Is there a link between ovulation induction and cancer?
May 1st 2005Although there have been no clinical trials to conclusively establish a cause-and-effect relationship between ovulation induction with clomiphene citrate or gonadotropins and cancer, evidence derived from prospective and cohort studies suggests the following:
What maternal smoking does to fetal chromosomes
May 1st 2005A fetus is more likely to have chromosomal instability, expressed as an increase in structural chromosomal abnormalities and chromosomal lesions, when a woman smokes 10 or more cigarettes a day for at least 10 years and continues to smoke during pregnancy. And that danger is not influenced by maternal age.
BRCA mutations just as prevalent in DCIS as in invasive breast cancer
May 1st 2005Women with BRCA1 and BRCA2 mutations are not only at greater risk for invasive breast cancer (IBC); the latest research suggests these mutations also increase the threat of ductal carcinoma in situ (DCIS), according to a case-control study conducted in Connecticut.
SSRIs during pregnancy may cause neonatal withdrawal syndrome
May 1st 2005The risks of neonatal convulsions and neonatal withdrawal syndrome seem to increase when a pregnant women uses selective serotonin reuptake inhibitors (SSRIs), with paroxetine being the worst offender, according to cases reported by 72 countries to the World Health Organization's Collaborating Centre for International Drug Monitoring in Uppsala, Sweden.
Is anterior Rubin's manuever best choice for shoulder dystocia?
April 15th 2005In a simulator study comparing McRoberts', anterior Rubin's, and posterior Rubin's maneuvers for initial management of shoulder dystocia, researchers from Johns Hopkins found that anterior Rubin's maneuver required the least traction for delivery and produced the least amount of brachial plexus tension.
Incorporating breast MR imaging into your practice
April 15th 2005The emergence of magnetic resonance as a viable imaging tool for evaluating the breast presents new diagnostic possibilities for ob/gyns. But before you can use it wisely, you have to understand certain key clinical parameters, recognize the technical factors that affect the quality of breast MR images, and be familiar with current indications for the procedure.
Grand Rounds: Taking the guesswork out of diagnosing and managing vaginitis
April 1st 2005An expert shares ways to avoid misdiagnosing vulvovaginal infections by becoming better acquainted with the microscopy of vaginal secretions, routinely using both pH paper and the amine test, and prudently employing vaginal yeast and Trichomonas cultures.
Electrofulguration for low-grade CIN lesions
April 1st 2005An improved version of this long-standing technique is back in favor and once again yielding impressive cure rates. Two experts give step-by-step guidelines for an easy-to-perform ablative alternative for persistent low-grade cervical intraepithelial neoplasia.
Can this assessment tool reduce high-order multiple pregnancies?
April 1st 2005A new prediction model may reduce the rate of high-order multiple pregnancy (HOMP)—triplets or more—by about 75%, but only reduces the overall pregnancy rate by 8%, according to the results of a prospective study from Spain.
Direct pharmacy access to EC does not increase use
April 1st 2005The ability to obtain emergency contraception (EC) directly from a pharmacist does not mean women would be more inclined to use it than if they only had access through a clinic, according to a randomized, controlled trial of over 2,000 women.