NICHD: Stress increases stillbirth risk
April 4th 2013A study supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of more than 2000 women shows that stressful life events increase the risk of stillbirth. The findings, published in The American Journal of Epidemiology, point to a need for ob/gyns to include counseling about stress in prenatal care.
Data Reassures of the Probable Safety of SSRIs in Pregnancy
April 3rd 2013There is no association between in utero exposure to selective serotonin reuptake inhibitors (SSRIs) and stillbirth, neonatal mortality, and infant growth rate during the first year of life, according to the results of 2 unrelated studies.
Lifestyle changes for a healthy pregnancy: Caffeine, exercise, and more
April 1st 2013Women in early pregnancy and those attempting conception are often concerned with altering their lifestyles to achieve and maintain a healthy pregnancy. Patients often ask ob/gyns for recommendations about caffeine intake, exercise, alcohol consumption, and use of artificial sweeteners. In addition to quantity, the question of timing arises: When is the appropriate time for a woman to alter her lifestyle-before conception or after pregnancy is established?
Reproductive effects of celiac disease
April 1st 2013Celiac disease is an inherited autoimmune chronic inflammatory intestinal disease that, uniquely, has a known inciting agent-gluten. Ob/gyns are most likely to encounter women with CD presenting with abdominal and pelvic pain. Irritable bowel syndrome and endometriosis are commonly part of the differential diagnosis.
Hand-assisted technique beneficial for challenging laparoscopies
March 28th 2013A technique that bridges minimally invasive surgery and an open approach appears to have promise for challenging cases in laparoscopic myomectomy and hysterectomy, according to preliminary outcomes from a surgical series by investigators at Brigham and Women’s Hospital, Boston.
What to do when patients request cesareans
March 28th 2013Physicians should recommend that their patients plan for vaginal deliveries rather than cesarean deliveries if there are no maternal or fetal indications for a cesarean. This is the position stated in a new committee opinion from the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice.
Robotic Hysterectomy Offers No Benefits Over Laparascopic Hysterectomy
March 25th 2013The use of robotically assisted hysterectomy for women with benign gynecological disease offers little short-term benefit and has significantly greater costs than laparoscopic hysterectomy, according to the results of a large US cohort study.
Is Fertility Improved After Hysteroscopy for Uterine Cavity Abnormalities?
March 22nd 2013Hysteroscopic removal of polyps in women with unexplained infertility may increase their chances of becoming pregnant, concludes an intervention review conducted by the Cochrane Menstrual Disorders and Subfertility Group.
Lower incidence of genital warts after HPV vaccine
March 21st 2013A study in Sweden has shown that the incidence of genital warts (condylomata) declined by 93% in girls who received the human papillomavirus (HPV) vaccine before age 14. The study was carried out by researchers at Karolinska Institute in Sweden and published in Journal of the National Cancer Institute.
Bevacizumab Improves Survival but Reduces Quality of Life in Late-Stage Cancer Patients
March 18th 2013Patients with stage IVB, recurrent, or persistent cervical cancer that was not cured with standard treatment who were given the angiogenesis inhibitor bevacizumab lived 3.7 months longer than patients who did not receive the drug, but adverse events increased.