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Journals Current Opinion in Obstetrics ...

Current Opinion in Obstetrics & Gynecology

https://read.qxmd.com/read/37792522/genetic-risk-assessment-in-breast-and-gynecologic-malignancies-what-s-to-know-in-2024
#41
REVIEW
Daniella Kamara, Erica Silver, Mariana Niell-Swiller
PURPOSE OF REVIEW: Hereditary cancer risk assessment and counseling have become integral in oncology care, especially in breast and gynecologic malignancies where genetic test results impact management. However, a large number of patients who could benefit from genetic testing are not getting tested. As such, genetic risk assessment and counseling methods have had to evolve to meet the needs of this expanding patient population. RECENT FINDINGS: "Mainstreaming" genetic testing is an initiative to incorporate genetic testing into routine cancer care in lieu of the traditional genetic counseling model to improve uptake of testing while minimizing expansion of genetic counselor and clinic resources...
February 1, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37678325/controversies-in-axillary-management-of-patients-with-breast-cancer-updates-for-2024
#42
REVIEW
Nikolas Tauber, Vesna Bjelic-Radisic, Marc Thill, Maggie Banys-Paluchowski
PURPOSE OF REVIEW: For some time now, the question of de-escalation in axillary staging in breast cancer patients has been raised. The aim is to improve the patients' quality of life and reduce morbidity by optimizing surgical strategies with a high level of oncological safety. This review offers a current overview of published evidence and clinical practice, aiming to guide the surgical community as they reassess and reshape their practices. RECENT FINDINGS: Years after introducing sentinel lymph node biopsy (SLNB) in clinically node negative breast cancer patients several guidelines suggest completely omitting SLNB in older patients with low-risk tumors...
February 1, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/38259247/routine-screening-for-gestational-diabetes-a-review
#43
JOURNAL ARTICLE
Minhazur R Sarker, Gladys A Ramos
PURPOSE OF REVIEW: Rates of gestational diabetes mellitus (GDM) throughout the world continue to increase associated with the increasing rates of obesity. Given this epidemiologic burden, the importance of proper screening, diagnosis, and management cannot be understated. This review focuses on the current screening guidelines utilized throughout the world and new data recently published regarding the most optimal screening techniques and future directions for research. RECENT FINDINGS: Despite unanimous opinion that GDM warrants screening, the optimal screening regimen remains controversial...
January 16, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/38205786/update-on-syphilis-in-pregnancy-marrying-basic-science-advances-and-clinical-perseverance-to-solve-an-ancient-public-health-problem
#44
JOURNAL ARTICLE
Emily H Adhikari
PURPOSE OF REVIEW: While the clinical disease of syphilis, its consequences in pregnancy, and its sensitivity to penicillin treatment have remained relatively unchanged for a century or more, new technologies and basic discoveries in syphilis research have translated into tangible advances in clinical diagnosis, treatment, and prevention. The purpose of this review is to help the reader understand some of the recent relevant scientific publications on syphilis and its causative organism in a clinical obstetric context...
January 12, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/38170626/evaluating-tranexamic-acid-for-the-prevention-and-treatment-of-obstetric-hemorrhage
#45
JOURNAL ARTICLE
John J Kowalczyk, Maurizio Cecconi, Alexander J Butwick
PURPOSE OF REVIEW: Tranexamic acid (TXA) has emerged as a promising pharmacological adjunct to treat and prevent postpartum hemorrhage (PPH). We provide an overview of TXA, including its pharmacology, key findings of randomized trials and observational studies, and critical patient safety information. RECENT FINDINGS: Pharmacokinetic data indicate that TXA infusions result in peak plasma concentration within 3 min (range: 1-6.6 min). Ex-vivo pharmacodynamic data suggest that low-dose TXA (5 mg/kg) inhibits maximum lysis for at least 1 h...
January 12, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/38170628/mental-health-conditions-and-contraception-current-landscape-reproductive-health-and-obstetric-outcomes-and-clinical-guidance
#46
JOURNAL ARTICLE
Hayley E Miller, Samantha L Kruger, Danielle M Panelli
PURPOSE OF REVIEW: This review presents the epidemiology of mental health conditions among reproductive aged people, common adverse reproductive outcomes, the hormonal profile of contraception and its relationship with psychiatric outcomes, and updated information for clinicians providing contraceptive counselling for this population. RECENT FINDINGS: There is variability among contraceptive behaviours and patterns across those who have mental health conditions, impacting reproductive, psychiatric, and perinatal outcomes...
January 3, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/38170620/the-evolving-landscape-of-antibody-drug-conjugates-in-ovarian-cancer-new-drugs-for-a-new-era
#47
JOURNAL ARTICLE
David García-Illescas, Roberta Mazzeo, Carmen García-Durán, Ana Oaknin
PURPOSE OF REVIEW: This review addresses the emerging role of antibody-drug conjugates (ADCs) in the treatment of ovarian cancer, a field marked by a high need for more effective and targeted therapies. Given the recent advancements in ADC technology and the ongoing challenges in treating ovarian cancer, particularly in late-stage and recurrent cases, this review is both timely and relevant. It synthesizes current research findings and clinical trial data, highlighting the potential of ADCs to revolutionize ovarian cancer treatment...
January 3, 2024: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37916900/travel-for-abortion-care-implications-for-clinical-practice
#48
REVIEW
Klaira Lerma, Leah Coplon, Vinita Goyal
PURPOSE OF REVIEW: Traveling long distances to obtain abortion care due to restrictions and scarce availability is associated with significant obstacles. We review clinical strategies that can facilitate abortion access and outline considerations to ensure person-centered and equitable care. RECENT FINDINGS: Establishing a patient's gestational duration prior to travel may be beneficial to ensure they are eligible for their desired abortion method at the preferred facility or to determine if a multiday procedure is required...
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37916899/editorial-updates-in-contraception-and-abortion-care-ghosts-of-the-past-present-and-future
#49
JOURNAL ARTICLE
Paul D Blumenthal
No abstract text is available yet for this article.
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37916898/editorial-introductions
#50
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37873766/medical-abortion-in-the-second-trimester-an-update
#51
JOURNAL ARTICLE
Helena Kopp Kallner
The safety and efficacy of medical abortion in the second trimester is provider independent and may therefore offer advantages over surgical second trimester abortion in certain settings. Due to bleeding risk, medical abortions in the second trimester are still mostly performed in a clinic or hospital setting. The most effective regimen for abortion includes pretreatment with oral mifepristone and following doses of misoprostol. An alternative is misoprostol only which should only be used when mifepristone is not available...
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37678190/evaluation-and-management-of-urethral-and-periurethral-masses-in-women
#52
REVIEW
Stephanie W Zuo, Gnankang Sarah Napoe
PURPOSE OF REVIEW: Female periurethral masses are an uncommon occurrence. The purpose of this review is to describe etiologies of female urethral and periurethral masses and to provide an update on diagnosis and management. RECENT FINDINGS: The most common causes of periurethral and urethral masses in women are urethral caruncles, urethral diverticula, and Skene's gland cysts. Urethral meatal lesions such as urethral caruncles and prolapse can be managed conservatively with topical estrogen therapy and close follow-up or should be excised in the setting of thrombosis, significant or recurrent bleeding, acute urinary retention, or persistent pain...
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37610990/the-evolving-role-of-emergency-medicine-in-family-planning-services
#53
REVIEW
Carl Preiksaitis, Andrea Henkel
PURPOSE OF REVIEW: The emergency department serves as an essential access point for a variety of healthcare services. This review will examine the recent expansion of family planning and reproductive health services in the emergency department. RECENT FINDINGS: An increasing number of patients present to emergency departments for early pregnancy loss (EPL), abortion care, and contraceptive management. Availability of comprehensive EPL management varies dramatically, possibly due to lack of provider knowledge or training...
December 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37902961/reducing-health-disparities-in-endometrial-cancer-care-in-2024
#54
JOURNAL ARTICLE
Chelsea E Stewart, Andrea Nañez, Martins Ayoola-Adeola, Dana Chase
PURPOSE OF REVIEW: To summarize the most recent publications explaining disparities among patients diagnosed with endometrial cancer and identify areas of improvement. RECENT FINDINGS: Racial disparities in endometrial cancer care have been identified along the cancer continuum including risk, diagnosis, access to treatment, and overall survival. The mortality gap in endometrial cancer is one of the top five widest Black-White mortality gaps among all cancer diagnoses in the United States...
October 26, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37807921/current-opinion-postpartum-urinary-disorders
#55
JOURNAL ARTICLE
Shirley M Dong, Lisa C Hickman
PURPOSE OF REVIEW: The aim of this study was to describe the common postpartum urinary sequelae including urinary retention and incontinence, and to summarize the management of these conditions. RECENT FINDINGS: Despite the high frequency of urinary disorders in obstetrics, screening and management protocols are rarely utilized by providers. Large variation exists in the literature regarding assessment of postpartum urinary retention, values of postvoid residuals and management of indwelling catheters in the immediate postpartum population...
October 2, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37678192/editorial-introduction
#56
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37610988/perioperative-hormone-treatment-of-endometriosis
#57
JOURNAL ARTICLE
William Farkas, Alexandros Lazaridis, Funlayo Odejinmi, Martin Hirsch
PURPOSE OF REVIEW: The use of hormonally suppressive medication to reduce levels of reproductive hormones around the time of surgery is widely used in the management of endometriosis. This review summarizes the current evidence concerning the perioperative use of hormonal treatment in the management of endometriosis. RECENT FINDINGS: European Society of Human Reproduction and Embryology (ESHRE) guidanceSurgical Outcomes and Complications of Laparoscopic Hysterectomy for Endometriosis: A Multicentre Cohort StudyPre and postsurgical medical therapy for endometriosis surgery...
October 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37560815/update-on-gestational-diabetes-and-adverse-pregnancy-outcomes
#58
REVIEW
Bryan Ugwudike, ManHo Kwok
PURPOSE OF REVIEW: To explore the recent literature concerning the effect of gestational diabetes (GDM) on adverse pregnancy outcomes (APO). RECENT FINDINGS: Literature search on PubMed, Medline and British Journal of Obstetrics and Gynaecology was conducted using keywords. Search fields were filtered down to include articles from 2019 onwards. GDM is common during pregnancy and is on the rise because of increasing in obesity rates. GDM tended to show an increased risk of APO compared with non-GDM...
October 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37560805/strategies-to-communicate-pregnancy-complications-a-systematic-review-and-practical-points-for-healthcare-professionals
#59
JOURNAL ARTICLE
Ioannis Karapanos, Angeliki Bolou, Maya Nazer, Stamatina Iliodromiti, Elena Greco
PURPOSE/METHODS: This systematic review aims to provide an overview of strategies available for healthcare professionals (HCPs) to effectively communicate unexpected news in pregnancy, specifically for the most common pregnancy complications. Three medical databases and grey literature were searched until March 2023 using subject headings and keywords. Snowball techniques were also used. The articles were reviewed at each stage of screening independently by two separate authors. Qualitative, quantitative and mixed methods studies were included...
October 1, 2023: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/37560779/postpartum-maternal-tachycardia-diagnostic-pitfalls
#60
JOURNAL ARTICLE
Charlotte Mathur, Arun Tohani, Vinod Patil, Ayub Khan, Chineze Otigbah
PURPOSE OF REVIEW: Maternal tachycardia is a common sign with a multitude of causes. We attempt to look at the most common sinister ones in the postpartum period. RECENT FINDINGS: Current guidelines differ in the definition of maternal tachycardia. It has been associated with adverse outcomes such as increased length of stay as well as higher mortality if there is underlying peripartum cardiomyopathy. Some recent studies look at common investigations and how these apply to peripartum women, such as ECG markers of arrhythmogenesis, reference ranges for PCT and echocardiogram findings during pregnancy prior to diagnosis of peripartum cardiomyopathy...
October 1, 2023: Current Opinion in Obstetrics & Gynecology
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