Obstetrics/Gynecology General
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Perinatal Contraceptive Counseling Helps Patients Manage Reproductive Futures
Reproductive healthcare and contraceptive counseling have evolved in recent years to embrace patient-centered counseling and the reproductive justice framework. This focus should include the perinatal period, but that is not always the case, a new paper finds.
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LARC Use Can Affect Well-Woman Visits and STI Screening
Adolescent and young adult patients who select long-acting reversible contraception (LARC) attend fewer well-woman visits and have reduced testing for sexually transmitted infections (STIs), new research shows.
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Digital Contraceptive Decision Aid Has Potential to Help Match Patients to Best Option
Providers and patients who would like a little help in contraceptive counseling and decision-making could use a new tool — a digital contraceptive decision aid — that could enhance women’s confidence and satisfaction with their contraceptive recommendation, new research shows.
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Revisions to CDC’s Two Contraceptive Guidelines Address Management of Side Effects
The latest updates to contraceptive guidelines by the Centers for Disease Control and Prevention (CDC) include recommendations for people with chronic kidney disease, human immunodeficiency syndrome (HIV) infection risk, chronic diseases, and conditions such as obesity, surgery, breastfeeding, and postabortion.
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CDC Recommends New Pain Management Strategies for IUD Insertion
The 2024 U.S. Selected Practice Recommendations for Contraceptive Use are the first to address the pain many women experience when they are having an intrauterine device (IUD) inserted.
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Neurodevelopmental and Psychiatric Risks in Children of Pregnant Mothers Who Use Cannabis
Although current research has not conclusively established a direct link between prenatal cannabis use and an increased risk of autism spectrum disorder (ASD), psychotic symptoms, anxiety, or depression in offspring, there is evidence suggesting that prenatal cannabis exposure may modestly elevate the risk of attention-deficit/hyperactivity disorder (ADHD). Additionally, children exposed to cannabis in utero may be more likely to use cannabis later in life.
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Evaluating the Effectiveness of Treatment Strategies for Managing Cesarean Scar Ectopic Pregnancies
A review of 460 international cases of cesarean scar pregnancies demonstrated that surgical treatments were extremely effective options, with successful completion in 91.5% (95% confidence interval [CI], 87.8 to 95.2) of suction evacuations and 91.8% (95% CI, 83.8 to 99.9) of surgical excisions compared with a lower success rate for medical options, including local gestational sac injection or systemic methotrexate.
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The Effect of a Full Bladder on Endometrial Biopsy Success in the Office
In this randomized controlled trial of 214 patients, those with a full bladder prior to Pipelle endometrial biopsy had lower first insertion failure rates without the use of a tenaculum (23.4% vs. 42.1%) compared to those with bladder status not taken into account.
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A Tubal Sterilization Knowledge and Decision Aid Support Tool: Does it Make a Difference?
A patient-centered decision aid that improves tubal sterilization knowledge and decision-making quality may be able to fill gaps in counseling and supplement the existing Medicaid sterilization consent process.
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A Review of HIV Pre-Exposure Prophylaxis
Knowing one’s human immunodeficiency virus (HIV) status can help patients take steps to prevent transmission. Male and female condoms are options for preventing HIV during sexual intercourse. These products are widely available over the counter in retail stores and pharmacies and their use should be encouraged for preventing sexually transmitted infections. Yet, there is another option available, pre-exposure prophylaxis (PrEP), for patients to prevent HIV that many providers have not yet added to their armamentarium. This special feature will review the indications for PrEP, its use, and the medications recommended.