Current Obstetrics and Gynecology Reports This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Pelvic Floor Trauma and Its Relationship to Pelvic Organ Prolapse
Abstract As the US population continues to age, the impact of pelvic floor trauma and the sequelae of these injuries will continue to be a common place for the practicing gynecologist. In this review, the authors will highlight pertinent pelvic floor muscular anatomy, explain basic pelvic floor biomechanics, identify mechanisms of pelvic floor birth injury, discuss pelvic floor muscle recovery and birth injury sequelae, review methods of birth injury prevention, and specify future directions of birth related pelvic floor injury research. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - April 8, 2015 Category: OBGYN Source Type: research

Finite Element Modeling in Female Pelvic Floor Medicine: a Literature Review
Abstract Female pelvic floor dysfunction (PFD) includes conditions such as urinary incontinence, pelvic organ prolapse, or fecal incontinence. One in every ten women will, at some point of their lives, suffer a form of PFD so severe that it will require surgery, with one third of these undergoing repeated surgical procedures. PFD occurs due to damage to levator ani muscle (LAM), endopelvic fascia, and nerves organized as a complex load-bearing apparatus in the pelvis. Our ability to understand treatment failure and prevention strategies necessitates an understanding of these tissue elements and their stru...
Source: Current Obstetrics and Gynecology Reports - April 1, 2015 Category: OBGYN Source Type: research

Gestational Diabetes: Screening, Management, Timing of Delivery
Abstract Gestational diabetes mellitus (GDM) is a pancreatic function insufficiency to overcome the insulin resistance associated with the pregnant state. The prevalence of GDM is about 2–5 % of normal pregnancies. To prevent the adverse outcome for the mother, the fetus, and neonatal period, detection of GDM is important. Screening methods vary by clinics. Screening can either be selective, based upon risk stratification or universal. Timely testing enables the obstetrician to assess glucose tolerance in the presence of the insulin-resistant state of pregnancy and permits treatment to begin before exc...
Source: Current Obstetrics and Gynecology Reports - March 27, 2015 Category: OBGYN Source Type: research

Injectable Contraception: Current Practices and Future Trends
Abstract Injectable contraception includes progestin-only and combined estrogen and progestin agents that provide safe and highly effective birth control for one to three months. Injectable agents are widely available and play an important role in family planning programs worldwide. Depot medroxyprogesterone acetate, available for intramuscular injection and subcutaneous injection, is the best known and most broadly distributed injectable contraceptive agent, and is an ideal agent for women who have contraindications to estrogen use. Despite their effectiveness, progestin-only injectables are associated w...
Source: Current Obstetrics and Gynecology Reports - February 16, 2015 Category: OBGYN Source Type: research

Post-Pregnancy Intrauterine Devices: Strategies for Provision of Services
Abstract The insertion of an intrauterine device (IUD) immediately following an obstetric event (vaginal delivery, cesarean section, or abortion) has been shown to be safe and effective. Despite its feasibility, however, this procedure is underutilized in the United States. Immediate insertion postpartum and post-abortion removes some of the barriers women face when trying to obtain these highly effective forms of contraception. (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - February 9, 2015 Category: OBGYN Source Type: research

Contraception for Adolescents: Focusing on Long-Acting Reversible Contraceptives (LARC) to Improve Reproductive Health Outcomes
Abstract Adolescent pregnancy rates in the USA have reached an all-time low from their peak in the 1980s and 1990s. However, the USA maintains the highest rate of teenage pregnancy among developed nations. Adolescents experience higher typical use failure rates for user-dependent contraceptives compared to their adult counterparts. Long-acting reversible contraception (LARC), intrauterine devices (IUDs), and implants have failure rates that are both very low and independent of user age. In settings where the most effective methods are prioritized and access barriers are removed, the majority of adolescent...
Source: Current Obstetrics and Gynecology Reports - January 28, 2015 Category: OBGYN Source Type: research

The Contraceptive Implant: An Updated Review of the Evidence
Abstract The etonogestrel implant is a form of highly effective and long-acting reversible contraception, available in the U.S. as Nexplanon® (Merck and Co, Inc., Kenilworth, NJ, U.S.). It is placed under the skin of the upper arm by health care providers and is approved for use up to 3 years. It is more effective than any other method, including the intrauterine devices (IUDs) and permanent sterilization methods. It has few contraindications, and has high rates of satisfaction and continuation. While irregular bleeding is the most common side effect and reason for discontinuation of the method, most wo...
Source: Current Obstetrics and Gynecology Reports - January 28, 2015 Category: OBGYN Source Type: research