Cme program exam and answer sheet
No abstract available (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: CME PROGRAM EXAM AND ANSWER SHEET Source Type: research

Acupuncture in Obstetrics and Gynecology
Conclusions and Relevance Acupuncture is an increasingly popular therapy with many potential applications in obstetrics and gynecology. A general understanding of the basic principles of acupuncture and the safety and efficacy of its practice is necessary for the general obstetrician and gynecologist to make informed recommendations to patients. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to identify the basic concepts of traditional Chinese medicine and how it differs from Western medicine; describe common...
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Management of Endometriomas
Conclusions and Relevance Cystectomy of ovarian endometriomas has been the first-line treatment for management for many years because it provides improved pain relief, reduces recurrence rates, and was thought to be favorable in in vitro fertilization. However, a growing body of evidence is demonstrating benefit, or at least no harm, in expectant management for asymptomatic patients with small, stable endometriomas. Medical management is often very effective and appropriate first line. When surgical intervention is appropriate, careful ovarian cyst excision with goal of ovarian tissue preservation and treatment of additi...
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Polycystic Ovary Syndrome: Impact of Lipotoxicity on Metabolic and Reproductive Health
Conclusions and Relevance A personalized approach to managing PCOS is essential to improve the health of all PCOS women through cost-effective prevention and/or treatment, to minimize the risk of pregnancy complications in those individuals wishing to conceive, and to optimize the long-term health of PCOS women and their offspring. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After completing this activity, the learner should be better able to explain the phenotypic variants of PCOS; describe how obesity, preferential abdominal fat accumulation, and lipotoxicity adversely a...
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Neurokinin 3 Receptor Antagonism Rapidly Improves Vasomotor Symptoms With Sustained Duration of Action
(Abstracted from Menopause 2018;25(8):862–869) Approximately 70% of postmenopausal women experience vasomotor symptoms, and 10% describe these symptoms as intolerable. Conventional treatment of hot flashes (HFs) includes hormone therapy and other alternative treatments; however, these treatments have mixed responses, variable availability, and can be contraindicated in some women such as those with a history of breast cancer. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: MENOPAUSE Source Type: research

Brexanolone Injection in Postpartum Depression: Two Multicenter, Double-Blind, Randomized, Placebo-Controlled, Phase 3 Trials
(Abstracted from Lancet 2018;392:1058–1070) Postpartum depression effects 10% to 20% of women who give birth worldwide, and approximately 40% to 80% of cases are considered moderate to severe. The burden of this disorder is multifactorial, with financial, social, and health-related consequences for mothers and families. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: ENDOCRINOLOGY OF PREGNANCY Source Type: research

Complementary Medicine, Refusal of Conventional Cancer Therapy, and Survival Among Patients With Curable Cancers
(Abstracted from JAMA Oncol 2018;4:1375–1381) Complementary medicine (CM) refers to integration of unproven nonmedical methods with conventional therapies, whereas alternative medicine is use of unproven methods instead of conventional therapy. In the United States, complementary and alternative medicine is a multibillion-dollar industry. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Mismatch Repair Deficiency Identifies Patients With High-Intermediate–Risk (HIR) Endometrioid Endometrial Cancer at the Highest Risk of Recurrence: A Prognostic Biomarker
(Abstracted from Cancer 2019;125:398–405) More than 70% of patients diagnosed with endometrial cancer (EC) are stage I, and such early-stage disease has good outcomes, with reported 5-year survival rates of 90%. However, a small subgroup has been identified—the so-called high-intermediate–risk (HIR) EC—which has relatively high local and distant recurrence rates, resulting in poor survival. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Depressive Symptoms Among Women With Endometriosis: A Systematic Review and Meta-analysis
(Abstracted from Am J Obstet Gynecol 2019;220:230–241) Endometriosis is a complex chronic disorder defined by ectopic endometrial-like tissue. It is thought to affect 10% of reproductive-age women. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OFFICE GYNECOLOGY Source Type: research

The Analgesic Efficacy of Forced Coughing During Cervical Punch Biopsy: A Prospective Randomized Controlled Study
(Abstracted from Aust N Z J Obstet Gynaecol 2018;58:681–685) Cervical punch biopsies are a common procedure performed routinely in ambulatory health care facilities and are usually performed without local anesthesia. Use of local anesthesia injections alleviates the pain associated with the procedure, but has numerous disadvantages, including risk of allergies or intravascular injection, pain from the injection itself, and lengthening procedure time. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OFFICE GYNECOLOGY Source Type: research

Length of Catheter Use After Hysterectomy as a Risk Factor for Urinary Tract Infection
(Abstracted from Female Pelvic Med Reconstr Surg 2018;24:430–434) A known risk factor for urinary tract infection (UTI) is placement of an indwelling Foley catheter at the time of hysterectomy. To reduce catheter-associated UTI, it is recommended that catheters be removed as soon as possible after surgery. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

Real-World Retention Rates After Intravesical OnabotulinumtoxinA for Idiopathic Overactive Bladder
(Abstracted from Female Pelvic Med Reconstr Surg 2018;24:404–407) Intravesical onabotulinumtoxinA (BoNT-A) is used for treatment of idiopathic overactive bladder (iOAB) when conservative measures and medications fail to improve symptoms. After intravesical BoNT-A, the risk of incomplete bladder evacuation (IBE) requiring catheterization is well established. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

Incidence of Venous Thromboembolism After Different Modes of Gynecologic Surgery
(Abstracted from Obstet Gynecol 2018;132:1275–1284) An uncommon but potentially fatal complication of surgery is venous thromboembolism (VTE). It is critical when planning surgery that gynecologic surgeons assess the risk of VTE and provide appropriate prophylaxis for high-risk patients. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OPERATIVE GYNECOLOGY Source Type: research

Application of Cell-Free DNA Analysis to Cancer Treatment
(Abstracted from N Engl J Med 2018;379(18):1754–1765) Tumor biopsies represent the standard for cancer diagnosis and the primary method for molecular testing to guide the selection of precision therapies. Liquid biopsies, particularly those involving cell-free DNA (cfDNA) from plasma, are rapidly emerging as an important and minimally invasive adjunct to standard tumor biopsies and, in some cases, even a potential alternative approach. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: GENETICS Source Type: research

Rapid Prenatal Diagnosis Using Targeted Exome Sequencing: A Cohort Study to Assess Feasibility and Potential Impact on Prenatal Counseling and Pregnancy Management
(Abstracted from Genet Med 2018;20(11):1430–1437) Unexpected fetal abnormalities occur in 2% to 5% of pregnancies. Although traditional cytogenetic and microarray approaches achieve diagnosis in approximately 40% of cases, lack of diagnosis in others impedes parental counseling, informed decision making, and pregnancy management. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: GENETICS Source Type: research

Gestational Age, Health, and Educational Outcomes in Adolescents
(Abstracted from Pediatrics 2018;142(5):e20181016) Advances in perinatal medicine over the last 20 years have improved survival for preterm infants; however, with increasing survival, more information is needed about the long-term impact of preterm birth, particularly in periviable infants (gestation (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: NEONATAL COMPLICATIONS Source Type: research

Association of Race/Ethnicity With Very Preterm Neonatal Morbidities
(Abstracted from JAMA Pediatr 2018;172(11):1061–1069) Racial/ethnic disparity in neonatal mortality associated with the increased risk of very preterm birth among black infants is well documented. However, racial/ethnic disparities in severe neonatal morbidities among very preterm infants are less studied, despite the association of these morbidities with long-term health disparities. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: NEONATAL COMPLICATIONS Source Type: research

A New Comprehensive Paradigm for Prenatal Diagnosis: Seeing the Forest Through the Trees
(Abstracted from Ultrasound Obstet Gynecol 2018;52:563–568) The prevalence of birth disorders is estimated to be 3% for major fetal malformations, which are thought to be mainly multifactorial in origin, and 3% for genetic anomalies, distributed almost equally between chromosomal anomalies (1%), submicroscopic anomalies (1%), and single-gene disorders (1%) (excluding cancer-predisposing and metabolic syndromes). From their introduction in the 1970s, prenatal diagnosis programs focused primarily on the detection of Down syndrome, the most common cause of intellectual disability, and neural tube defects. (Source: Obst...
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: ETHICS, MEDICOLEGAL ISSUES, AND PUBLIC POLICY Source Type: research

Comparing the Hadlock Fetal Growth Standard to the Eunice Kennedy Shriver National Institute of Child Health and Human Development Racial/Ethnic Standard for the Prediction of Neonatal Morbidity and Small for Gestational Age
(Abstracted from Am J Obstet Gynecol 2018;219:474.e1–474.e12) The fetal growth standard in widest use was published by Hadlock more than 25 years ago and was derived from a small, homogeneous cohort. In 2015, The Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Study published updated standards that are specific to race/ethnicity. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: FETAL DIAGNOSIS AND THERAPY Source Type: research

Awareness of Fetal Movements and Care Package to Reduce Fetal Mortality (AFFIRM): A Stepped Wedge, Cluster-Randomised Trial
(Abstracted from Lancet 2018;392:1629–1638) Two to 6 million pregnancies were estimated to have ended in stillbirth in 2015. The aim of the AFFIRM study was to test the hypothesis that introduction of a reduced fetal movement care package for pregnant women and clinicians that increased women's awareness of the need for prompt reporting of RFM and that standardized management, including timely delivery, would alter the incidence of stillbirth. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: PRECONCEPTION AND PRENATAL CARE Source Type: research

Omega-3 Fatty Acid Addition During Pregnancy
(Abstracted from Cochrane Database Syst Rev 2018;11:CD003402) Preterm birth is a leading cause of disability or death in the first 5 years of life. Higher intake of foods containing omega-3 long-chain polyunsaturated fatty acids (LCPUFAs), such as fish, during pregnancy has been associated with longer gestations and improved perinatal outcomes. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - April 1, 2019 Category: OBGYN Tags: OBSTETRICS: PRECONCEPTION AND PRENATAL CARE Source Type: research

Cme program exam and answer sheet
No abstract available (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: CME PROGRAM EXAM AND ANSWER SHEET Source Type: research

“Pregnancy Brain”: A Review of Cognitive Changes in Pregnancy and Postpartum
Conclusions and Relevance Cognitive effects of pregnancy are likely small, and the impact on daily life is debatable. Further research is needed to determine whether these effects may confer an advantage to parous women comparable to that seen in lower mammals. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After reading this article, readers should be better able to explain prior research into the incidence of brain-related changes brought on by pregnancy; identify different types of cognition and memory that may be affected by pregnancy; and anticipate questions and approp...
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Paternal Preferences, Perspectives, and Involvement in Perinatal Decision Making
Conclusions Findings provide import insights into the distinct experiences, roles, needs, and perspectives of fathers facing perinatal decision making. Relevance Advancing research and policy on fathers' involvement in perinatal decision making could lead to a paradigm shift in how maternity care is structured, how obstetric services are delivered, and how perinatal interventions are designed and implemented. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe why fathers are important to perinatal h...
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

The Management of Nausea and Vomiting of Pregnancy: Synthesis of National Guidelines
Conclusions Evidence-based medicine may lead to the adoption of an international guideline for the management of NVP, which may lead to a more effective management of that entity. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to synthesize management recommendations in cases of NVP; assess the preventive and nonpharmacologic regimens in cases of NVP; and propose the necessary pharmacologic treatment in cases of NVP. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Donor Spermatogenesis in De Novo Formed Seminiferous Tubules From Transplanted Testicular Cells in Rhesus Monkey Testis
(Abstracted from Hum Reprod 2018;33:2249–2255) Cytotoxic cancer treatments, including chemotherapy and radiotherapy, cause damage to spermatogenic stem cells (SSCs), jeopardizing the fertility of young men of reproductive age. One potential method for future production of sperm in this population is SSC transplantation. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Generation of Human Oogonia From Induced Pluripotent Stem Cells In Vitro
(Abstracted from Science 2018;362:356–360) Studies have shown that mouse pluripotent stem cells (PSCs) can be induced into primordial germ cell–like cells (hPGCLCs), which, following transplantation under appropriate conditions, can contribute to the development of gametes capable of developing into fertile offspring. Human in vitro gametogenesis from PSCs has long-reaching implications in reproductive medicine but has not yet been achieved. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Neoadjuvant Chemotherapy Versus Debulking Surgery in Advanced Tubo-Ovarian Cancers: Pooled Analysis of Individual Patient Data From the EORTC 55971 and CHORUS Trials
(Abstracted from Lancet Oncol 2018;19:1680–1687) Most women with carcinoma of the ovary, fallopian tube, or peritoneum (tubo-ovarian cancer) present with advanced disease and have a very poor prognosis. An essential therapeutic strategy in these women has been primary debulking surgery (PDS), but no randomized controlled trials have demonstrated an improved prognosis of patients with this strategy. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Too Many Women Are Dying From Cervix Cancer: Problems and Solutions
(Abstracted from Gynecol Oncol 2018;151:547–554) Nearly all cases of cervical cancer are due to infection with the human papillomavirus (HPV) virus. Globally, more than 270,000 women per year die of this cancer. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Urinary Tract Infection After Hysterectomy for Benign Gynecologic Conditions or Pelvic Reconstructive Surgery
(Abstracted from Obstet Gynecol 2018;132:1347–1357) About half of all women will experience at least 1 urinary tract infection (UTI) in their lifetimes, and the infection will recur in more than 10% of postmenopausal women. Pelvic surgery increases risk of UTI. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

Surgical Anatomy of the Uterosacral Ligament Colpopexy
(Abstracted from Female Pelvic Med Reconstr Surg 2017;24:380–382) The most frequent complication in reports of uterosacral ligament (USL) colpopexy is ureteral compromise, resulting from either kinking or direct ureteral injury. The incidence of this complication was 3% to 5% in a number of studies. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

Evidence-Based Guidelines for Vaginal Hysterectomy of the International Society for Gynecologic Endoscopy (ISGE)
(Abstracted from Eur J Obstet Gynecol Reprod Biol 2018;231:262–267) Hysterectomy can be performed abdominally, vaginally, or laparoscopically, with or without robotic assistance. Abdominal hysterectomy (AH) for benign uterine conditions is the most commonly chosen route worldwide. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OPERATIVE GYNECOLOGY Source Type: research

Personalised Perioperative Care by E-Health After Intermediate-Grade Abdominal Surgery: A Multicentre, Single-Blind, Randomised, Placebo-Controlled Trial
(Abstracted from Lancet 2018;392:51–59) Instructing and guiding patients are essential for successful recovery after surgery. Because of efficiency-driven, shortened hospital stays, the amount of time health care professionals spend, before and after surgery with their patients, has been reduced. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OPERATIVE GYNECOLOGY Source Type: research

Surgical Technical Evidence Review for Gynecologic Surgery Conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery
(Abstracted from Am J Obstet Gynecol 2018;219:563.e1–563.e19) The Safety Program for Improving Surgical Care and Recovery (ISCR) was developed by the Agency for Healthcare Research and Quality (AHRQ) in partnership with the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality. The goal of this national program was to assist hospitals in improving perioperative care through adoption and implementation of evidence-based enhanced recovery pathways (ERPs). (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: GYNECOLOGY: OPERATIVE GYNECOLOGY Source Type: research

Association Between Third-Trimester Tdap Immunization and Neonatal Pertussis Antibody Concentration
(Abstracted from JAMA 2018;320(14):1464–1470) Pertussis incidence is highest in infants too young to have completed their primary immunization series (6 months or younger), who are also at the highest risk of developing life-threatening complications. In high-income countries, pertussis-related mortality occurs predominantly in infants 3 months or younger. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: INFECTIOUS DISEASE Source Type: research

Pregnancy Outcome of Autosomal Aneuploidies Other Than Common Trisomies Detected by Noninvasive Prenatal Testing in Routine Clinical Practice
(Abstracted from Prenat Diagn 2018;38:849–857) The discovery of cell-free fetal DNA in maternal plasma and the invention of massively parallel sequencing have made noninvasive prenatal testing (NIPT) for fetal common aneuploidies (trisomies 13, 18, and 21) a clinical reality. Noninvasive prenatal testing has been recommended as a first-tier or second-tier screening test for common fetal trisomies, with lower false-positive rates and higher positive predictive values than serum biochemical screening. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: GENETICS Source Type: research

Maternal Mortality After Cesarean Section in the Netherlands
(Abstracted from Eur J Obstet Gynecol Reprod Biol 2018;229:148–152) Cesarean delivery rates have increased worldwide, despite several recommendations by the World Health Organization to curb this increase. A World Health Organization ecological study found that rates above 10% are not associated with improved maternal and perinatal outcomes. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: OBSTETRICAL COMPLICATIONS Source Type: research

Association of Prenatal Maternal Depression and Anxiety Symptoms With Infant White Matter Microstructure
(Abstracted from JAMA Pediatr 2018;172(10):973–981) Depression and anxiety are common during pregnancy. These disorders are estimated to affect 7% to 20% of pregnant women; however, many women reach only a subclinical threshold and are not formally diagnosed. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: NEWBORN MEDICINE Source Type: research

Global Epidemiology of Use of and Disparities in Caesarean Sections
(Abstracted from Lancet 2018;392(10155):1341–1348) Cesarean delivery can save women's and infants' lives and should be universally accessible. However, the large increase in cesarean delivery use, often for nonmedical indications, is of concern given the risks for both women and children. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM Source Type: research

An Evaluation of Fetal Heart Rate Characteristics Associated With Neonatal Encephalopathy: A Case-Control Study
(Abstracted from BJOG 2018;125:1480–1487) Neonatal encephalopathy is a clinical condition identified shortly after birth in term or near-term infants that is characterized by abnormal neurological function. Affected infants often present with a decreased level of consciousness or seizures, as well as difficulty initiating and maintaining respirations and abnormal reflexes or tone. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM Source Type: research

Effect of Immediate vs Delayed Pushing on Rates of Spontaneous Vaginal Delivery Among Nulliparous Women Receiving Neuraxial Analgesia: A Randomized Clinical Trial
(Abstracted from JAMA 2018;320(14):1444–1454) Despite the frequency of childbirth, many aspects of labor management lack an evidence-based approach. The second stage of labor, defined as the interval from complete cervical dilation through delivery of the fetus, is the most physiologically demanding period of labor for both the mother and the fetus. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM Source Type: research

Effects of Exercise During Pregnancy in Women With Short Cervix: Secondary Analysis From the Italian Pessary Trial in Singletons
(Abstracted from Eur J Obstet Gynecol Reprod Biol 2018;229:132–136) Preterm birth (PTB) is a leading cause of perinatal morbidity and mortality. Over the last few years, cervical assessment has moved from digital examination to ultrasound evaluation, and ultrasound of the cervix has been the focus of much research. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - March 1, 2019 Category: OBGYN Tags: OBSTETRICS: PRECONCEPTION AND PRENATAL CARE Source Type: research

Cme program exam and answer sheet
No abstract available (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: CME PROGRAM EXAM AND ANSWER SHEET Source Type: research

Proteomics and Metabolomics in Pregnancy—An Overview
Conclusion/Relevance We sought to provide a comprehensive review in this emerging field of “omics” in pregnancy and associated complications. This article focuses mainly on use of proteomics and metabolomics identification techniques and possible interventions for early pregnancy complications to improve neonatal outcomes. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After completing this activity, the learner should be better able to describe the various complications of pregnancy and their outcomes; assess current available techniques and modalities involving ...
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Prevention of Cesarean Delivery Surgical Site Infections
Conclusions and Relevance Upon analysis of current data and consensus statements pertaining to cesarean deliveries, there are certain preoperative, intraoperative, and postoperative interventions and techniques that can be recommended to decrease the risk of cesarean delivery SSI. Target Audience Obstetricians and gynecologists; family physicians Learning Objectives After completing this CME activity, physicians should be better able to evaluate preoperative considerations when preparing for a cesarean delivery; distinguish the recommended antiseptic choices for preoperative cleansing/prepping before cesarean deliv...
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

HSV Hepatitis in Pregnancy: A Review of the Literature
Conclusions and Relevance Although HSV hepatitis is rare, it carries a mortality rate of up to 39% for mothers and neonates. Therefore, it is crucial that HSV hepatitis be included on the differential diagnosis when a patient presents with fever and transaminitis. When HSV hepatitis is suspected, empiric therapy with acyclovir can be initiated with no additional risk to the fetus. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the participant should be better able to (1) develop a reasonable differential diagnosis for hepatitis in pregnancy, i...
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: CME ARTICLES Source Type: research

Integration of Contraceptive Services Into Anticoagulation Management Services Improves Access to Long-acting Reversible Contraception
(Abstracted from Contraception 2018;98(6):486–491) Increasing access to contraception in women of reproductive age is a cost-effective strategy to reduce maternal morbidity and mortality, especially in women with chronic diseases. Approximately 28% of global maternal mortality is nonobstetric in nature, and 70% of these cases are due to preexisting medical conditions exacerbated by pregnancy. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: GYNECOLOGY: CONTRACEPTION Source Type: research

Risks of Ovarian, Breast, and Corpus Uteri Cancer in Women Treated With Assisted Reproductive Technology in Great Britain, 1991–2010: Data Linkage Study Including 2.2 Million Person Years of Observation
(Abstracted from BMJ 2018;362:k2644) Assisted reproductive therapy such as exposure of women to supraphysiological levels of estradiol, exogenous gonadotropins, and multiple ovarian punctures are suspected to incur an increased risk of cancer. Studies investigating the carcinogenic effects of these exposures are largely inconsistent. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Evaluation of Comprehensive Chromosome Screening Platforms for the Detection of Mosaic Segmental Aneuploidy
(Abstracted from J Assist Reprod Genet 2017;34:975–981) Advancements in the efficacy of comprehensive chromosomal screening (CCS), namely, the ability to detect aneuploidy in all 24 human chromosomes, have established it as a cornerstone of infertility care. Recently, the development of high-throughput, massively parallel sequencing for use with CCS has led to highly accurate, simultaneous screening of multiple samples. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GENETICS Source Type: research

Maintenance Olaparib in Patients With Newly Diagnosed Advanced Ovarian Cancer
(Abstracted from N Engl J Med 2018;379:2495–2505) Standard-of-care therapy for patients newly diagnosed with advanced ovarian cancer consists of frontline cytoreductive surgery and adjuvant platinum chemotherapy. Approximately 70% of these patients have a relapse within 3 years. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - February 1, 2019 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research