Cme program exam and answer sheet
No abstract available (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: CME PROGRAM EXAM AND ANSWER SHEET Source Type: research

CenteringPregnancy: A Review of Implementation and Outcomes
Conclusions CenteringPregnancy is feasible to implement, largely accepted by communities, and shows positive qualitative and quantitative health outcomes. This body of literature supports CP as a potential tool for decreasing racial inequalities in prenatal access, quality of care, and maternal mortality. Further investigation is necessary to inform obstetric clinicians about the potential outcome differences that exist between group and traditional prenatal care. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be b...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: CME ARTICLES Source Type: research

The Evolving Landscape of Genetic Carrier Screening: Clinical Considerations and Challenges
Conclusions and Relevance Current practice guidelines differ between stakeholder professional organizations. Expanded carrier screening offers increased identification of rare disease carriers allowing for more informed reproductive choices. However, there are several barriers to the implementation of expanded carrier screening for all patients. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to describe the difference between ethnicity-based, pan-ethnic, and expanded carrier screening; explain curren...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: CME ARTICLES Source Type: research

Extended Use of Levonorgestrel-Releasing Intrauterine System (LNG-IUS) 52 mg: A Population Pharmacokinetic Approach to Estimate In Vivo Levonorgestrel Release Rates and Systemic Exposure Including Comparison With Two Other LNG-IUSs
With over 30 years of use, levonorgestrel-releasing intrauterine systems (LNG-IUSs) have proven to be highly effective methods of contraceptives. The active ingredient in LNG-IUS, levonorgestrel (LNG), is released directly into the uterine cavity, which causes suppression of endometrial maturation and thickened cervical mucus. A variety of LNG-IUS options exhibit well-established safety profiles and efficacy, providing anywhere between 2 and 18 times lower systemic exposure when compared with LNG-containing pills or implants. Patient-centered decision-making regarding product choice may be encouraged through standardized c...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: CONTRACEPTION Source Type: research

Disease-Free Survival Does Not Differ According to Fertility Preservation Technique for Young Women With Breast Cancer
Approximately 5% of breast cancer cases occur in women younger than 40 years, and the 5-year overall survival for women between the ages of 15 and 44 years is 90%. As the childbearing age increases, so too does the proportion of women who wish to achieve pregnancy after breast cancer. The conception rate among these women is 40% lower than the general population, as a result of advanced age and the gonadal toxicity of chemotherapy. Fertility preservation (FP) techniques enable young patients to freeze gametes before treatment; however, the most recommended method of FP is oocyte or embryo vitrification after controlled ova...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Recurrent Implantation Failure: Reality or a Statistical Mirage?: Consensus Statement From the July 1, 2022 Lugano Workshop on Recurrent Implantation Failure
Despite advancements in assisted reproductive technologies over the past few decades, a 35% failure rate is still observed for unexplained reasons when transferring euploid embryos to an anatomically normal uterus. Recurrent implantation failure (RIF) is defined based on cumulative ART cycles failing; however, there is an absence in consensus on the diagnostic criteria, which leads to the risk of overdiagnosing and overtreating the condition. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Enhanced Recovery After Surgery (ERAS®) Society Guidelines for Gynecologic Oncology: Addressing Implementation Challenges - 2023 Update
Implementation of the Enhanced Recovery after Surgery (ERAS) Society Guidelines in 2016 has resulted in an approximate decrease in hospital length of stay (LOS), reduction in complications and readmission, and cost saving. Recent publications however have demonstrated that barriers and gaps in understanding may result in many ERAS recommendations being poorly adhered to in gynecologic oncology patients. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Utilisation of Hospital-Based Specialist Palliative Care in Patients With Gynaecological Cancer: Temporal Trends, Predictors and Association With High-Intensity End-of-Life Care
Although chemotherapy and short-course radiotherapy play important roles in the palliative management of gynecological cancers, these may be associated with significant discomfort and minimal symptom control in advanced disease. Terminally ill patients approaching death may have complex palliative care needs that cannot be resolved in general care practices and require multidisciplinary specialist palliative care services (SPC). Timely access to SPCs is associated with improved quality of life and reduced high-intensity care during the end-of-life phase; however, the role of palliative care on high-intensity interventions ...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

An Update on Human Papillomavirus Vaccination in the United States
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States in adults, and although most cases are transient, 10%–20% of infections can persist and progress to various forms of cancer. The HPV vaccine prevents more than 90% of HPV infections and HPV-associated cancers. The vaccine is most effective at preventing all types of HPV-related dysplasia in patients with no prior exposure to HPV. Reasons for decreased compliance include parent-specific factors such as education, safety concerns, absence of professional recommendation, and apprehension about supporting sexual behavior, wherea...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: INFECTIOUS DISEASES Source Type: research

Unindicated Cervical Cancer Screening in Adolescent Females Within a Large Healthcare System in the United States
The increasingly complicated nature of screening guidelines for cervical cancer includes multiple component tests (cytology, genotyping, and high-risk human papilloma virus [HPV] testing) and evolving recommendations. The aim of this study was assessing single-large-healthcare-system trends over time associated with adolescent females and unindicated cervical cancer screening tests. This repeated cross-sectional study analyzed electronic medical records of provider- and patient-specific variables from the Yale New Haven Health System. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: OFFICE GYNECOLOGY Source Type: research

Association Between Enlarged Genital Hiatus and Composite Surgical Failure After Vaginal Hysterectomy With Uterosacral Ligament Suspension
Commonly performed at the time of total vaginal hysterectomy to combat uterovaginal prolapse, uterosacral ligament suspension and sacrospinous ligament fixation are native tissue apical suspensions. Because recurrent pelvic organ prolapse increases over time after apical suspensions, nonmodifiable and modifiable risk factors have been explored. It is suggested by numerous studies that 1 risk factor for recurrent prolapse is an enlarged preoperative and postoperative genital hiatus (GH). An enlarged GH may be indicative of a caudal shift in pelvic viscera, increasing stress on vaginal supports. However, short-term follow-up...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

Cost Effectiveness of Concurrent Midurethral Sling at the Time of Prolapse Repair: Results From a Randomized Controlled Trial
This study aimed to evaluate the 1-year cost-effectiveness of a midurethral sling in the prevention of SUI at the time of prolapse surgery. This assessment was a randomized controlled trial based on patient resource utilization and patient-reported effectiveness. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: GYNECOLOGY: UROGYNECOLOGY Source Type: research

A Systematic Review and Meta-analysis of Cell-Free DNA Testing for Detection of Fetal Sex Chromosome Aneuploidy
Noninvasive prenatal screening has become a valuable tool in detecting a variety of disorders and abnormalities, including sex chromosome aneuploidies (SCAs). The test uses cell-free DNA (cfDNA) analysis to identify risk for chromosomal abnormalities, which can then be more fully investigated using other tests. Much of previous research focused on cfDNA has assessed autosomal aneuploidies, but few studies have specifically focused on SCAs. The aim of this systematic review and meta-analysis was to assess the accuracy of cfDNA testing in identifying SCAs in singleton pregnancies. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: GENETICS Source Type: research

Reclassification of the Etiology of Infant Mortality With Whole-Genome Sequencing
This study aimed to clarify and add to previous literature by examining the relationship between single-locus genetic disease (Mendelian genetic disease) and overall infant mortality. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: GENETICS Source Type: research

Umbilical Cord Milking in Nonvigorous Infants: A Cluster-Randomized Crossover Trial
Approximately 6 million infants each year require resuscitation at birth. Requiring this intervention is associated with higher risk of hypoxic-ischemic encephalopathy (HIE), cerebral palsy, attention-deficit or hyperactive disorder, autism, neonatal stroke, and death. In infants needing resuscitation, optimal cord management is essential to enhance placental transfusion. Delayed cord clamping (DCC) is used to enable placental transfusion in vigorous infants, but in nonvigorous infants—those who are limp, pale, or have minimal or no breathing—early cord clamping (ECC) is recommended. Another intervention for nonvigorou...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: NEONATAL COMPLICATIONS Source Type: research