IUD Placement After Uterine Aspiration: Now or Later?
Women's Health Summary and Comment
Free
Rates of intrauterine device use at 6 months were substantially higher with immediate than with delayed placement.
Eating Fish to Prevent Preterm Birth: No Need to Go Overboard
Women's Health Summary and Comment
Moderate dietary fish consumption was associated with lower risk for recurrent PTB; greater intake did not provide further protection.
Revisiting Gestational Weight Gain in Obese Women
Women's Health Summary and Comment
Low weight gain — and even weight loss — was not associated with excess risk for adverse pregnancy outcomes.
Can Effective Seizure Control and Hormonal Contraception Both Be Attained?
Women's Health Summary and Comment
Antiepileptic drugs can affect steroid hormone metabolism; intrauterine contraception is a good option.
By Autumn Klein, MD, PhD
May 19, 2011
Covering:
Davis AR et al., Epilepsia 2011 Feb; 52:243
Gaffield ME et al., Contraception 2011 Jan; 83:16
Early Postpartum Etonogestrel Implant Placement
Women's Health Summary and Comment
Implant placement prior to hospital discharge did not adversely affect lactation.
High Cost of Multiple Gestations from Infertility Treatment Can Be Lowered
Women's Health Summary and Comment
Greater use of single-embryo transfer and insurance reimbursement have the potential to lower incidence of multiple gestations in IVF cycles.
By Robert W. Rebar, MD
May 12, 2011
Covering:
Janvier A et al., J Pediatr 2011 Apr 9
Scotland GS et al., BJOG 2011 Apr 8
Curbing the Risk for Stillbirth
Women's Health Summary and Comment
Modifiable risk factors for stillbirth in high-income countries include maternal overweight and obesity, advanced age, and smoking.
Vaginal Progesterone Lowered Preterm Birth Rates in Women with Short Cervices
Women's Health Summary and Comment
But efficacy did not seem to extend to women with histories of PTB.
Previous Antiretroviral Exposure Does Not Impede PI-Based Treatment in Pregnant Women
Response to protease inhibitor–based treatment regimens was similar between pregnant women who received antiretrovirals for PMTCT of HIV during a prior pregnancy and those who were antiretroviral-naive.
By Helmut Albrecht, MD
April 25, 2011
Covering:
Briand N et al., J Acquir Immune Defic Syndr 2011 Mar 23
How Many Infants Are Born to HIV-Infected Women in the U.S.?
An estimated 9000 infants were born to HIV-infected women in 2006, reflecting an increase of up to 30% from 2000.
What's Up with the Serotonin Uptake Transporter?
Psychiatry Summary and Comment
An update on recent theory and research regarding the genetics of negative emotionality and hypervigilance
By Steven Dubovsky, MD
April 25, 2011
Covering:
Pleuss M et al., Biol Psychiatry 2011 Mar 15; 69:520
Montag C et al., Biol Psychiatry 2011 Mar 15; 69:601
Homberg JR and Lesch K-P., Biol Psychiatry 2011 Mar 15; 69:513
A Simplified Bishop Score
Women's Health Summary and Comment
The time has come.
Opioids for Analgesia: Not Devoid of Fetal Risk
Women's Health Summary and Comment
First-trimester therapeutic opioid use was associated with excess risk for certain heart defects, as well as spina bifida.
Protease Inhibitors May Lead to Premature Delivery
In a randomized, controlled trial described at CROI 2011, risk for preterm delivery was twice as high with a lopinavir/ritonavir-based regimen as with a triple-nucleoside combination.
Fetal Exposure to Valproate Increases Risk for Language Deficits
Prenatal exposure to valproate was associated with clinically and statistically significant language impairment in school-age children, and higher first trimester doses correlated with lower language scores.
By Martin T. Stein, MD
March 30, 2011
Covering:
Nadebaum C et al., Neurology 2011 Feb 22; 76:719
Misoprostol Vaginal Insert for Labor Induction: Not Ripe Yet
Women's Health Summary and Comment
In a dose-ranging study, 200-µg dose was most effective but was associated with excess risk for adverse events secondary to uterine tachysystole.
Emotional Distress Does Not Seem to Affect Chances of Pregnancy with IVF
Women's Health Summary and Comment
Pretreatment worry, tension, and depression were not associated with in vitro fertilization outcomes.
In-Hospital Delivery: Monitoring Morbidities
Women's Health Summary and Comment
Maternal morbidities have changed with time.
Accurately Predicting Uterine Rupture Risk After Prior Cesarean: Are We Getting There?
Women's Health Summary and Comment
Free
Transvaginal ultrasound imaging of hysterotomy scars helped foretell risk for future uterine rupture or dehiscence.
By Allison Bryant, MD, MPH
March 10, 2011
Covering:
Vikhareva Osser O and Valentin L., Obstet Gynecol 2011 Mar; 117:525
Spong CY and Queenan JT., Obstet Gynecol 2011 Mar; 117:521
Multidisciplinary Approach to Placenta Accreta Minimizes Complications
Women's Health Summary and Comment
Morbidity was lower among women who delivered at facilities with multidisciplinary care teams than among those who delivered at standard care facilities.
Interpreting Positive HIV Test Results in Pregnant Women
False-positive HIV test results are rare in the U.S., particularly among pregnant women.
Planned Home Birth: A New View
Women's Health Summary and Comment
Free
The ACOG acknowledges that women have the right to make informed choices about home birth after thorough counseling about risks and benefits.
More Time Before Calling It Quits in Latent Phase of Labor?
Women's Health Summary and Comment
Almost 40% of women in latent phase after 12 hours of oxytocin still delivered vaginally.
Transvaginal Sonography in Women with First-Trimester Bleeding or Pain
Women's Health Summary and Comment
Initial sonography cannot always be relied on to identify intrauterine and ectopic pregnancies.
By Andrew M. Kaunitz, MD
February 24, 2011
Covering:
Barnhart KT et al., Obstet Gynecol 2011 Feb; 117:299
Second-Trimester Uterine Evacuation for Intrauterine Fetal Demise
Women's Health Summary and Comment
Data suggest that evacuation for IUFD compared with other indications does not confer excess risk for maternal morbidity.
