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A new option for long-term contraception is coming soon. Here are the pros and cons on Implanon—an implant that doesn't get into breast milk nor diminish bone mineral density—but can cause irregular and unpredictable bleeding patterns.

Ob/gyns often ask me vague questions about "that large study at NICHD." They want to know if it will be like the old "Collaborative Perinatal Project." Have we chosen the sites? How can they participate? Clearly many physicians and health-care providers either have never heard of the National Children's Study (NCS) or do not know much about it. I hope this column will help change that so the National Institute of Child Health and Human Development (NICHD) can have all the support we need to successfully launch this study. And I welcome your participation in this landmark research endeavor.

The scientific evidence to date-including the authors' recent RCT-says no. Were EC to be available over-the-counter, it would not encourage risky sex nor increase rates of STI.

High medical malpractice premiums seem to have a negative affect on the supply of new ob/gyns. That's what researchers from the University of Michigan reported in a recent issue of Obstetrics & Gynecology (June 2005).

While low-dose aspirin may help prevent heart disease, a randomized, placebo-controlled study of almost 40,000 women finds that alternate day use of 100 mg aspirin for an average of 10 years does not lower the risk of total, breast, or colorectal cancer.

Contrary to some previous findings, inhaled nitric oxide therapy does not reduce the risk of death or further lung problems in premature infants weighing less than 1,500 g and should not be administered to this population, according to a study by the National Institute of Child Health and Human Development of the National Institutes of Health. However, a separate prospective, longitudinal study of similarly sick and premature infants found that those treated with nitric oxide at birth had improved neurodevelopmental outcomes at 2 years of age.

Women who have benign breast disease are more likely to develop breast cancer, but the question that continues to baffle clinicians and researchers is which of these at-risk patients will actually develop a malignancy.

Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.

Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.

Ob/gyns have welcomed the expanded role of pharmacists in providing quality care to women. The detailed instructions that pharmacists give when dispensing medication reinforce the information we give in the office.

Doing so can lead to serious—even fatal—complications. To protect mother and fetus alike, manage these patients just as aggressively as your nonpregnant asthmatics.

An isopropanolic extract of black cohosh root effectively relieves hot flashes and other climacteric complaints, especially in newly symptomatic women, according to a randomized, multicenter, double-blind clinical trial.

No, according to a recent study of over 500 first cycle recipients of donor oocytes. Obese recipients do not have significantly lower rates of implantation or pregnancy or significantly higher rates of spontaneous abortions than women who are underweight, overweight (but not obese), or of normal weight.

Outpatients undergoing early uterine evacuations in your office require a safe environment and a clinician with a thorough knowledge of the medical and surgical techniques. This practical review provides protocols for medical abortion and early pregnancy failures and guides you through the manual vacuum aspiration procedure.