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Review reproductive health considerations for women with inflammatory bowel disease

Between 1 and 1.4 million people in the United States have inflammatory bowel disease, a group of conditions that includes Crohn’s disease and ulcerative colitis. For women of childbearing age with IBD, there are considerations related to fertility and pregnancy, according to recent information presented by the Association of Reproductive Health Professionals.

FDA Updates Mifepristone Labeling, Easing Access to Abortion Pill

The Food and Drug Administration has approved new and updated labeling for the medication abortion drug mifepristone (Mifeprex, Danco Laboratories, New York City) to reflect the most current clinical practices and safety and efficacy data. The drug’s new label reduces the size of the initial dose and extends the window for taking it to 70 days since the first day of a woman’s last menstrual period.

What’s in the Pipeline? Science Moves Long-acting Contraceptive Options Forward

With the growth in interest in long-acting reversible contraceptive methods, what new options may be available to U.S. women?

Zika Virus Update — What Do Your Patients Need to Know?

Approximately four in 10 (42%) U.S. adults in households in which someone is pregnant or considering becoming pregnant don’t realize the Zika virus can be sexually transmitted, according to results from a new national survey. The poll is part of an ongoing series of surveys focused on the public’s response to public health emergencies by the Harvard Opinion Research Program at the Boston-based Harvard T.H. Chan School of Public Health.

Intracerebral Hemorrhages Associated with Non-vitamin K Oral Anticoagulants Appear to Be Smaller than Those Associated with Warfarin

Intracerebral hemorrhage is the most dangerous complication of treatment with oral anticoagulants, and this complication carries a high mortality. Because of the increasing prevalence of atrial fibrillation in the elderly population, and the increasing use of oral anticoagulants, the overall prevalence of intracerebral hemorrhage is increasing.

Optimal Antiplatelet Therapy for Secondary Prevention of Ischemic Stroke

Patients presenting with acute ischemic stroke are often taking aspirin on a regular basis for prevention of cardiovascular disease. The optimal antiplatelet therapy for secondary prevention has been uncertain in this setting.

Use of CNMs and Hospitalists

SYNOPSIS: A study assessing the effects of instituting a model of certified nurse midwife with MD laborist backup on a private patient population showed a decrease in cesarean section rate and an increase in vaginal birth after cesarean delivery rate without any change in combined neonatal outcome.

Prognostic Value of Coronary Calcium on Standard Chest CT Scans

SYNOPSIS: Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports.

The Current Outlook for Cardiac Tamponade

SYNOPSIS: In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.

The Best Rate Control Agent for Sepsis and Atrial Fibrillation

Sepsis and atrial fibrillation are common in the ICU, and the presence of both together is not a rare occurrence. Here's how to handle them.