Notes from the ED: Contraception
Women's Health Summary and Comment
Free
Surprisingly few women surveyed at an urban ED reported using contraception.
By Diane E. Judge, APN/CNP
November 2, 2006
Covering:
Merchant RC et al., Contraception 2006 Sep; 74:201-7
Does Emergency Contraception Merit All the Attention?
Women's Health Practice Watch
Claims that EC will decrease the abortion rate may be overstated.
By Wendy S. Biggs, MD
November 2, 2006
Covering:
Glasier A., BMJ 2006 Sep 16; 333:560-1
A New Use for Oral Contraceptives?
Women's Health Summary and Comment
Hormonal therapy might improve intermenstrual bleeding from cesarean scars.
By Anna Wald, MD, MPH
October 19, 2006
Covering:
Tahara M et al., Fertil Steril 2006 Aug; 86:477-9
Sex During Pregnancy Portends Sex After Delivery
Women's Health Summary and Comment
Postpartum sexual activity is influenced more by antepartum sexual activity than by mode of delivery.
By Sandra Ann Carson, MD
October 19, 2006
Covering:
van Brummen HJ et al., BJOG 2006 Aug; 113:914-8
Trends in Preeclamptic Outcomes
Women's Health Summary and Comment
Since 1967, preterm deliveries have increased as stillbirths have decreased in preeclamptic pregnancies.
By Wendy S. Biggs, MD
October 19, 2006
Covering:
Basso O et al., JAMA 2006 Sep 20; 296:1357-62
Lopinavir Levels Are Low During Late Pregnancy
Infectious Diseases Summary and Comment
HIV-infected women on lopinavir/ritonavir have low levels of lopinavir during late pregnancy, raising the question of whether dosage should be increased.
By Rajesh T. Gandhi, MD
October 18, 2006
Covering:
Stek AM et al., AIDS 2006 Oct 3; 20:1931-9
Substantial Weight Loss Between Pregnancies Increases the Risk for Preterm Birth
General Medicine Summary and Comment
Free
. . .especially in women with a prior preterm delivery.
By Robert W. Rebar, MD
October 17, 2006
Covering:
Merlino A et al., Am J Obstet Gynecol 2006 Sep; 195:818-21
Weight Gain Between Pregnancies May Adversely Affect Pregnancy Outcomes
General Medicine Summary and Comment
Encourage reproductive-aged women of normal weight to avoid weight gain, and those who are overweight to lose some weight before becoming pregnant.
By Robert W. Rebar, MD
October 17, 2006
Covering:
Villamor E and Cnattingius S., Lancet 2006 Sep 30; 368:1164-70
Maternal Fractures Increase Risk for Adverse Perinatal Outcomes
General Medicine Summary and Comment
Risk for thrombotic events might be the most important for clinicians to recognize.
By Robert W. Rebar, MD
October 12, 2006
Covering:
El Kady D et al., Am J Obstet Gynecol 2006 Sep; 195:711-6
Risk for Stillbirth Increases with Maternal Age
General Medicine Summary and Comment
Higher risk was maintained throughout gestation in women aged 40 and older.
By Robert W. Rebar, MD
October 12, 2006
Covering:
Reddy UM et al., Am J Obstet Gynecol 2006 Sep; 195:764-70
Good News About Anorexia Nervosa and Pregnancy
Women's Health Summary and Comment
Study reveals no adverse birth outcomes in mothers with histories of AN.
By Sandra Ann Carson, MD
October 12, 2006
Covering:
Ekéus C et al., BJOG 2006 Aug; 113:925-9
Is Autism Associated with Advanced Parental Age?
Yes — Advanced paternal (but not maternal) age increased the risk.
By Martin T. Stein, MD
October 11, 2006
Covering:
Reichenberg A et al., Arch Gen Psychiatry 2006 Sep; 63:1026-32
Overweight Increases Risk for Maternal and Neonatal Complications in Adolescents
General Medicine Summary and Comment
Like overweight pregnant adults, overweight pregnant teens have higher risks.
By Robert W. Rebar, MD
October 10, 2006
Covering:
Sukalich S et al., Am J Obstet Gynecol 2006 Sep; 195:851-5
Infant Hematologic Profile After Perinatal Antiretroviral Exposure
HIV-uninfected infants who were exposed to antiretrovirals perinatally had worse hematologic parameters than their unexposed counterparts, but apparently without clinically significant consequences.
By Rebeca M. Plank, MD
October 6, 2006
Covering:
Pacheco SE et al., J Infect Dis 2006 Oct 15; 194:1089-97
Formula Feeding vs. Breast-Feeding for Infants of HIV-Infected Mothers
A study from Botswana explores the effects of these two feeding strategies on morbidity and mortality in infants of HIV-infected women.
By Rebeca M. Plank, MD
October 6, 2006
Covering:
Thior I et al., JAMA 2006 Aug 16; 296:794-805
When the (Pregnant) Eyes Have It
Women's Health Summary and Comment
Glaucoma may not improve during pregnancy.
By Wendy S. Biggs, MD
September 28, 2006
Covering:
Brauner SC et al., Arch Ophthalmol 2006 Aug; 124:1089-94
Higginbotham EJ., JAMA 2006 Sep 13; 296:1284-5
Does Paternal Age Affect Risk for Spontaneous Abortion?
Women's Health Summary and Comment
Paternal age has a small, but statistically significant, effect on risk for spontaneous abortion.
By Sandra Ann Carson, MD
September 28, 2006
Covering:
Kleinhaus K et al., Obstet Gynecol 2006 Aug; 108:369-77
Antiangiogenic Markers of Preeclampsia
Cardiology Summary and Comment
Could measurement of circulating levels of certain antiangiogenic proteins someday identify women at high risk for preeclampsia?
By Harlan M. Krumholz, MD, SM
September 27, 2006
Covering:
Levine RJ et al., N Engl J Med 2006 Sep 7; 355:992-1005
Lindheimer M and Umans JG., N Engl J Med 2006 Sep 7; 355:1056-8
Neonatal E. coli Infections — and Intrapartum GBS Prophylaxis?
Infectious Diseases Summary and Comment
Risk factors for neonatal<$EMPH_O> E. coli <$EMPH_C>infection include prematurity, maternal fever, and prolonged rupture of membranes, but apparently not intrapartum GBS prophylaxis.
By Robert S. Baltimore, MD
September 27, 2006
Covering:
Schrag SJ et al., Pediatrics 2006 Aug; 118:570-6
Depressive Symptoms and Smoking During Pregnancy
Psychiatry Summary and Comment
Free
Despite a cessation program, pregnant women with depressive symptoms found it difficult to quit.
By Deborah Cowley, MD
September 18, 2006
Covering:
Blalock JA et al., Am J Addict 2006 Jul/Aug; 15:268-77
Preeclampsia: Our Understanding Accelerates
Women's Health Summary and Comment
Free
Assessment of maternal anti- and proangiogenic proteins leads to new insights about preeclampsia.
By Andrew M. Kaunitz, MD
September 7, 2006
Covering:
Levine RJ et al., N Engl J Med 2006 Sep 7; 355:992-1005
Miscarriages Increase with Paternal Age
General Medicine Summary and Comment
Free
It's not surprising, given that abnormalities in sperm increase with age.
By Robert W. Rebar, MD
September 5, 2006
Covering:
Kleinhaus K et al., Obstet Gynecol 2006 Aug; 108:369-77
New Hormonal Contraceptives Offer Patients More Choices
An overview of recently approved oral and implantable contraceptives
By Andrew M. Kaunitz, MD
August 31, 2006
New Birth Control Options
Women's Health Patient Information
Information for patients on new forms of hormonal contraception
By Diane E. Judge, APN/CNP
August 31, 2006
Mortality in Children with Birth Defects
Not surprisingly, many children with birth defects die at an early age.
By Judith G. Hall, OC, MD
August 30, 2006
Covering:
Agha MM et al., Birth Defects Res A Clin Mol Teratol 2006 Jan; 76:46-54
