Gynecology

Pregnancy after bariatric surgery is associated with a reduced risk of having a large-for-gestational-age infant and an increased risk of having a small-for-gestational-age infant, concluded a matched cohort study of singleton deliveries in Denmark.

While one expert feels that the benefits for family balance outweigh potential risks, the other is concerned that sex selection will lead to a slippery slope.

Diagnosis and treatment involve ruling out bleeding disorders and determining the appropriate management modalities.

Medical treatment and expectant care are acceptable alternatives to routine surgery after a miscarriage, concluded an intervention review conducted by the Cochrane Pregnancy and Childbirth Group.

On June 13, the United States Supreme Court unanimously ruled that naturally occurring DNA cannot be subject to patent.

One incision is associated with better outcomes and potential cost savings.

Urodynamic studies prior to surgery in women with well-characterized stress urinary incontinence may be unnecessary, according to the findings of a recent study.

Positioning sutures away from an intervertebral disc at the promontory may help reduce the risk of disc-related sequelae after sacrocolpopexy, concluded a review of spinal MRIs of women undergoing surgical repair of pelvic organ prolapse.

Doing nothing is no longer an option, say the authors. Cervical length assessment should be provided to a larger population of women to identify and treat those with cervical shortening.

Having a hysterectomy with or without ovary removal in mid-life does not increase a woman's risk of cardiovascular disease compared to women who reach natural menopause, contrary to many previously reported studies.

The guidance you need for coding cervical screening from the SMFM Coding Committee.

Many women who undergo abdominal sacrocolpopexy for pelvic organ prolapse (POP) experience a recurrence of POP or urinary incontinence within 5 years of surgery.

The British Menopause Society (BMS) on May 23 released updated recommendations on hormone replacement therapy (HRT), claiming that they are finally providing clarity to this murky issue. The new guidelines appear in the society’s flagship journal, Menopause International. Developed by a panel of experts, the guidelines discuss how women can optimize their menopause transition, focusing in particular on lifestyle and diet and the pros and cons of complementary therapies.

Results of a study of more than 116,000 women, published online May 14 in Human Reproduction reveal a 39% lower risk of endometriosis in those who were morbidly obese than in women with normal body mass index (BMI).

Laparoendoscopic single-site surgery with hysterectomy (LESS-H) for benign disease with either a lateral or vaginal approach is a feasible procedure regardless of cesarean section history.

Many ob/gyns and nurse practitioners see vulvovaginal disease on a day-to-day-basis, but lack the knowledge to accurately diagnose and treat them. At ACOG’s 61st Annual Clinical Meeting, Hope Haefner, MD, Department of Obstetrics and Gynecology at the University of Michigan, and Lynette Margesson, MD, Adjunct Assistant Professor of Obstetrics and Gynecology and Surgery (Dermatology) at the Geisel School of Medicine at Dartmouth, presented tips to help clinicians identify common and rare vulvar diseases.

This surgical video shows resection of a 3-cm intracavity fibroid using minimally invasive surgical technology. The patient, a 40-year-old woman, presented with a 60-day history of abnormal bleeding.

This difficult defense-a young woman dying shortly after a routine tubal ligation-was further complicated by conflicting reports about who said what to whom and when.

In patients with an American Fertility Society class V or class VI septate uterus, hysteroscopic metroplasty is associated with a significant improvement in reproductive performance.

Total delivery costs are lower-and rates of vaginal delivery higher-when external cephalic version (ECV) is done with versus without neuraxial anesthesia. So say the results of a study by Stanford University researchers published online in Anesthesia & Analgesia.

This patient presented with 18 months of secondary infertility following a second trimester dilation and extraction.

The use of a postoperative levonorgestrel-releasing intrauterine device reduces the recurrence of painful periods in women with endometriosis.

Women with endometriosis who undergo surgery to treat the condition are less likely to have ovarian cancer develop later in life.

In a groundbreaking procedure, robotically assisted, ultrasound-guided laparoscopic surgery was performed successfully to tighten an incompetent cervix.

The risk of postoperative endometritis is reduced when a vaginal preparation of povidone-iodine is administered immediately before cesarean delivery.

A study focusing on gender-based differences in gynecologic knowledge among college students has found that college men have less gynecologic knowledge than do college women.

To optimize treatment and prevent sequelae of STIs in adolescents, screening and diagnosis must be tailored to their unique needs.

These cases are interesting in that they were both defense verdicts and the issues were proving when the retained foreign object was left in the abdomen and what the object was.