Browse Obstetrics/Gynecology General Articles by Topic

Up to 1 in 20 People Can Get Pregnant After Tubal Sterilization Procedure

Permanent contraception may not be as permanent as people think. New research shows the challenges physicians have when providing contraceptive counseling to patients who do not want to be pregnant now or in the future.

Placenta Accreta Spectrum Among Patients Seeking Abortion

Placenta accreta spectrum (PAS) in patients seeking abortions poses significant risks, especially for those with prior cesarean deliveries. PAS, often related to prior cesarean deliveries, increases abortion-related complications. Ultrasound is key for detection, but access to skilled care may be limited because of state-based abortion restrictions, leading to worse outcomes for affected patients.

Antibiotic Choice for Preventing SSIs in Gynecologic Surgery

In a retrospective review of 3,087 patients undergoing hysterectomy or laparotomy for gynecologic surgery at a single institution who received cefazolin alone or a combination cefazolin and metronidazole for surgical prophylaxis, the combination resulted in a significantly lower surgical site infection rate (4.5% vs. 2.3%; P = 0.0115).

Malpositioned IUDs: How Easy Are They to Remove?

In this retrospective cohort study of 436 malpositioned intrauterine devices (IUDs), of the 281 that underwent removal, 82% were removed on the first attempt and 73% were removed using only ring forceps. Most embedded and partially perforated IUDs also were removed using only ring forceps (59% and 67%, respectively).

Multicomponent Breastfeeding Interventions in Women with a Body Mass Index > 25

The study found no statistically significant differences in breastfeeding outcomes between the intervention and control groups at various postpartum time points, although the intervention group received more hospital-based support, while the control group sought more private lactation support.

What Do Patients Know About Anti-Müllerian Hormone Testing?

In this randomized, controlled, online questionnaire trial, participants who received evidence-based information about anti-Müllerian hormone (AMH) testing had lower interest in getting an AMH test (mean difference, 1.05; 95% confidence interval, 0.83-1.30) than individuals who viewed the control information from a direct-to-consumer website.

Rethinking Endometrial Thickness Thresholds that Prompt Endometrial Biopsy to Rule Out Endometrial Cancer

In a retrospective review of 1,494 pre- and postmenopausal Black individuals who underwent transvaginal ultrasonography, 24 of 210 individuals (11.4%) with endometrial cancer had an endometrial thickness lower than the threshold for undergoing biopsy to detect cancer.

Reproductive Healthcare in Adolescents with Autism and Other Developmental Disabilities

This cohort study of 3,723 female adolescents from the Kaiser Permanente healthcare system in California found that adolescents with autism or developmental disability were less likely to see an OB/GYN or be prescribed contraception compared with their typically developing peers. This study identified disparities present in reproductive healthcare for this population, despite higher rates of menstrual-related diagnoses.

Structural Racism Affects Family Planning and Needs Combatting, Study Says

Family planning has been linked with racism for centuries, and this legacy impact on 21st-century patients needs to be addressed in family planning research, a new paper says.

Strategies To Improve Contraceptive Counseling, Including for Prenatal Patients

Here are some strategies to improve contraceptive counseling for all patients, including those who are pregnant.