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Gynecology & Obstetrics (all articles)

Large Randomized Trial Findings Do Not Support Routine Ultrasonography in the Third Trimester for Low Risk Pregnancies

20 Oct, 2019 | 23:06h | UTC

Effectiveness of routine third trimester ultrasonography to reduce adverse perinatal outcomes in low risk pregnancy (the IRIS study): nationwide, pragmatic, multicentre, stepped wedge cluster randomised trial – The BMJ (free)

Commentary: Routine third trimester ultrasonography: Avoiding “too much too soon” – The BMJ Opinion (free)

 

Related Commentary on Twitter

 


Study: Combination of an Artificial Intelligence Tool and Radiologists Improves Accuracy in the Identification of Breast Cancer

20 Oct, 2019 | 22:43h | UTC

Combination of AI tool and radiologists identifies breast cancer with 90% accuracy – IEEE (free PDF)

Commentary: Combination of AI tool and radiologists identifies breast cancer with 90% accuracy – News Medical (free)

 


Rx for Doctors: Stop With the Urine Tests

16 Oct, 2019 | 10:27h | UTC

Rx for Doctors: Stop With the Urine Tests – The New York Times (10 articles per month are free)

Related: USPSTF Recommendation Statement: Screening for Asymptomatic Bacteriuria in Adults (free) AND Cohort Study: Antibiotic Treatment of Asymptomatic Bacteriuria in Hospitalized Patients is Common, and May be Associated with Longer Duration of Hospitalization (link to abstract) AND Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis – Open Forum Infectious Diseases (free) ANDIDSA Guideline for the Management of Asymptomatic Bacteriuria (free)

 


Meta-analysis: Local Management of Anogenital Warts in Non-immunocompromised Adults

16 Oct, 2019 | 08:37h | UTC

Local Management of Anogenital Warts in Non-immunocompromised Adults: A Systematic Review and Meta-analyses of Randomized Controlled Trials – Dermatology and Therapy (free)

 


[Not Published Yet] More Evidence Linking Common Bladder Medication to a Vision-threatening Eye Condition

14 Oct, 2019 | 08:00h | UTC

More evidence linking common bladder medication to a vision-threatening eye condition – American Academy of Ophthalmology (free)

 


European Panel Recommends Four-week Limit for the Use of High-strength Estradiol Creams

14 Oct, 2019 | 07:55h | UTC

PRAC recommends four-week limit for use of high-strength estradiol creams – European Medicines Agency (free)

Commentary: EU Panel: Don’t Use Estradiol Creams for Longer Than 4 Weeks – Medscape (free registration required)

 


Cohort Study: Association of Adverse Pregnancy Outcomes With Hypertension 2 to 7 Years Postpartum

11 Oct, 2019 | 09:31h | UTC

Association of Adverse Pregnancy Outcomes With Hypertension 2 to 7 Years Postpartum – Journal of the American Heart Association (free)

Commentary: First-time pregnancy complications linked to increased risk of hypertension later in life – NIH/National Heart, Lung and Blood Institute (free)

 


WHO Study: More Than One-third of Women Experience Mistreatment During Childbirth in Lower-income Countries

10 Oct, 2019 | 09:36h | UTC

How women are treated during facility-based childbirth in four countries: a cross-sectional study with labour observations and community-based surveys – The Lancet (free)

News Release: New evidence shows significant mistreatment of women during childbirth – World Health Organization (free)

Commentaries: Accountability for respectful maternity care – The Lancet (free) AND WHO: Third of women mistreated during childbirth in lower-income countries – UPI (free) AND New evidence on the mistreatment of women during childbirth – University of Melbourne (free)

Related: WHO recommendations: intrapartum care for a positive childbirth experience (free guideline and commentaries) AND The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review – PLOS Medicine (free)

 

Related Commentary on Twitter

 


ACOG Committee Opinion: Screening and Management of the Hyperandrogenic Adolescent

9 Oct, 2019 | 10:45h | UTC

Screening and Management of the Hyperandrogenic Adolescent – American College of Obstetrics & Gynecology (free)

 


CDC: Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants

9 Oct, 2019 | 10:40h | UTC

Burden and Prevention of Influenza and Pertussis Among Pregnant Women and Infants — United States – Centers for Disease Control and Prevention (free)

News Release: Low Rates of Vaccination During Pregnancy Leave Moms, Babies Unprotected – Centers for Disease Control and Prevention (free)

See also: Vaccinating Pregnant Women Protects Moms and Babies – Centers for Diseases Control and Prevention (free)

Commentaries: Not enough pregnant women get flu or pertussis vaccines, CDC says – CIDRAP (free) AND Large numbers of pregnant women not getting key vaccines, CDC says – STAT (free)

 


UK Guidelines on the Management of Iron Deficiency in Pregnancy

8 Oct, 2019 | 10:16h | UTC

UK guidelines on the management of iron deficiency in pregnancy – British Journal of Haematology (free)

 


Meta-analysis: Association of Supine Going-to-Sleep Position in Late Pregnancy With Reduced Birth Weight

8 Oct, 2019 | 09:36h | UTC

Association of Supine Going-to-Sleep Position in Late Pregnancy With Reduced Birth Weight: A Secondary Analysis of an Individual Participant Data Meta-analysis – JAMA Network Open (free)

Commentary: Back sleeping in late pregnancy linked to lower birth weight – MedicalXpress (free)

 


[Abstract Only] Randomized Trial: Isoniazid Preventive Therapy in HIV-Infected Pregnant and Postpartum Women

8 Oct, 2019 | 09:26h | UTC

Isoniazid Preventive Therapy in HIV-Infected Pregnant and Postpartum Women – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: In women with HIV, TB preventive therapy poses greater risk in pregnancy than postpartum – NIH News Releases (free)

 


Systematic Review: Cervical Assessment by Ultrasound for Preventing Preterm Delivery

7 Oct, 2019 | 01:02h | UTC

Cervical assessment by ultrasound for preventing preterm delivery – Cochrane Library (free)

Summary: Cervical assessment by ultrasound for preventing preterm delivery – Cochrane Library (free)

 


Meta-Analysis: Parental Alcohol Consumption and the Risk of Congenital Heart Diseases in Offspring

4 Oct, 2019 | 07:35h | UTC

Parental alcohol consumption and the risk of congenital heart diseases in offspring: An updated systematic review and meta-analysis – European Journal of Preventive Cardiology (free for a limited period)

Commentaries: Fathers-to-be should avoid alcohol six months before conception – European Society of Cardiology (free) AND Dads-to-be should stop drinking 6 months before conception for baby’s heart health, study says – CNN (free)

 


[Abstract Only] Cohort Study: Adolescents Using Contraceptives May Be At Increased Risk for Depressive Symptoms

4 Oct, 2019 | 07:33h | UTC

Association of Use of Oral Contraceptives With Depressive Symptoms Among Adolescents and Young Women – JAMA Psychiatry (link to abstract – $ for full-text)

Commentaries: Teens taking oral contraceptives may be at increased risk for depressive symptoms – Brigham and Women’s Hospital (free) AND Teen OC Users More Likely to Report Depressive Symptoms – NEJM (free)

 


Study: Antidepressant use During Pregnancy Linked to Increased Risk of Gestational Diabetes

3 Oct, 2019 | 01:08h | UTC

Antidepressant use during pregnancy and the risk of gestational diabetes mellitus: a nested case–control study – BMJ Open (free)

Commentaries: Antidepressants linked to heightened pregnancy related diabetes risk – BMJ (free) AND Antidepressants linked to risk of gestational diabetes – OnMedica (free) AND Antidepressants are linked to a higher gestational diabetes risk in a new study – CNN (free)

 


[Abstract Only] Meta-Analysis: Povidone-iodine 1% is the Most Effective Vaginal Antiseptic for Preventing Post-cesarean Endometritis

2 Oct, 2019 | 22:16h | UTC

Povidone-iodine 1% is the most effective vaginal antiseptic for preventing post-cesarean endometritis: a systematic review and network meta-analysis – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

Source: EvidenceAlerts

 


Special Issue: Obstetric Anesthesia

2 Oct, 2019 | 02:08h | UTC

Obstetric Anaesthesia – Update in Anaesthesia (free articles)

– Homepage

– Obstetric anaesthesia in resource limited settings

– Obstetric airway management 

– General anesthesia for elective cesarean section in resource-limited settings 

– Obstetric spinal anaesthesia 

– Management of total spinal block in obstetrics 

– Labour epidural the basics 

– Labour epidural troubleshooting 

– Establishing an epidural service for labour analgesia in a variable resource environment 

– Emergency management of maternal collapse and arrest

– Pre-eclampsia – prevention, diagnosis and management 

– Placental pathology: a review of placenta previa, placental abruption and placenta accreta 

– Anaesthetic implications of morbid obesity in pregnancy 

– Update in obstetric trauma management 

– Update in obstetric maternal sepsis 

– Oxytocics 

– Obstetric and foetal physiology

– Newborn resuscitation

– Anaesthesia for non obstetric surgery during pregnancy

Source: Critical Care Reviews Newsletter

 


[Abstract Only] Cohort Study: Factors Associated with Breast Cancer–related Lymphedema after Neoadjuvant Chemotherapy and Axillary Dissection

2 Oct, 2019 | 01:35h | UTC

Factors Associated with Lymphedema in Women With Node-Positive Breast Cancer Treated With Neoadjuvant Chemotherapy and Axillary Dissection – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Neoadjuvant Chemotherapy Duration and Obesity May Be Associated With Increased Risk of Lymphedema in Some Women With Breast Cancer – The ASCO Post (free) AND Lymphedema Risk in Breast Ca Linked to NAC Duration – MedPage Today (free registration required)

 


[Abstract Only] Study: An Abnormal Cerebroplacental Ratio (CPR) is Predictive of Early Childhood Delayed Neurodevelopment in the Setting of Fetal Growth Restriction

1 Oct, 2019 | 00:32h | UTC

An abnormal cerebroplacental ratio (CPR) is predictive of early childhood delayed neurodevelopment in the setting of fetal growth restriction – American Journal of Obstetrics & Gynecology (free)

Source: EvidenceAlerts

 


#ESMO19 – Randomized Trial: Improved Overall Survival with a CDK4/6 Inhibitor for Hormone Receptor-positive, ERBB2-negative Advanced Breast Cancer

30 Sep, 2019 | 00:40h | UTC

The Effect of Abemaciclib Plus Fulvestrant on Overall Survival in Hormone Receptor–Positive, ERBB2-Negative Breast Cancer That Progressed on Endocrine Therapy—MONARCH 2: A Randomized Clinical Trial – JAMA Oncology (free)

Commentary: Two Studies Show CDK4/6 Inhibitors Improve Overall Survival in Advanced Breast Cancer [ESMO 2019 Press Release] (free)

#ESMO19 – Just presented at the European Society of Medical Oncology Congress 2019 in Barcelona

 


Review: Treatment of Vulvovaginal Atrophy

30 Sep, 2019 | 00:12h | UTC

Treatment of Vulvovaginal Atrophy – JAMA (free for a limited period)

 


ACOG Committee Opinion: Over-the-Counter Access to Hormonal Contraception

27 Sep, 2019 | 08:28h | UTC

Over-the-Counter Access to Hormonal Contraception – American College of Obstetricians and Gynecologists (free)

Summary: Over-the-Counter Access to Hormonal Contraception (free)

News Release: ACOG Updates Guidance on Over-the-Counter Access to Hormonal Contraception (free)

Commentaries: Hormonal Contraceptives Should Be Available OTC, ACOG Recommends – NEJM Journal Watch (free) AND All hormonal birth control should be available over the counter, OB-GYN group says – NBC News (free)

 


Cohort Study: After a Previous Cesarean Surgery, Attempting a Vaginal Birth is Associated with Increased Risk of Serious Adverse Maternal and Perinatal Outcomes

26 Sep, 2019 | 08:45h | UTC

Planned mode of delivery after previous cesarean section and short-term maternal and perinatal outcomes: A population-based record linkage cohort study in Scotland – PLOS Medicine (free)

Commentaries: Outcomes of birth options after a previous Cesarean section – PLOS (free) AND Repeat C-sections safer option for some women – OnMedica (free)

 


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