Showing papers in "Obstetrics & Gynecology in 2013"

TL;DR: The group’s goal was to provide revised evidence-based consensus guidelines for managing women with abnormal cervical cancer screening tests, cervical intraepithelial neoplasia (CIN) and adenocarcinoma in situ (AIS) following adoption of cervical cancer screenings guidelines incorporating longer screening intervals and co-testing.

TL;DR: The number of inpatient hysterectomies performed in the United States has declined substantially over the past decade, and the median number of hysteretomies per hospital has declined likewise by more than 40%.

TL;DR: To the Editor: I have a question about the article by Massad et al, "Why is the recommended management for women aged 21–24 years more aggressive than for older women?"

TL;DR: Bilateral oophorectomy is associated with increased mortality in women aged younger than 50 years who never used estrogen therapy and at no age is oophorctomyassociated with increased survival.

TL;DR: This new maternal comorbidity index provides a simple measure for summarizing the burden of maternal illness for use in the conduct of epidemiologic, health services, and comparative effectiveness research.

TL;DR: Implementation of enhanced recovery was associated with acceptable pain management with reduced opioids, reduced length of stay with stable readmission and morbidity rates, good patient satisfaction, and substantial cost reductions.

TL;DR: Calling the original conclusions “premature” this letter states that these corrected results do not necessarily mean that a policy of promoting no-cost long-acting reversible contraceptive methods will have no effected on unwanted pregnancy rates.

TL;DR: Excess weight gain was prevalent and associated with an increased risk of hypertensive disorders, cesarean delivery, and large-for-gestational-age neonates.

TL;DR: Risk factors associated with specific types of complications associated with benign hysterectomy are reviewed, methods to prevent and recognize complications, and appropriate management of complications are reviewed.

TL;DR: Intrauterine devices and the implant have the highest rates of continuation at 24 months, and should be first-line contraceptive options and shorter-acting methods such as OCPs, patch, ring, and DMPA should be second tier.

TL;DR: Adherence to National Comprehensive Cancer Network guidelines for treatment of ovarian cancer is correlated with improved survival and may be a useful process measure of quality cancer care.

TL;DR: Providing counseling about the potential negative consequences of short interpregnancy intervals and improving women's contraceptive use to reduce rates of unintended pregnancy likely would reduce the proportion of shortInterpregnancy interval pregnancies in the United States.

TL;DR: A number of fetal malformations remain undetected by early ultrasonography because of the natural history of fetal defects and the late development of some organ systems.

TL;DR: Significant duration-dependent reductions in ovarian cancer incidence in the general population are associated with OCP use, with a significant duration–response relationship.

TL;DR: Elective induction of labor is associated with decreased odds of cesarean delivery when compared with expectant management, and is not associated with increased odds of severe lacerations, operative vaginal delivery, perinatal death, neonatal intensive care unit admission, respiratory distress, shoulder dystocia, or macrosomia at any term gestational age.

TL;DR: Bilateral salpingo-oophorectomy offers the greatest risk reduction for breast and ovarian cancer among BRCA mutation carriers, however, when considering quality-adjusted life expectancy, bilateral salpingectomy with delayed oophorctomy is a cost-effective strategy and may be an acceptable alternative for those unwilling to undergo bilateralSalpingectomy.

TL;DR: Estimating the U.S. maternal health burden from current breastfeeding rates and investigating whether the observed associations between suboptimal breastfeeding and adverse maternal health outcomes are causal should be a research priority is found.

TL;DR: Using 6 cm as the cut-off for active labor, allowing adequate time for the second stage of labor, and encouraging operative vaginal delivery, when appropriate, may be important strategies to reduce the primary cesarean delivery rate.

TL;DR: A pilot trial is started to collect maternal--fetal safety data and evaluate pravastatin pharmacokinetics when used as a prophylactic daily treatment in high-risk pregnant women to contribute substantially to preventing preeclampsia.

TL;DR: An analysis of a national cohort suggests that the appropriate use of a vaginal apical support procedure at the time of surgical treatment of POP might reduce the long-term risk of prolapse recurrence.

TL;DR: GnRH analogue cotreatment does not offer a significant protective effect on ovarian function in patients treated by cyclophosphamide-based chemotherapy and did not predict independently the odds of menstruating at 12 months.

TL;DR: Moving beyond reflexive exclusion and developing thoughtful criteria for inclusion of pregnant women in clinical research would likely advance the evidence base to inform treatment decisions during pregnancy and lead to better health outcomes for women and children.

TL;DR: The findings demonstrate that the prevalence of gastroschisis has been increasing since 1995 among 15 states in the United States, and that higher rates of GastroschISis are associated with non-Hispanic white maternal race and ethnicity, and maternal age younger than 25 years (particularly younger than 20 years of age).

TL;DR: Both lower-dose levonorgestrel intrauterine contraceptive systems were highly effective for 3 years of use and generally well tolerated.

TL;DR: Current use of combined OCPs is associated with increased odds of venous thromboembolism and ischemic stroke but not hemorrhagic stroke or MI.

TL;DR: The ratio and profile of maternal mortality in France remained unchanged from 1998 to 2007 and half of all maternal deaths are still considered avoidable, which indicates that improvement remains possible.

TL;DR: Overall, opioid use in the periconceptional period appeared to be associated with a modest increased risk of neural tube defects.

TL;DR: It is shown that weight retention between the first and second pregnancy is associated with an increased risk for perinatal complications, even in underweight and normal-weight women.