October 11th 2024
Review some of the top stories from the Contemporary OB/GYN website over the last week, and catch up on anything you may have missed.
2024 Neuromuscular Summit
November 20, 2024
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Patient, Provider, and Caregiver Connection™: Exploring Unmet Needs In Postpartum Depression – Making the Case for Early Detection and Novel Treatments
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Identifying Health Care Inequities in Screening, Diagnosis, and Trial Access for Breast Cancer Care: Taking Action With Evidence-Based Solutions
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16th Annual International Symposium on Ovarian Cancer and Other Gynecologic Malignancies™
May 3, 2025
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Addressing Healthcare Inequities: Tailoring Cancer Screening Plans to Address Inequities in Care
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Clinical Consultations™: Guiding Patients with Genital Psoriasis Toward Relief Through a Multidisciplinary Approach
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Do federally funded programs provide misleading abortion info?
September 1st 2006It seems so according to a report from tje office of U.S. Rep. Henry Waxman, D-Calif. The report notes that crisis pregnancy centers that are federally funded receive monies funneled through the abstinence-only-until-marriage program. It also found that 87% of these centers provided "false and misleading information about the physical and mental health effects of abortion and exaggerated the medical risks of abortion," reported the American College of Obstetricians and Gynecologists government relations newsletter Inside Scoop (07/21/2006).
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New CDC recommendations for HPV vaccine
August 1st 2006In June, the Food and Drug Administration approved the first vaccine developed to protect women against cervical cancer. Known as Gardasil and developed by Merck & Co., the drug is highly effective against four types of human papillomavirus, including two that cause cervical cancer.
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Doppler U/S better than amnio for Rh+ pregnancy
August 1st 2006In the management of Rh-alloimmunized pregnancies, Doppler ultrasonography (U/S) of the middle cerebral artery is superior to amniocentesis in predicting fetal anemia and is a safe alternative for monitoring such pregnancies, according to a study in the July 13 issue of the New England Journal of Medicine.
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Antioxidant supplementation during pregnancy: Harmful rather than helpful?
July 1st 2006Supplementation with the antioxidant vitamins C and E during pregnancy doesn't reduce the risks of preeclampsia, intrauterine growth restriction, infant death, or other serious infant outcomes in nulliparous women, according to the results of a recent multicenter, randomized trial. In fact, women taking the vitamins may be more likely to develop hypertension and to require treatment with antihypertensive drugs.
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Demystifying combined HPV-Pap screening guidelines, Part 2
June 1st 2006A leading expert helps you educate yourself-and your patients-about putting combined HPV-Pap testing into practice. Patient education should stress how common HPV is and explain the high level of reassurance testing negative on both tests affords.
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Using liquid Pap tests to detect gonorrhea and chlamydia
June 1st 2006You can accurately test for Neisseria gonorrheae (NG) and Chlamydia trachomatis (CT) using the same liquid Pap specimens collected for cervical cytology, researchers from University of Oklahoma college of Medicine in Tulsa have concluded.
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Finding the safest approach to hyperemesis
June 1st 2006Pregnant patients with severe nausea and vomiting should probably not be managed with a peripherally inserted central catheter (PICC), suggests a relatively small trial presented at this year's American College of Obstetricians and Gynecologists meeting.
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Researchers find HPV vaccine safe, effective for 4.5 years
June 1st 2006Three immunizations with a bivalent human papillomavirus (HPV)-16/18 L1 virus-like particle AS04 vaccine safely induces sustained high levels of antibodies that provide long-term protection against HPV-16 and -18 infection and associated cervical lesions and possibly against HPV 45 and HPV 31-the third and fourth most common HPV types associated with cervical cancer-for up to 4.5 years.
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Adolescent patients and their confidentiality: Staying within legal bounds
May 1st 2006What right does a teenager have to confidential health care? What influence does HIPAA have on that right? How you apply the answers in your practice could determine whether an adolescent seeks health services-or forgoes necessary care.
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Which treatment for cervical lesions optimizes pregnancy outcomes?
May 1st 2006It seems laser conization is associated with a slightly lower riskof adverse pregnancy outcomes than cold knife conization or largeloop excision of the transformation zone (LLETZ), and laserablation entails the lowest risk of all-findings that couldprove very important to the many women of reproductive agereceiving treatment for intraepithelial or early invasive cervicallesions.
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What to tell patients about banking cord blood stem cells
April 15th 2006Pregnant patients are more likely than ever to ask about stem cells and umbilical cord blood banking. In this article, an expert provides an update on the pros and cons of cord blood banking, and the controversy over private versus public banks, to help you counsel appropriately.
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Is HPV DNA triage of ASCUS cost-effective?
April 15th 2006Yes, says a new cost comparison of immediate colposcopy, HPV DNA testing, and conservative management in nearly 3,500 women over a 2-year period. The data are from ALTS?atypical squamous cells of undetermined significance [ASCUS] and low-grade squamous intraepithelial lesion [LSIL] Triage Study.
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In light of the FDA's black box warning about potential bone loss in teenagers, how do you counsel teenagers about this highly effective birth control method? Recommendations from the World Health Organization provide a practical, evidence-based approach to weighing the risks.
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Grand Rounds: Part 1: Cervical cancer guidelines: Making sense of the screening intervals
April 1st 2006If there's really been such a sea change in how and when to screen for cervical cancer, when are clinicians going to take the plunge and start applying new recommendations? An expert comes to the rescue by sifting through the new ACS and ACOG guidelines, to help you put them into practice.
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Does subclinical hypothyroidism really affect pediatric IQ?
March 1st 2006Apparently not. In a FASTER-related study, researchers from seven centers who studied more than 10,000 patients concluded that the association between subclinical hypothyroidism and lower pediatric IQ does not appear to result from obstetric factors. The finding is of special note given controversy on this question raised by recent studies.
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NICHD finding: the nail in the coffin for fetal pulse oximetry?
March 1st 2006Is fetal pulse oximetry a waste of time? Riveting results from an important trial presented at the 26th annual SMFM meeting in Miami in February suggest just that?and seemingly shatter the whole premise behind fetal pulse oximetry: that it might either improve perinatal outcome or lower cesarean delivery rates.
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Sign Out: Maternal and newborn mortality: the silent tragedies
January 1st 2006No issue is more central to global well-being than the health of mothers and their babies. Every individual, every family, every community at some point or another is intimately involved with pregnancy and the success of childbirth. And yet every day, 1,600 women and more than 10,000 newborns die due to complications that could have been prevented.
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U/S Clinics: Putting the FASTER results into clinical practice
January 1st 2006Counseling patients on screening for Down syndrome has long been a challenge. Findings from the FASTER trial provide solid evidence upon which to base recommendations for first- or second-trimester testing, or a combination of both.
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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.
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