Increase stress levels to lower Br Ca risk?
January 1st 2006It seems chronic stress has a fringe benefit: It protects women from breast cancer. A recent prospective cohort study of almost 7,000 women participating in the Copenhagen City heart study finds that women with self-perceived high levels of stress have a 40% lower risk of first-time primary breast cancer than less stressed counterparts.
Treat sudden jump in systolic blood pressure as emergency in preeclamptic patients
January 1st 2006Abiding by the old rules and waiting for a severely preeclamptic patient's diastolic blood pressure (BP) to reach or rise above 110 mm Hg before beginning to treat hypertension can invite a deadly stroke, warned a leading Jackson, Miss. maternal-fetal medicine researcher. Instead, consider treating as a hypertensive emergency a pregnant patient's sudden severe systolic BP reading of 155 to 160 mm Hg or more, regardless of the diastolic reading, said James N. Martin, Jr., MD, Professor of Obstetrics and Gynecology, and Director of Maternal-Fetal Medicine and Obstetrics at the University of Mississippi School of Medicine.
Birth control patch-wearers at higher risk of blood clots
January 1st 2006Users of the Ortho Evra birth control patch (Ortho McNeil Pharmaceuticals) are exposed to higher overall levels of estrogen than users of birth control pills and thus may be at higher risk for blood clots and other serious side effects, according to the FDA.
Short cervix increases risk of preterm birth thirteenfold
January 1st 2006In women with uterine anomalies, such as bicornuate uterus, unicornuate uterus, septate uterus, and uterus didelphys, a cervical length of less than 25 mm on transvaginal ultrasonography makes preterm birth 13 times more likely, according to results from a prospective study of 64 women.
Sign Out: Empowering patients through education
December 1st 2005From the Internet to salacious headlines in the mainstream media, consumers have never been so inundated with health-care information and advice. To truly empower women to take control of their health, we have to provide them with the knowledge they need to make informed decisions. But we also need to make sure the information is credible.
Cerclage: Should we be doing them?
December 1st 2005We've been doing cerclage for roughly half a century—but where's the evidence that it prevents preterm birth? The authors make the case for limiting this surgery to select patients, cautioning that for multiple gestations, it might just make things worse.
Grand Rounds: Advances in laparoscopic tools for gynecologic surgery
December 1st 2005As gynecologic surgeons have honed their laparoscopic skills, the tools used for minimally invasive gynecologic surgery have followed suit. Better specimen removal and vessel ligation devices, improved trocars, and automatic morcellators are among the reasons this approach has become easier—and safer.
A primer on breast reduction surgery
November 1st 2005Excessively large breasts can be so painful that even the rare risk of losing her nipples and areolae won't dissuade a woman from undergoing reduction surgery. This article—by two plastic surgeons—gives you information on the pros and cons of various surgical approaches so you can educate patients about all of their options.
Seeking medical options for abnormal uterine bleeding
November 1st 2005Determining the cause of AUB is challenging. How you choose to manage it will partly depend on whether the bleeding is acute or chronic. In part 1 of this 2-part series, we'll discuss medical treatment. In part 2, we'll address surgical options.