Browse OB/GYN Clinical Alert Articles by Topic

Prevalence of Cognitive Impairment in Older Women With Pelvic Floor Disorders

Mild cognitive impairment and early dementia are prevalent in women seeking care for pelvic floor disorders.

Oxytocin Discontinuation

A recent meta-analysis of randomized, clinical trials has shown that discontinuing oxytocin infusion once active labor has been attained in inductions and augmentations of labor will result in a reduction of cesarean delivery and tachysystole, but an increase in the length of labor.

Which Antibiotics Are Safe in the First Trimester of Pregnancy?

A total of 7.2% of pregnant women were diagnosed with a urinary tract infection, and of these, 69% filled an antibiotic prescription. The most common antibiotics prescribed in the first trimester were nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole.

Fetal Fibronectin: Its Role in Threatened Preterm Labor

A recent letter to the editor disputes the conclusion of an earlier study that fetal fibronectin is of little value in threatened preterm labor, despite other studies suggesting that when used in conjunction with cervical length measurements, it can diminish unnecessary hospitalizations appreciably.

The Debate Continues on Salpingectomy

The role of routine salpingectomy during vaginal hysterectomy is controversial.

Intrauterine Device String Checks: Are They Necessary?

Two-thirds of women complied with the recommendation for a six-week follow-up visit after intrauterine device (IUD) insertion. Among these women, 19.8% had their IUD removed in the first year compared to 12.6% among women who did not attend the follow-up visit. The majority of removals occurred outside the six-week follow-up period.

Does Hysterosalpingography With Oil-based Contrast Increase Fertility?

A multicenter, randomized trial in the Netherlands documented higher rates of ongoing pregnancy and live births among infertile women who underwent hysterosalpingography with oil-based contrast compared to those who underwent the procedure with water-based contrast.

Breast Cancer and Hormonal Contraception: New Information or Sensationalism?

Highly publicized results from the Danish database demonstrate an increase in the risk of breast cancer associated with current use of hormonal contraception. Consistent with prior research, the risk is small, confined to current users, and disappears following discontinuation.

Does Postpartum Use of Hormonal Contraception Increase Risk of Depression?

An analysis of a large insurance database showed no consistent effect between postpartum initiation of hormonal contraception and the subsequent diagnosis of depression.

Should Endocervical Curettage Be Performed Routinely During Colposcopy?

In this study, routine endocervical curettage (ECC) among women age 30 and older detected CIN 2 or worse in 14.4% of cases with higher likelihood of detection among women with high-grade squamous intraepithelial lesion, ASC-H, positive HPV 16 infection, or high grade colposcopic impression. The additional yield of ECC over lesion-directed ectocervical biopsies decreased with each additional biopsy.