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This week, Contemporary OB/GYN® will be covering the North American Menopause Society’s (NAMS) 2021 Annual Meeting, which is taking place Sept. 22-25 in Washington, D.C. We spoke with NAMS President Hadine Joffe, MD, MSc about wellness at midlife and why it is crucial in menopause.

In 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.

Among 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.

"Over the last few months, my personal barometer of success as a physician seems to be directly related to my patients' acceptance--or refusal--of the COVID-19 vaccine," writes Rebekah Bernard, MD.

A 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.

A 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.

The North American Society for Pediatric and Adolescent Gynecology (NASPAG) is the latest professional medical association to come out against Texas Senate Bill 8 (SB 8), also known at the Texas Heartbeat Act.