OB/GYN Clinical Alert – November 1, 2009

November 1, 2009

• Placenta Previa: Distance to Internal Os and Mode of Delivery

  It is unclear where the idea originated that the definition of placenta previa would include placentas that are within 2 cm of the endocervix.

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• Advocating Vaginal Hysterectomy

  This is an almost blatant advertisement for vaginal hysterectomy. So the astute reader would logically ask, "Why is this being reviewed in this newsletter? Aren't we supposed to be getting the cutting edge literature to help us advance our practice?"

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• Risk of VTE with Oral Contraceptives

  In a population-based case-control study from the Netherlands, combined oral contraceptives increased the risk of venous thrombosis (VTE) fivefold compared with non-use (odds ratio [OR], 5.0; 95% confidence interval [CI], 4.2-5.8).

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• Pharmacology Watch: SSRIs and Pregnancy: Increase in Septal Heart Defects

  In this issue: Depression and pregnancy, new vaccine recommendations from the CDC, cortico-steroids and/or antivirals for Bell's palsy, rasagiline and Parkinson's disease, and FDA Actions.

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• Clinical Briefs in Primary Care supplement

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