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Expert commentary on Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery.

Our latest survey paints a picture of ob/gyns simultaneously dedicated to their profession and increasingly frustrated by external stressors.

To help combat maternal mortality rates globally, the US government has invested more than $15 billion since 2008 in innovative measures to accelerate reduction in deaths. These efforts are led by the US Agency for International Development (USAID).

Like the road to hell, the road to the opioid crisis was paved with good intentions.

With the United States ranked No. 50 globally in maternal deaths, support is growing in Congress for the Preventing Maternal Deaths Act of 2017 (H.R. 1318/S. 1112).

Sleep-disordered breathing during pregnancy is a risk factor for development of hypertensive disorders and gestational diabetes mellitus.

Preliminary data from a retrospective study suggest that incidence of spontaneous subarachnoid hemorrhage (sSAH) may be increasing among pregnant women. Plus: Study finds lower risk of diabetes a benefit of breastfeeding. Also: Taking prenatal folic acid and multivitamins lowers the risk of autism, according to results of a new case-control study.

Premenopausal and postmenopausal women treated with the combined agonist/antagonist flibanserin for hypoactive sexual desire disorder (HSDD) are likely to lose weight, according to a post hoc analysis of five studies.

Midpelvic attempted operative vaginal delivery (aOVD) does not increase risk of sexual dysfunction in women or their male partners nor are the women more likely to manifest symptoms of maternal postpartum depression at 6 months compared to counterparts who had low pelvic aOVD, according to a prospective study.

Results of a large randomized clinical trial indicate that in low-risk nulliparas, elective induction of labor (IOL) at 39 weeks lowers rates of cesarean delivery (CD) without significantly increasing adverse perinatal outcomes. Plus, more coverage from The Pregnancy Meeting.

To help practitioners stay up-to-date on maternal mortality stories, Contemporary OB/GYN will post links to reports from mainstream media outlets on our Media page. Be sure to check back often for the very latest links and information.

A collection of standards, guidelines, tools and articles for the OB caring for pregnant patients with cardiac disease.

Bladder health is an important component of a woman’s well-being, and overactive bladder (OAB) remains a multifactorial symptom complex that gynecologists are uniquely positioned to address. This article summarizes guidelines for diagnosis and treatment, highlighting special considerations for management of OAB across women’s life span.

Hormone therapy (HT) can prevent development of depressive symptoms among initially euthymic perimenopausal and early postmenopausal women, according to results of a study. Plus: Does prenatal choline exposure promote cognition in infants?

Women with arousal-specific sexual dysfunction are significantly less likely to perceive when their genitals are sexually aroused compared to women who have decreased sexual function or are sexually functional, according to an analysis of data from 5 studies

More than half of young adults between ages 18 and 39 with a cancer diagnosis reported problems with sexual function, according to a 2-year longitudinal study.

Results of a study of fetal ultrasounds show that maternal obesity has an impact on fetal growth as early as 32 weeks’ gestation. Plus: Breast cancer risks increased by 21% in women who consumed more than 9 g of processed meat per day, according to a published study. Also: Does prenatal use of topiramate increase risk of cleft palate?

Women who complain of dyspareunia are four times more likely to have endometriosis than healthy women, according to a study.

According to researchers, laparoscopic treatment can significantly improve the sex lives of women with endometriosis by relieving deep dyspareunia.

Data collection methods are improving but still a challenge.

Management challenges in pregnancies complicated by maternal heart disease are complex, requiring ongoing involvement of a team of specialists.

Cutting-edge medical advances and innovative technologies have made headlines and continue to flourish in the new millennium. However, these medical achievements stand in stark contrast to the paradoxical increase in US maternal mortality, which is among the highest of all developed nations.

If we truly want to “make America great again” we should start with a national effort to address our tragically high maternal mortality rate.

This article summarizes guidelines for diagnosis and treatment, highlighting special considerations for management of OAB across a woman’s life span.

Did her family physician meet the standard-of-care?

An updated review of evidence by the US Food and Drug Administration (FDA) underscores concerns expressed in 2014 by the agency about use of laparoscopic power morcellators (LPM) for treatment of uterine fibroids. Plus: Prescription habits show ob/gyns not well informed about opioids, according to a study. Also: Does ADHD medication use during pregnancy increase risk of congenital malformations?

Results of a prospective cohort study by Danish investigators suggest that current or recent use of hormonal contraceptives may be associated with an increased risk of breast cancer. Plus, Editorial Board Member, Ilana Cass, MD, weighs in on the impact of the study's findings.