in women who had a positive preoperative prolapse reduction stress test. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325741 Sat, 01 Oct 2011 04:00:00 +0100 5325741 http://www.medworm.com/index.php?rid=5325740&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702841%2Fabstract%3Frss%3Dyes Major Finding: Migraines occurred in 1% of 20,220 women with endometriosis, which was significantly different from the rate of 0.5% seen in 101,100 women in a control group (OR, 1.91). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325740 Sat, 01 Oct 2011 04:00:00 +0100 5325740 http://www.medworm.com/index.php?rid=5325739&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170283X%2Fabstract%3Frss%3Dyes LONDON – Raloxifene did not increase lupus activity or flares in a 1-year trial of post-menopausal women who had systemic lupus erythematosus without hypercoagulability risk factors, Dr. Chi Chiu Mok reported. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325739 Sat, 01 Oct 2011 04:00:00 +0100 5325739 http://www.medworm.com/index.php?rid=5325738&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702828%2Fabstract%3Frss%3Dyes SAN DIEGO – A novel once-daily oral calcitonin tablet hit all of its efficacy and safety end points in a phase III clinical trial for treatment of postmenopausal osteoporosis. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325738 Sat, 01 Oct 2011 04:00:00 +0100 5325738 http://www.medworm.com/index.php?rid=5325737&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702816%2Fabstract%3Frss%3Dyes PROVIDENCE, R.I. – After the Food and Drug Administration issued an updated safety communication concerning the surgical placement of transvaginal mesh to repair pelvic organ prolapse on July 13, leaders of the American Urogynecologic Society sprang into action. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325737 Sat, 01 Oct 2011 04:00:00 +0100 5325737 http://www.medworm.com/index.php?rid=5325736&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702804%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325736 Sat, 01 Oct 2011 04:00:00 +0100 5325736 http://www.medworm.com/index.php?rid=5325735&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702798%2Fabstract%3Frss%3Dyes SAN FRANCISCO – The pivotal clinical trial of denosumab showed a 20% decrease in nonvertebral fractures compared with placebo treatment, but a new subgroup analysis shows the protective effect is significantly higher in patients with femoral neck osteoporosis. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325735 Sat, 01 Oct 2011 04:00:00 +0100 5325735 http://www.medworm.com/index.php?rid=5325734&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702786%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325734 Sat, 01 Oct 2011 04:00:00 +0100 5325734 http://www.medworm.com/index.php?rid=5325733&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702774%2Fabstract%3Frss%3Dyes PROVIDENCE, R.I. – Compared with cesarean birth without labor, undergoing vaginal birth increased the risk of stress incontinence and prolapse in women who were examined 5–10 years after childbirth, Dr. Victoria L. Handa reported. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325733 Sat, 01 Oct 2011 04:00:00 +0100 5325733 http://www.medworm.com/index.php?rid=5325732&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702762%2Fabstract%3Frss%3Dyes DENVER – New data indicate that obesity in postmenopausal women doesn't protect against fractures, contrary to the conventional wisdom. Indeed, postmenopausal obesity actually appears to be a risk factor for fractures at selected sites, Dr. Juliet E. Compston reported at the meeting. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5325732 Sat, 01 Oct 2011 04:00:00 +0100 5325732 http://www.medworm.com/index.php?rid=5228531&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702750%2Fabstract%3Frss%3Dyes Major Finding: Among the 7.4% of physicians who face medical malpractice claims every year, only 1.6% result in compensation paid to the plaintiff. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228531 Thu, 01 Sep 2011 04:00:00 +0100 5228531 http://www.medworm.com/index.php?rid=5228530&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702749%2Fabstract%3Frss%3Dyes Federal officials are laying the groundwork for the launch of state-based health insurance exchanges in 2014, handing out millions of dollars in grants to states, designing tools to determine eligibility to buy insurance, and proposing details on how the refundable premium tax credits will work. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228530 Thu, 01 Sep 2011 04:00:00 +0100 5228530 http://www.medworm.com/index.php?rid=5228529&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702737%2Fabstract%3Frss%3Dyes A federal judge in Washington dismissed a lawsuit that sought to block federal funding for medical studies using human embryonic stem cells. A previous court opinion filed in 1999 concluded that the National Institutes of Health could legally use federal funds for embryonic stem cell research, according to the court opinion filed July 27 and posted on the NIH website. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228529 Thu, 01 Sep 2011 04:00:00 +0100 5228529 http://www.medworm.com/index.php?rid=5228528&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702725%2Fabstract%3Frss%3Dyes While nearly all ob.gyns. see patients seeking abortions, only about 14% report performing abortions themselves, according to a new survey. The self-administered survey of more than 1,000 practicing ob.gyns. across the United States showed that female physicians were more likely to perform abortions than were their male counterparts, with 19% of women providing the procedure compared with 11% of men. The findings were published in the September issue of Obstetrics & Gynecology (2011;118:609-14). Age was also a factor. The survey indicated that ob.gyns. aged 35 and younger were the most likely to perform abortions (22%), followed by doctors aged 56-65 years (15%). Physicians were also more likely to perform abortions if they lived in the Northeast, practiced in an urban area, and did not ha... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228528 Thu, 01 Sep 2011 04:00:00 +0100 5228528 http://www.medworm.com/index.php?rid=5228527&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702713%2Fabstract%3Frss%3Dyes Major Finding: Influenza vaccination coverage rates for the 2010-2011 season were 63.5% and 49%, respectively, among health care personnel and pregnant women, representing sustained or slightly higher rates than the previous season, but substantially lower than the Healthy People 2020 goals. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228527 Thu, 01 Sep 2011 04:00:00 +0100 5228527 http://www.medworm.com/index.php?rid=5228526&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702701%2Fabstract%3Frss%3Dyes MINNEAPOLIS – Sleep is in short supply, thanks to our “24-hour society” in which trading sleep for work or play is commonplace and sleep deprivation is worn as a badge of honor, noted Dr. Michel Cramer Bornemann, codirector of the Minnesota Regional Sleep Disorders Center at Hennepin County Medical Center, Minneapolis. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228526 Thu, 01 Sep 2011 04:00:00 +0100 5228526 http://www.medworm.com/index.php?rid=5228525&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702695%2Fabstract%3Frss%3Dyes Major Finding: The positive predictive value of ultrasound-diagnosed fetal macrosomia, compared with actual macrosomia at birth, was just 37.4%. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228525 Thu, 01 Sep 2011 04:00:00 +0100 5228525 http://www.medworm.com/index.php?rid=5228524&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702683%2Fabstract%3Frss%3Dyes Major Finding: In screening for sleep apnea via prepregnancy BMI plus self-reported snoring, sensitivity was 74% and specificity was 59%, compared with 35% and 69% for standard screening measures. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228524 Thu, 01 Sep 2011 04:00:00 +0100 5228524 http://www.medworm.com/index.php?rid=5228523&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702671%2Fabstract%3Frss%3Dyes Major Finding: In the no, mild, and moderate to severe sleep disordered breathing groups, the composite adverse pregnancy outcome rates were 18.1%, 23.5%, and 38.5%, respectively. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228523 Thu, 01 Sep 2011 04:00:00 +0100 5228523 http://www.medworm.com/index.php?rid=5228522&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170266X%2Fabstract%3Frss%3Dyes Major Finding: The negative predictive values for preterm delivery were similarly high for ph IGFBP-1 and fetal fibronectin; the positive predictive values were poor for both. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228522 Thu, 01 Sep 2011 04:00:00 +0100 5228522 http://www.medworm.com/index.php?rid=5228521&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702658%2Fabstract%3Frss%3Dyes Major Finding: Pregnancy-related hospitalizations for stroke in the United States increased by 54% from 1994-1995 to 2006-2007. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228521 Thu, 01 Sep 2011 04:00:00 +0100 5228521 http://www.medworm.com/index.php?rid=5228520&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702646%2Fabstract%3Frss%3Dyes DR. COHEN directs the perinatal psychiatry program at Massachusetts General Hospital, Boston. He has been a consultant to manufacturers of SSRIs. To comment, e-mail him at obnews@elsevier.com. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228520 Thu, 01 Sep 2011 04:00:00 +0100 5228520 http://www.medworm.com/index.php?rid=5228519&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702634%2Fabstract%3Frss%3Dyes Dr. Moore said he had no relevant financial disclosures. We now know that gestational diabetes mellitus is a serious condition that, if not properly diagnosed and managed, can have cyclic, intergenerational consequences. Newborns exposed to maternal hyperglycemia during pregnancy have a high risk of being born overweight and of eventually becoming obese children and adults. These newborns also are at a high risk of developing diabetes themselves later in life. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228519 Thu, 01 Sep 2011 04:00:00 +0100 5228519 http://www.medworm.com/index.php?rid=5228518&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702622%2Fabstract%3Frss%3Dyes WASHINGTON – Insulins and oral hypoglycemics used during pregnancy can theoretically cause harm to the fetus, but evidence of harm is lacking, said Dr. Barak M. Rosenn. “Is there any evidence that pharmacologic agents used in the treatment of gestational diabetes can indeed and do indeed cause harm? Not really,” said Dr. Rosenn, director of the division of obstetrics and maternal-fetal medicine at St. Luke's-Roosevelt Hospital in New York. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228518 Thu, 01 Sep 2011 04:00:00 +0100 5228518 http://www.medworm.com/index.php?rid=5228517&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702610%2Fabstract%3Frss%3Dyes Major Finding: Receipt of any flu vaccination was significantly associated with higher infant birth weight (3,178 gram vs. 2,903 grams) and longer gestational age (38.3 weeks vs. 36.8 weeks; both P less than .0001). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228517 Thu, 01 Sep 2011 04:00:00 +0100 5228517 http://www.medworm.com/index.php?rid=5228516&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702609%2Fabstract%3Frss%3Dyes Major Finding: Only 29% of women were counseled about gaining a specific amount or range of weight during pregnancy, and 12% were counseled correctly about how much to gain. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228516 Thu, 01 Sep 2011 04:00:00 +0100 5228516 http://www.medworm.com/index.php?rid=5228515&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702592%2Fabstract%3Frss%3Dyes Major Finding: The prevalence of T. vaginalis (8.7%) was higher than that of chlamydia (6.7%) and gonorrhea (1.7%). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228515 Thu, 01 Sep 2011 04:00:00 +0100 5228515 http://www.medworm.com/index.php?rid=5228514&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702580%2Fabstract%3Frss%3Dyes Major Finding: The cobas HPV test was significantly more sensitive for detecting CIN 3 or worse than was liquid-based cytology at a threshold of ASCUS or worse (92% vs. 53.3%). Adding cytology to HPV testing increased the sensitivity for detection of CIN 3 or worse by less than 5% (from 92% to 96.7%), but increased the number of screen positives by more than 35%. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228514 Thu, 01 Sep 2011 04:00:00 +0100 5228514 http://www.medworm.com/index.php?rid=5228513&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702579%2Fabstract%3Frss%3Dyes Major Finding: The 5-year survival was 36% in those with no BRCA mutation, 46% in those with the BRCA1 mutation, and 61% in those with the BRCA2 mutation, after adjustment for stage, grade, histology, and age at diagnosis. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228513 Thu, 01 Sep 2011 04:00:00 +0100 5228513 http://www.medworm.com/index.php?rid=5228512&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702567%2Fabstract%3Frss%3Dyes VANCOUVER, B.C. – A clinical trial is needed to assess the risk-benefit profile of salpingectomy for ovarian cancer prevention, said Dr. Barry Rosen. A recent, serendipitous discovery, resulting from pathology examination of tissues removed during prophylactic salpingo-oophorectomy in patients with BRCA mutations, was that serous “ovarian” cancers actually arise from the fimbriae of the fallopian tubes. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228512 Thu, 01 Sep 2011 04:00:00 +0100 5228512 http://www.medworm.com/index.php?rid=5228511&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702555%2Fabstract%3Frss%3Dyes WASHINGTON – Recurring, uncomplicated urinary tract infections in female patients may be treated in the future through bacterial interference and other novel approaches, but for now, treatment involves an individualized approach with possible postcoital prophylaxis, chronic low-dose prophylaxis, or self-therapy, said urologist Robert M. Moldwin. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228511 Thu, 01 Sep 2011 04:00:00 +0100 5228511 http://www.medworm.com/index.php?rid=5228510&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702543%2Fabstract%3Frss%3Dyes Major Finding: The rate of early IUD expulsion was 3.5% overall, with no significant difference among women who used pads (4%), tampons (2%), and menstrual cups (6%). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228510 Thu, 01 Sep 2011 04:00:00 +0100 5228510 http://www.medworm.com/index.php?rid=5228509&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702531%2Fabstract%3Frss%3Dyes Major Finding: Overall, 22% of women became pregnant, and 18% of this group had a multiple pregnancy (usually a twin gestation). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228509 Thu, 01 Sep 2011 04:00:00 +0100 5228509 http://www.medworm.com/index.php?rid=5228508&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170252X%2Fabstract%3Frss%3Dyes DR. POWELL is an associate professor of pediatrics at St. Louis University and a pediatric hospitalist at SSM Cardinal Glennon Children's Medical Center in St. Louis. Email him at obnews@elsevier.com. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228508 Thu, 01 Sep 2011 04:00:00 +0100 5228508 http://www.medworm.com/index.php?rid=5228507&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702518%2Fabstract%3Frss%3Dyes I read with interest Dr. Michael Pitter's description of robot-assisted myomectomy with MRI myoma mapping (“The Benefits of Robot-Assisted Myomectomy,” June 2011, p. 20). The approximate doubling of cost, the additional $2,000 (estimated) for the MRI, and the tripling of the operative time over a simple minilap myomectomy (which usually can be done in 1 hour) demand that certain questions be answered. Once again, we find aggressive industry representatives and hospital business offices anxious to justify the capital cost of these robots, trying to convince us that these increased expenses are somehow “worth it.” Here are the questions: (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228507 Thu, 01 Sep 2011 04:00:00 +0100 5228507 http://www.medworm.com/index.php?rid=5228506&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702506%2Fabstract%3Frss%3Dyes DR. FLAMM is an ob.gyn. practicing in Riverside, Calif. He is a member of the Editorial Advisory Board of Ob.Gyn. News. He said he had no relevant financial disclosures. DR. BOHON is an ob.gyn in private practice in Washington. She is a member of the Editorial Advisory Board of Ob.Gyn. News. She said she had no relevant financial disclosures. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228506 Thu, 01 Sep 2011 04:00:00 +0100 5228506 http://www.medworm.com/index.php?rid=5228505&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170249X%2Fabstract%3Frss%3Dyes Legislation to raise the debt ceiling and cut the deficit, signed by the president, leaves physicians in limbo regarding their Medicare payments next year and in the future. The biggest question is whether the 29.5% cut to Medicare physician fees scheduled for Jan. 1, 2012, will go into effect. This massive payment cut is called for under the Sustainable Growth Rate (SGR) formula, the formula used to set Medicare payments to physicians. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228505 Thu, 01 Sep 2011 04:00:00 +0100 5228505 http://www.medworm.com/index.php?rid=5228504&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702488%2Fabstract%3Frss%3Dyes QUEBEC CITY – Oral metronidazole was not more effective for bacterial vaginosis when combined with clindamycin or a probiotic, based on data from 450 women. “Bacterial vaginosis is the most common cause of infections in women worldwide,” said Dr. Catriona Bradshaw of the University of Melbourne. Current monotherapy treatments are not highly effective, and up to 50%-60% of women have recurrent bacterial vaginosis (BV) after treatment. Dr. Bradshaw and her colleagues examined whether a combination of oral and vaginal therapy could be more effective. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228504 Thu, 01 Sep 2011 04:00:00 +0100 5228504 http://www.medworm.com/index.php?rid=5228503&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702476%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228503 Thu, 01 Sep 2011 04:00:00 +0100 5228503 http://www.medworm.com/index.php?rid=5228502&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702464%2Fabstract%3Frss%3Dyes Major Finding: Pregnant women were significantly more likely to receive information on pertussis vaccination from their pediatrician than from their obstetrician (24% vs. 17%). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228502 Thu, 01 Sep 2011 04:00:00 +0100 5228502 http://www.medworm.com/index.php?rid=5228501&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702452%2Fabstract%3Frss%3Dyes Starting next August, all new health plans will be required to provide copayment-free coverage of a range of women's preventive services, including contraception, the Health and Human Services department announced. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228501 Thu, 01 Sep 2011 04:00:00 +0100 5228501 http://www.medworm.com/index.php?rid=5228500&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702440%2Fabstract%3Frss%3Dyes Introduction of the human papillomavirus cotest for cervical screening in 2003 failed to make a dent in the tendency of U.S. physicians to overuse Pap tests, according to data collected in a 2006 national survey. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5228500 Thu, 01 Sep 2011 04:00:00 +0100 5228500 http://www.medworm.com/index.php?rid=5112100&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702439%2Fabstract%3Frss%3Dyes Millions of American women are living with disorders that cause chronic pain but are being neglected by many researchers and practitioners, according to a report from the Campaign to End Chronic Pain in Women, which includes the Endometriosis Association and the National Vulvodynia Association. Failure to adequately diagnose and treat just six conditions affecting women – chronic fatigue syndrome, endometriosis, fibromyalgia, interstitial cystitis, temporomandibular disorders, and vulvodynia – adds as much as $80 billion in direct and indirect costs to the health care system each year, according to the report. The group recommended that the National Institutes of Health fund at least four women's chronic pain centers of excellence at leading academic health centers. The report also cal... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112100 Sun, 31 Jul 2011 23:00:00 +0100 5112100 http://www.medworm.com/index.php?rid=5112099&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702427%2Fabstract%3Frss%3Dyes Motivational text messages doubled the rate of smoking cessation, according to data from a randomized trial of 5,800 smokers. “Because of the widespread ownership of mobile phones, fully automated smoking cessation support can be delivered to large numbers of people at low cost,” said Caroline Free, Ph.D., of the London School of Hygiene and Tropical Medicine, and her colleagues. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112099 Sun, 31 Jul 2011 23:00:00 +0100 5112099 http://www.medworm.com/index.php?rid=5112098&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702415%2Fabstract%3Frss%3Dyes DR. ABRÃO reported that he has no relevant financial disclosures. A disease that affects 10%-15% of women of reproductive age, endometriosis is quite prevalent. In 1990, investigators in Belgium first described deep endometriosis to highlight the diagnostic and therapeutic aspects of the disease (Fertil. Steril. 1990;53:978–83). In contrast to superficial disease, deep endometriosis constitutes the most severe form of endometriosis and includes nodules affecting the pouch of Douglas, retrocervical area, bladder, ureter, or the intestinal wall. Less frequently, the rectovaginal septum is involved (Arq. Gastroenterol. 2003;40:192–7). The treatment of bowel endometriosis is challenging, as it is a benign disease that may infiltrate the bowel, requiring a surgical treatment with increase... Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112098 Sun, 31 Jul 2011 23:00:00 +0100 5112098 http://www.medworm.com/index.php?rid=5112097&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702403%2Fabstract%3Frss%3Dyes The incidence of high-grade cervical abnormalities has dropped by more than a third among teenage girls since the start of a school-based vaccination program, according to a study by Australian researchers. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112097 Sun, 31 Jul 2011 23:00:00 +0100 5112097 http://www.medworm.com/index.php?rid=5112096&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702397%2Fabstract%3Frss%3Dyes Major Finding: Among women in the United States, nearly 60% of all new herpes infections in 2007–2008 occurred in non-Hispanic blacks. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112096 Sun, 31 Jul 2011 23:00:00 +0100 5112096 http://www.medworm.com/index.php?rid=5112095&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702385%2Fabstract%3Frss%3Dyes DR. MOORE is professor and chair of reproductive medicine at the University of California, San Diego. He said he had no relevant financial disclosures. Consider the case of a 33-year-old teacher who has a toddler in preschool, regularly attends Pilates classes, and is in her second pregnancy. Her privacy is limited, and her lunchtime varies by at least 30 minutes. In her first pregnancy, when she used multiple daily injections (MDI) for insulin injection, her hemoglobin A1c at 36 weeks' gestation was 7.2%, and her baby's birth weight was 4,200 g. This time around, she cannot get her fasting blood glucose under 110 mg/dL without experiencing marked hypoglycemia around 3:30 a.m. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112095 Sun, 31 Jul 2011 23:00:00 +0100 5112095 http://www.medworm.com/index.php?rid=5112094&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702373%2Fabstract%3Frss%3Dyes Major Finding: The risk of stillbirth among children conceived by assisted reproductive technology is slightly, but significantly higher than that seen among naturally conceived children, accounting for 8 more stillbirths per 1,000 ART pregnancies. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112094 Sun, 31 Jul 2011 23:00:00 +0100 5112094 http://www.medworm.com/index.php?rid=5112093&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702361%2Fabstract%3Frss%3Dyes It's never too late for a pregnant woman to stop smoking. After reviewing the records of more than 50,000 pregnancies, Dr. Nick Macklon concluded that every day a pregnant woman doesn't smoke is a good day for her developing baby. “The more a woman smokes during pregnancy, the worse the effect on the baby,” Dr. Macklon said during a press briefing. “But stopping – even at the time a woman discovers she's pregnant – can completely ameliorate the effects of smoking” on the fetal outcomes of gestational age and birth weight. “For the baby, a mom stopping in the periconceptional phase is as good as her never having smoked at all.” (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112093 Sun, 31 Jul 2011 23:00:00 +0100 5112093 http://www.medworm.com/index.php?rid=5112092&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170235X%2Fabstract%3Frss%3Dyes Major Finding: Maternal use of SSRIs during pregnancy was associated with a twofold risk of autism in the exposed offspring, and SSRI use during the first trimester was associated with a threefold risk. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112092 Sun, 31 Jul 2011 23:00:00 +0100 5112092 http://www.medworm.com/index.php?rid=5112091&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702348%2Fabstract%3Frss%3Dyes DR. CHAMBERS is associate professor of pediatrics and family and preventive medicine at the University of California, San Diego. She is director of the California Teratogen Information Service and Clinical Research Program. Dr. Chambers is a past president of the Organization of Teratology Information Specialists (www.otispregnancy.org) and past president of the Teratology Society. She said she had no relevant financial disclosures. To comment, e-mail her at obnews@elsevier.com. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112091 Sun, 31 Jul 2011 23:00:00 +0100 5112091 http://www.medworm.com/index.php?rid=5112090&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702336%2Fabstract%3Frss%3Dyes Major Finding: For interpregnancy intervals of 59 months or less, there was a J-shaped association between the interval and the rate of congenital anomalies. The rate was lowest, at 1.9%, when the interval was 12–17 months. It rose to a high of 2.5% when the interval was 0–5 months and 2.4% when the interval was 24–59 months. The corresponding odds ratios were 1.35 and 1.28, respectively. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112090 Sun, 31 Jul 2011 23:00:00 +0100 5112090 http://www.medworm.com/index.php?rid=5112089&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702324%2Fabstract%3Frss%3Dyes Major Finding: Frozen embryos are up to 60% more likely to develop into large for gestational age infants than are fresh embryos. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112089 Sun, 31 Jul 2011 23:00:00 +0100 5112089 http://www.medworm.com/index.php?rid=5112088&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702312%2Fabstract%3Frss%3Dyes Major Finding: Up to 65% of women with recurrent unexplained miscarriages eventually give birth to a living child. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112088 Sun, 31 Jul 2011 23:00:00 +0100 5112088 http://www.medworm.com/index.php?rid=5112087&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702300%2Fabstract%3Frss%3Dyes Major Finding: In initial testing, a new “pregnancy viability index” exhibited a 94% positive predictive value and a 77% negative predictive value. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112087 Sun, 31 Jul 2011 23:00:00 +0100 5112087 http://www.medworm.com/index.php?rid=5112086&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702294%2Fabstract%3Frss%3Dyes DR. MCHUGH is section vice-chair of the American Congress of Obstetricians and Gynecologists, Orange County, Calif., and medical director of Planned Parenthood of Orange and San Bernardino counties. He said he did not have any relevant financial disclosures. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112086 Sun, 31 Jul 2011 23:00:00 +0100 5112086 http://www.medworm.com/index.php?rid=5112085&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702282%2Fabstract%3Frss%3Dyes (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112085 Sun, 31 Jul 2011 23:00:00 +0100 5112085 http://www.medworm.com/index.php?rid=5112084&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702270%2Fabstract%3Frss%3Dyes Regardless of their breastfeeding status, women who are less than 21 days post partum should not use combined hormonal contraception because of the high risk for venous thromboembolism, according to an update to the Centers for Disease Control and Prevention's U.S. Medical Eligibility Criteria for Contraceptive Use 2010. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112084 Sun, 31 Jul 2011 23:00:00 +0100 5112084 http://www.medworm.com/index.php?rid=5112083&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702269%2Fabstract%3Frss%3Dyes The Food and Drug Administration is warning physicians and patients that the transvaginal placement of mesh to treat pelvic organ prolapse may be riskier than other surgical treatments, and that there is no conclusive evidence of increased benefit from the procedure. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112083 Sun, 31 Jul 2011 23:00:00 +0100 5112083 http://www.medworm.com/index.php?rid=5112082&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702257%2Fabstract%3Frss%3Dyes The Institute of Medicine recommended adding eight preventive health services, including birth control and emergency contraception, screening for gestational diabetes, and testing for human papillomavirus, to the list of preventive services that health plans must provide at no cost to patients under the health care reform law that will take full effect in 2014. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5112082 Sun, 31 Jul 2011 23:00:00 +0100 5112082 http://www.medworm.com/index.php?rid=5012470&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702245%2Fabstract%3Frss%3Dyes North Carolina's new budget strips all funding for Planned Parenthood clinics in the state. Lawmakers there recently overrode a veto from Gov. Bev Perdue (D) to enact the cut that Planned Parenthood said would amount to $434,000 used for family planning services and teen pregnancy prevention initiatives. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012470 Thu, 30 Jun 2011 23:00:00 +0100 5012470 http://www.medworm.com/index.php?rid=5012469&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702233%2Fabstract%3Frss%3Dyes Major Finding: Medical oncologists and primary care physicians perceive different barriers to care when dealing with survivors of breast and colon cancer. Barriers include inadequate physician training, the practice of defensive medicine (against malpractice), and confusion about responsibility and delivery of care. More education and survivorship care planning are needed. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012469 Thu, 30 Jun 2011 23:00:00 +0100 5012469 http://www.medworm.com/index.php?rid=5012468&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702221%2Fabstract%3Frss%3Dyes Major Finding: A study of patients with diabetes found that 6.3% with low-normal serum folate were depressed; among those with folate levels at or above 7 ng/mL, 4.9% were depressed. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012468 Thu, 30 Jun 2011 23:00:00 +0100 5012468 http://www.medworm.com/index.php?rid=5012467&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170221X%2Fabstract%3Frss%3Dyes WASHINGTON – Women with a high burden of episodic migraine don't appear to have any related cognitive impairment. A small prospective study has found that women with as many as 10 migraines per month scored well within the normal range on tests of learning and memory, efficiency and attention, and processing speed, Jill Jesurum, Ph.D., reported in a poster at the meeting. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012467 Thu, 30 Jun 2011 23:00:00 +0100 5012467 http://www.medworm.com/index.php?rid=5012466&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702208%2Fabstract%3Frss%3Dyes Major Finding: During the year following giving birth, women had a statistically significant, 2.4-fold increased risk of incident ACPA-negative rheumatoid arthritis, compared with nulliparous women. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012466 Thu, 30 Jun 2011 23:00:00 +0100 5012466 http://www.medworm.com/index.php?rid=5012465&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702191%2Fabstract%3Frss%3Dyes Taxpayers spend more than $11 billion each year as a result of unintended pregnancies, according to new data from two separate studies. The estimates are based on public insurance costs for pregnancies and infant care in the first year. Researchers from the Guttmacher Institute used state-level data from 2006 to come up with a national estimate of $11.1 billion in public spending on unintended pregnancies. In a separate study, researchers at the Brookings Institution came up with their figures by using 2001 national data on publicly financed unintended pregnancies, resulting in average spending of $11.3 billion annually. Both studies were published in the June issue of Perspectives on Sexual and Reproductive Health. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012465 Thu, 30 Jun 2011 23:00:00 +0100 5012465 http://www.medworm.com/index.php?rid=5012464&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS002974371170218X%2Fabstract%3Frss%3Dyes Major Finding: The rate of obstetric brachial plexus injury in cases of shoulder dystocia fell from 40% before implementation of the Code D protocol to 14% afterward (P less than .01). (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012464 Thu, 30 Jun 2011 23:00:00 +0100 5012464 http://www.medworm.com/index.php?rid=5012463&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702178%2Fabstract%3Frss%3Dyes Major Finding: More than half (60%) of women reported no pain with the vaginal-perianal method, compared with 18% with the vaginal-rectal method. The sensitivity and specificity of the vaginal-perianal method were 91% and 99%. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012463 Thu, 30 Jun 2011 23:00:00 +0100 5012463 http://www.medworm.com/index.php?rid=5012462&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702166%2Fabstract%3Frss%3Dyes WASHINGTON – Most of the gene variations identified thus far as risk factors for type 2 diabetes also appear to increase risk for gestational diabetes – a trend that reaffirms the importance of taking family histories in obstetrical practice, Dr. Alan R. Shuldiner said. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012462 Thu, 30 Jun 2011 23:00:00 +0100 5012462 http://www.medworm.com/index.php?rid=5012461&cid=s_38700_29_f&fid=38700&url=http%3A%2F%2Fwww.obgynnews.com%2Farticle%2FPIIS0029743711702154%2Fabstract%3Frss%3Dyes WASHINGTON – Short-acting insulin analogues appear to be safe in insulin-requiring pregnancies and have clinical advantages, including increased freedom of meal timing, better matching of insulin dose with meal content, and improved glycemic control with a reduction in the frequency of hypoglyemic events, said Dr. Marshall W. Carpenter. (Source: Ob.Gyn. News) Ob.Gyn. News journals http://www.medworm.com/rss/comments.php?id=5012461 Thu, 30 Jun 2011 23:00:00 +0100 5012461