New Manifestations of the Neonatal Lupus Erythematosus Syndrome
Dermatology
Summary and Comment
Hydrocephalus, and possibly macrocephaly, should be added to the list of systemic manifestations of the NLE syndrome.
By Jeffrey P. Callen, MD
April 20, 2007
Covering:
Boros CA et al., Arthritis Rheum 2007 Mar 15; 57:261-6
Should Women at Risk for Preterm Birth Be Treated with 17P?
General Medicine
Summary and Comment
An analysis suggests that substantial savings might be realized by treating all pregnant women who have previously given birth prematurely.
By Robert W. Rebar, MD
April 19, 2007
Covering:
Bailit JL and Votruba ME., Am J Obstet Gynecol 2007 Mar; 196:219.e1-7
Armstrong J., Am J Obstet Gynecol 2007 Mar; 196:194-5
Mild IVF Better for the Patient and for Society
Women's Health
Summary and Comment
One-year cumulative pregnancy rates for mild vs. standard IVF were similar, and the proportion of multiple births was reduced with mild IVF.
By Anna Wald, MD, MPH
April 19, 2007
Covering:
Heijnen EMEW et al., Lancet 2007 Mar 3; 369:743-9
Ledger WL., Lancet 2007 Mar 3; 369:717-8
Unintended Pregnancies Costly for U.S.
Women's Health
Summary and Comment
Contraceptive use could save an average of $1609 for every unintended pregnancy averted.
By Diane E. Judge, APN/CNP
April 19, 2007
Covering:
Trussell J., Contraception 2007 Mar; 75:168-70
Seafood Consumption During Pregnancy: The More, the Better?
Women's Health
Summary and Comment
Exceeding the limit may be a smart thing to do.
By Anna Wald, MD, MPH
April 12, 2007
Covering:
Hibbeln JR et al., Lancet 2007 Feb 17; 369:578-85
Emergency Contraception: Perceptions and Use Patterns
Women's Health
Summary and Comment
Women viewed EC favorably, and advance provision boosted likelihood of use.
By Ann J. Davis, MD
April 12, 2007
Covering:
Rocca CH et al., Am J Obstet Gynecol 2007 Jan; 196:29.e1-6
Whats the Level of Cardiac Risk During and After Pregnancy in Women with Long-QT Syndrome?
Cardiology
Summary and Comment
Risk was especially high shortly after childbirth, but beta-blocker use might minimize that risk.
By Mark S. Link, MD
April 11, 2007
Covering:
Seth R et al., J Am Coll Cardiol 2007 Mar 13; 49:1092-8
Adverse Pregnancy Outcomes in Women with IBD
Gastroenterology
Summary and Comment
In a meta-analysis of 12 studies, pregnant women with IBD had higher risk for premature birth, cesarean section, low birth weight, and congenital abnormalities than did women without IBD.
By Douglas K. Rex, MD
April 6, 2007
Covering:
Cornish JA et al., Gut 2006 Dec 21
Another Reason for Maternal Folic Acid Supplementation
General Medicine
Summary and Comment
Supplements were associated with a lower risk for cleft lip.
By Robert W. Rebar, MD
April 3, 2007
Covering:
Wilcox AJ et al., BMJ 2007 Mar 3; 334:464
Forming the Fetal Face: Folate Fortification
Women's Health
Summary and Comment
Prenatal folic acid supplementation reduced the risk for cleft lip.
By Wendy S. Biggs, MD
March 29, 2007
Covering:
Wilcox AJ et al., BMJ 2007 Mar 3; 334:464-7
Higher BMI, Lower Fecundity
Women's Health
Summary and Comment
Obesity may contribute to infertility.
By Sandra Ann Carson, MD
March 29, 2007
Covering:
Gesink Law DC et al., Hum Reprod 2007 Feb; 22:414-20
Adenomyosis and Risk for Preterm Birth
Women's Health
Summary and Comment
This uterine condition may be a red flag.
By Sandra Ann Carson, MD
March 29, 2007
Covering:
Juang CM et al., BJOG 2007 Feb; 114:165-9
Birth Defects and ART
Infectious Diseases
Summary and Comment
In a large prospective cohort study, ART during pregnancy was not associated with an overall increase in birth defects.
By Rajesh T. Gandhi, MD
March 28, 2007
Covering:
Watts DH et al., J Acquir Immune Defic Syndr 2007 Mar 1; 44:299-305
Vaginal Douching Before Pregnancy May Protect Against Preterm Birth
General Medicine
Summary and Comment
However, women who douched during pregnancy were more likely to deliver preterm.
By Robert W. Rebar, MD
March 27, 2007
Covering:
Misra DP and Trabert B., Am J Obstet Gynecol 2007 Feb; 196:140.e1-8
When Religion and Medicine Collide: Conscientious Objection in Healthcare
Women's Health
Summary and Comment
Patients may want to ask physicians in advance about their perspectives on some controversial practices.
By Andrew M. Kaunitz, MD
March 22, 2007
Covering:
Curlin FA et al., N Engl J Med 2007 Feb 8; 356:593-600
Why Wait? Initiating Depo Now Contraceptive Injections
Immediate initiation of DMPA injections improved contraceptive adherence and decreased rates of unintended pregnancy.
By M. Susan Jay, MD
March 21, 2007
Covering:
Rickert VI et al., J Adolesc Health 2007 Jan; 40:22-8
Cutting Back on Caffeine During Pregnancy Wont Affect the Babys Size
Women's Health
Summary and Comment
Reduction in maternal caffeine intake during the second half of pregnancy did not affect birth weight or length of gestation.
By Wendy S. Biggs, MD
March 15, 2007
Covering:
Bech BH et al., BMJ 2007 Feb 24; 334:409-12
The Effect of Oral Contraceptives on Depressive Symptoms
Women's Health
Summary and Comment
Culprit or cure? The jurys still out.
By Claudio N. Soares, MD, PhD
March 15, 2007
Covering:
Duke JM et al., Contraception 2007 Jan; 75:27-31
A Diagnostic Test for Fetal Abnormalities Using Maternal Plasma
General Medicine
Summary and Comment
Analysis of free fetal DNA in maternal plasma correctly identified two of three cases of trisomy 21.
By Bruce Soloway, MD
March 8, 2007
Covering:
Dhallan R et al., Lancet 2007 Feb 10; 369:474-81
New Screening Guidelines for Fetal Chromosomal Abnormalities
Women's Health
Practice Watch
Free
Screening options for Down syndrome include combinations of serum markers and ultrasonography.
By Anna Wald, MD, MPH
March 8, 2007
Covering:
ACOG Committee on Practice Bulletins., Obstet Gynecol 2007 Jan; 109:217-28
Fecal Incontinence Common After Childbirth
General Medicine
Summary and Comment
Nearly one third of women in a population-based study reported having fecal incontinence in the first 3 to 6 months after delivery.
By Robert W. Rebar, MD
March 6, 2007
Covering:
Guise JM et al., Obstet Gynecol 2007 Feb; 109:281-8
Increased Risk for Preterm Delivery After Surgical Treatment of CIN
General Medicine
Summary and Comment
Risk was nearly doubled in a population-based case-control study from Finland.
By Robert W. Rebar, MD
March 6, 2007
Covering:
Jakobsson M et al., Obstet Gynecol 2007 Feb; 109:309-13
High Seafood Intake in Pregnancy Appears to Help, Not Harm, Fetal Neurodevelopment
General Medicine
Summary and Comment
The benefits of omega-3 fatty acids seem to outweigh possible harm from mercury.
By Bruce Soloway, MD
February 27, 2007
Covering:
Hibbeln JR et al., Lancet 2007 Feb 17; 369:578-85
Pregnancy Is OK for Breast Cancer Survivors
General Medicine
Summary and Comment
Pregnancy 6 months or more after breast cancer treatment may not negatively affect survival in women with localized disease and good prognoses.
By Robert W. Rebar, MD
February 27, 2007
Covering:
Ives A et al., BMJ 2007 Jan 27; 334:194
Women with Postpartum Psychosis or Bipolar Disorder: Look to the Past?
Psychiatry
Summary and Comment
Free
Most women hospitalized for postpartum psychosis have histories of psychiatric hospitalization.
By Deborah Cowley, MD
February 26, 2007
Covering:
Harlow BL et al., Arch Gen Psychiatry 2007 Jan; 64:42-8