Association of Medicaid Expansion With Postpartum Depression Treatment in Arkansas
Approximately 1 in 8 individuals experience postpartum depression in the United States. Among them, 17% had their care covered by Medicaid and 10% had their care covered by a commercial payer. Postpartum depression is also more common among American Indian/Alaska Native (22%), Asian/Pacific Islander (19%), and Black (18%) individuals than White individuals (11%). Adverse postpartum health outcomes include reduced maternal quality of life, greater difficulty with social and partner relationships, increased odds of unemployment, and adverse child health outcomes. Effective treatments for postpartum depression include antidep...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: MEDICAL COMPLICATIONS OF PREGNANCY Source Type: research

Contribution of Preterm Birth to Mortality Among Neonates With Birth Defects
This study aimed to clarify the relationship between birth defects, infant mortality, and preterm birth using the population attributable fraction (PAF), examining the mortality risk attributable to preterm birth in infants with birth defects. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: NEWBORN MEDICINE Source Type: research

The Association Between the Number of Vacuum Pop-Offs and Adverse Neonatal Outcomes
Vacuum-assisted vaginal delivery (VAVD) is used to expedite vaginal delivery in cases of an arrest of descent, maternal exhaustion, or concern for fetal well-being. In 2015, the rate of VAVD was greater than the use of forceps in the United States (2.58% vs 0.56%). Several studies have examined various characteristics of vacuum devices, such as cup shape and material, number of pulls, and number of pop-ups, which is defined as the spontaneous dislodgment of the cup from the fetal scalp. Vacuum manufacturers, such as Kiwi and Mityvac, recommend abandoning VAVD as an intervention after 2 or 3 pop-offs; however, the American ...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM Source Type: research

Clinical Utility of sFlt-1 and PlGF in Screening, Prediction, Diagnosis and Monitoring of Pre-eclampsia and Fetal Growth Restriction
This article is a review aiming to summarize current knowledge about PlGF and sFlt-1, their performance, and potential alteration in diagnosis and monitoring of preeclampsia. (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: PRECONCEPTION AND PRENATAL CARE Source Type: research

Aspirin Discontinuation at 24 to 28 Weeks’ Gestation in Pregnancies at High Risk of Preterm Preeclampsia: A Randomized Clinical Trial
Preeclampsia affects up to 4% of pregnancies and is marked by the development of hypertension and proteinuria after 20 weeks of gestation. Complications associated with the disorder include preterm birth, fetal growth restriction, placental abruption, HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome, seizures, and other end organ damage. Aspirin has been shown to reduce the incidence of preterm preeclampsia by 62%. However, it can also lead to peripartum bleeding. Screening for preeclampsia in the first trimester (11 to 13 weeks' gestation) can help identify up to 60% of pregnant individuals who will d...
Source: Obstetrical and Gynecological Survey - August 1, 2023 Category: OBGYN Tags: OBSTETRICS: PRECONCEPTION AND PRENATAL CARE Source Type: research

Effect of Self-Monitoring of Blood Pressure on Diagnosis of Hypertension During Higher-Risk Pregnancy: The BUMP 1 Randomized Clinical Trial
(Abstracted from JAMA 2022;327:1656–1665 (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: OBSTETRICS: MEDICAL COMPLICATIONS OF PREGNANCY Source Type: research

Cme program exam and answer sheet
No abstract available (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: CME PROGRAM EXAM AND ANSWER SHEET Source Type: research

Resurgence of Autologous Fascial Slings in a Challenging Climate for Sling Surgery: A 20-Year Review of Comparative Data
Conclusions Autologous fascial sling and SS are both highly effective surgical procedures for the treatment of female SUI. Although success rates are comparable, AFS is associated with less favorable operative measures. Relevance This review supports the effectiveness of AFS in treating female SUI as concerns over the use of synthetic materials in vaginal surgery rise. However, clinicians must weigh the risks conferred by this nonsynthetic alternative. Target Audience Obstetricians and gynecologists, family physicians Learning Objectives After participating in this activity, the learner should be b...
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: CME ARTICLES Source Type: research

Fetal Omphalocele: Review of Predictive Factors Important for Antenatal Counseling?
Conclusions and Relevance A multidisciplinary approach should be encouraged after the diagnosis of fetal omphalocele. In addition to clinical team experience, antenatal counseling should be based on objective and gestational age-dependent criteria and should include long-term outcomes. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After completing this activity, the learner should be better able to propose management of antenatal investigations and fetal surveillance; identify antenatal factors predictive of fetal and neonatal outcomes; and explain the different a...
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: CME ARTICLES Source Type: research

Postpartum Hemorrhage: A Comprehensive Review of Guidelines
Conclusions Postpartum hemorrhage is a significant contributor of maternal morbidity and mortality. Thus, the development of consistent international practice protocols for the effective management and prevention of this major complication seems of paramount importance and will hopefully improve obstetric outcomes and especially maternal mortality rate. Target Audience Obstetricians and gynecologists, family physicians. Learning Objectives After participating in this activity, the learner should be better able to explain the definition of postpartum hemorrhage, as well as the initial maternal evaluation; ...
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: CME ARTICLES Source Type: research

Expectant vs Medical Management for Retained Products of Conception After Medical Termination of Pregnancy: A Randomized Controlled Study
(Abstracted from Am J Obstet Gynecol 2022;227:599.e1–599.e9) (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: GYNECOLOGY: CONTRACEPTION Source Type: research

Fifteen Years of Autologous Oocyte Thaw Outcomes From a Large University-Based Fertility Center
(Abstracted from Fertil Steril 2022;118:158–166) (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: GYNECOLOGY: INFERTILITY/REPRODUCTIVE TECHNOLOGIES Source Type: research

Replication Stress Impairs Chromosome Segregation and Preimplantation Development in Human Embryos
(Abstracted from Cell 2022;185:2988.e20–3007.e20) (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: GYNECOLOGY: GENETICS Source Type: research

Obesity and Gynecological Cancers: A Toxic Relationship
(Abstracted from Int J Gynecol Obstet 2021;155(suppl 1):123–134) (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research

Modification of the Association Between Frequent Aspirin Use and Ovarian Cancer Risk: A Meta-Analysis Using Individual-Level Data From Two Ovarian Cancer Consortia
(Abstracted from J Clin Oncol 2022; doi: 10.1200/JCO.21.01900) (Source: Obstetrical and Gynecological Survey)
Source: Obstetrical and Gynecological Survey - November 1, 2022 Category: OBGYN Tags: GYNECOLOGY: GYNECOLOGIC ONCOLOGY Source Type: research