Can Progesterone Prevent Preterm Birth in At-Risk Singleton Pregnancies?
Women's Health
Summary and Comment
Free
Vaginal progesterone lowered the rates of preterm birth in women with a short cervix.
By Andrew M. Kaunitz, MD
August 1, 2007
Covering:
Fonseca EB et al., N Engl J Med 2007 Aug 2; 357:462-9
Thornton JG., N Engl J Med 2007 Aug 2; 357:499-501
Computers Can Clarify VBAC Decisions
Women's Health
Summary and Comment
Computer-based decision aid helped women decide whether or not to pursue VBAC.
By Wendy S. Biggs, MD
July 26, 2007
Covering:
Montgomery AA et al., BMJ 2007 Jun 23; 334:1305
Does Antiplatelet Therapy Reduce Risk for Preeclampsia?
Women's Health
Summary and Comment
Antiplatelet agents such as aspirin provided a small benefit in the primary prevention of preeclampsia.
By Anna Wald, MD, MPH
July 26, 2007
Covering:
Askie LM et al., Lancet 2007 May 26; 369:1791-8
For Medical Abortion, Its All About Choice
Women's Health
Summary and Comment
Misoprostol was effective whether administered sublingually or vaginally at different time intervals.
By Anna Wald, MD, MPH
July 26, 2007
Covering:
von Hertzen H on behalf of the WHO Research Group on Postovulatory Methods of Fertility Regulation., Lancet 2007 Jun 9; 369:1938-46
Winikoff B and Davis AR., Lancet 2007 Jun 9; 369:1904-6
Recurrence of Spider Angiomas After Laser Treatment
Dermatology
Summary and Comment
Free
In this study, 36% of treated patients experienced recurrence, but newer lasers may produce better results.
By George J. Hruza, MD
July 20, 2007
Covering:
Sivarajan V et al., J Plast Reconstr Aesthet Surg 2007 Jun; 60:668-71
Change of Paternity: A New Environmental Risk?
Conceiving with a new partner might increase the risk for gastroschisis.
By Judith G. Hall, OC, MD
July 18, 2007
Covering:
Chambers CD et al., Am J Med Genet A 2007 Apr 1; 143:653-9
Preimplantation Genetic Screening and Pregnancy Outcome
Women's Health
Summary and Comment
Free
In two European IVF centers, preimplantation genetic screening was associated with lower pregnancy rates among older women.
By Sandra Ann Carson, MD
July 12, 2007
Covering:
Mastenbroek S et al., N Engl J Med 2007 Jul 5; 357:9-17
Maternal Asymptomatic Group B Strep Bacteriuria Can Lead to Chorioamnionitis
General Medicine
Summary and Comment
Early treatment with antibiotics may reduce transmission of this devastating infection to newborns.
By Robert W. Rebar, MD
July 3, 2007
Covering:
Anderson BL et al., Am J Obstet Gynecol 2007 Jun; 196:524.e1-5
USPSTF Recommends Screening for Chlamydial Infection in Women at Risk
General Medicine
Clinical Practice Guideline Watch
Young sexually active or pregnant women should be screened, but older women without risk factors should not; the evidence is insufficient to assess screening for men.
By Richard Saitz, MD, MPH, FACP, FASAM
June 28, 2007
Covering:
U.S. Preventive Services Task Force., Ann Intern Med 2007 Jul 17; 147:128-33
Meyers DS et al., Ann Intern Med 2007 Jul 17; 147:136-43
Starting Oral Contraceptives Immediately: How Much Benefit?
General Medicine
Summary and Comment
A quick-start OC strategy did not raise continuation rates or lower pregnancy rates.
By Robert W. Rebar, MD
June 28, 2007
Covering:
Westhoff C et al., Obstet Gynecol 2007 Jun; 109:1270-6
Fertility After Cancer
Several strategies are aimed at preserving reproductive function.
By Marcy Maguire Lash, MD, and Sandra Ann Carson, MD
June 28, 2007
Surviving Cancer Doesnt Have to Mean You Cant Become Pregnant
Women's Health
Patient Information
Young women with cancer now have several options for preserving fertility.
By Diane E. Judge, APN/CNP
June 28, 2007
Do SSRIs Cause Birth Defects?
General Medicine
Summary and Comment
Free
Two large case-control studies indicate a few very small increases in risks for particular defects.
By Robert W. Rebar, MD
June 27, 2007
Covering:
Alwan S et al., N Engl J Med 2007 Jun 28; 356:2684-92
Louik C et al., N Engl J Med 2007 Jun 28; 356:2675-83
Greene MF., N Engl J Med 2007 Jun 28; 356:2732-3
SSRIs and Birth Defects How Concerned Should Our Patients Be?
Women's Health
Summary and Comment
Free
New information clarifies that SSRIs are <$EMPH_O>not<$EMPH_C> major teratogens.
By Andrew M. Kaunitz, MD
June 27, 2007
Covering:
Alwan S et al., N Engl J Med 2007 Jun 28; 356:2684-92
Louik C et al., N Engl J Med 2007 Jun 28; 356:2675-83
Greene MF., N Engl J Med 2007 Jun 28; 356:2732-3
SSRIs in First-Trimester Pregnancy: Small Risks to the Fetus
Psychiatry
Summary and Comment
Free
New data from two large, well-performed studies
By Peter Roy-Byrne, MD
June 27, 2007
Covering:
Alwan S et al., N Engl J Med 2007 Jun 28; 356:2684-92
Louik C et al., N Engl J Med 2007 Jun 28; 356:2675-83
Greene MF., N Engl J Med 2007 Jun 28; 356:2732-3
Aspirin Reduces Risk for Preeclampsia, but Who Should Be Treated?
General Medicine
Summary and Comment
A meta-analysis found a significant decrease in the rate of preeclampsia, but the benefits of treatment are small and the risks unclear.
By Bruce Soloway, MD
June 26, 2007
Covering:
Askie LM et al., Lancet 2007 May 26; 369:1791-8
Roberts JM and Catov JM., Lancet 2007 May 26; 369:1765-6
Pruritic Pregnancies
Dermatology
Summary and Comment
Ursodeoxycholic acid provided relief to women with intrahepatic cholestasis of pregnancy.
By Lowell A. Goldsmith, MD, MPH
June 22, 2007
Covering:
Ambros-Rudolph CM et al., Arch Dermatol 2007 Jun; 143:757-62
New Technique to Halt Postpartum Hemorrhage
Women's Health
Summary and Comment
Uterine compression sutures stopped postpartum bleeding in most patients.
By Sandra Ann Carson, MD
June 7, 2007
Covering:
Ouahba J et al., BJOG 2007 May; 114:619-22
Interesting Updates About the Cystic Fibrosis Gene
Two studies offer new insights about the genetic pathophysiology of cystic fibrosis.
By Judith G. Hall, OC, MD
June 6, 2007
Covering:
Buranawuti K et al., J Med Genet 2007 Mar; 44:209-14
Grangeia A et al., Genet Med 2007 Mar; 9:163-72
Pinning Down the Causes of Postpartum Headache
Women's Health
Summary and Comment
In almost half of patients, postpartum headache was diagnosed as tension-type or migraine.
By Sandra Ann Carson, MD
May 31, 2007
Covering:
Stella CL et al., Am J Obstet Gynecol 2007 Apr; 196:e1-7
The Problem with Being Second
Second-born full-term twins have greater risk for mortality from anoxia than first-born twins.
By Judith G. Hall, OC, MD
May 30, 2007
Covering:
Smith GCS et al., BMJ 2007 Mar 17; 334:576
Sterilization Consent Form: They Sign It, but Do They Understand It?
Women's Health
Summary and Comment
The Title XIX Consent to Sterilization form might be incomprehensible to many women.
By Diane E. Judge, APN/CNP
May 17, 2007
Covering:
Zite NB et al., Contraception 2007 Apr; 75:256-60
Cervical Surgerys Effect on Delivery Outcome
Women's Health
Summary and Comment
Free
Surgical treatment of CIN increased the risk for preterm delivery.
By Ann J. Davis, MD
May 10, 2007
Covering:
Jakobsson M et al., Obstet Gynecol 2007 Feb; 109:309-13
Antidepressants During Pregnancy: Treating the Condition While Acknowledging the Risks
Decisions about treating depression during pregnancy must be individualized.
By Claudio N. Soares, MD, PhD
April 26, 2007
Making Informed Decisions About Antidepressants During Pregnancy
Women's Health
Patient Information
Benefits, risks, and individual needs play guiding roles in decisions about antidepressant use.
By Diane E. Judge, APN/CNP
April 26, 2007