Browse OB/GYN Clinical Alert Articles by Topic

Zika, Revisited

A new study from Brazil shows a very high rate of fetal central nervous system abnormalities with both first-trimester and second-trimester exposure to the Zika virus, compared with data from the United States and other areas in the world where the rate of fetal abnormalities has been lower.

Physical Activity, Exercise, Strength, Aging, and the Pelvic Floor

While exploring broad themes of exercise and obesity, this special feature will focus on physical activity in relationship to the pelvic floor.

Marijuana Use and Pregnancy

Marijuana use in pregnancy increased 62% from 2002 to 2014, especially among women 18-25 years of age.

Laborists: How Will It Affect Care?

A recent study has shown a decrease in rates of induction, cesarean section, and preterm birth in hospitals after instituting a laborist model, compared with matched-control hospitals using the traditional model.

Who Needs an Endometrial Biopsy?

In this retrospective cohort study of premenopausal women with abnormal uterine bleeding, obesity, as opposed to age, was the most significant predictor of complex hyperplasia or cancer on endometrial biopsy.

Did You Remember to Take Your Hormone Replacement? The Treatment May Not Help

Women randomized to receive postmenopausal oral estradiol therapy did not show improved memory, executive function, or global cognition, and timing of initiation of hormonal treatment did not affect the outcome.

Extending Life of LARCs: More Years for Your Implant

An international study found that continued use of an etonogestrel contraceptive implant for up to five years, two years longer than the current labeling approval, did not increase the risk of pregnancy.

When to Start Progestin-only Contraceptives After Medical Abortion

In this randomized, controlled trial, provision of depot medroxyprogesterone acetate on the same day as mifepristone for medical abortion decreased efficacy a small amount and had no effect on repeat pregnancy at six months. Whether this is clinically relevant will depend on individual patient counseling and the woman’s desire for convenient contraceptive coverage.

The Effect of Major Depression on Quality of Life After Surgery for Stress Urinary Incontinence

Women with major depression undergoing surgical treatment for stress urinary incontinence have worse condition-specific quality of life than non-depressed women. Postoperatively, depressed and non-depressed women have similar incontinence severity and quality of life.

The Best Medical Treatment for Endometriosis? The Debate Continues

In a “before and after study,” the proportion of satisfied and very satisfied women did not change from the “before” period, during which women with endometriosis were treated with norethindrone acetate, to the “after” period during treatment with dienogest.