Protocols for High-Risk Pregnancies, 7th Edition: Protocol 21, Obesity
September 13th 2021In this protocol, Ramsey reviews the health implications of obesity for mother and fetus. The incidence of obesity in the United States has increased dramatically. Of pregnant women in the country, more than half are overweight or obese and 8% or more are extremely obese. As the author notes, excessive gestational weight gain, particularly in women who are already overweight or obese, increases risk of maternal complications such as diabetes, hypertension, and operative deliveries and neonatal outcomes such as macrosomia and stillbirth.
Certain incentives may help those with OUD prevent unintended pregnancy
September 10th 2021Among women with opioid use disorder (OUD) at high risk for unintended pregnancy, on-site contraceptive services coupled with financial incentives to attend follow-up visits to assess contraceptive satisfaction was a significantly more effective and cost-beneficial intervention than without incentives or with usual care, according to a prospective randomized clinical trial in JAMA Psychiatry.
Study finds Mycoplasma genitalium just as prevalent as Chlamydia trachomatis at health center
September 8th 2021A cross-sectional study in the journal Sexually Transmitted Infections has found that Mycoplasma genitalium (MG) is just as prevalent as Chlamydia trachomatis (CT) among women seen at a sexual health center in Australia.
Noninvasive prenatal screening for single-gene disorders
September 8th 2021A study in the journal Ultrasound in Obstetrics & Gynecology1 has found that noninvasive prenatal testing (NIPT) can help in the early detection of a set of single gene disorders (SGDs), especially in the presence of either abnormal ultrasound findings or a family history.
PFAS in drinking water and its impact on the female reproductive system
September 7th 2021A Swedish cohort study in the journal Environment International has found that women of fertile age who were exposed to high levels of perfluorinated substances (PFAS) in drinking water were significantly more likely to subsequently have a diagnosis of polycystic ovarian syndrome (PCOS) and possibly uterine leiomyoma (or uterine fibroids [UFs]), but not endometriosis.
Maternal and neonatal outcomes by cervical ripening agent
September 3rd 2021For full-term, low-risk, nulliparous patients, induction of labor with a Foley balloon alone or concurrent with prostaglandins (PGE) is associated with a significantly lower risk of adverse neonatal outcomes than with PGE alone, according to a study in the American Journal of Perinatology.
FDA approves Visby Medical ™ handheld STI testing device
September 2nd 2021The U.S. Food and Drug Administration (FDA) has issued 501(k) clearance for Visby Medical’s Sexual Health Click Test, a single-use, instrument-free polymerase chain reaction (PCR) diagnostic test for sexually transmitted infections (STI).
Top physician groups oppose Texas Heartbeat Act
September 2nd 2021The American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists (ACOG), the American College of Physicians, the American Osteopathic Association, and the American Psychiatric Association released a statement today in opposition of Senate Bill 8 (SB 8), which is also known as the Texas Heartbeat Act.
Spong named chair of Obstetrics and Gynecology at UT Southwestern
August 31st 2021Contemporary OB/GYN® Editor in Chief Catherine Y. Spong, MD, has been appointed Chair of the Department of Obstetrics and Gynecology at UT Southwestern Medical Center in Dallas, Texas, as of September 1. Spong will hold the Paul C. McDonald Distinguished Chair in Obstetrics and Gynecology, according to a press release.