journal
https://read.qxmd.com/read/36357997/association-between-obesity-and-fetal-acidosis-at-scheduled-cesarean-delivery
#1
JOURNAL ARTICLE
Chelsea A DeBolt, Minhazur Sarker, Fatima Estrada Trejo, Kristina Feldman, Elianna Kaplowitz, Paige Rattner, Keisha Paul, Shobha Jagannatham, Lauren Ferrara, Georgios Doulaveris, Peter S Bernstein, Lois Brustman, Kimberly B Glazer, Joanne Stone, Angela Bianco
OBJECTIVE: To evaluate whether patients with obesity who undergo scheduled cesarean delivery under neuraxial anesthesia are at increased risk for umbilical artery pH less than 7.1 and base deficit 12 mmol or greater. METHODS: We conducted a multicenter, retrospective cohort study of individuals who delivered a term, singleton, nonanomalous neonate at one of four academic medical centers in New York City from 2013 to 2019 by scheduled cesarean under neuraxial anesthesia for whom fetal cord blood gas results were available...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357995/fused-clitoral-hood-presenting-as-a-periclitoral-mass
#2
JOURNAL ARTICLE
Edward K Maybury, Fernando O Recio, Sarfraz Ahmad, Nathalie D McKenzie
BACKGROUND: Periclitoral masses are seldom reported. One cause is a congenitally fused clitoral prepuce (or clitoral hood). CASE: A patient was referred to our gynecologic oncology practice with a suspicious periclitoral mass for evaluation of possible malignancy. The clitoral hood was, in fact, fused such that the glans was completely covered. Surgical excision of the distal prepuce (or clitoral hood) expelled trapped sebaceous material and revealed a normal-appearing glans clitoris...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357991/rh-immune-globulin-after-the-transfusion-of-rhd-positive-blood-in-a-patient-with-a-partial-d-antigen
#3
JOURNAL ARTICLE
Tal Henry Lesser, Michael O'Malley, Robert M Ehsanipoor
BACKGROUND: Patients with a serologic weak D phenotype may demonstrate variable RhD expression. We present a case in which clinical management would have been simplified if RHD genotyping had been performed previously. CASE: A 33-year-old patient, G11P4155, presented with an incomplete miscarriage and was transfused RhD-positive packed red blood cells after typing RhD-positive. The patient had been historically typed RhD-negative by a different testing methodology...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357989/comparison-of-pregnancy-outcomes-of-previable-and-periviable-rupture-of-membranes-after-laser-photocoagulation-for-twin-twin-transfusion-syndrome
#4
JOURNAL ARTICLE
Braxton Forde, Robert Fresch, Heather Masters, Emily A DeFranco, David N McKinney, Sammy Tabbah, Foong Lim, Mounira Habli
OBJECTIVE: To describe the pregnancy outcomes of patients who experienced previable and periviable prelabor rupture of membranes (PROM) after the treatment of twin-twin transfusion syndrome. METHODS: We conducted a retrospective cohort study of patients whose pregnancies were complicated by twin-twin transfusion syndrome who were treated with fetoscopic laser photocoagulation at a single fetal center and subsequently experienced PROM from April 2010 to June 2019...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357985/temporal-changes-in-counseling-for-and-use-of-emergency-contraception
#5
JOURNAL ARTICLE
Ogechukwu Uwanaka, Emma Qureshey, Stephen M Wagner, Megha Gupta, Meena Theva, Benjamin Brown
Our objective was to evaluate changes in the prevalence of emergency contraception counseling and use after policy changes in the United States between 2011 and 2019. This was a serial cross-sectional study using the National Survey of Family Growth data set from two survey windows: 2011-2013 (4,177 women) and 2017-2019 (4,477 women). The incidence of emergency contraception counseling in the prior year did not differ between the 2011-2013 and 2017-2019 survey windows (3.3% vs 2.5%; adjusted odds ratio [aOR] 0...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357984/facilitating-an-optimal-transition-to-residency-in-obstetrics-and-gynecology
#6
JOURNAL ARTICLE
Abigail Ford Winkel, Karen George, Sarah Wagner, Zachary Schoppen, Erika Banks, Jessica Bienstock, Tony Ogburn, David Marzano, Maya M Hammoud, Helen K Morgan
The transition to residency in obstetrics and gynecology is difficult, threatening the well-being of residents as well as their preparedness to care for patients. In addition to essential foundational knowledge and skills, obstetrics and gynecology interns must develop professional identity and a growth mindset toward learning to acquire the self-directed learning skills required of physicians throughout their careers. The transition to residency is a critical opportunity for learning and development. A group of educators and learners from around the country created a preparedness program building on available resources...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357983/obstetric-and-neonatal-outcomes-1-or-more-years-after-a-diagnosis-of-breast-cancer
#7
JOURNAL ARTICLE
Kirsten Jorgensen, Roni Nitecki, Hazel B Nichols, Shuangshuang Fu, Chi-Fang Wu, Alexander Melamed, Paula Brady, Mariana Chavez Mac Gregor, Mark A Clapp, Sharon Giordano, J Alejandro Rauh-Hain
OBJECTIVE: To evaluate obstetric and neonatal outcomes of the first live birth conceived 1 or more years after breast cancer diagnosis. METHODS: We performed a population-based study to compare live births between women with a history of breast cancer (case group) and matched women with no cancer history (control group). Individuals in the case and control groups were identified using linked data from the California Cancer Registry and California Office of Statewide Health Planning and Development data sets...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357982/ultrasound-confirmed-age-specific-uterine-leiomyoma-incidence-in-a-cohort-of-black-individuals
#8
JOURNAL ARTICLE
Ganesa Wegienka, Suzanne Havstad, Chad Coleman, Tracy Cooper, Amelia Wesselink, Kristen Upson, Erica E Marsh, Anissa I Vines, Quaker Harmon, Donna Baird, Lauren A Wise
OBJECTIVE: To estimate the age-specific incidence of uterine leiomyomas identified by transvaginal ultrasonography among participants in SELF (Study of Environment, Lifestyle & Fibroids). METHODS: SELF is a longitudinal cohort study of individuals aged 23-35 years who self-identified as Black. Participants were recruited from the Detroit, Michigan, area and underwent up to five transvaginal ultrasonograms over a period of up to 10 years to identify uterine leiomyomas...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357981/association-of-endometriosis-and-severe-maternal-morbidity
#9
JOURNAL ARTICLE
Nahantara Lafleur, Shu Qin Wei, Marianne Bilodeau-Bertrand, Nathalie Auger
OBJECTIVE: To evaluate the association between endometriosis and risk of severe maternal morbidity (SMM). METHODS: We conducted a population-based retrospective cohort study of 2,412,823 deliveries at hospitals in Quebec, Canada, between 1989 and 2019. The exposure was surgically confirmed endometriosis. Patients were classified as having active endometriosis during pregnancy, inactive endometriosis during pregnancy, a diagnosis of endometriosis postpregnancy, or no endometriosis...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357977/in-gratitude
#10
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357976/agreement-between-pregnant-individuals-self-report-of-coronavirus-disease-2019-covid-19-vaccination-and-medical-record-documentation
#11
JOURNAL ARTICLE
Kristina Wielgosz, Fatimah S Dawood, Melissa S Stockwell, Michael Varner, Gabriella Newes-Adeyi, Sascha Ellington, Celibell Vargas, Ann M Bruno, Emily Powers, Tyler Morrill, Lawrence Reichle, Ashley N Battarbee, Alan T Tita
For public health research such as vaccine uptake or effectiveness assessments, self-reported coronavirus disease 2019 (COVID-19) vaccination status may be a more efficient measure than verifying vaccination status from medical records if agreement between sources is high. We assessed agreement between self-reported and medical record-documented COVID-19 vaccination status among pregnant individuals followed in a cohort during August 2020-October 2021. At end of pregnancy, participants completed questionnaires about COVID-19 vaccine receipt during pregnancy; staff verified vaccination status using medical records...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357975/timing-of-positive-hepatitis-c-virus-test-results-during-and-1-year-before-pregnancy
#12
JOURNAL ARTICLE
Kate R Woodworth, Suzanne M Newton, Emily O Olsen, Ayzsa Tannis, Lindsey Sizemore, Heather Wingate, Lauren Orkis, Bethany Reynolds, Nicole Longcore, Nadia Thomas, Angelica Bocour, Aprielle Wills, Shin Y Kim, Lakshmi Panagiotakopoulos, Carolyn Wester, Dana Delman Meaney, Suzanne M Gilboa, Van T Tong
The incidence of hepatitis C virus (HCV) infection in reproductive-aged adults quadrupled during the past decade. Hepatitis C can progress to advanced liver disease and be transmitted perinatally. Highly effective curative hepatitis C treatment is available but is not recommended in pregnancy. Using the Surveillance for Emerging Threats to Mothers and Babies Network, we describe timing of positive RNA testing among pregnant people with HCV (HCV RNA detected during or within one year prior to pregnancy). Four US jurisdictions reported 1161 pregnancies during 2018-2021 among people with hepatitis C: 75...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357974/endometrial-hyperplasia
#13
JOURNAL ARTICLE
Kari L Ring, Anne M Mills, Susan C Modesitt
The objectives of this Clinical Expert Series on endometrial hyperplasia are to review the etiology and risk factors, histologic classification and subtypes, malignant progression risks, prevention options, and to outline both surgical and nonsurgical treatment options. Abnormal uterine and postmenopausal bleeding remain the hallmark of endometrial pathology, and up to 10-20% of postmenopausal bleeding will be either hyperplasia or cancer; thus, immediate evaluation of any abnormal bleeding with either tissue procurement for pathology or imaging should be undertaken...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357973/putting-authors-first
#14
JOURNAL ARTICLE
Jason D Wright
No abstract text is available yet for this article.
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357972/risk-of-severe-postpartum-hemorrhage-in-twin-pregnancies-according-to-the-sum-of-birth-weights
#15
JOURNAL ARTICLE
Lola Loussert, Thomas Schmitz, Diane Korb, Aurélien Seco, Elie Azria, Loïc Sentilhes, François Goffinet, Catherine Deneux-Tharaux
OBJECTIVE: To characterize the strength and patterns of association between birth weights and severe postpartum hemorrhage in twin pregnancies. METHODS: This was a secondary analysis of the JUMODA (JUmeaux Mode d'Accouchement) cohort, a national, prospective, population-based study of twin deliveries, conducted from February 2014 to March 2015 in France. We excluded patients with a fetal death, medically indicated termination of pregnancy, antepartum hemorrhage, placenta previa, placental abruption, or missing birth weight...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357970/maternal-morbidity-after-double-balloon-catheter-management-of-cesarean-scar-and-cervical-pregnancies
#16
JOURNAL ARTICLE
Lauren H Kus, Ashley E Veade, David L Eisenberg, Jeffrey M Dicke, Jeannie C Kelly, Shelby M Dickison
We performed a retrospective cohort study of all Type 1 cesarean scar pregnancies (n=18) or cervical pregnancies (n=5) at an academic tertiary center after treatment with a cervical double balloon catheter from 2018 to 2022 to evaluate outcomes and maternal morbidity. Cervical double balloon catheter treatment was associated with no cases (95% confidence interval 0-16%) of maternal hemorrhage treated with transfusion, hysterectomy, or ICU admission. Treatment was successfully performed by nine different obstetrics and gynecology specialists...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357969/gonadotropin-releasing-hormone-antagonists-revolutionizing-gynecology
#17
JOURNAL ARTICLE
Ecem Esencan, Hugh S Taylor
No abstract text is available yet for this article.
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357961/a-bedside-test-to-detect-the-presence-of-embryonic-or-fetal-tissue-in-vaginal-blood
#18
JOURNAL ARTICLE
Michelle Volovsky, Maria G Duarte Ayala, Sujatha Narayanamoorthy, Tendai M Chiware, Alexander M Kotlyar, Hugh S Taylor, David B Seifer, Amir Mor
OBJECTIVE: To evaluate a rapid bedside test that detects alpha-fetoprotein (AFP) and insulin-like growth factor-binding protein 1 (IGFBP-1) to identify the presence of embryonic or fetal tissue in vaginal blood. METHOD: This was a prospective cohort study. Reproductive-aged individuals were recruited into three groups: a negative control group consisting of nonpregnant individuals undergoing dilation and curettage (D&C) or experiencing vaginal bleeding; a positive control group of individuals with confirmed intrauterine pregnancy undergoing D&C; and the study group of pregnant individuals with first-trimester bleeding...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357960/long-term-relugolix-combination-therapy-for-symptomatic-uterine-leiomyomas
#19
JOURNAL ARTICLE
Ayman Al-Hendy, Andrea S Lukes, Alfred N Poindexter, Roberta Venturella, Claudio Villarroel, Laura McKain, Yulan Li, Rachel B Wagman, Elizabeth A Stewart
OBJECTIVE: In the LIBERTY 1 and LIBERTY 2 placebo-controlled trials, once-daily relugolix combination therapy reduced menstrual blood loss volume and pain in women with heavy menstrual bleeding associated with uterine leiomyomas and was well tolerated, with preservation of bone mineral density (BMD) through 24 weeks. Here we report the long-term efficacy and safety of relugolix combination therapy treatment for up to 52 weeks. METHODS: Women with uterine leiomyoma-associated heavy menstrual bleeding who completed any treatment arm in either the LIBERTY 1 or LIBERTY 2 trial were eligible to enroll in a 28-week long-term extension study...
November 3, 2022: Obstetrics and Gynecology
https://read.qxmd.com/read/36357958/demographic-reproductive-and-medical-risk-factors-for-intrauterine-device-expulsion
#20
JOURNAL ARTICLE
Mary S Anthony, Xiaolei Zhou, Juliane Schoendorf, Susan D Reed, Darios Getahun, Mary Anne Armstrong, Jennifer Gatz, Jeffrey F Peipert, Tina Raine-Bennett, Michael J Fassett, Catherine W Saltus, Mary E Ritchey, Laura Ichikawa, Jiaxiao M Shi, Amy Alabaster, Yesmean Wahdan, Jinyi Wang, Fagen Xie, Maqdooda Merchant, Shannon Hunter, Vicki Y Chiu, Debbie Postlethwaite, Kenneth J Rothman, Theresa M Im, Giulia Chillemi, Harpreet S Takhar, Alex Asiimwe, Federica Pisa
OBJECTIVE: To explore to what extent intrauterine device (IUD) expulsion is associated with demographic and clinical risk factors. METHODS: The APEX-IUD (Association of Perforation and Expulsion of IntraUterine Devices) study was a U.S. cohort study using electronic health records from three integrated health care systems (Kaiser Permanente Northern California, Southern California, and Washington) and a health care information exchange (Regenstrief Institute). These analyses included individuals aged 50 years or younger with IUD insertions from 2001 to 2018...
November 3, 2022: Obstetrics and Gynecology
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