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Obstetrics/Gynecology Topics

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  • Eat Your Fruits and Veggies to Decrease HPV Infection

    The authors of a study theorized that the increase in vitamin C and other immunological benefits of a regular diet including dark green vegetables and beans and fruits may reduce inflammation and enhance the immune system response, facilitating clearance of genital human papillomavirus.

  • Immediate vs. Delayed Postpartum Long-Acting Reversible Contraception

    Administering long-acting reversible contraceptives before hospital discharge reduced pregnancy risk and increased usage at six months, making it an effective option for postpartum contraception.

  • Are Deep Contraceptive Implant Removals Predictable?

    In this retrospective cohort study of 747 patients undergoing contraceptive implant removal, lower body mass index at insertion, weight gain during use, and longer duration of use were risk factors for deep contraceptive implant removal procedures.

  • HPV Vaccination Disparities Among Adult Women in the United States

    A longitudinal, cross-sectional cohort study of 113,344 participants demonstrated that lack of health insurance, lack of stable employment, and lower income were significantly associated with decreased human papillomavirus vaccination uptake in women aged 18-47 years residing in the United States.

  • 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).

  • Using Deep Learning to Identify Fetal Head Position in Labor

    An artificial intelligence (deep learning) model accurately detected fetal head position during the second stage of labor using transperineal ultrasound, but validation of the model on larger datasets and real-time patients before clinical use is important.

  • 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.