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ACOG tells clinicians to address noncoital sex risksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Because noncoital sex, including mutual masturbation, oral sex, and anal sex can increase the high risk of sexually transmitted diseases, it is important that clinicians ask direct questions about their patients' noncoital sexual activity and provide risk reduction counseling, according to an American College of Obstetricians and Gynecologists Committee Opinion published in the September issue of Obstetrics and Gynecology.
Source: Modern Medicine Contemporary OBGYN - November 19, 2008 Category: OBGYN Source Type: info

HT doesn?t improve wrinklesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Low-dose hormone therapy doesn?t offer statistically significant benefits to postmenopausal women with mild-to-moderate skin aging changes, researchers report in the September issue of the Journal of the American Academy of Dermatology.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Low birthweight linked to salt sensitivity in childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Low-birthweight children and those born small for their gestational age (SGA) are likely to be salt sensitive, according to study findings published online Aug. 11 in Hypertension.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

ACOG says bone loss fears should not limit contraceptive useEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A possible adverse effect of depot medroxyprogesterone acetate (DMPA) contraceptive injections??bone mineral density (BMD) loss??should not prevent clinicians from either prescribing DMPA to appropriate patients or limiting its use to 2 consecutive years, according to an American College of Obstetricians and Gynecologists Committee Opinion published in the September issue of Obstetrics and Gynecology.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Age at menarche, menopause, HT linked with greater risk of certain breast cancersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reproductive and hormonal factors may pose more risk for some types of breast cancer than others, according to research published online Aug. 25 in Cancer.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Codeine poses extra risk during breastfeedingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Codeine can present a threat to breastfed infants, according to research published online Aug. 20 in Clinical Pharmacology and Therapeutics.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Need CME credits?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Look no further than Contemporary OB/GYN. One article in every monthly issue is accredited. Read the article and complete the post-test and evaluation to get your free credit.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Proton pump inhibitors linked to osteoporotic fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Taking proton pump inhibitors to treat ulcers and gastroesophageal reflux disease for long periods of time increases the risk of osteoporosis-related fractures, particularly hip fractures, according to a report in the Aug.
Source: Modern Medicine Contemporary OBGYN - October 1, 2008 Category: OBGYN Source Type: info

Expectant management best for some infertile couplesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In couples with unexplained infertility, treatment with either clomifene citrate or unstimulated intrauterine insemination does not result in superior live birth rates compared with expectant management, according to study findings published online Aug. 7 in BMJ Online First.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Ovary removal linked to less depression after hysterectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Removal of both ovaries in premenopausal women undergoing hysterectomy is associated with less depression or no change in depression depending on whether they were depressed before surgery, according to a report in the July issue of the American Journal of Obstetrics & Gynecology.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Most breech infants born by cesarean in United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
More than 80% of breech infants in the United States are born by cesarean section, although rates vary widely by state, researchers report in the July issue of the American Journal of Obstetrics and Gynecology.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Anti-HIV Microbicides could generate drug resistanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Vaginal microbicides containing antiretrovirals to prevent HIV infection in women could lead to many cases of drug resistance, according to research published in the July 15 issue of the Proceedings of the National Academy of Sciences.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Fiber intake in early pregnancy may reduce preeclampsia riskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Total fiber intake during the early stages of pregnancy may attenuate the risk of developing preeclampsia, according to study findings published online July 17 in the American Journal of Hypertension.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Maternal diet may affect childhood asthma riskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Children whose mothers ate nuts on a daily basis during pregnancy may be at increased risk of asthma, according to the results of a study published in the July 15 issue of the American Journal of Respiratory and Critical Care Medicine.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Are adverse outcomes of IVF the same as spontaneous conception?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Babies conceived spontaneously and as a result of assisted fertilization by the same woman have similar risks of adverse outcomes, meaning that adverse outcomes among assisted fertilization babies may be attributable to the underlying causes of infertility rather than the fertility treatment itself, according to a report published online July 31 in The Lancet.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

What's the maximum oxytocin dose needed to avoid uterine rupture?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women having a vaginal birth after a previous cesarean delivery should receive a maximum oxytocin dose of 20 mU/min to avoid uterine rupture, according to a report in the July issue of the American Journal of Obstetrics and Gynecology. A related study in the same issue found that the risk of uterine rupture in these patients cannot be predicted by factors available before admission.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Pregnant women on topiramate for migraine/epilepsy require monitoringEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of topiramate as monotherapy or as an adjunct to other treatment for epilepsy during pregnancy raises some concerns about the increased risk of congenital malformation, according to a report published in the July 22 issue of Neurology.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Anti-HIV microbicide may do more harm than goodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cellulose sulfate gel investigated as a vaginal microbicide against HIV didn't reduce HIV infections and may have even increased the risk in a sample of women, according to research published in the July 31 New England Journal of Medicine.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Improved patient safety process yields fewer cesareans, less litigationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patient outcomes improved, litigation declined dramatically, and fewer babies were born by cesarean delivery after a comprehensive redesign of the patient safety process at a major hospital group, researchers report in the August issue of the American Journal of Obstetrics and Gynecology.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Increased hip bone density linked to breast cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In postmenopausal women, hip bone mineral density predicts breast cancer risk independently of the Gail score, suggesting that the two measurements could be used together to better quantify the risk, according to a study published online July 29 in Cancer.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Routine human papillomavirus vaccination cost-effectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Routine vaccination of 12-year-old girls against human papillomavirus, combined with an initial catch-up campaign to cover girls up to the age of 18, would likely be cost-effective, according to research published online July 17 in BMJ.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Estrogen reduces severity of schizophrenia symptomsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Estrogen may be a useful adjunctive therapy for severe mental illness, according to researchers who report that it reduces symptoms in schizophrenic women. Their study findings are published in the August issue of the Archives of General Psychiatry.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Nifedipine not helpful in breech correction procedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nifedipine, a calcium antagonist with relaxant effects on the myometrium, didn't significantly improve the success of external cephalic version in women with a fetus in breech presentation, according to research published in the August issue of Obstetrics and Gynecology.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Sildenafil may help women treated for depressionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Among women taking serotonin reuptake inhibitors for depression, sildenafil may help relieve sexual dysfunction associated with the use of the antidepressants, according to research published in the July 23/30 issue of the Journal of the American Medical Association.
Source: Modern Medicine Contemporary OBGYN - September 15, 2008 Category: OBGYN Source Type: info

Cancer patients on IV bisphosphonates need dental evaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Because breast cancer patients receiving intravenous bisphosphonates may be at higher risk of developing osteonecrosis of the jaws (ONJ), they should receive early referral by oncologists for baseline dental evaluation.
Source: Modern Medicine Contemporary OBGYN - August 15, 2008 Category: OBGYN Source Type: info

Environmental factors in utero may trigger adult chronic illnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The long latency period between exposure to an environmental trigger and cancer has already been recognized.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Combining CA-125 with a new symptom index may improve ovarian CA detection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A composite tool consisting of a symptom index and the CA-125 blood test identified more than 80% of women with early-stage ovarian cancer and may be useful as part of a multi-step screening process for the disease.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

New imaging approach accurately predicts breast Cancer recurrenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A high-resolution imaging method can accurately predict the risk of tumor recurrence in women.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Novel genetic test for breast cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The SPOT-Light HER2 CISH kit a genetic test that measures the number of copies of the HER2 gene in breast tumor tissue received approval recently from the Food and Drug Administration.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Waiting room video may help trim STDsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New infections among patients at sexually transmitted disease (STD) clinics can be reduced by up to 10% by showing a brief educational video in the waiting room, according to an article published in the June issue of PLoS Medicine.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Pregnancy does not increase risk of most mental illnessesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although certain groups of women have a high prevalence of psychiatric disorders, pregnancy does not in itself increase the risk of most mental illnesses.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Prediction rule identifies risk of osteoporotic fractureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A prediction rule based on a heel stiffness index and four clinical factors can identify which elderly women are at high risk of osteoporotic fracture.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Most MFMs recommend tocolysis for preterm laborEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nearly all maternal-fetal medicine (MFM) specialists in the United States recommend tocolysis in the setting of acute preterm labor.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info

Obesity in pregnancy increases risk of NTDsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Being overweight or obese increases the risk of having a pregnancy affected by neural tube defects.
Source: Modern Medicine Contemporary OBGYN - August 13, 2008 Category: OBGYN Source Type: info