Racial disparities in the administration of antenatal corticosteroids in women with preterm birth
Racial and ethnic disparities in maternal and neonatal outcomes are a major concern in the United States.1-3 The American College of Obstetricians and Gynecologists has advocated for raising awareness, promoting research and education, as well as determining effective measures to identify existing barriers in efforts to reduce such disparities.1 We sought to determine whether there is a racial/ethnic disparity in the administration of antenatal corticosteroids (ACS) in preterm births between 23 and 34 weeks of gestation. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 14, 2020 Category: OBGYN Authors: Moti GULERSEN, Amos GRUNEBAUM, Erez LENCHNER, Frank A. CHERVENAK, Eran BORNSTEIN Tags: Research Letter Source Type: research

Week-by-week alcohol consumption in early pregnancy and spontaneous abortion risk: A prospective cohort study
Half of women use alcohol in the first weeks of gestation, but most stop once pregnancy is detected. The relationship between timing of alcohol use cessation in early pregnancy and spontaneous abortion risk has not been determined. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 12, 2020 Category: OBGYN Authors: Alexandra C. SUNDERMANN, Digna R.VELEZ. EDWARDS, James C. SLAUGHTER, Pingsheng WU, Sarah H. JONES, Eric S. TORSTENSON, Katherine E. HARTMANN Tags: Original Research: Obstetrics Source Type: research

Magnetic resonance diffusion tensor imaging of cervical microstructure in normal early and late pregnancy in vivo
Cervical remodeling is an important aspect of birth timing. Before cervical ripening, the collagen fibers are arranged in a closely interweaved network, but during ripening, the fibers become disorganized, and the cervix becomes more hydrated. To quantitatively measure cervical remodeling, we need a non-invasive method to monitor changes in cervical collagen fiber organization and hydration in vivo. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 12, 2020 Category: OBGYN Authors: Wenxu Qi, Peinan Zhao, Zhexian Sun, Xiao Ma, Hui Wang, Wenjie Wu, Zichao Wen, Zulfia Kisrieva-Ware, Pamela K. Woodard, Qing Wang, Robert C. McKinstry, Alison G. Cahill, Yong Wang Tags: Original Research: Obstetrics Source Type: research

IMPLEMENTATION OF UNIVERSAL TESTING FOR SARS-CoV-2 IN PREGNANT WOMEN WITH INTENDED ADMISSION FOR DELIVERY
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 10, 2020 Category: OBGYN Authors: Kathleen M. Berkowitz, Oluwatosin Goje, Jennifer Eaton Tags: Letter to the Editors Source Type: research

SMFM Special Statement: Checklist for Postpartum Discharge of Women With Hypertensive Disorders
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 9, 2020 Category: OBGYN Authors: Patient Safety and Quality Committee, Society for Maternal-Fetal Medicine, Kelly S. Gibson, Hameed B. Afshan Tags: SMFM Statement Source Type: research

The role of a cytokine storm in severe COVID-19 disease in pregnancy
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 9, 2020 Category: OBGYN Authors: Xiaoping Wang, Dongna Wang, Shuming He Tags: Letter to the Editors Source Type: research

Prevalence of Inadequate and Excessive Iodine Intake in a US Pregnancy Cohort
US iodine intake, estimated from the median urinary iodine concentration of population representative data, has declined by half since the 1970s which is problematic because maternal iodine intake is critical for fetal neurodevelopment. Relying on median urinary concentrations to assess iodine intake of populations is standard practice but does not describe the number of individuals with insufficient intake. Prevalence estimates of inadequate and excessive intake are better for informing public health applications but require multiple urine samples per person; such estimates have been generated in pediatric populations but...
Source: American Journal of Obstetrics and Gynecology - July 9, 2020 Category: OBGYN Authors: Jean M. KERVER, Elizabeth N. PEARCE, Tengfei MA, Monica GENTCHEV, Michael R. ELLIOTT, Nigel PANETH Tags: Original Research: Obstetrics Source Type: research

Society for Maternal-Fetal MedicineSpecial StatementChecklist for thromboembolism prophylaxis after cesarean delivery
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 9, 2020 Category: OBGYN Authors: C. Andrew Combs Tags: SMFM Statement Source Type: research

Validation of an enhanced recovery after surgery protocol in gynecological surgery: an Italian randomized study
The study aims to validate an enhanced recovery after surgery (ERAS) protocol in gynecological surgery both for benign and malignant disease (endometrial cancer and advanced ovarian cancer) and to measure the adherence to ERAS items in a randomized trial setting. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 8, 2020 Category: OBGYN Authors: Federico Ferrari, Sara Forte, Nicola Sbalzer, Valentina Zizioli, Marta Mauri, Claudia Maggi, Enrico Sartori, Franco Odicino Tags: Original Research: Gynecology Source Type: research

Perioperative opioid prescriptions associated with stress incontinence and pelvic organ prolapse surgery
There is an opioid epidemic in the United States with a contributing factor being opioids prescribed for post-operative pain following surgery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 8, 2020 Category: OBGYN Authors: Marcella Willis_Gray, Jessica C. Young, Virginia Pate, Michele Jonsson Funk, Jennifer M. Wu Tags: Original Research: Gynecology Source Type: research

Episiotomy-site clear cell carcinoma
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 8, 2020 Category: OBGYN Authors: Nicanor Barrena-Medel, Lidia Diaz, Miguel Pabon Tags: Images in Obstetrics Source Type: research

Single- versus multiple-unit transfusion in hemodynamically stable postpartum anemia: a pragmatic randomized, controlled trial
The American Academy of Blood Banks recommends single-unit red cell transfusion protocols across medicine to reduce transfusion complications and use of a scarce resource. There is minimal data regarding single-unit protocols within obstetrics. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 8, 2020 Category: OBGYN Authors: Rebecca F. HAMM, Sarah PERELMAN, Eileen Y. WANG, Lisa D. LEVINE, Sindhu K. SRINIVAS Tags: Original Research: Obstetrics Source Type: research

Long-term outcome of postmenopausal women with proliferative endometrium on endometrial sampling
Proliferative endometrium has been reported in 15% of endometrial biopsies of women 50 and older. In contrary to endometrial hyperplasia, proliferative endometrium has not been associated with risk of endometrial cancer. We sought to report on the long-term outcome of postmenopausal women diagnosed with proliferative endometrium. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 4, 2020 Category: OBGYN Authors: Ohad Rotenberg, Georgios Doulaveris, Dmitry Fridman, Malte Renz, Julie Kaplan, Xianhong Xie, Gary L. Goldberg, Pe'er Dar Tags: Original Research: Gynecology Source Type: research

Homelessness, housing instability, and abortion outcomes at an urban US abortion clinic
Adverse reproductive health outcomes are well-documented among people experiencing homelessness and housing instability. Little is known about abortion outcomes among this population. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 4, 2020 Category: OBGYN Authors: Megan S. Orlando, Anusha M. Vable, Kelsey Holt, Erin Wingo, Sara Newmann, Bradley J. Shapiro, Deborah Borne, Eleanor A. Drey, Dominika Seidman Tags: Original Research: Gynecology Source Type: research

Lumbosacral myelomeningocele before and after in utero repair
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 26, 2020 Category: OBGYN Authors: Lisa Hui, Simon Meagher, Glenn Gardener Tags: Images in Obstetrics Source Type: research

Impact of the COVID-19 Pandemic on Quality of Life for Women with Ovarian Cancer
The COVID-19 pandemic has resulted in unprecedented challenges for the oncology community. For people living with cancer, treatments are interrupted, surgeries cancelled and regular oncology evaluations rescheduled. People with cancer and their physicians must balance plausible fears of COVID-19 and cancer treatment with the consequences of delaying cancer care. We aim to evaluate the experience of women with ovarian cancer during the COVID-19 pandemic. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 26, 2020 Category: OBGYN Authors: Melissa K. Frey, Annie E. Ellis, Kristen Zeligs, Eloise Chapman-Davis, Charlene Thomas, Paul J. Christos, Valentin Kolev, Monica Prasad-Hayes, Samantha Cohen, Kevin Holcomb, Stephanie V. Blank Tags: Original Research: Gynecology Source Type: research

Early vaginal progesterone versus Placebo in Twin Pregnancies for prevention of spontaneous preterm birth (EVENTS): A randomised double-blind trial
In women with a singleton pregnancy and sonographic short cervix in mid-gestation, vaginal administration of progesterone reduces the risk of early preterm birth and improves neonatal outcomes, without any demonstrable deleterious effects on childhood neurodevelopment. In women with twin pregnancies the rate of spontaneous early preterm birth is 10-times higher than in singletons and in this respect all twins are at increased risk of preterm birth. However, six trials in unselected twin pregnancies reported that vaginal progesterone from mid-gestation had no significant effect on the incidence of early preterm birth. (Sour...
Source: American Journal of Obstetrics and Gynecology - June 26, 2020 Category: OBGYN Authors: Anoop Rehal, Zs ófia Benkő, Catalina De Paco Matallana, Argyro Syngelaki, Deepa Janga, Simona Cicero, Ranjit Akolekar, Mandeep Singh, Petya Chaveeva, Jorge Burgos, Francisca S. Molina, Makrina Savvidou, Maria De La Calle, Nicola Persico, Maria Soledad Q Tags: Original Research: Obstetrics Source Type: research

Does umbilical cord milking increase the risk of severe intraventricular hemorrhage in extreme preterm neonates? a multi treatment comparison
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 25, 2020 Category: OBGYN Authors: Luis Sanchez-Ramos, Deanna Mc Cullough, Melanie Mitta, Katherine Gonzalez, Jared Roeckner, Andrew M. Kaunitz Tags: Research Letter Source Type: research

Antibiotic administration reduces the rate of intraamniotic inflammation in preterm prelabor rupture of the membranes
Preterm prelabor rupture of the membranes (PPROM) is frequently complicated by intraamniotic inflammatory processes such as intraamniotic infection and sterile intraamniotic inflammation. Antibiotic therapy is recommended to patients with PPROM to prolong the interval between this complication and delivery (latency period), reduce the risk of clinical chorioamnionitis, and improve neonatal outcome. However, there is a lack of information regarding whether the administration of antibiotics can reduce the intensity of the intraamniotic inflammatory response or eradicate microorganisms in patients with PPROM. (Source: America...
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Authors: Marian Kacerovsky, Roberto Romero, Martin Stepan, Jaroslav Stranik, Jan Maly, Lenka Pliskova, Radka Bolehovska, Vladimir Palicka, Helena Zemlickova, Helena Hornychova, Jiri Spacek, Bo Jacobsson, Percy Pacora, Ivana Musilova Tags: Original Research Source Type: research

Radek Bukowski appointed Editor of Computational Medicine for AJOG
The American Journal of Obstetrics& Gynecology (AJOG) recognizes that recent developments in computer science and computational methodology poised medicine for a  paradigm shift and a qualitative change in the way that research and the practice of medicine in Obstetrics and Gynecology will occur in the future. Thus, Radek Bukowski, MD, PhD, has been appointed Associate Editor of Computational Medicine for AJOG to better serve our readership in this importan t emerging field. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Authors: Roberto Romero Tags: Editorial Source Type: research

Table of Contents
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Source Type: research

Information for Readers
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Source Type: research

AJOG MFM Table of Contents
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Source Type: research

SMFM Divider Page
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Source Type: research

Pharmacologic Intervention for the Management of Retained Placenta:A Systematic Review and Meta-Analysis of Randomized Trials
Retained placenta affects 2-3.3% of all vaginal deliveries and is one of the leading causes of postpartum hemorrhage worldwide. Despite the prevalence of this condition, there is limited guidance on how to manage retained placenta. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Authors: Haylea S. Patrick, Anjali Mitra, Todd Rosen, Cande V. Ananth, Meike Schuster Tags: Original Research: Obstetrics Source Type: research

Physical Exam Indicated Cerclage in Twin pregnancy: a Randomized Controlled Trial
Twin pregnancies with dilated cervix in the second trimester are at increased risk of pregnancy loss and early preterm birth; currently there is no proven therapy to prevent preterm birth in this group of women. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Authors: Amanda Roman, Noelia Zork, Sina Haeri, Corina N. Schoen, Gabriele Saccone, Sarah Colihan, Craig Zelig, Alexis C. Gimovsky, Neil S. Seligman, Fulvio Zullo, Vincenzo Berghella Tags: Original Research: Obstetrics Source Type: research

Delivery of monochorionic twins - lessons learned from the Twin Birth Study
The current literature regarding the recommended mode of delivery in monochorionic-diamniotic (MCDA) twins is limited by small numbers, retrospective studies, and comparisons of outcomes of MCDA gestations to those of dichorionic-diamniotic (DCDA) gestations, instead of outcomes of trial of labor versus elective cesarean delivery for MCDA twins. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 24, 2020 Category: OBGYN Authors: Amir Aviram, Ms. Hayley Lipworth, Elizabeth V. Asztalos, Elad Mei-Dan, Nir Melamed, Xingshan Cao, Arthur Zaltz, Lone Hvidman, Jon F.R. Barrett Tags: Original Research: Obstetrics Source Type: research

Contraception across the transmasculine spectrum
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Mitchell D. Creinin Tags: Letter to the Editors Source Type: research

Research is needed to assess breakthrough bleeding rates in transmasculine individuals utilizing hormonal contraception.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Chance Krempasky, Frances Grimstad Tags: Letter to the Editors Source Type: research

The effect of intrapartum oxygen supplementation on Category II fetal monitoring
Maternal oxygen (O2) administration for Category II electronic fetal monitoring (EFM) is a widely used intrauterine resuscitation technique, despite a paucity of evidence on its ability to improve EFM patterns. We investigated the effect of intrapartum O2 administration on Category II EFM patterns. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Nandini Raghuraman, Julia D. L ópez, Ebony B. Carter, Molly J. Stout, George A. Macones, Methodius G. Tuuli, Alison G. Cahill Tags: Original Research: Obstetrics Source Type: research

Has a critical mass of women resulted in gender equity in gynecologic surgery?
Gender equity in medicine and surgery has recently received widespread attention. Unlike other surgical specialties which remain majority male, Obstetrics and Gynecology has been a majority women field of medicine for nearly a decade and women have comprised the majority of trainees since the 1990s. Despite a critical mass of women, biases related to gender persist in the field. Professional and behavioral expectations of men and women gynecologists remain different for patients and workplace colleagues. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Christine A. Heisler, Katrina Mark, Jessica Ton, Pringl Miller, Sarah Temkin Tags: Expert Review Source Type: research

Vasomotor Menopausal Symptoms and Risk of Cardiovascular Disease: A pooled analysis of six prospective studies
Menopausal vasomotor symptoms (VMS, i.e., hot flushes and night sweats) have been associated with unfavorable risk factors and surrogate markers of cardiovascular disease (CVD), but their association with clinical CVD events is unclear. We aimed to examine the associations between different component of VMS and timing of VMS and risk of CVD. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Dongshan Zhu, Hsin-Fang Chung, Annette J. Dobson, Nirmala Pandeya, Debra J. Anderson, Diana Kuh, Rebecca Hardy, Eric J. Brunner, Nancy E. Avis, Ellen B. Gold, Samar R. El Khoudary, Sybil L. Crawford, Gita D. Mishra Tags: Original Research: Gynecology Source Type: research

Breast cancer risk after hysterectomy with and without salpingo-oophorectomy for benign indications
Breast cancer risk has been extensively studied in women with genetic predisposition, i.e. BRCA1/2. Though there are guidelines for performing bilateral salpingo-oophorectomies in individuals with specific genetic risks, oophorectomies are also performed in many average-risk women. The risk of breast cancer in average risk women who undergo hysterectomy with bilateral salpingo-oophorectomy for benign indications is less clear. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Stephanie Chow, Tina Raine-Bennett, Navendu D. Samant, Debbie A. Postlethwaite, Marie Holzapfel Tags: Original Research: Gynecology Source Type: research

Syringe or mask? Loop electrosurgical excision procedure under local or general anesthesia: A randomized trial
Loop electrosurgical excision procedure (LEEP) may be performed under local anesthesia (LA) or general anesthesia (GA) and practice patterns differ worldwide. No randomized head-to-head comparison has been published to confirm or refute either practice. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: G ünther A. Rezniczek, Julia M. Hecken, Sadia Rehman, Askin Dogan, Clemens B. Tempfer, Ziad Hilal Tags: Original Research: Gynecology Source Type: research

Fetal molding examined with transperineal ultrasound and associations with position and delivery mode
To accommodate passage through the birth canal, the fetal skull is compressed and reshaped, a phenomenon known as molding. The fetal skull bones are separated by membranous sutures which facilitate compression and overlap, resulting in a reduced diameter. This increases the probability of a successful vaginal delivery. Fetal position, presentation, station and attitude can be examined with ultrasound, but fetal head molding has not been previously studied with ultrasound. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 22, 2020 Category: OBGYN Authors: Johanne Kolvik Iversen, Birgitte Heiberg Kahrs, Erik Andreas Torkildsen, Torbj ørn Moe Eggebø Tags: Original Research: Obstetrics Source Type: research

Possible limitation to use the International Federation of Gynecology and Obstetrics classification of placenta accreta spectrum
In this study, the authors reported a high heterogenicity in the diagnosis of PAS using histopathology analysis, which is the current gold standard for diagnosis of such anomalies, despite being associated with multiple biases. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Jos é M. Palacios-Jaraquemada, Francesco D’Antonio Tags: Letter to the Editors Source Type: research

Reply
In April 2020, we reported our experience performing lung ultrasound (LUS) on the first pregnant woman admitted for coronavirus disease 2019 (COVID-19) pneumonia.1 (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Riccardo Inchingolo, Andrea Smargiassi, Gino Soldati, Libertario Demi Tags: Letter to the Editors Source Type: research

Advancing Human Health in the Decade Ahead: Pregnancy as a Key Window for Discovery A Burroughs Wellcome Fund Pregnancy Think-Tank
Recent revolutionary advances at the intersection of medicine, omics, data sciences, computing, epidemiology and related technologies inspire us to ponder their impact on health. Their potential impact is particularly germane to the biology of pregnancy and perinatal medicine, where limited improvement in health outcomes for women and children has remained a global challenge. We assembled a group of experts to establish a Pregnancy Think Tank to discuss a broad spectrum of major gestational disorders and adverse pregnancy outcomes that impact maternal-infant lifelong health and that should serve as targets for leveraging t...
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Yoel Sadovsky, Sam Mesiano, Graham J. Burton, Michelle Lampl, Jeffrey C. Murray, Rachel M. Freathy, Anita Mahadevan-Jansen, Ashley Moffett, Nathan D. Price, Paul H. Wise, Derek E. Wildman, Ralph Snyderman, Nigel Paneth, John Anthony Capra, Marcelo A. Nobr Tags: Special Report Source Type: research

Possible limitation to use the PAS FIGO classification
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Jos é M. Palacios-Jaraquemada, Francesco D’Antonio Tags: Letter to the Editors Source Type: research

Lung ultrasound as an extension of medical examination for COVID-19 pneumonia: much more than an imaging technique
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Riccardo Inchingolo, Andrea Smargiassi, Gino Soldati, Libertario Demi Tags: Letter to the Editors Source Type: research

Persistent Breech Presentation In A Bicornuate Uterus
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 18, 2020 Category: OBGYN Authors: Elizabeth Lucarelli, Mary Khine, Yinka Oyelese Tags: Images in Obstetrics Source Type: research

Reply
We thank Palacios-Jaraquemada and D ’Antonio for their interest in our work in general and our contribution to the International Federation of Gynecology and Obstetrics (FIGO) classification on placenta accreta spectrum (PAS) in particular. The FIGO classification development is a dynamic process that evolves with time. It is based on a consensus resulting from the review of evidence-based data modulated by the results of extensive literature reviews by a group of international experts under the umbrella of the committee. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 17, 2020 Category: OBGYN Authors: Eric Jauniaux, Ahmed M. Hussein Tags: Letter to the Editors Source Type: research

A cost-effectiveness analysis of vaginal co2 laser therapy compared to standard medical therapies for genitourinary syndrome of menopause-associated dyspareunia
Topical vaginal estrogen is considered the gold standard therapy for GSM-associated dyspareunia, but early investigations of energy-based devices show promise for patients with contraindications or who are refractory to vaginal estrogen cream. While evaluating safety, efficacy and long-term outcomes for novel technologies is critically important when new technologies become available to treat unmet healthcare needs, evaluation of the costs of these new technologies compared to existing therapies is also critically important, but often understudied. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 17, 2020 Category: OBGYN Authors: Shannon L. Wallace, Brad ST. Martin, Kyueun Lee, Eric R. Sokol Tags: Original Research: Gynecology Source Type: research

Long-Acting Reversible Contraception Free-of-Charge: Two-year Discontinuation, its Risk Factors and Reasons
Since 2013, the residents of the city of Vantaa, Finland, have been offered their first long-acting reversible contraceptive method (levonorgestrel-releasing intrauterine system, implant, and copper intrauterine device) free-of-charge. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 17, 2020 Category: OBGYN Authors: Saloranta Tuire H, Gyllenberg Frida K, But Anna, Gissler Mika, Laine Merja K, Heikinheimo Oskari Tags: Original Research: Gynecology Source Type: research

Placenta accreta spectrum grading: The devil is in the histopathology details
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 17, 2020 Category: OBGYN Authors: Eric Jauniaux, Ahmed M. Hussein Tags: Letter to the Editors Source Type: research

Reengineering academic departments of obstetrics and gynecology to operate in a pandemic world and beyond: a joint American Gynecological and Obstetrical Society and Council of University Chairs of Obstetrics and Gynecology statement
The coronavirus disease 2019 pandemic has significantly disrupted operations in academic departments of obstetrics and gynecology throughout the United States and will continue to affect them in the foreseeable future. It has also created an environment conducive to  innovation and the accelerated implementation of new ideas. These departments will need to adapt their operations to accommodate coronavirus disease 2019 and to continue to meet their tripartite mission of clinical excellence, medical education, and women’s health research. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 16, 2020 Category: OBGYN Authors: Ronald D. Alvarez, Barbara A. Goff, David Chelmow, Todd R. Griffin, Errol R. Norwitz, John O. De Lancey Tags: Call to Action Source Type: research

A call for precision in coronavirus disease case reporting: a crucial step more important now than ever
Conclusions sections that “severe COVID-19 occurred in 15% of pregnant patients,” a very novel finding. However, in further reviewing their methodology, it is clear that severe coronavirus disease 2019 (COVID-19) cases (n=6) came from a pool of pregna nt patients among hospitals which “have 34,000 deliveries annually,” abstracted over 87 days. Thus, the expected denominator would be something in the order of 8104 deliveries in this pool during the study period. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 16, 2020 Category: OBGYN Authors: Wendy V. Norman Tags: Letter to the Editors Source Type: research

Re-Engineering Academic Departments of Obstetrics and Gynecology to Operate in a Pandemic World and Beyond – A Joint AGOS/CUCOG Statement
The COVID-19 pandemic has significantly disrupted operations in academic Departments of Obstetrics and Gynecology throughout the U.S. and will continue to impact them for the foreseeable future. It has also created an environment conducive to innovation and the accelerated implementation of new ideas. These departments will need to adapt their operations to accomodate COVID-19 and to continue to meet their tripartite mission of clinical excellence, medical education, and women ’s health research. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 16, 2020 Category: OBGYN Authors: Ronald D. Alvarez, Barbara A. Goff, David Chelmow, Todd R. Griffin, Errol R. Norwitz, John O.DE. Lancey Tags: Call to Action Source Type: research

A call for precision in COVID-linked case reporting- a crucial step more important now than ever
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 16, 2020 Category: OBGYN Authors: Wendy V. Norman, Wendy V. Norman Tags: Letter to the Editors Source Type: research

Reply
The objective of our case series of 46 pregnant patients with confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections was to report the clinical outcomes of COVID-19 among these patients.2 Our aim was not to provide population-health estimates on the rate of infection or severe disease among all pregnant patients during this time, as estimated by Dr Norman. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - June 15, 2020 Category: OBGYN Authors: Erica M. Lokken, Christie L. Walker, Kristina M. Adams Waldorf Tags: Letter to the Editors Source Type: research