March 15th 2023
A model to estimate the optimal number of oocytes to try to fertilize during assisted reproductive technology (ART) treatment predicted that 43.4% of oocyte retrievals were day 3 transfers; hence, exposing all oocytes to sperm is recommended.
March 8th 2023
Does minimally invasive surgery for cervical cancer = longer survival?November 20th 2018
While minimally invasive and open surgeries have been found to produce similar survival rates in other early cancers, that might not be the case for early cervical cancer. PLUS: At what age should cervical cancer screening stop? ALSO: How much do genetic variants affect breast cancer risk?
Laparoscopic Essure tubal reversal: How we do itOctober 24th 2018
With the impending withdrawal of Essure from the US market, ob/gyns should know how to remove the device. The authors describe the traditional technique and their new approach.
Prolapse treatment has high failure rates, patients still report improved quality of lifeApril 24th 2018
Results of a recent extended study of prolapse surgery showed that in 60% of women, two common procedures failed within 5 years, but patients still reported a higher quality of life than before the surgery. Plus: ACOG has released a revised Committee Opinion to emphasize the idea of the “fourth trimester” in an attempt to reduce maternal morbidity and mortality numbers. Also: A recent study suggests that entering menopause later in life may be associated with a small boost in memory performance years later.
Study finds clinical outcomes and hospital costs favor vaginal hysterectomyNovember 16th 2017
Total vaginal hysterectomy was found to be associated with better postoperative clinical outcomes and lower hospital costs compared to either total abdominal or robotic laparoscopic hysterectomy, according to the results of a retrospective study presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.
Study finds gynecologic oncology ranks highest in robotic surgical proficiencyNovember 15th 2017
When it comes to robotic surgical dexterity, gynecologic oncology ranks higher than other disciplines, according to the results of a crowd-sourced assessment of technical skills presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.
Laparoscopic excision of vaginal mesh found effectiveNovember 15th 2017
While most clinicians remove vaginal mesh through the vagina, employing laparoscopy is feasible and safe, especially when there is limited visualization through the vagina, according to a case series presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.
CDC issues interim guidance on congenital Zika infectionOctober 30th 2017
New interim guidance from The Centers for Disease Control and Prevention (CDC) emphasizes the need for standard screening and monitoring of infants with possible congenital Zika virus infection plus hearing screening and specific testing and evaluation in three clinical scenarios. Plus: Are at-risk women commonly tested for rectal gonorrhea, chlamydia? Also: According to a study, ovarian cancer may originate in fallopian tubes.
Why you should be performing office hysteroscopy… nowSeptember 27th 2017
Office hysteroscopy (OH) remains a valuable but underutilized tool in evaluation and treatment of abnormal uterine bleeding. Fostering a clinic environment in which patients have access to a “one-stop shopping” experience has benefits for both them and the gynecologist. as well as the medical system.
Is genetic testing for cancer survivors underutilized?September 13th 2017
One study looks at whether or not women with histories of breast or ovarian cancer are receiving necessary genetic testing. Plus: Can in-office hysteroscopy reliably evaluate uterine pathology? Also, researchers say mammographic density changes should be monitored in patients undergoing hormone therapy as a possible indicator of breast cancer.
Are hysterectomy volumes in the US really falling?September 1st 2017
Hysterectomy is the most common nonobstetric surgical procedure performed on women, with 1 out of 9 women undergoing it in their lifetime. Recent reports have indicated a sharp decline in the number of hysterectomies performed annually in the United States.
Brain injury allegedly caused by forcepsSeptember 1st 2017
When the head of a Kansas woman's baby did not descend easily, the nurse-midwife managing the labor sought an obstetrician’s intervention. The obstetrician used forceps to assist the delivery. The parents sued the obstetrician after the delivery alleging the infant suffered a skull fracture, lacerated ear, bruising around his scalp, and bleeding in the brain as a result of the forceps. What's the verdict? Plus more cases.
Sexual health and function in pregnancyAugust 1st 2017
Physiologic changes during pregnancy affect the body’s hormonal milieu as well as a woman’s sexual desires, responses, and practices. In this review, we discuss knowledge gaps, the physiology of the female sexual response during pregnancy, types of sexual activity during pregnancy, and existing literature on anatomic and physiologic changes by trimester and postpartum.
Contemporary OB/GYN founder receives lifetime achievement awardJuly 27th 2017
Contemporary OB/GYN congratulates Founding Editor John T. Queenan, MD, on the lifetime achievement award presented to him at the 9th Philadelphia Prenatal Conference. Held June 8 to 10 in the city for which it was named, the event was jointly sponsored by the American College of Obstetricians and Gynecologists and the Philadelphia Prenatal Diagnosis Institute/The Philadelphia pregnancy, Genetics and Ultrasound Center.