Does bed rest prevent preterm birth?
May 16th 2013One in 3 women nulliparous women with a short cervix is prescribed some type of activity restriction, despite lack of benefit in prevention of preterm birth (PTB). Those are the findings from a secondary analysis of data from the Short Cervix and Nulliparity trial. Published in Obstetrics & Gynecology, it is accompanied by a commentary titled “Bed Rest in Pregnancy: Time to Put the Issue to Rest” and an ethical argument for dismissing the practice.
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DNA from Male Fetus May Alter Maternal Brain
October 3rd 2012Maternal-fetal exchange of cells may result in deposition of male DNA to the mother’s brain that lasts a lifetime and has potential health effects. So say the results of a study published in PLoS One of autopsied brain tissue from women aged 32 to 101 without neurologic disease or with Alzheimer’s disease.
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New-Onset Snoring Risk Factor for Pregnancy Complications
October 3rd 2012A large prospective study links onset of snoring in pregnancy with increased risk of gestational hypertension and preeclampsia. The results, published in The American Journal of Obstetrics & Gynecology, suggest that simply asking pregnant patients about snoring could result in better maternal and fetal outcomes.
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No Cardiac Benefit for Omega-3 Fatty Acids
October 3rd 2012A systematic review and meta-analysis of 20 studies representing experience in 68,680 patients shows that use of omega-3 fatty acid supplementation does not improve cardiovascular risk factors. Published in The Journal of the American Medical Association, the report examined evidence from randomized clinical trials (RCTs) in MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials from as early as 1989 through August 2012.
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Multiple Gestation, LGA Linked With Pregnancy-Associated Cancer
September 26th 2012A large population-based Australian cohort study suggests that incidence of pregnancy-associated cancer may be on the rise and suggests a link between multiple gestation and large-for-gestational age (LGA) size at birth. Published in BJOG An International Journal of Obstetrics and Gynaecology, the study finding of increased incidence is only partially explained by increases in maternal age.
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More harm than good for Ovarian Ca screening
September 20th 2012Annual screening with transvaginal ultrasound (TVS) and CA-125 doesn’t reduce deaths from ovarian cancer, and the harms outweigh the benefits for asymptomatic women. So says the US Preventive Services Task Force (USPSTF) in reaffirming a 2004 recommendation, based on a new literature review.
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Are postpartum depression and childhood growth linked?
September 20th 2012A longitudinal study of more than 10,000 children born in the United States suggests that maternal depressive symptoms are connected to growth patterns in preschool- and school-aged children. The research, by investigators from the Johns Hopkins Bloomberg School of Public Health, underscores the importance of prevention, early detection, and treatment of depression in the first year postpartum.
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Prone position more protective during breast radiation
September 14th 2012Prone—rather than supine—positioning during breast radiation therapy for breast cancer reduces the amount of radiation that reaches the heart and lungs without sacrificing efficacy, according to a research letter published in JAMA. The finding, according to the letter, is important considering that the risks to the heart and lungs can remain for up to 20 years after treatment.
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Prenatal pesticide agent exposure causes childhood cough
September 14th 2012Children exposed in the womb to the commonly used pesticide bolstering agent piperonyl butoxide (PBO) are more likely to suffer from a noninfectious cough at ages 5 to 6 years than those with no such prenatal exposure, according to researchers from the Columbia Center for Children’s Environmental Health (CCCEH) at the Mailman School of Public Health and of Columbia University Medical Center.
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IOM rails on healthcare system
September 14th 2012The Institute of Medicine (IOM) has once again issued a lengthy report indicting the US healthcare system as falling abysmally short, using just about any means of measure. The report says that based on 2009 figures, the United States is wasting approximately $750 billion per year on the care of its people.
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Lack of sleep linked to more dangerous/recurring breast Cancer
September 7th 2012Women who sleep less are more prone to breast cancer recurrence, according to the first study to show such an association. The findings suggest, according to the Case Western Reserve researchers, that lack of sleep contributes to biologically more aggressive tumors.
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Eating habits that drop pounds in postmenopausal women
September 7th 2012Giving up desserts, soda, and eating out produce short-term weight loss in postmenopausal women, but other strategies are necessary for longer-term reductions. So say results of a 4-year study by researchers from Pittsburgh of nearly 500 overweight and obese postmenopausal woman.
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Obesity and diabetes may increase risk of orthopedic surgical-site infections
September 1st 2012Diabetes is known to be associated with infectious complications after orthopedic procedures, and a recent study indicates that obesity and diabetes are independent risk factors for postoperative surgical-site infections (SSIs).
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Safety of vaginal delivery for preterm birth depends on fetal presentation
September 1st 2012Some studies indicate that planned cesarean delivery may reduce neonatal mortality compared with vaginal delivery for early preterm births. The safety of vaginal delivery in this scenario may depend on vertex versus breech presentation, however, according to a recent retrospective, multicenter cohort study.
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Chemo during pregnancy not detrimental
August 31st 2012Despite the occurrence of more neonatal and obstetrical events in women receiving chemotherapy during pregnancy than in those who wait until after, a recent study in the online edition of the August 16, 2012 Lancet Oncology finds the differences clinically insignificant. Researchers say that differences in outcomes are more the result of premature delivery than they are of chemotherapy.
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Cancer not more deadly in dense breasts
August 31st 2012Women with dense breasts are at increased risk of developing breast cancer but not of dying from the disease. So say results from a prospective study of more than 9,000 women with breast cancer by the Breast Cancer Surveillance Consortium.
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