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Gynecology & Obstetrics (all articles)

New WHO recommendations for screening to prevent cervical cancer – the new guideline recommends an HPV DNA based test every 5 years as the preferred method, rather than visual inspection with acetic acid (VIA) or cytology (Pap smear).

7 Jul, 2021 | 08:51h | UTC

News release: New recommendations for screening and treatment to prevent cervical cancer – World Health Organization

See guidance: WHO guideline for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention – World Health Organization

 

Commentary on Twitter (thread – click for more)

 

RCT: Pectoral nerve blocks for breast augmentation surgery.

7 Jul, 2021 | 08:41h | UTC

Pectoral Nerve Blocks for Breast Augmentation Surgery: A Randomized, Double-blind, Dual-centered Controlled Trial – Anesthesiology (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Pregnancy in congenital heart disease: risk prediction and counseling.

6 Jul, 2021 | 09:57h | UTC

Pregnancy in congenital heart disease: risk prediction and counselling – Heart

 

Commentary on Twitter

 

M-A: Pregnancy After Breast Cancer – “These results provide reassuring evidence on the safety of conceiving in BC survivors”.

6 Jul, 2021 | 09:55h | UTC

Pregnancy After Breast Cancer: A Systematic Review and Meta-Analysis – Journal of Clinical Oncology (link to abstract – $ for full-text)

 

Commentary on Twitter

 

RCT showed improved outcomes with fetal surgery for severe left diaphragmatic hernia.

5 Jul, 2021 | 01:53h | UTC

Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia – New England Journal of Medicine (link to abstract – $ for full-text – Full text can be found here)

Commentary: Fetal Surgery Boosts Survival for Babies With Severe Birth Defect – MedPage Today (free registration required)

 

RCT: Prophylactic manual rotation of occiput posterior and transverse positions was associated with a reduced risk of operative delivery.

5 Jul, 2021 | 01:28h | UTC

Prophylactic manual rotation of occiput posterior and transverse positions to decrease operative delivery: the PROPOP randomized clinical trial – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic enabled the reduction of in-person consultations by 50% without compromising pregnancy outcomes.

2 Jul, 2021 | 11:26h | UTC

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis – The Lancet

Commentary: Expanding the concept of safety in antenatal care provision – The Lancet

 

RCT: Similar outcomes with 5 vs. 2 years of zoledronate treatment following adjuvant chemotherapy in early breast cancer.

1 Jul, 2021 | 09:50h | UTC

Outcomes With 5 vs 2 Years of Zoledronate Treatment Following Adjuvant Chemotherapy in Early Breast Cancer – The ASCO Post

Original Study: Prognosis of Patients With Early Breast Cancer Receiving 5 Years vs 2 Years of Adjuvant Bisphosphonate Treatment: A Phase 3 Randomized Clinical Trial – JAMA Oncology (link to abstract – $ for full-text)

 

Putting people first in managing their health: new WHO guideline on self-care interventions – “Whether it’s for their experience of pregnancy and childbirth; managing fertility intentions, preventing sexually transmitted infections; enjoying better sexual health of themselves or their partner, or self-monitoring their blood pressure, access to quality self-care interventions can help meet people’s many health needs and rights”.

28 Jun, 2021 | 09:40h | UTC

News release: Putting people first in managing their health: new WHO guideline on self-care interventions – World Health Organization

See guidance: WHO consolidated guideline on self-care interventions for health

 

Commentary on Twitter (thread – click for more)

https://twitter.com/WHO/status/1408350517428953091

 

Guideline | Perimenopause and Postmenopause – Diagnosis and Interventions.

28 Jun, 2021 | 09:32h | UTC

Perimenopause and Postmenopause – Diagnosis and Interventions. Guideline of the DGGG and OEGGG (S3-Level, AWMF Registry Number 015-062, September 2020) – Geburtshilfe Frauenheilkd

 

Systematic review: low‐dose oral misoprostol probably has many benefits over other methods for labor induction.

24 Jun, 2021 | 09:44h | UTC

Low‐dose oral misoprostol for induction of labour – Cochrane Library

 

WHO: Caesarean section rates continue to rise, amid growing inequalities in access.

18 Jun, 2021 | 08:23h | UTC

Caesarean section rates continue to rise, amid growing inequalities in access – World Health Organization

Original study: Trends and projections of caesarean section rates: global and regional estimates – BMJ Global Health

 

Commentary on Twitter (thread – click for more)

 

Review: chronic pelvic pain in women.

17 Jun, 2021 | 09:36h | UTC

Chronic Pelvic Pain in Women: A Review – JAMA (free for a limited period)

Audio clinical review: Diagnosis and Clinical Care of Women With Chronic Pelvic Pain

 

No health issues in babies whose moms got flu vaccine while pregnant.

9 Jun, 2021 | 08:17h | UTC

No health issues in babies whose moms got flu vaccine while pregnant – CIDRAP

Original study: Association of Maternal Influenza Vaccination During Pregnancy With Early Childhood Health Outcomes – JAMA (free for a limited period)

Editorial: Realizing the Potential of Maternal Influenza Vaccination (free for a limited period)

 

Commentary on Twitter

https://twitter.com/ericbenchimol/status/1402307635240706048

 

RCT: Vaginal administration of misoprostol is superior to buccal administration of misoprostol along with a Foley catheter for induction of labor.

9 Jun, 2021 | 08:11h | UTC

Buccal vs vaginal misoprostol combined with Foley catheter for cervical ripening at term (the BEGIN trial): a randomized controlled trial – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 

Commentary on Twitter

https://twitter.com/AJOG_thegray/status/1393529144395374592

 

Challenges and solutions for physician mothers: a critical review of the literature.

6 Jun, 2021 | 23:46h | UTC

Challenges and Solutions for Physician Mothers: A Critical Review of the Literature – Mayo Clinic Proceedings

 

Commentary on Twitter

 

USPSTF Statement: Clinicians should offer behavioral counseling interventions to promote healthy weight gain and prevent excess gestational weight gain in pregnancy.

1 Jun, 2021 | 08:08h | UTC

Healthy Weight and Weight Gain In Pregnancy: Behavioral Counseling Interventions – U.S. Preventive Services Task Force

Editorial: Behavioral Counseling Interventions for Healthy Weight During Pregnancy: An Ambitious Endeavor – JAMA

Evidence Report: Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy – JAMA

Author Interview: USPSTF Recommendation: Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy – JAMA

JAMA Patient Page: Behavioral Interventions for Healthy Weight Gain During Pregnancy

 

NICE recommends offering women induced labor earlier in new draft guidance – “women with uncomplicated singleton pregnancies should be offered induction at 41 weeks and the induction should take place as soon as possible. Previous guidelines advised induction between 41 and 42 weeks”.

31 May, 2021 | 08:08h | UTC

NICE recommends offering women induced labour earlier in new draft guidance – National Institute for Health and Care Excellence

 

RCT: Immediate “kangaroo mother care” improves survival in infants with low birth weight compared to conventional care with “kangaroo mother care” initiated after stabilization.

27 May, 2021 | 08:18h | UTC

Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight – New England Journal of Medicine

Commentary: Immediate skin-to-skin contact after birth improves survival of pre-term babies – Karolisnka Institutet

Related: RCT: Community-initiated kangaroo mother care reduced the risk of moderate-to-severe maternal postpartum depressive symptoms among mothers of low-birth-weight infants in low-income areas in India AND WHO: New research highlights risks of separating newborns from mothers during COVID-19 pandemic AND Randomized Trial: Kangaroo Mother Care Improves Survival of Infants with Low Birthweight

 

RCT: Manual rotation of occiput posterior fetal positions at the start of the second stage of labor does not increase the rate of vaginal delivery without instrumental assistance.

26 May, 2021 | 08:17h | UTC

Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions: A Randomized Controlled Trial – Obstetrics & Gynecology

 

Risk factors for illness severity among pregnant women with confirmed SARS-CoV-2 infection – moderate-to-severe COVID-19 was associated with age 25 years and older, healthcare occupation, pre-pregnancy obesity, chronic lung disease, chronic hypertension, and pregestational diabetes mellitus.

24 May, 2021 | 08:34h | UTC

Risk factors for illness severity among pregnant women with confirmed SARS-CoV-2 infection – Surveillance for Emerging Threats to Mothers and Babies Network, 22 state, local, and territorial health departments, March 29, 2020 -March 5, 2021 – Clinical Infectious Diseases

 

Pessaries for pelvic organ prolapse – looking at the Cochrane evidence.

24 May, 2021 | 08:17h | UTC

Pessaries for pelvic organ prolapse – looking at the Cochrane evidence – Evidently Cochrane

Original Review: Pessaries (mechanical devices) for managing pelvic organ prolapse in women – Cochrane Library

 

M-A: Compared to cefazolin alone, pre-incision cefazolin + adjunctive prophylaxis with macrolides or metronidazole significantly reduces the incidence of post-cesarean surgical site infection and hospital stay.

20 May, 2021 | 08:19h | UTC

Pre-incision Adjunctive Prophylaxis for Cesarean Sections: A Systematic Review and Meta-analysis – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 

#ACC21 – The Lancet women and cardiovascular disease Commission: reducing the global burden by 2030 – “The Lancet women and cardiovascular disease Commission outlines 10 ambitious recommendations to improve health outcomes for millions of women”.

18 May, 2021 | 07:32h | UTC

Homepage: The Lancet women and cardiovascular disease Commission: reducing the global burden by 2030 – The Lancet (free registration required)

Infographic: Women and cardiovascular disease

Video: The Lancet women and cardiovascular disease Commission

News release: Experts call for urgent action to reduce global burden of cardiovascular disease in women by 2030 – The Lancet

 

Commentary on Twitter (thread – click for more)

 

Large trial with over 200.000 patients finds ovarian cancer screening does not reduce deaths.

14 May, 2021 | 08:32h | UTC

Ovarian cancer population screening and mortality after long-term follow-up in the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS): a randomised controlled trial – The Lancet

Commentaries: Screening for ovarian cancer did not reduce early deaths – Imperial College London AND Annual screening for ovarian cancer does not save lives, study finds – The Guardian

 

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