Contraception in Women with Medical Problems
For women with medical conditions, contraceptive decision making must balance the risks associated with contraceptive use against those associated with pregnancy.
By Alison Edelman, MD, MPH, and Jeffrey T. Jensen, MD, MPH
January 31, 2008
Choosing a Contraceptive Method: Advice for Women with Medical Problems
Women's Health Patient Information
Some special considerations if you have diabetes, high blood pressure, blood clotting problems, migraine headaches, obesity, epilepsy, or bipolar disorder
Maternal–Fetal Transmission of Methicillin-Resistant Staph Is Rare
General Medicine Summary and Comment
Routine maternal anogenital screening for MRSA is not warranted at this time.
By Robert W. Rebar, MD
January 29, 2008
Covering:
Andrews WW et al., Obstet Gynecol 2008 Jan; 111:113
Manual Versus Electric Vacuum Aspiration for Early Pregnancy Loss: What Do Patients Prefer?
Women's Health Summary and Comment
MVA was safe and efficient, but women were less likely to recommend it, based on pain perception.
Detecting Acute HIV Infection During Pregnancy
Five pregnant women with acute HIV infection were identified at publicly funded testing sites in North Carolina and subsequently treated; none transmitted HIV to their infants.
By Carlos del Rio, MD
January 18, 2008
Covering:
Patterson KB et al., AIDS 2007 Nov; 21:2303
Revised Guidelines for Antiretroviral Use in Pregnant Women
HIV/AIDS Clinical Care Clinical Practice Guideline Watch
The guidelines have been reorganized to better reflect issues in clinical practice.
By Judith Feinberg, MD
January 14, 2008
Covering:
Perinatal HIV Guidelines Working Group., , 2007 Nov 2
Tiring Business: Work After Childbirth
Women's Health Summary and Comment
Personal and work-related factors affected women’s postpartum health.
By Wendy S. Biggs, MD
January 10, 2008
Covering:
McGovern P et al., Ann Fam Med 2007 Nov/Dec; 5:519
Less Postpartum Sleep Means More Weight
Women's Health Summary and Comment
Less than 5 hours of daily sleep at 6 months postpartum was associated with weight retention at 1 year postpartum.
Boosted Atazanavir: Levels Look OK During Pregnancy
The drug's pharmacokinetics are not significantly altered.
By Abigail Zuger, MD
January 7, 2008
Covering:
Ripamonti D et al., AIDS 2007 Nov 30; 21:2409
DMPA: The Fall and Rise of BMD
Women's Health Summary and Comment
Free
Bone loss during progestin-only injectable contraceptive use recovered after discontinuation.
Teen Birth Rates: An Unwelcome Rise
Women's Health News in Context
In 2006, U.S. teen birth rates increased for the first time since 1991.
Hope for Women with Postpartum Depression in Resource-Poor Settings
Women's Health Summary and Comment
Effective intervention for postpartum depression was feasible in a low-resource, primary care setting.
By Anna Wald, MD, MPH
January 3, 2008
Covering:
Rojas G et al., Lancet 2007 Nov 10; 370:1629
Recombinant Factor VII for Postpartum Hemorrhage?
General Medicine Summary and Comment
Although off-label use appears effective and relatively safe, controlled trials are needed to support these observations.
By Robert W. Rebar, MD
January 2, 2008
Covering:
Alfirevic Z et al., Obstet Gynecol 2007 Dec; 110:1270
Circumventing Resistance Associated with Intrapartum Nevirapine
Women's Health Summary and Comment
Single-dose intrapartum tenofovir and emtricitabine reduced the likelihood of developing viral resistance to nevirapine.
For Baby’s Better Breathing After Elective Cesarean Delivery, Each Week In Utero Counts
Women's Health Summary and Comment
Term infants born by elective cesarean delivery before 40 weeks’ gestation had significantly increased risk for respiratory morbidity.
"Peripregnancy" Depression: Frequency and Correlates
Psychiatry Summary and Comment
Depression occurs in one of seven women around the time of pregnancy; stress from lack of resources and support raises the risks.
By Joel Yager, MD
December 10, 2007
Covering:
Dietz PM et al., Am J Psychiatry 2007 Oct; 164:1515
How to Tell Whether They Understand Sterilization Consent: Test Their Knowledge
Women's Health Summary and Comment
Investigators developed a test to evaluate comprehension of the tubal sterilization procedure and its ramifications.
Include Obesity and Stillbirth Risk in Preconception Counseling
Women's Health Summary and Comment
Results of a meta-analysis showed that obese women are twice as likely as normal-weight women to have stillbirth.
Gestational Weight Gain: The Happy Medium
Women's Health Summary and Comment
For women with normal prepregnancy BMI, following the IOM guidelines resulted in lower morbidity at delivery.
Determining Ideal Gestational Weight Gain: Prepregnancy BMI Matters
Women's Health Summary and Comment
In a Swedish cohort, the optimal gestational weight gain for avoiding adverse pregnancy outcomes was less than the IOM recommendations for any maternal BMI category.
Do Organic Solvents Reduce Intrauterine Fetal Growth?
General Medicine Summary and Comment
These rudimentary data suggest that they do.
By Robert W. Rebar, MD
November 20, 2007
Covering:
Ahmed P and Jaakkola JJK., Hum Reprod 2007 Oct; 22:2751
Preventing HIV Drug Resistance in Mothers
Infectious Diseases Summary and Comment
A single dose of tenofovir/emtricitabine reduced NNRTI resistance among mothers receiving short-course zidovudine and single-dose nevirapine to prevent transmission of HIV to their infants.
By Rajesh T. Gandhi, MD
November 14, 2007
Covering:
Chi BH et al., Lancet 2007 Nov 7
Lockman S and McIntyre JA., Lancet 2007 Nov 7
Preeclampsia and Cardiovascular Disease: Two Sides of the Same Coin?
Women's Health Summary and Comment
Free
Women with cardiovascular risk factors are more likely to develop preeclampsia — and women who have preeclampsia are more likely to develop cardiovascular disease.
By Wendy S. Biggs, MD
November 8, 2007
Covering:
Magnussen EB et al., BMJ 2007 Nov 1
Bellamy L et al., BMJ 2007 Nov 1
Magee LA and von Dadelszen P., BMJ 2007 Nov 1
Childbearing After Surviving Cancer
Women's Health Summary and Comment
Preterm delivery and postpartum hemorrhage rates were higher in cancer survivors than in women without cancer, but neonatal birthweight, morbidity, and mortality were similar in the two groups.
How Well Known Are the ABCDX’s of Teratogenicity?
Women's Health Summary and Comment
About half the women filling class D or X prescriptions had no contraceptive counseling.
