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Gynecology & Obstetrics (all articles)

Association of Gestational Weight Gain With Maternal and Infant Outcomes

8 Jun, 2017 | 15:50h | UTC

Association of Gestational Weight Gain With Maternal and Infant Outcomes: A Systematic Review and Meta-analysis – JAMA (link to abstract – $ for full-text)

Commentaries: RCOG statement on gestational weight gain or loss and adverse outcomes – Royal College of Obstetricians and Gynaecologists(free) AND Weight gain greater, less than recommended during pregnancy linked with increased risk of adverse outcomes – The JAMA Network Journals, via EurekAlert (free) AND Pregnancy Weight Gain Status Tied to Adverse Outcomes – MedPage Today (free registration required) AND Gaining Too Much, Too Little Weight in Pregnancy Tied to Adverse Outcomes for Mother, Baby – Physician’s First Watch (free) AND Global study finds 75% of pregnant women don’t have healthy weight gain – The Guardian (free)

 


#ASCO2017 – Pregnancy After Breast Cancer Does Not Increase Chance of Recurrence

7 Jun, 2017 | 15:23h | UTC

#ASCO2017 (Unpublished results) – Pregnancy After Breast Cancer Does Not Increase Chance of Recurrence – ASCO News Releases (free)

Commentaries: Yes, a Pregnancy After Breast Cancer Is Safe – Medscape (free registration required) AND Pregnancy after breast cancer doesn’t raise recurrence risk – Reuters Health News (free) AND Pregnancy After Breast Cancer Does Not Increase Recurrence Risk – Oncology Times (free)

 


Prenatal antidepressant use and risk of attention-deficit/hyperactivity disorder in offspring

7 Jun, 2017 | 15:07h | UTC

Prenatal antidepressant use and risk of attention-deficit/hyperactivity disorder in offspring: population based cohort study – The BMJ (free)

Editoral: The safety of antidepressants in pregnancy (free)

Commentary: Kids’ ADHD Risk May Be Linked to Mother’s Underlying Mental Health, Not Prenatal Antidepressant Use – Physician’s First Watch(free)

 


Maternal and Fetal Outcomes of Anticoagulation in Pregnant Women With Mechanical Heart Valves

1 Jun, 2017 | 18:25h | UTC

Maternal and Fetal Outcomes of Anticoagulation in Pregnant Women With Mechanical Heart Valves – Journal of The American College of Cardiology (free)

Commentaries: Warfarin OK in Expectant Moms with Mechanical Heart Valve – MedPage Today (free registration required) AND Anticoagulation in Pregnant Women With Mechanical Valves – American College of Cardiology, Latest in Cardiology (free) (RT @keaglemd see Tweet)

In this meta-analysis, warfarin was associated with lower risk of adverse maternal outcomes, whereas LMWH was associated with lower risk of adverse fetal outcomes.

 


The tiny pill which gave birth to an economic revolution

30 May, 2017 | 15:28h | UTC

The tiny pill which gave birth to an economic revolution – BBC News (free)

A great read—and a powerful reminder that contraceptives are one of the best tools we have to drive economic growth” (RT @melindagatessee Tweet).

 


Induction of labour within 24 hours, if waters break at 37 weeks of pregnancy, can reduce womb infection

26 May, 2017 | 15:08h | UTC

Induction of labour within 24 hours, if waters break at 37 weeks of pregnancy, can reduce womb infection – NIHR Signal (free)

Original article: Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more) – Cochrane Library (Link to abstract – $ for full-text)

“Inducing labour within 24hrs may halve risk of infection in the womb when waters break from 37 weeks” (RT @NIHR_DC see Tweet)

 


Oil-Based or Water-Based Contrast for Hysterosalpingography in Infertile Women

25 May, 2017 | 14:52h | UTC

Oil-Based or Water-Based Contrast for Hysterosalpingography in Infertile Women – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Study confirms ‘flushing’ blocked fallopian tubes can improve fertility and reduce need for IVF – The Conversation (free) AND Can poppyseed oil help infertile couples conceive? – STAT News (free)

 


Electronic WHO Postpartum Family Planning Compendium

24 May, 2017 | 14:43h | UTC

Electronic WHO Postpartum Family Planning Compendium – World Health Organization (free)

How to use it: Introducing the World Health Organization Postpartum Family Planning Compendium – International Journal of Gynaecology and Obstetrics (free)

This interactive website integrates essential guidance on postpartum family planning for clinicians, program managers, and policy makers.

 


Just one alcoholic drink a day may increase breast cancer risk

24 May, 2017 | 14:39h | UTC

Diet, Nutrition, Physical Activity and Breast Cancer – American Institute for Cancer Research (free PDF)

News release: Just one alcoholic drink a day increases breast cancer risk, exercise lowers risk – American Institute for Cancer Research, via EurekAlert (free)

Commentaries: Today’s alcohol and breast cancer headlines are wrong: Here’s how news reports could have done better – HealthNewsReview(free) AND ‘Half a glass of wine every day’ increases breast cancer risk – BBC Health News (free) AND Just One Drink a Day Raises Breast Cancer Risk – Medscape (free registration required)

 


Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth

18 May, 2017 | 17:47h | UTC

Systematic Review: Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth – Cochrane Library(link to summary)

Source: A dose of corticosteroids benefit most women anticipating a preterm delivery – NIHR Dissemination Centre Discover Portal (free)

 


Menopausal Hormone Therapy for Prevention of Chronic Conditions

17 May, 2017 | 20:18h | UTC

Draft Recommendation Statement: Menopausal Hormone Therapy: Primary Prevention of Chronic Conditions – U.S. Preventive Services Task Force (free)

Source: USPSTF Recommendation Against HRT for Chronic Conditions Stands – Medscape (free registration required)

“The USPSTF recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women”.

 


CDC updates Zika test guidance for pregnant women

6 May, 2017 | 20:33h | UTC

CDC updates Zika test guidance for pregnant women – CIDRAP (free)

Centers for Disease Control and Prevention (CDC) related resources: CDC Zika Interim Response Plan (free) (RT @greg_folkers) AND CDC updates guidance on interpretation of Zika testing results for pregnant women AND Outcomes of Pregnancies with Laboratory Evidence of Possible Zika Virus Infection in the United States AND Prolonged IgM Antibody Response in People Infected with Zika Virus: Implications for Interpreting Serologic Testing Results for Pregnant Women (free)

 


Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5 May, 2017 | 20:29h | UTC

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)

Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)

Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)

Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)

 


Multiple-micronutrient supplementation for women during pregnancy

5 May, 2017 | 20:26h | UTC

Multiple-micronutrient supplementation for women during pregnancy – Cochrane Library (free summary – $ for full-text)

See also a recent landmark study on the subject in our March 27th issue, see #9.

Source: EvidenceAlerts

The findings of this systematic review support the effect of Multiple-micronutrient supplements with iron and folic acid in improving some birth outcomes.

 


Use of antibiotics during pregnancy and risk of spontaneous abortion

2 May, 2017 | 17:21h | UTC

Use of antibiotics during pregnancy and risk of spontaneous abortion – Canadian Medical Association Journal (free) (RT @CMAJ see Tweet)

Commentary: Use of Certain Antibiotics in Pregnancy Tied to Spontaneous Abortion – Physician’s First Watch (free)

In this nested case-control study, use of common antibiotics such as macrolides (excluding erythromycin), quinolones, tetracyclines, sulfonamides and metronidazole during early pregnancy was associated with an increased risk of spontaneous abortion.

 


Women with symptoms of a urinary tract infection but a negative urine culture

2 May, 2017 | 17:15h | UTC

Women with symptoms of a urinary tract infection but a negative urine culture: PCR-based quantification of Escherichia coli suggests infection in most cases – Clinical Microbiology and Infection (link to abstract – Free and legal PDF here – via @unpaywall)

Sources: The most reliable test and predictive entity for uncomplicated UTI is the patient’s symptoms – Emergency Literature of Note Blog(free) AND Negative Urine Culture + Symptoms = UTI in Most Women – MedPage Today (free registration required)

This study suggests that women with symptoms of uncomplicated cystitis and a negative urinary culture should be treated nonetheless.

 


Management of Inherited Bleeding Disorders in Pregnancy

1 May, 2017 | 16:47h | UTC

Management of Inherited Bleeding Disorders in Pregnancy: Green-top Guideline – Royal College of Obstetricians and Gynaecologists (free)

 


UK guideline for the prevention and treatment of osteoporosis

1 May, 2017 | 16:50h | UTC

UK clinical guideline for the prevention and treatment of osteoporosis – Archives of Osteoporosis (free)

 


For Pregnant Women, Getting Serious About Whooping Cough

2 May, 2017 | 17:13h | UTC

For Pregnant Women, Getting Serious About Whooping Cough – The New York Times (10 articles per month are free)

Related: Effectiveness of Vaccination During Pregnancy to Prevent Infant Pertussis – Pediatrics (free) AND Study: Pertussis shot in pregnant moms protects newborns – CIDRAP (free) AND Get the Whooping Cough Vaccine While You Are Pregnant – Centers for Disease Control and Prevention (CDC) (free)

 


Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage

27 Apr, 2017 | 16:33h | UTC

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial – The Lancet (free)

Editorial: WOMAN: reducing maternal deaths with tranexamic acid (free)

Commentary: Overlooked Drug Could Save Thousands Of Moms After Childbirth – NPR Goats and Soda (free)

“Tranexamic acid reduced deaths of mothers caused by bleeding after childbirth by 1/3” (RT @LSHTMpress see Tweet)

 


Screening for Preeclampsia – USPSTF Recommendations

26 Apr, 2017 | 16:10h | UTC

Guideline: Screening for Preeclampsia: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Evidence Report and Systematic Review: Preeclampsia Screening (free)

Editorial 1: Early Identification of Pregnant Women at Risk for Preeclampsia (free)

Editorial 2: Screening for Preeclampsia and the USPSTF Recommendations (free)

Editorial 3: Preeclampsia and Hypertension – Courting a Long While: Time to Make It Official (free)

“The USPSTF recommends screening for preeclampsia in all pregnant women with blood pressure measurements throughout pregnancy”

 


Hormone Therapy in Primary Ovarian Insufficiency

25 Apr, 2017 | 15:47h | UTC

Committee Opinion: Hormone Therapy in Primary Ovarian Insufficiency – American College of Obstetricians and Gynecologists (free)

Source: Group Offers Guidance on Treating Primary Ovarian Insufficiency with Hormone Therapy – Physician’s First Watch (free)

 


β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies

20 Apr, 2017 | 14:28h | UTC

β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies – JAMA Internal Medicine (link to abstract – $ for full-text)

See also: No Fetal Heart Risk from Mom’s Beta-Blocker Use – MedPage Today (free registration required)

 


Associations of Maternal Antidepressant Use and Complications in Offspring

19 Apr, 2017 | 14:12h | UTC

Associations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring – JAMA (link to abstract – $ for full-text)

Contradicting a previous study showing increased risk of autism with antidepressant use during pregnancy (free), this large retrospect cohort study of 1 580 629 Swedish offspring did not show an association of antidepressant use during pregnancy and autism or other neurodevelopment problems.

 


Maternal asthma: Management strategies

19 Apr, 2017 | 14:16h | UTC

Maternal asthma: Management strategies – Cleveland Clinic Journal of Medicine (free)

 


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