journal
https://read.qxmd.com/read/36893337/evidence-based-approaches-to-labor-induction
#1
JOURNAL ARTICLE
Alexander M Saucedo, Alison G Cahill
IMPORTANCE: The induction rate continues to increase in the United States placing pressure on the health care system with increasing cost and time spent on labor and delivery. Most labor induction regimens have evaluated uncomplicated singleton-term gestations. Unfortunately, the optimal labor regimens of medically complicated pregnancies have not been well described. OBJECTIVE: The aim of this study was to review the current available evidence regarding the various labor induction regimens and understand the evidence that exists for induction regimens in complicated pregnancies...
March 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36893336/spontaneous-hemoperitoneum-in-pregnancy-and-endometriosis-a-new-challenge-in-a-known-disease
#2
JOURNAL ARTICLE
Nataly Zilberman Sharon, Yair Shiber, Zvi Vaknin, Moshe Betser, Laurian Copel, Ron Maymon
IMPORTANCE: Spontaneous hemoperitoneum in pregnancy (SHiP) is a rare life-threatening event previously associated with endometriosis. Although pregnancy is thought to improve the symptoms of endometriosis, abrupt intraperitoneal bleeding can occur, jeopardizing both maternal and fetal outcomes. OBJECTIVE: The aim of this study was to review the published information regarding SHiP pathophysiology, presentation, diagnosis, and management in a flowchart approach. EVIDENCE ACQUISITION: A descriptive review of published articles in the English-language was carried out...
March 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36786720/doula-care-a-review-of-outcomes-and-impact-on-birth-experience
#3
REVIEW
Khaila Ramey-Collier, Maya Jackson, Angela Malloy, Cindy McMillan, Andora Scraders-Pyatt, Sarahn M Wheeler
IMPORTANCE: Doulas are trained professionals that provide comprehensive support during the perinatal period. Doula-supported care is associated with improved maternal and infant outcomes including decreased preterm birth, increased breastfeeding initiation, and higher patient satisfaction. In addition, research suggests that doula support is a promising strategy to mitigate racial disparities in maternal and infant health outcomes. OBJECTIVE: This article reviews doulas' scope of practice, perinatal outcomes associated with doula-assisted care, and their impact on alleviating racial disparities in maternal-infant outcomes...
February 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36786719/melanoma-during-pregnancy-as-a-complicated-medical-problem
#4
REVIEW
Klaudia Kościelecka, Daria Kubik-Machura, Aleksandra Kuć, Florentyna Furmanek, Tomasz Męcik-Kronenberg
IMPORTANCE: Pregnancy-associated melanomas (PAMs)-this is how melanomas identified during the childbearing years or up to 1 year after birth have been defined, accounting for one third of women in whom it is diagnosed. The exact epidemiology of melanoma is difficult to determine. However, its incidence is undoubtedly increasing, most likely related to the increasing age of mothers. OBJECTIVE: The purpose of this study was to review the prognosis, diagnosis, and treatment; the effect of melanoma on pregnancy; and the effect of pregnancy on melanoma and melanocytic lesions...
February 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36607202/adrenal-hemorrhage-a-review
#5
JOURNAL ARTICLE
Tucker Doiron, Lettie A Odom, Everett F Magann
IMPORTANCE: Adrenal hemorrhage in pregnancy is rare. The prevalence of pregnant patients whose pregnancies are complicated by preeclampsia or eclampsia is hypothesized to be slightly higher than the 0.4% to 1.1% occurrence rate in the nonpregnant population. However, the mortality rate of adrenal hemorrhage is reportedly as high as 15%. Therefore, it is critical for obstetric providers to have basic knowledge on the presentation, diagnosis, and management of adrenal hemorrhage in the pregnant population so that prompt diagnosis can be made...
January 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36607201/obesity-in-pregnancy-a-comprehensive-review-of-influential-guidelines
#6
REVIEW
Sonia Giouleka, Ioannis Tsakiridis, Georgia Koutsouki, Nikolaos Kostakis, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Obesity is one of the most common clinical entities complicating pregnancies and is associated with short- and long-term consequences for both the mother and the offspring. OBJECTIVE: The aim of this study were to review and compare the most recently published influential guidelines on the management of maternal obesity in the preconceptional, antenatal, intrapartum, and postpartum period. EVIDENCE ACQUISITION: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists, the International Federation of Gynecology and Obstetrics, the Society of Obstetricians and Gynecologists of Canada, the Royal College of Obstetricians and Gynecologists, and the Royal Australian and New Zealand College of Obstetricians and Gynecologists on obesity in pregnancy was carried out...
January 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36607200/opioid-use-in-pregnancy-a-review
#7
REVIEW
Kimberly S Ryan, Kristin C Prewitt, Sarena Hayer, Madeline A Hedges, Ashley E Benson, Jamie O Lo
IMPORTANCE: The use and misuse of opioids in pregnancy have been increasing and are a major public health issue. Opioid use in pregnancy and during lactation has been associated with increased maternal and neonatal morbidity and mortality. OBJECTIVE: This review aims to summarize the existing literature and current recommendations for opioid use while pregnant or lactating. EVIDENCE ACQUISITION: A PubMed, Cochrane Library, and Google Scholar literature search using the following terms was performed to gather relevant data: "opioids," "opioid maintenance therapy," "opioid use disorder," "suboxone," "buprenorphine," "methadone," "medication for opioid use disorder," "fetal outcomes," "perinatal outcomes," "pregnancy," "lactation," and "neonatal abstinence syndrome...
January 2023: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36477388/postpartum-psychosis-the-role-of-women-s-health-care-providers-and-the-health-care-system
#8
JOURNAL ARTICLE
Meaghan Stacy, Jay Schulkin
IMPORTANCE: The postpartum period is a time of high risk for serious psychiatric symptoms and hospitalization. Postpartum psychosis (PPP) is the most severe disorder that emerges during this time, with significant and wide-ranging consequences that can include suicide and infanticide. EVIDENCE ACQUISITION: A PubMed, MEDLINE, and PsycINFO search was completed for English-language publications about PPP, including subtopics (eg, infanticide, maternal suicide). Citations in these articles were also reviewed for relevant references...
December 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36477387/group-b-streptococcus-and-pregnancy-critical-concepts-and-management-nuances
#9
REVIEW
Sarah K Dotters-Katz, Jeffrey Kuller, R Phillips Heine, Sarahn M Wheeler
IMPORTANCE: Group B Streptococcus (GBS) is a common pathogen with an effective treatment. However, it remains a significant cause of neonatal sepsis, morbidity, and mortality. The screening and management of this infection are some of the first concepts learned during medical training in obstetrics. However, effective screening and evidence-based management of GBS are nuanced with many critical caveats. OBJECTIVE: The objectives of this review are to discuss the essential aspects of GBS screening and management and to highlight recent changes to recommendations and guidelines...
December 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36477386/subchorionic-hemorrhage-in-the-second-and-third-trimesters-of-pregnancy-a-review
#10
REVIEW
Megan Pagan, Joshua Monson, Ryan Strebeck, Sarah Edwards, Everett F Magann
IMPORTANCE: Subchorionic hemorrhage (SCH) in the second and third trimesters of pregnancy can be associated with maternal morbidity and fetal morbidity/mortality. Management of SCH in the second or third trimesters can be complicated, especially in the setting of a large SCH that requires hospitalization and blood transfusion. OBJECTIVE: The aim of this review is to describe SCH in second and third trimesters, risk factors, diagnosis, maternal and fetal outcomes, and management of this uncommon pregnancy complication...
December 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36345107/resurgence-of-autologous-fascial-slings-in-a-challenging-climate-for-sling-surgery-a-20-year-review-of-comparative-data
#11
REVIEW
Yi-Ju Amy Chen, Marjorie Jean-Michel
IMPORTANCE: Since the US Food and Drug Administration's 2016 ban of transvaginal mesh use in vaginal prolapse surgery, there has been growing public scrutiny over the use of synthetic mesh slings (SSs) for the surgical management of female stress urinary incontinence (SUI). Although long considered the mainstay of current practice, interest in biological alternatives has grown. OBJECTIVES: This article reviews the last 20 years of data comparing the success of autologous fascial slings (AFSs) and SSs in the treatment of female SUI...
November 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36345106/fetal-omphalocele-review-of-predictive-factors-important-for-antenatal-counseling
#12
REVIEW
Wawrzyniec Rieder, Sabine Vasseur Maurer, Eric Giannoni, David Baud
IMPORTANCE: Congenital omphalocele is among the most common antenatally diagnosed anomalies. As additional abnormalities are found in majority of cases, antenatal investigations target the search for additional structural anomalies and genetic disorders, including aneuploidy. Antenatal management focuses on the assessment of fetal well-being. Unfortunately, antenatal prediction of postnatal and long-term outcomes represents 2 less well-documented but crucial facets of this pathology. A large part of the prognosis relies on aspects that are difficult to predict such as quality of life, neurological development, and autonomy, which cause significant anxiety in expectant parents...
November 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36345105/postpartum-hemorrhage-a-comprehensive-review-of-guidelines
#13
REVIEW
Sonia Giouleka, Ioannis Tsakiridis, Ioannis Kalogiannidis, Apostolos Mamopoulos, Ioannis Tentas, Apostolos Athanasiadis, Themistoklis Dagklis
IMPORTANCE: Postpartum hemorrhage (PPH) is a common complication of childbirth and the leading cause of maternal deaths worldwide, also associated with important secondary sequelae. OBJECTIVE: The aim of this study was to review and compare the most recently published influential guidelines on evaluation, management, and prevention of this severe, life-threatening obstetric complication. EVIDENCE ACQUISITION: A descriptive review of guidelines from the American College of Obstetricians and Gynecologists, the Royal College of Obstetricians and Gynecologists, the Royal Australian and New Zealand College of Obstetricians and Gynecologists, the Society of Obstetricians and Gynecologists of Canada, the Network for the Advancement of Patient Blood Management, Hemostasis and Thrombosis in collaboration with the International Federation of Gynecology and Obstetrics, the European Board and College of Obstetrics and Gynecology and the European Society of Anaesthesiology, and the World Health Organization on PPH was carried out...
November 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36242531/clinical-update-on-uses-for-mifepristone-in-obstetrics-and-gynecology
#14
JOURNAL ARTICLE
Jill M Hagey, Matthew Givens, Amy G Bryant
IMPORTANCE: Mifepristone (RU-486) is a selective progesterone receptor modulator that has antagonist properties on the uterus and cervix. Mifepristone is an effective abortifacient, prompting limitations on its use in many countries. Mifepristone has many uses outside of induced abortion, but these are less well known and underutilized by clinicians because of challenges in accessing and prescribing this medication. OBJECTIVES: To provide clinicians with a history of the development of mifepristone and mechanism of action and safety profile, as well as detail current research on uses of mifepristone in both obstetrics and gynecology...
October 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36242530/guidelines-for-cystic-fibrosis-carrier-screening-in-the-prenatal-preconception-period
#15
REVIEW
Maeve K Hopkins, Lorraine Dugoff, Jeffrey A Kuller
IMPORTANCE: Cystic fibrosis (CF) is one of the most common autosomal recessive disorders. Carrier screening for CF should be offered to all women considering becoming pregnant or who are pregnant. Understanding the available screening tests, their limitations, and the benefits of screening is of paramount importance to the obstetrician-gynecologist. OBJECTIVES: The objective is to review the current guidelines for CF carrier screening including the options for carrier screening, the potential complexities associated with carrier screening for CF, and indications for referral to certified genetic counselors or maternal-fetal medicine specialists...
October 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36242529/effect-of-intrapartum-maternal-hemoglobin-on-mode-of-delivery-and-short-term-neonatal-outcome-a-systematic-review
#16
JOURNAL ARTICLE
Julia Sandra Smith, Lauren Maria Bullens, Marieke Beatrijs van der Hout-van der Jagt, Pieter Jurjen van Runnard Heimel, Swan Gied Oei
Importance: Maternal anemia in pregnancy is a common condition worldwide and is considered a risk factor for adverse neonatal and maternal outcome. Also high hemoglobin (Hb) levels are associated with adverse pregnancy outcomes. However, studies regarding the influence of intrapartum maternal Hb on mode of delivery and short-term neonatal outcome are limited and contradicting. Objective: The aim of this study was to provide an overview of current evidence regarding associations between intrapartum maternal Hb levels and mode of delivery and short-term neonatal outcome...
October 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36136077/thick-placenta-in-pregnancy-a-review
#17
REVIEW
Ryan Strebeck, Brooke Jensen, Everett F Magann
Importance: A thickened placenta is easily identified on ultrasound and provides insight into maternal and fetal wellbeing as well as underlying structural and physiologic anomalies. Objectives: The aim of this study was to review the literature to clarify what classifies a placenta as "thickened" and to review the associated incidence, maternal and fetal comorbidities, and management during pregnancy. Evidence Acquisition: Electronic databases (PubMed and Web of Science) were searched from 2000 to 2020 in the English language...
September 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/36136076/human-chorionic-gonadotropin-a-review-of-the-literature
#18
REVIEW
Darby Herkert, Vivienne Meljen, Lisa Muasher, Thomas M Price, Jeffrey A Kuller, Sarah Dotters-Katz
Importance: The measurement of human chorionic gonadotropin (hCG) levels in different body fluids is a commonly utilized tool in obstetrics and gynecology, as well as other fields. It is often one of the first steps in the medical workup of female patients, and the results and interpretation of this test can have significant downstream ramifications. It is essential to understand the uses and limitations of hCG as a testing and therapeutic measure to appropriately evaluate, counsel, and treat patients...
September 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/35932290/the-impact-of-adenomyosis-on-pregnancy-and-pregnancy-outcomes-a-review
#19
REVIEW
Michael P Wendel, Everett F Magann
OBJECTIVE: The aim of this review was to describe the risk factors, diagnosis, and effects on pregnancy of the gynecologic condition adenomyosis. METHODS: A PubMed, Web of Science, and CINAHL search was undertaken. Citations were limited to the past 30 years. RESULTS: There were 223 articles identified, with 31 articles being the basis of this review. Adenomyosis is a relatively common gynecologic condition that was previously thought to predominantly occur in older women, as it was diagnosed most commonly after a hysterectomy...
August 2022: Obstetrical & Gynecological Survey
https://read.qxmd.com/read/35932289/fibroids-and-fertility-a-comparison-of-myomectomy-and-uterine-artery-embolization-on-fertility-and-reproductive-outcomes
#20
REVIEW
Nicole C Zanolli, Katherine C Bishop, Jeffrey A Kuller, Thomas M Price, Benjamin S Harris
IMPORTANCE: Leiomyomata, or fibroids, are a common gynecological problem affecting many women of reproductive age. Historically, myomectomy is offered to women with symptomatic fibroids who desire to preserve fertility. More recently, uterine artery embolization (UAE) has been explored as another fertility-sparing option. OBJECTIVE: This review aims to provide an in-depth summary of the effects on fertility and reproductive outcomes following myomectomy and UAE for the treatment of symptomatic fibroids...
August 2022: Obstetrical & Gynecological Survey
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