Bacterial Vaginosis Common in Asymptomatic Pregnant Women
General Medicine Summary and Comment
A multinational study examines the worldwide prevalence of BV.
By Robert W. Rebar, MD
December 26, 2006
Covering:
Tolosa JE et al., Am J Obstet Gynecol 2006 Nov; 195:1198-204
Can Amniotic-Fluid Embolism Be Avoided?
Women's Health Summary and Comment
Induction of labor increases the risk for this uncommon but serious event.
By Anna Wald, MD, MPH
December 14, 2006
Covering:
Kramer MS et al for the Maternal Health Study Group of the Canadian Perinatal Surveillance System., Lancet 2006 Oct 21; 368:1444-8
Moore J., Lancet 2006 Oct 21; 368:1399-401
Oral Contraceptive Use and Risk for Breast Cancer: New Information?
Women's Health Summary and Comment
Results of a meta-analysis show an increased risk for breast cancer with OC use in premenopausal women but are inconsistent with previous findings.
By Andrew M. Kaunitz, MD
December 14, 2006
Covering:
Kahlenborn C et al., Mayo Clin Proc 2006 Oct; 81:1290-302
The Effect of Maternal Weight Loss from Obesity Surgery on Obesity in Offspring
Children born after maternal obesity surgery had lower obesity rates than those born before surgery.
By Howard Bauchner, MD
December 13, 2006
Covering:
Kral JG et al., Pediatrics 2006 Dec; 118:e1644-9
Does Iron Decrease the Risk for Ovulatory Infertility?
General Medicine Summary and Comment
Women who consumed iron supplements were 40% less likely to develop ovulatory infertility.
By Robert W. Rebar, MD
December 7, 2006
Covering:
Chavarro JE et al., Obstet Gynecol 2006 Nov; 108:1145-52
Infertility Is Associated with Increased Prevalence of Congenital Malformations
General Medicine Summary and Comment
This study suggests that assisted reproductive technology is not the cause.
By Robert W. Rebar, MD
December 7, 2006
Covering:
Zhu JL et al., BMJ 2006 Sep 30; 333:679-81
Does Knowing Fetal Oxygen Saturation Matter?
Women's Health Summary and Comment
Free
Use of fetal pulse oximetry made no difference in cesarean delivery rate.
By Ann J. Davis, MD
December 7, 2006
Covering:
Bloom SL et al., N Engl J Med 2006 Nov 23; 355:2195-202
Is Weight Gain Between Pregnancies Associated with Pregnancy Outcomes?
Women's Health Summary and Comment
The risk for adverse outcomes increased linearly with the amount of weight gain between pregnancies.
By Anna Wald, MD, MPH
December 7, 2006
Covering:
Villamor E and Cnattingius S., Lancet 2006 Sep 30; 368:1164-70
Caughey AB., Lancet 2006 Sep 30; 368:1136-8
Are There Advantages to Dispensing More Cycles of Oral Contraceptives?
General Medicine Summary and Comment
More cycles appear to lower costs and improve continuation.
By Robert W. Rebar, MD
December 5, 2006
Covering:
Foster DG et al., Obstet Gynecol 2006 Nov; 108:1107-14
Amniocentesis and Pregnancy Loss
General Medicine Summary and Comment
Fetal loss rates after midtrimester amniocentesis are extremely low.
By Robert W. Rebar, MD
December 5, 2006
Covering:
Eddleman KA et al., Obstet Gynecol 2006 Nov; 108:1067-72
Induction of Labor May Contribute to Amniotic Fluid Embolism
General Medicine Summary and Comment
The complication appears to occur almost twice as often in women who have induced labor.
By Bruce Soloway, MD
December 5, 2006
Covering:
Kramer MS et al., Lancet 2006 Oct 21; 368:1444-8
Should Hydroxychloroquine Be Discontinued During Pregnancy?
Dermatology Summary and Comment
Benefits appeared to outweigh adverse effects in pregnant women with lupus who continued treatment.
By Jeffrey P. Callen, MD
December 1, 2006
Covering:
Clowse MEB et al., Arthritis Rheum 2006 Nov; 54:3640-7
Preterm Delivery Tops Infant Causes of Death
Women's Health Summary and Comment
It’s no surprise that preterm birth is the most common cause of infant death.
By Ann J. Davis, MD
November 30, 2006
Covering:
Callaghan WM et al., Pediatrics 2006 Oct; 118:1566-73
Fetal Pulse Oximetry Does Not Alter the Rate of Cesarean Delivery
General Medicine Summary and Comment
Free
Such monitoring appears to be of no benefit as an adjunct to fetal heart-rate monitoring.
By Robert W. Rebar, MD
November 22, 2006
Covering:
Bloom SL et al., N Engl J Med 2006 Nov 23; 355:2195-202
Neonatal Predictions of Neurodevelopmental Outcomes in Premature Infants
Neurology Summary and Comment
Free
How much does MRI help clinicians predict outcomes?
By Steven A. Ringer, MD, PhD
November 21, 2006
Covering:
Woodward LJ et al., N Engl J Med 2006 Aug 17; 355:685-94
Antiepileptic Drugs and Fetal Abnormalities
Neurology Summary and Comment
Findings confirm that valproate use during pregnancy is associated with an increased risk for fetal abnormalities.
By Lewis B. Holmes, MD
November 14, 2006
Covering:
Meador KJ et al., Neurology 2006 Aug 8; 67:407-12
Fetal Injuries Do Occur with Cesarean Section
General Medicine Summary and Comment
Infants delivered via primary cesarean after attempted vaginal delivery have the highest risk.
By Robert W. Rebar, MD
November 7, 2006
Covering:
Alexander JM et al., Obstet Gynecol 2006 Oct; 108:885-90
HIV-Infected Pregnant Women: Outcomes at 3 Years
Maternal 3-year clinical outcomes were good with each of three HIV-management strategies.
By Judith Feinberg, MD
November 13, 2006
Covering:
Martin F et al., J Acquir Immune Defic Syndr 2006 Oct 1; 43:186-92
CVS No Riskier Than Amniocentesis
Women's Health Summary and Comment
Free
Over time, rates of spontaneous pregnancy loss became similar for both procedures.
By Sandra Ann Carson, MD
November 9, 2006
Covering:
Caughey AB et al., Obstet Gynecol 2006 Sep; 108:612-6
Don’t Trust Palpation — It Might Be a Fetal Lie
Women's Health Summary and Comment
Ultrasound is more accurate than clinical exam to determine noncephalic lie during late pregnancy.
By Wendy S. Biggs, MD
November 9, 2006
Covering:
Nassar N et al., BMJ 2006 Sep 16; 333:578-80
Nicholson JM., BMJ 2006 Sep 16; 333:562-3
Congenital Malformations in Children of Infertile Couples
Women's Health Summary and Comment
Are they due to infertility, its treatment, or both?
By Wendy S. Biggs, MD
November 9, 2006
Covering:
Zhu JL et al., BMJ 2006 Sep 30; 333:679-81
Park S et al., BMJ 2006 Sep 30; 333:665-6
TMP-SMX Prophylaxis During Pregnancy: Good for Baby, Too?
Infectious Diseases Summary and Comment
TMP-SMX prophylaxis for HIV-infected pregnant women could reduce preterm births and neonatal mortality.
By Daniel J. Diekema, MD, MS
November 8, 2006
Covering:
Walter J et al., J Infect Dis 2006 Dec 1; 194:1510-8
Lopinavir Pharmacokinetics During Pregnancy
HIV/AIDS Clinical Care Summary and Comment
Free
Pregnant women on standard-dose lopinavir/r often had inadequate plasma levels of lopinavir in the third trimester, yet nearly all had adequate viral suppression at delivery. Fetal drug exposure was limited.
By Fiona Mulcahy, MD, FRCPI
November 6, 2006
Covering:
Stek AM et al., AIDS 2006 Oct 3; 20:1931-9
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
