OB/GYN Clinical Alert – December 1, 2022

The Harms of Urine Drug Screening for Isolated Marijuana Use on Labor and Delivery Units

Isolated marijuana use, when used as an indication for urine drug screening during the labor and delivery period, poorly predicts concomitant use of other nonprescribed substances. However, use of the screening brings real risk of inequitable harm.

Labiaplasty in the United States

In this descriptive study, the rates of labiaplasty from 2016-2019 in the United States ranged from 3,046 to 4,315 per year and were highest among women aged 18 to 35 years.

Ultrasound to Detect Endometrial Cancer and Endometrial Intraepithelial Neoplasia in Patients Without Abnormal Bleeding

In women without abnormal uterine bleeding undergoing transvaginal ultrasound, endometrial intraepithelial neoplasia or endometrial cancer was associated with a thicker endometrium, heterogenous echotexture, more frequent endometrial cysts, and increased vascularity.

Does Shoulder Simulation Training Decrease the Incidence of Brachial Plexus Injury?

This study demonstrated that improved team and individual performance can result from systematic simulation-based shoulder dystocia training, which can considerably lower the incidence of permanent brachial plexus injuries.