Browse Obstetrics/Gynecology General Articles by Topic

Adolescent Pregnancy

Adolescent pregnancy is shaped by socioeconomic disadvantage, rural residence, early marriage, history of abuse, and limited contraceptive access. These factors increase the risk for anemia, stillbirth, preeclampsia, preterm birth, and low birthweight in adolescent mothers. Meaningful reduction requires coordinated, multisectoral action, with targeted educational and reproductive health interventions focused on adolescents.

Preventing Sexually Transmitted Infections Has Just Gotten Much Harder

The national sexually transmitted infections (STIs) lab that was recently closed by the federal government had been working on drug-resistant gonorrhea, collecting samples, developing new laboratory diagnostic tests, and monitoring antimicrobial resistance.

Effects of Federal Cuts to STI Programs Could Be Significant

Some sexually transmitted infections (STIs) have risen dramatically since the COVID-19 pandemic. But the hope was that public health clinics’ increased screening and treatment and public awareness campaigns eventually would lead to a decrease in STIs.

Immediate Postpartum LARC Is Challenging, Especially in Rural Areas

Rural patients were less likely to have access to immediate postpartum long-acting reversible contraception (LARC) even six years after Pennsylvania Medicaid changed policy to provide a way for providers to receive fair reimbursement for the procedure, new research finds.

Patients Who Perceive Contraceptive Coercion Report Psychological Distress

When patients perceive contraception coercion from their providers, they are less likely to eventually receive their preferred contraceptive method and also may report higher levels of psychological stress, new research shows.

Help Reduce Gender-Related Distress for Patients in Reproductive Healthcare

The challenge for reproductive healthcare providers is meeting the needs of transgender and nonbinary patients in a way that reduces their gender-related distress.

Medical Students Need More Training About Benefits of Birth Control Hormones

For medical students — in any discipline — to provide optimal care to women, they need to learn more about contraception, postpartum care, intimate partner violence, and sexual and reproductive health.

Obesity in Pregnancy

Obesity in pregnancy can be attributed to multiple factors that include genetic predispositions, lifestyle factors (such as diet and physical activity), and socioeconomic conditions. Over the last two decades, there has been a significant rise in obesity rates among pregnant women, particularly with a notable 33% increase from 2001 to 2018 in women aged 20 to 39 years.

Actinomycin-D Treatment for Preventing Post-Molar Gestational Trophoblastic Neoplasia

This 28-year retrospective cohort study demonstrated that administration of a single 1.25 mg/m² intravenous dose of actinomycin-D at the time of uterine evacuation for patients with high-risk complete hydatidiform molar pregnancies was associated with a significantly lower rate of post-molar gestational trophoblastic neoplasia (19% vs. 40%, P < 0.001) and a 52% reduction in relative risk (RR; RR = 0.48; 95% confidence interval, 0.35-0.66) in the development of post-molar gestational trophoblastic neoplasia.

What Hormonal Side Effects Should New Users of the Levonorgestrel 52-mg IUD Expect?

This secondary analysis compares the incidence of hormone-related side effects of the levonorgestrel 52-mg intrauterine device (IUD) between users who previously were using combined hormone contraceptives vs. nonhormonal contraceptives to understand which side effects can be directly attributed to the IUD and which are more likely secondary to discontinuation of combined hormonal contraceptives.