Gynecology

Using SSRI late in pregnancy may increase the risk of persistent pulmonary hypertension in a newborn. Plus, hormone therapy may help mood in early postmenopause; use of mesh for prolapse on the rise

The FBI is investigating how much the manufacturer knew about the safety of the design. Plus, how does the clotting profile of new oral contraceptives compare to earlier formulations and a look at the impact of the PALB2 mutation on breast cancer prognosis.

What are the current recommendations for managing women who are BRCA 1 or 2 carriers?

Careful preoperative planning and positioning will help to overcome some of the challenges presented by the obese patient's body habitus.

A patient sues after a hysterectomy is performed even after a finding of no cancer.

A new study looks at whether or not women with dense breasts require alternative screening methods. Conventional wisdom about reducing salt intake to lower blood pressure may not be correct. What's the impact of breastfeeding on reducing the recurrence of certain breast cancer types.

A look at the evidence shows that a program using ob/gyn hospitalists makes sense for many facilities and may improve outcomes.

The professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.

Training on the devices is available, even beyond residency.

Hands-on ratings of a patient-controlled inhaled analgesia system and a bag for contained tissue extraction.

Research looks at ACOG's 39-week initiative, whether a diagnosis of GBS in 1 pregnancy increases likelihood in future pregnancies, and more data on open versus in-bag morcellation.

The USPSTF updated recommendations on mammography have sparked discussion on screening in younger women. Plus, does exposure to gestational diabetes increase risk of autism? What are the implications of genome editing?

The Centers for Disease Control and Prevention (CDC) discusses the importance of HPV screening, vaccination, and the role of the clinician in helping prevent HPV and related cancers. The video presents three viewpoints: An OB-GYN who treats cervical cancer, a mother / Pediatrician who had her daughters vaccinated for HPV, and a survivor of cervical cancer.

Of the top 10 surgical procedures that are decreasing at the greatest rate, 4 of them are related to obstetrics and gynecology.

DNA from a genetically dissimilar deceased twin may be counted as part of total fetal DNA, leaving to incorrect test results for the surviving fetus.

Less may be more when it comes to surgical management.

A high/low agreement usually is done to prevent a “runaway” jury from coming back with an unreasonably high award, but ensures the plaintiff of something because they are agreeing to a lower amount than what the jury might have awarded.

Two experts take sides on the clinical merits of performing bilateral salpingectomy alone versus removing the tubes in BRCA mutation carriers.

Plus: research on systemic HT, type II diabetes and post-pregnancy obesity

A new adjustable single-incision bladder sling placed via the transobturator route for women with stress urinary incontinence shows promise.

More information on the risks of morcellation when treating fibroids; a look at the price tag associated with post-fracture use of bisphosphonates; and research on the developmental impact of a variety of air pollution.

Use of a certain form of bupivacaine for pain control after gynecological surgery reduced the amount of opioids needed and may reduce recovery time.

Chronic pelvic pain is costly to diagnose and treat, but appropriate and timely interventions can lead to a restoration of quality of life.

These tips for implementing good technique in laparoscopic surgeries can help reduce complications and result in faster surgeries.

Hospital births and obstetricians are not the enemies of low-intervention spontaneous vaginal delivery.

There isn't enough evidence to recommend chewing gum after a c-section or other surgery to improve GI function, but the practice won't hurt.

In the latest volley in the ongoing controversy regarding the safety of some forms of hysterectomy, the country’s largest insurer will soon begin requiring prior authorization for many of the procedures. The action, taken by UnitedHealthCare, takes effect April 6, 2015 and does not apply to outpatient vaginal surgeries.

For women in whom surgery is not recommended or necessary, treatment with the goal of symptom relief and size reduction can be achieved medically.

Readers comment on MOC, ureteral injury, nonimmune hydrops fetalis

Among BRCA mutation carriers, risk-reducing bilateral salpingo-oophorectomy (RRSO) results in an 80% reduction in risk of ovarian cancer and a 50% reduction in risk of breast cancer if the surgery is performed before the onset of menopause.