Showing papers in "Obstetrics & Gynecology in 2014"

TL;DR: The lifetime risk of any primary surgery for SUI or POP in women is found to be 20.0% by the age of 80 years, based on a U.S. claims and encounters database from 2007 to 2011.

TL;DR: Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of the most common indications, including labor dystocia, abnormal or indeterminate fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia.

TL;DR: Although rates of pelvic floor disorders did not change from 2005 to 2010, these conditions remain common, with one fourth of adult U.S. women reporting at least one disorder.

TL;DR: Transgender men are achieving pregnancy after having socially, medically, or both transitioned and themes from this study can be used to develop transgender-appropriate services and interventions that may improve the health and health care experiences of transgender men.

TL;DR: Intrahepatic cholestasis of pregnancy is the most common pregnancy-specific liver disease that typically presents in the third trimester, and is associated with an increased risk of adverse perinatal outcomes.

TL;DR: High and increasing number of filled prescriptions for opioids during pregnancy among Medicaid-enrolled women are observed, calling for further safety evaluations of these drugs and their effects on the developing fetus to inform clinical practice.

TL;DR: Aneuploid samples were significantly more likely to not return a result; the number of aneuploidy samples was especially increased among samples with low fetal fraction, underscoring the importance of redraws or, in rare cases, invasive procedures based on low Fetal fraction.

TL;DR: Benefits of increased vaginal delivery should be weighed against potential small increases in maternal and neonatal risks with prolonged second stage, as well as among the offspring of women with epidurals whose second stage was prolonged.

TL;DR: All commercially available vaginal estrogens effectively relieve common vulvovaginal atrophy-related complaints and have additional utility in patients with urinary urgency, frequency or nocturia, SUI and UUI, and recurrent UTIs.

TL;DR: Women with early-onset and late-onsetset preeclampsia have significantly higher rates of specific maternal morbidity compared with women without early-onsonet andLate-ONSet disease.

TL;DR: Health care providers should be aware that women who are obese when they become pregnant are more likely to experience elevated antenatal and postpartum depression symptoms than normal-weight women, with intermediate risks for overweight women.

TL;DR: Cannabis use, smoking, illicit drug use, and apparent exposure to second-hand smoke, separately or in combination, during pregnancy were associated with an increased risk of stillbirth.

TL;DR: Costs of robotic sacrocolpopexy are higher than laparoscopic, whereas short-term outcomes and complications are similar, and primary cost differences resulted from robot maintenance and purchase costs.

TL;DR: Overweight and obesity, excessive gestational weight gain, and GDM all are associated with large-for-gestational age (LGA) risk; however, preventing excessive weight gain has the greatest potential to reduce LGA risk.

TL;DR: The attributable risk of developing lower extremity lymphedema was 23% for patients with endometrial cancer who underwent lymphadenectomy compared with hysterectomy alone with an overall prevalence of 47%.

TL;DR: Severe maternal morbidity occurs in approximately 2.9 per 1,000 births, is most commonly the result of postpartum hemorrhage, and occurs more commonly in association with several identifiable patient characteristics.

TL;DR: The incidence of multifetal gestations in the United States has increased dramatically over the past several decades, mainly due to a shift toward an older maternal age at conception and an increased use of assisted reproductive technology (ART), which is more likely to result in a multifETal gestation.

TL;DR: Using the levonorgestrel-releasing intrauterine system for treatment of menorrhagia during reproductive years was associated with a lower incidence of endometrial, ovarian, pancreatic, and lung cancers than expected and a higher than expected incidence of breast cancer.

TL;DR: The revised reference curve for the United States provides an updated national reference for birth weight and shows that the birth weights for preterm neonates were overestimated when 1991 reference curves were used compared with the proposed 2011 reference.

TL;DR: Inflammatory lesions were especially common in early live births and retroplacental hematoma were more common in placentas from early deliveries, whereas thrombotic lesions were moreCommon in later gestation.

TL;DR: Using SNPs extends the scope of detectable genomic abnormalities and facilitates reporting “true” fetal results, and supports the use of SNP chromosomal microarray analysis for cytogenomic evaluation of miscarriage specimens when clinically indicated.

TL;DR: The panel proposed a research agenda and recommended developing educational curricula on the care and counseling of families facing the birth of a periviable infant.

TL;DR: Being overweight or obese was the most important risk factor for both preeclampsia and severe preeClampsia with an attributable risk percent of 64.9% and 64.4%, respectively.

TL;DR: Copper IUD users were more likely to experience expulsion and contraception failure compared with levonorgestrel intrauterine system users, and health practitioners should consider IUDs for contraception in all females.

TL;DR: Evidence supporting the use of early-warning systems is reviewed and The Maternal Early Warning Criteria, a list of abnormal parameters that indicate the need for urgent bedside evaluation by a clinician with the capacity to escalate care as necessary, is described.

TL;DR: The formation of the National Partnership for Maternal Safety is detailed and the initial priorities are introduced: a structured approach for the recognition of early warning signs and symptoms, structured internal case reviews to identify systems improvement opportunities, and support tools for patients, families, and staff that experience an adverse outcome.

TL;DR: It is suggested that enhanced placental transfusion at birth provides better neonatal outcomes than does early cord clamping, most notably reductions in overall mortality, lower risk of intraventricular hemorrhage, and decreased blood transfusion incidence.

TL;DR: The reVITALize Initiative leads and coordinates a national multidisciplinary movement to standardize obstetric data definitions for written and verbal clinical communication, electronic health record data capture, vital statistics and public health surveillance, measurement, quality improvement, reporting, and research.

TL;DR: Methods for morcellating uterine tissue in a contained manner may provide an option to minimize the risks of open power morcellation while preserving the benefits of minimally invasive surgery.

TL;DR: Pregnancies complicated by diabetic ketoacidosis are associated with increased rates of perinatal morbidity and mortality, and prevention strategies should include education of diabetic pregnant women about the risks of diabetic ketOacidosis, precipitating factors, and the importance of reporting signs and symptoms in a timely fashion.