Pelvic Inflammatory Disease
The clinical diagnosis of pelvic inflammatory disease (PID) is challenging in the emergency department. Nonetheless, making the diagnosis is important, since PID is associated with uterine and fallopian tube scarring leading to tubal factor infertility and ectopic pregnancy, as well as chronic pelvic pain. This article provides an evidence-based review of diagnostic and treatment recommendations for PID.
The Efficacy of Prenatal Patients Using a Mindfulness App
This randomized trial conducted early in the pandemic with women from an obstetric and gynecologic practice found use of a mobile app promoting mindfulness practice (such as meditation) was associated with a decrease in perceived stress, self-reported anxiety and depression, and sleep disturbance in the intervention group.
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.
CDC: Most Pregnancy-Related Deaths Are Preventable
Recent data indicate mental health conditions, excessive bleeding are the leading causes of pregnancy-related deaths in the United States.
Ethicists Asked to Weigh in on Medical Necessity of Abortion
If ethicists are asked to weigh in, they should suggest a second medical opinion (if time permits) and encourage the institution to clarify any legal questions, ideally before there is an emergency. Institutions also should assure clinicians they will have support from the ethics committee in the event of overzealous prosecution.
Be Careful About Informed Consent if Pelvic Exams Happen While Patients Are Under Anesthesia
Incorporate explicit discussions with patients about pelvic exams conducted while patients are under anesthesia. These discussions should occur during consent processes for gynecologic procedures. Specifically, patients would be told about the potential for medical student involvement in these exams.
Emergency Providers Scramble to Prepare for Treating More Pregnancy-Related Complications
Now that the Supreme Court has shifted abortion lawmaking decisions to the states, matters for frontline providers have become more complicated in multiple ways. In addition to tracking patchwork laws, providers must be prepared to manage pregnancy- or abortion-related complications that might have been better managed at clinics that provide appropriate services.
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.
Too Much Phthalate Exposure Could Induce Preterm Labor
Common chemical could lead to births occurring three weeks or more early.
Intervention Focuses on Contraceptives and Reproductive Life Plan for TeensTeen mothers need tangible support to help them with their contraceptive decisions and to prevent unintended rapid-repeat births, according to recent research. The AIM 4 Teen Moms program is a future-oriented behavioral intervention that can help influence teen mothers’ attitudes, intentions, and contraceptive use and behaviors.