Browse Obstetrics/Gynecology General Articles by Topic

Revamping the Daily Pill: Research to Begin on Monthly Pill

Although lowering side effects plays an important role in oral contraceptive compliance, one of the biggest challenges for patients is adhering to the daily schedule of the pill. Forgetting one to three pills per cycle is a frequent problem among 15-51% of users, particularly among adolescents. Lyndra Therapeutics has received a $13 million grant from the Bill & Melinda Gates Foundation and is setting out to remove the daily pill compliance challenge. The company is in early development of a monthly oral contraceptive to provide women with a discreet, noninvasive, reversible contraception option.

Identify and Treat Urologic Injuries at Hysterectomy to Reduce Fistulas

In a large population-based cohort study, genitourinary fistulas were increased significantly if ureteral and/or bladder injuries were not identified and treated at the time of hysterectomy.

Patients' Views on Adverse Events Following Pelvic Reconstructive Surgery

Patients see poor functional outcomes as severe adverse events following pelvic floor surgery.

Should Obesity Be a Contraindication to Postpartum Tubal Sterilization?

In this retrospective cohort study of 279 women undergoing postpartum partial salpingectomy after vaginal delivery, the mean operative time for women with a BMI ≥ 30 kg/m² was only 5.5 minutes longer than the time for women with a BMI < 30 kg/m².

Focus on Integrative Approaches to Pain, Anxiety Management During Adolescent IUD Insertion

On Jan. 1, 2018, The Joint Commission implemented new and revised pain assessment and management standards for accredited hospitals. The additions and revisions require hospitals to “provide at least one non-pharmacological pain treatment modality.” There are several non-pharmacologic approaches to offer adolescents to help manage anxiety and pain related to intrauterine device (IUD) insertions. Such methods include hypnotic language, music, heat therapy, social support (“IUD doula”), acupressure, and aromatherapy.

Study Examines Effect of Vitamin D, Estradiol Deficiency on Metabolic Syndrome

Menopause is associated with an increased risk for metabolic syndrome, a cluster of risk factors for cardiovascular disease and diabetes. New research indicates that vitamin D and estradiol may help protect against these conditions.

Medicaid Reimbursement Change Increases Interbirth Intervals Among Teens

After changing its Medicaid policy to provide reimbursement for immediate postpartum long-acting reversible contraception (LARCs) separate from the global labor and delivery payment, South Carolina saw an increase in immediate postpartum LARC initiation and increased birth spacing among young women.

Polycystic Ovary Syndrome: Etiology Likely Heterogeneous?

Rare noncoding variants of the gene DENND1A, previously shown to play a key role in androgen biosynthesis in human ovarian theca cells, are significantly associated with familial polycystic ovary syndrome.

Perioperative Antibiotics in Gynecologic Surgery: The Case for Myomectomy

The authors of a retrospective cohort study suggest that perioperative antibiotics reduce the risk of surgical site infection in women undergoing myomectomy.

The Changing Face of Labor Management

Throught the years, clinicians' understanding of the conduct of labor has undergone periodic re-evaluation. In the 1950s, cesarean delivery was a major operation. Today, the procedures are shorter, accompanied by less surgical fanfare, and associated with fewer days in the hospital. Nevertheless, as the only other option to vaginal delivery, the operation, performed in 35% of cases for failure to progress, still should be considered “major” considering its potential for maternal complications.