OB/GYN Clinical Alert – March 1, 2020

March 1, 2020

• Baby-Friendly Policies May Be Ineffective in Improving Breastfeeding Outcomes in the United States

  Data analysis from the 2018 Centers for Disease Control and Prevention Breastfeeding Report Card failed to show improvements in breastfeeding outcomes in Baby-Friendly facilities over statewide breastfeeding initiation programs.

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• Knowledge of Pelvic Floor Disorders Among Pregnant and Postpartum Women

  Pregnant and postpartum patients lack knowledge about urinary incontinence and prolapse.

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• Are We Doing Too Many Unnecessary Pelvic Exams and Pap Tests in Young Women?

  In this cross-sectional national survey, the authors estimated that 23% of women aged 15 to 20 years had received a bimanual pelvic exam, of which half (54%) were deemed potentially unnecessary, and 19% of the population received a Pap test, of which 72% were potentially unnecessary.

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• Adverse Perinatal Outcomes Related to Intrahepatic Cholestasis of Pregnancy

  While a diagnosis of intrahepatic cholestasis of pregnancy is associated with an increased risk for stillbirth, preterm birth, and neonatal respiratory issues, consensus on management within the obstetrics community has not been reached.

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• Long-Lasting, Woman-Controlled Contraception Is Here

  Annovera is designed for 21 days of continuous use, followed by a seven-day ring-free interval, during which the ring is removed, washed, and stored. Unlike other products, the same ring is used for subsequent cycles for an entire year (13 cycles total).

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