Browse OB/GYN Clinical Alert Articles by Topic

Does Treatment of Bacterial Vaginosis Prevent Spontaneous Preterm Birth?

In this randomized, controlled trial from France, screening for and treatment of bacterial vaginosis in pregnant women at low risk for preterm birth with oral clindamycin or placebo did not reduce the rate of spontaneous preterm birth between 16 and 36 weeks.

Paternal Age Is Important for Perinatal Outcomes

Fathering infants at or after age 45 years is associated with negative effects on both the mothers and the resulting offspring.

Acupuncture as Adjunct Therapy for Infertility in Polycystic Ovary Syndrome

Acupuncture as an adjunctive therapy for treating infertility in Chinese women with polycystic ovary syndrome receiving clomiphene citrate or placebo offered no benefit over sham acupuncture.

Initial Management of Patients With Medication-Overuse Headache

As part of a randomized treatment trial for medication-overuse headache, a simple protocol that provided early advice on stopping excessive medications was effective in one-third of patients, even before any prophylactic medications were started.

Hormone Therapy and Mortality: No Overall Effect?

An evaluation of outcomes of users and nonusers of postmenopausal hormonal therapy followed longitudinally in the Danish database showed no overall difference in mortality.

Should the Copper IUD Be Offered to Women With Heavy Menstrual Bleeding?

In this secondary analysis of the Contraceptive CHOICE Project, there was no difference in copper intrauterine device continuation rates at one year between 165 women who reported heavy menstrual bleeding at baseline and 753 women who did not.

Venous Thromboembolism Risk After Abortion

Women experience a two-fold increase in risk of venous thrombosis (relative to nonpregnant women) following induced abortion, but a more than six-fold overall reduction in risk of thrombosis compared to women who continue the pregnancy to term.

Help-seeking Behavior for Pelvic Floor Dysfunction

Women are more likely to seek help for pelvic floor symptoms if they have increased bother and are less likely to seek help if they perceive their symptoms as normal.

Opportunistic Salpingectomy at the Time of Cesarean Delivery for Postpartum Permanent Contraception

In this retrospective cohort study, almost 20% of women who desired bilateral complete salpingectomy for permanent contraception at the time of cesarean delivery could not undergo the procedure because of adhesions or engorged vasculature.

Are There Risks With Early-term Birth?

The authors of a multicenter study suggest that composite neonatal outcome is worse when pregnancy is interrupted in uncomplicated pregnancies at 37 to 38 weeks, even with documented fetal lung maturity, compared to pregnancies delivered at full term (39 to 40 weeks).