Obstetric and Gynecologic Care for Individuals with Disabilities
This article explores the inequities experienced by individuals with disabilities when accessing obstetric and gynecologic care. The unique needs, abilities, and barriers to care are reviewed, as well as recommendations for provision of care to people with disabilities. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - November 29, 2023 Category: OBGYN Authors: Kathleen E. O ’Brien, Monica Woll Rosen, Susan Dwyer Ernst Source Type: research
Substance Use in Pregnancy and Its Impact on Communities of Color
Stigma toward pregnant and postpartum people who use drugs is common and seeks to define addiction as a moral weakness rather than a chronic medical illness that requires resources and treatment. More concerning is the additive impact of substance use and racial discrimination, whose intersections present particularly challenging circumstances. In this article, the authors review the history of substance use in the United States and focus on 3 substances of abuse that illustrate the inequity faced by pregnant person of color who use drugs. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - November 29, 2023 Category: OBGYN Authors: Leah Habersham, Joshua George, Courtney D. Townsel Source Type: research
Caring for Muslim Patients
Studies show that Muslim American patients experience discrimination and feel uncomfortable seeking appropriate health care for various reasons. Obstetrician-gynecologists should be educated regarding Islamic perspectives on topics such as modesty, sexual health, contraception, abortion, infertility, and fasting during pregnancy. Understanding the barriers Muslim patients face and improving cultural humility will improve the quality of sexual and reproductive care delivered to Muslim patients. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - November 21, 2023 Category: OBGYN Authors: Sarrah Shahawy, Lobna Raya, Leen Al Kassab Source Type: research
Primary Ovarian Insufficiency and Ovarian Aging
Primary ovarian insufficiency (POI) is a complex condition of aberrant ovarian aging. POI etiologies are varied, and most cases have no identifiable underlying cause. Caring for women with POI requires an approach that understands the importance of ovarian function in a variety of target organs and tissues. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Authors: Lauren Verrilli Source Type: research
The Future of Fertility Care
Infertility is estimated to affect one in six reproductive-aged couples globally. It is critical that obstetrics and gynecology (OB/GYN) providers are aware of infertility conditions that may impact their patients and what treatments may be available to them. The field of infertility care continues to rapidly evolve; in this issue, readers will be exposed to the breadth and depth of improvements to infertility knowledge and care. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Authors: Amanda J. Adeleye, Alberuni Musa Zamah Tags: Preface Source Type: research
Reproductive Endocrinology And Infertility
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Authors: Amanda J. Adeleye, Alberuni Musa Zamah Source Type: research
Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Source Type: research
Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Source Type: research
Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Source Type: research
Forthcoming Issues
Diversity, Equity, and Inclusion in Obstetrics and Gynecology (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Source Type: research
Addressing the Increased Demand for Fertility Services
More than 10 years ago, Obstetrics and Gynecology Clinics of North America published an issue pertaining to medical and surgical management of common fertility issues. Since that time, demand for infertility services has grown owing to several reasons. Increased access to fertility services, a growing population, and improving success with assisted reproductive technologies (ARTs) come to mind. This increased need has led to an update on infertility, as coedited by Amanda Adeleye, MD and Alberuni Musa Zamah, MD, PhD from the University of Chicago. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 31, 2023 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research
Progress on the Endometrium
The endometrium is a dynamic tissue that facilitates mammalian internal reproduction and thus, the ability to deliver live born progeny that are more easily protected from predators. This tissue is unique in its ability to undergo cyclic regeneration and destruction in the absence of pregnancy. Ovarian steroids guide endometrial proliferation and maturation promoting its receptivity and selectivity with regards to blastocyst implantation. It is decidualization, terminal stromal maturation, that prevents the trophoblast from breeching containment of the uterus and allows for endometrial sloughing should pregnancy not occur....
Source: Obstetrics and Gynecology Clinics - October 7, 2023 Category: OBGYN Authors: David Frankfurter, Harvey Kliman Source Type: research
Fibroids and Fertility
This article provides an exhaustive discussion of uterine fibroids, including pathophysiology, their impact on endometrial function, receptivity, fertility, and pregnancy outcomes, and the management of infertility in patients with uterine fibroids. It underlines the critical role of uterine fibroids in women's reproductive health, emphasizing the importance of effective diagnosis and treatment to promote fertility and improve pregnancy outcomes. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 3, 2023 Category: OBGYN Authors: Samar Alkhrait, Iana Malasevskaia, Obianuju Sandra Madueke-Laveaux Source Type: research
Breaking Down Barriers
Infertility can affect all people, regardless of race, ethnicity, or socioeconomic status. Barriers to quality fertility care include access, financial limitations, education, and social stigmas. Although racial disparities in outcomes of assisted reproductive technology can be largely attributed to the influences of systemic racism (not race), we can make changes to improve equity of care. We propose strategies in the areas of advocacy, clinical setting, community, and outcomes to address the racial disparities. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - October 3, 2023 Category: OBGYN Authors: Aileen Portugal, Alyssa K. Kosturakis, Ticara L. Onyewuenyi, Greysha Rivera-Cruz, Patricia T. Jimenez Source Type: research
The Role of Artificial Intelligence and Machine Learning in Assisted Reproductive Technologies
Artificial intelligence (AI) and machine learning, the form most commonly used in medicine, offer powerful tools utilizing the strengths of large data sets and intelligent algorithms. These systems can help to revolutionize delivery of treatments, access to medical care, and improvement of outcomes, particularly in the realm of reproductive medicine. Whether that is more robust oocyte and embryo grading or more accurate follicular measurement, AI will be able to aid clinicians, and most importantly patients, in providing the best possible and individualized care. However, despite all of the potential strengths of AI, algor...
Source: Obstetrics and Gynecology Clinics - September 29, 2023 Category: OBGYN Authors: Victoria S. Jiang, Zoran J. Pavlovic, Eduardo Hariton Source Type: research
