Browse Obstetrics/Gynecology Articles by Topic

Intrauterine Instillation of Mepivacaine at the Time of IUD Placement

In a randomized clinical trial of 151 women, intrauterine instillation of mepivacaine significantly reduced pain with intrauterine device insertion on visual analog scales both before (53.9 mm vs. 67.2 mm, respectively; P < 0.001) and after adjustment for individual provider variability (55.2 mm vs. 77.4 mm, respectively; P < 0.001), compared to placebo.

Do Warm Compresses Combined with Perineal Massage Reduce Perineal Trauma During Labor?

In this randomized trial, the addition of warm compresses to perineal massage during the second stage of labor showed no significant difference in reducing perineal tears, obstetric anal sphincter injuries, or episiotomies compared to perineal massage alone.

Interventions for Pain During Office Endometrial Biopsy

In this randomized controlled trial, the use of transcutaneous electric nerve stimulation during endometrial biopsy did not clinically significantly reduce pain compared to placebo (median [interquartile range], 50 mm [20 mm to 80 mm] vs. 60 mm [40 mm to 100 mm]; P = 0.039), but was associated with increased satisfaction with the procedure.

Physicians Need Better Information, Training in Miscarriage Management

Many women — maybe even most pregnant patients with miscarriage complications — are not offered a full range of options of the best evidence-based miscarriage management.

Social Issues Are a Big Challenge in Adolescent Contraceptive Access

A decade of failed improvements has shown that money needs to be focused less on a game changer and more on using strategies that work, including those that address social norms.

Contraceptive Implant Can Lead to Weight Gain, But It Is Not Medically Concerning

Clinicians providing contraceptive counseling should be aware of recent research showing that young people can experience weight gain when using hormonal implants, when compared with young people using some other types of contraceptives.

California’s Efforts to Reduce Maternal Mortality and Morbidity Show Promise

When California was faced with unacceptably high rates of maternal deaths and disparities among minority patients, the state formed a collaborative to tackle this problem and find solutions.

How Are Maternal Deaths Counted and Investigated?

Determining a city, state, or country’s maternal mortality rate is challenging and can be a controversial process. It depends on the time frame measured, whether maternal deaths are considered only if there are biomedical causes, or when there are factors related to pregnancy, such as suicides and homicides that would have not occurred if the person had not had a pregnancy.

Some States Upend Maternal Mortality Committees and Investigations

Maternal mortality review committees are facing changes that could affect how maternal deaths are investigated and reported. This could lead to fewer initiatives to lower maternal mortality and morbidity rates and also mask could increases in abortion-ban states.

Endometrial Cancer: An Update to Classification Using Molecular Features

The classification of endometrial cancer is evolving, transitioning from histological subtypes to molecular profiling. Four key molecular subtypes (POLE ultramutated, MSI unstable, p53 mutant, and NSMP) guide prognosis and treatment. The integration of molecular features into staging highlights their clinical relevance for improving diagnostic accuracy and therapeutic strategies.