OB/GYN Clinical Alert
RSSArticles
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Prevalence of Urinary Incontinence Among Adult U.S. Women Has Increased
The updated prevalence of urinary incontinence using the National Health and Nutrition Examination Survey data is 60% in community dwelling women, which is an increase from prior estimates.
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Utility of the Simplified Bishop Score in Trial of Labor After Cesarean Success
This study demonstrated that a higher likelihood of vaginal birth after cesarean was associated with a favorable simplified Bishop score on admission. This emphasizes the need for delaying patient counseling on the choice of trial of labor after cesarean delivery until the end of pregnancy to incorporate the cervical exam into decision-making.
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Self-Managed Abortion: A Guide to Harm Reduction and Patient-Centered Care
Even before the Dobbs v Jackson Women’s Health Organization decision, access to safe, legal abortion within the formal healthcare system was increasingly restricted. In this context, patients may turn to self-managed abortion (SMA). Clinicians should understand the course of SMA, including its overall safety, rare complications, and potential legal risks to patients.
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Postpartum Contraception Care at Catholic Hospitals
A survey using a probability sample of adult, reproductive-age women in the United States revealed that most women did not expect restrictions on care at Catholic hospitals, especially for services viewed with less stigma than abortion, and did not realize that Catholic hospitals are restricted in providing contraception and female sterilization.
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Cervical Cancer Screening in Women Older than 65 Years of Age
Women diagnosed with cervical cancer after age 65 years are more likely to have locally advanced or metastatic disease, and survival decreases with increasing age and stage of diagnosis.
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Prevention of Perineal Injury During the Second Stage of Labor
This randomized clinical trial in nulliparous women demonstrated that the hands-off technique reduced the risk for perineal injuries when compared to the hands-on technique during the second stage of labor.
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What Is the Best Oral Emergency Contraceptive for Individuals with Obesity?
In this randomized controlled trial of 70 obese women, double dosing levonorgestrel emergency contraception (3 mg vs. 1.5 mg) did not prevent more follicle ruptures and, therefore, is unlikely to improve emergency contraception performance in this population.
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Researchers Explore Connections Between Epilepsy and Postpartum Anxiety, Depression
Clinicians should monitor for signs of depression among patients with epilepsy who are pregnant or patients who are thinking about conceiving.
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Self-Assessment of Gestational Duration Among People Seeking Abortion
In a national sample of people seeking abortion, broadening screening questions beyond last menstrual period to self-assess gestational duration improves accuracy in determining eligibility for medication abortion using a 70-day threshold. In-person ultrasound may not be necessary.
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Permanent Contraception: How Effective Is it, Really?
In this retrospective cohort study using Medicaid claims data from 2008-2014 in California, the rate of pregnancy was 4.74% after hysteroscopic sterilization among 5,906 women and 5.57% after laparoscopic sterilization among 23,965 women. These rates are higher than reported previously.