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Reporting findings that may change current practice, Canadian researchers at the annual SMFM meeting have concluded that two-layer closures during cesarean deliveries are safer than the single-layer closures that have been so widely adapted. In one of the largest series of symptomatic uterine ruptures, University of Montreal investigators found previous locked single-layer closure to be independently associated with uterine rupture.

Is 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.

Age isn't the only impediment to male fertility; numerous other factors?many of which are controllable?can lessen sperm quality, according to the results of a number of studies reported at a joint meeting of the American Society for Reproductive Medicine and the Canadian Fertility and Andrology Society in October of 2005.

Twins resulting from subfertility treatment are born about 4 days sooner (95% CI; 2.7?5.2) and are about 60% more likely (OR 1.6; 1.4?1.8) to be born slightly preterm (between 34 and 36 weeks) when compared with naturally conceived twins, according to the results of a population-based cohort study from Belgium. But the differences are largely explained by a first birth effect among subfertile couples and are mitigated by the protective effect of dizygotic twinning; most twins resulting from subfertility treatment are dizygotic.

Left-handed women are more than twice as likely as their right-handed counterparts to develop premenopausal breast cancer, according to the results of a recent prospective study.

Women who develop heavier placentas during pregnancy have a higher risk of breast cancer, according to the results of a population-based cohort study from Sweden.

In postmenopausal women with endocrine-responsive breast cancer, adjuvant treatment with letrozole, as compared with tamoxifen, results in a higher 5-year disease-free survival (DFS) rate (84% vs. 81.4%) and in a significantly reduced risk of an event ending a DFS period (hazard ratio, 0.81). Such events included a cancer that recurred locally, regionally, or at a distant site, a new invasive cancer in the contralateral breast, or any second non-breast cancer, or death from a prior cancer.

Look to our brackets as signposts to reading in concentrated doses, a 'distillation' of our longer articles.

The Association of Surgeons of Great Britain and Ireland (ASGBI) devised the electronic surgical logbook (version 2.4) for higher trainees in General Surgery enabling trainees to compile a uniform data set of their operative and training experience.

I am 39 years old, and the past year I started experiencing night sweats, especially when close to having my period, including insomnia and acne breakouts.

Pelvic inflammatory disease (PID) is a frequent condition of young women, often resulting in reproductive morbidity. Although Neisseria gonorrhoeae and/or Chlamydia trachomatis are/is recovered from approximately a third to a half of women with PID, the etiologic agent is often unidentified.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

It is in your best health interest to see your gynecologist or primary care physician regarding specific medical problems or concerns.

Are these symptoms of Menopause?Am I experiencing Perimenopause? What should I expect from HRT?

This month's topics: Ovarian Pain & Cysts, Surgery Pain & Adhesions, Vulvodynia, Vulvar Pain and Other Questions

Aromatase inhibitors have surpassed tamoxifen in treatment of recurrent breast cancer. Will the same be true for early disease? An expert examines the evidence from ongoing clinical trials.

Your postpartum patient's profuse bleeding is threatening her life. When every minute counts, you'll need a well-informed, stepwise action plan.

You may not have been trained as a CEO, but unless you sharpen your business skills, your clinical skills may be all for naught. In the first of our 3-part series, a seasoned physician executive outlines the tools needed to manage people, profits, and policies.

If you have an infertile patient whose insurance does not cover in vitro fertilization, there's hope.

In an attempt to improve quality of care and reduce costs, Blue Shield of California recently devised a pilot program that compares the practice patterns of solo practitioners against that of peer specialty groups in their region.

Drinking two or more cups of tea a day can lower a woman's chances of getting ovarian cancer by 46%.

The FDA recently issued an alert based on early findings of two new studies suggesting that paroxetine (Paxil, GlaxoSmithKline [GSK]) increases the risk for congenital malformations, particularly those of a cardiac nature, when it is taken by women during the first trimester of pregnancy.

While the reasons for the shorter survival of black women with breast cancer compared to their white counterparts are still not completely understood, new research indicates that most of these women die of causes other than breast cancer and that diabetes and hypertension play important roles.

While the risks for a first-time venous thromboembolism (VTE) or pulmonary embolism (PE) increase with each trimester of pregnancy, they peak during the postpartum period when they are five and 15 times greater, respectively, than during pregnancy, according to the findings of a 30-year population-based study of 50,000 women.

In an effort to improve the diagnosis of breast cancer, an international panel of 23 expert surgeons, radiologists, pathologists, and oncologists recently recommended expanding the roles of minimally invasive needle and sentinel node biopsies and severely limiting the role of open surgical biopsies, citing that almost one third of the 1.7 million breast biopsies performed in the United States are still done surgically.