How Can We Get to Equitable and Effective Postpartum Pain Control?
Postpartum pain is common, yet patient experiences and clinical management varies greatly. In the United States, pain-related expectations and principles of adequate pain management have been framed within established norms of Western clinical medicine and a biomedical understanding of disease processes. Unfortunately, this positioning of postpartum pain and the corresponding coping strategies and pain treatments is situated within cultural biases and systemic racism. This paper summarizes the history and existing literature that examines racial inequities in pain management to propose guiding themes and suggestions for in...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Respectful, Equitable, and Supportive Postpartum Care Source Type: research
Postnatal Unit Care and Safe Transition Home
The United States has the highest maternal mortality rate among developed nations with 60% of deaths occurring during the postpartum period. This chapter presents the case study of Maya Howard. Maya represents of composite of qualitative research studies that reveals missteps, gaps, and oversights of Black mothers and birthing people during birth and the postpartum period. Using a Black feminist framework, the chapter offers solutions to improve postnatal unit care and the transition home, a critical step in improving care and saving lives for all mothers and birthing people. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Respectful, Equitable, and Supportive Postpartum Care Source Type: research
A Trauma-informed Approach to Postpartum Care
Distressing or traumatic perinatal experiences and adverse health outcomes can lead to particularly challenging postpartum experiences for patients and families. By adopting a trauma-informed care approach, the health care team can provide much-needed support, prevent additional harm, and promote healing. We propose practical communication, behavioral, and procedural considerations for integrating trauma-informed care principles into routine postpartum care, with attention to populations that have been marginalized. We see postpartum care as a critical component of holistic patient recovery and an opportunity to facilitate...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Respectful, Equitable, and Supportive Postpartum Care Source Type: research
Foreword: Respectful, Equitable, and Supportive Postpartum Care
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Respectful, Equitable, and Supportive Postpartum Care Source Type: research
Contributors: Respectful, Equitable, and Supportive Postpartum Care
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Contributors: Respectful, Equitable, and Supportive Postpartum Care Source Type: research
Common Complications of Breastfeeding and Lactation: An Overview for Clinicians
The objective of this chapter is to review common complications of breastfeeding and lactation including inflammatory conditions, disorders of lactogenesis, dermatologic conditions, and persistent pain with lactation. (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Exogenous Hormones and Breast Cancer Risk: Contraception, Menopausal Hormone Therapy, and Breast Cancer Survivors
The use of exogenous estrogen and progesterone/progestin medications spans the reproductive and postreproductive lives of millions of women providing control over pregnancy timing, management of premenopausal and postmenopausal symptoms, and prevention of disease, including endometrial and ovarian cancer. These same hormones can also increase the risk of breast cancer in some settings and their use in breast cancer survivors may increase the risk of breast cancer recurrence. Given both the benefits and risks of these exogenous hormones, a detailed understanding of the available scientific evidence is imperative to help cou...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Management of Breast Cancer Survivors by Gynecologists
Breast cancer patients commonly present to their OBGYN during the process of diagnosis and treatment of breast cancer both for specific gynecologic needs and for primary care follow up. These patients require counseling on contraception, hormone use, and fertility at diagnosis. During treatment and survivorship, patients will face a variety of side effects from treatments leading to vasomotor symptoms, vulvovaginal discomfort, sexual dysfunction, osteoporosis, and vaginal bleeding. This chapters aims to enlighten providers on the unique range of issues a gynecologist may face when caring for breast cancer patients. (Source...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Breast Cancer Screening: An Overview of Risk-specific Screening and Risk Assessment
Breast cancer screening decreases stage at diagnosis, treatment morbidity, and disease mortality. A comprehensive risk assessment is critical to determine an individual’s most appropriate screening regimen. Multiple guidelines exist for screening mammography in average-risk individuals, which differ on age and frequency of screening. Annual mammography starting at age 40 is associated with the greatest reduction in breast cancer mortality and greatest number of life-years saved. A formal risk calculator is helpful to assess one’s lifetime risk of breast cancer and assess eligibility for high-risk screening. Screening g...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Breast Cancer Epidemiology and Contemporary Breast Cancer Care: A Review of the Literature and Clinical Applications
Substantial progress has been made in contemporary breast cancer care, resulting in a consistently declining breast cancer mortality rate and an improvement in quality of life. Advancements include deescalation of therapy in low-risk populations and refining systemic therapy options. Research into molecular biomarkers continues to evolve and holds the promise of achieving the goal of precision medicine, while guidelines for supportive care and survivorship have been created to address the needs of an ever-increasing number of breast cancer survivors. A collaborative, multidisciplinary team approach is essential for patient...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Benign Breast Disease
Benign breast disease presents commonly in routine gynecologic care. Presenting symptoms such as breast mass, nipple discharge, or breast pain may raise concern for malignancy. Once breast cancer is ruled out, gynecologists must identify and appropriately treat benign breast disease. While most benign lesions can be managed conservatively, high-risk breast lesions can increase the future risk of breast cancer and may require additional screening imaging and surgical excision. Pharmacologic therapy may also have a role in certain conditions. Gynecologists should be proficient in the identification and management of benign b...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Evaluation of Breast Problems
Breast disorders arise from a myriad of etiologies. They are frequent reasons for patient encounters in primary care and obstetric and gynecologic practices. The most common complaints include breast pain, nipple discharge and breast lumps or masses. Given widespread and well-known screening recommendations, breast cancers are regularly diagnosed during routine screening. Regardless of the presenting complaint, a patient’s presentation, physical examination, and diagnostic imaging may require a unique framework for adequate and timely diagnosis for appropriate intervention and treatment. This manuscript aims to discuss a...
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Foreword: Management of Breast Disorders
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Management of Breast Disorders Source Type: research
Contributors: Management of Breast Disorders
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - July 28, 2022 Category: OBGYN Tags: Contributors: Management of Breast Disorders Source Type: research
Index
No abstract available (Source: Clinical Obstetrics and Gynecology)
Source: Clinical Obstetrics and Gynecology - April 30, 2022 Category: OBGYN Tags: Index Source Type: research
