Browse Obstetrics/Gynecology General Articles by Topic

Medication Abortion via Telehealth in the United States

A prospective study of U.S. patients obtaining medication abortion through telehealth platforms demonstrated high effectiveness (97.7%; 95% confidence interval [CI], 97.2% to 98.1%) and safety (99.8%; 95% CI, 99.6% to 99.9%).

The Role of Probiotics and Synbiotics for Management of Gestational Diabetes

Probiotics and synbiotics have shown promise in reducing insulin resistance and enhancing glycemic control, blood lipid profiles, and inflammation among women with gestational diabetes mellitus (GDM). Although they hold potential as a treatment option for GDM, conclusive recommendations await larger, well-designed randomized controlled trials with extended follow-up periods.

Stopping STI Epidemic Requires More Testing, More Public Resources

Syphilis cases continue to climb in the years following the COVID-19 pandemic, and public health programs and clinicians struggle to reverse this trend.

Researchers: Studies Cited in Court Cases on Abortion and Mental Health Impact Are Flawed

As the U.S. Supreme Court considers a case involving the abortion medication mifepristone and whether it was properly approved by the Food and Drug Administration, justices will see mention of research about abortion from flawed studies, including some that have been retracted.

Supplemental Calcium Therapy for the Prevention of Preeclampsia and Preterm Birth

In pregnancy, calcium supplementation was well tolerated and reduced the risk of preeclampsia and preterm birth, with no significant differences observed between low-dose and high-dose supplementation.

Medications for OUD in the First Trimester and Congenital Malformation Risk

In this large, retrospective cohort study of births covered by Medicaid from 2000-2018, the authors used linked Medicaid use data to compare 9,514 pregnancies with buprenorphine exposure and 3,846 with methadone exposure in the first trimester. After adjusting for relevant confounders, the risk of major congenital malformation was lower for buprenorphine-exposed infants compared to methadone-exposed infants (risk ratio, 0.82; 95% confidence interval, 0.69-0.97), although rates overall remained low (50.9 per 1,000 for buprenorphine and 60.6 per 1,000 for methadone).

New Guidelines on p16/Ki67 Dual Stain for Triage of HPV-Positive Cervical Cancer Screening Tests

This article outlines national consensus guidelines for the use of p16/Ki67 dual stain for triage of human papillomavirus-positive cervical cancer screening tests.

Novel Combined Oral Contraceptives and VTE Risk: What Do We Know?

Recently, novel combined oral contraceptives containing estradiol valerate-dienogest, estetrol-drospirenone, and 17-beta estradiol with nomegestrol acetate have been released. Whether these types of estrogen are safer than ethinyl estradiol formulations in terms of venous thromboembolism risk is unknown.

Teen Pregnancies in the ED Part 2: Handling Complications

Teenage pregnancies have a higher incidence of adverse medical outcomes and obstetrical complications that are critical for providers to recognize and manage in a timely manner. The author provides a succinct, comprehensive review of the critical aspects of trauma in pregnancy; preeclampsia; hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome; venous thromboembolism; as well as precipitous delivery and postpartum hemorrhage.

Teen Pregnancies in the ED Part 1: First Trimester

This article is the first of a two-part series that focuses on an important emergency medicine topic — teenage pregnancy. In this first part, the author focuses on the unique features that affect diagnosis and management of pregnancy in adolescence. Part two will focus on obstetrical emergencies in pregnant teenagers.