Economics of Fertility Care
Family building is a human right. The high cost and lack of insurance coverage associated with fertility treatments in the United States have made treatment inaccessible for many patients. The universal uptake of “add-on” services has further contributed to high out-of-pocket costs. Expansion in access to infertility care has occurred in several states through implementation of insurance mandates, and more employers are offering fertility benefits to attract and retain employees. An understanding of the economic issues shaping fertility should inform future policies aimed at promoting evidence-based practices and impro...
Source: Obstetrics and Gynecology Clinics - September 22, 2023 Category: OBGYN Authors: Benjamin J. Peipert, Sloane Mebane, Maxwell Edmonds, Lester Watch, Tarun Jain Source Type: research
Contemporary Management of the Patient with Polycystic Ovary Syndrome
Polycystic ovary syndrome (PCOS) is a complex syndrome that affects menstrual regularity, causes hyperandrogenism, increases the risk of metabolic dysfunction and infertility, and is associated with higher rates of mental health disorders. The symptoms of PCOS are unique to each individual and will evolve throughout their reproductive lifespan and beyond. Thus, care should be personalized and provided by an appropriate team of multidisciplinary physicians and clinicians, such as dieticians and psychologists. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - September 15, 2023 Category: OBGYN Authors: Nicol ás Omar Francone, Tia Ramirez, Christina E. Boots Source Type: research
Planned Oocyte Cryopreservation
Although oocyte cryopreservation was initially used as a fertility preservation strategy for medical indications, it is now is increasingly used to circumvent age-related infertility. Outcomes following planned oocyte vitrification, also known as elective egg freezing, are limited. Current studies show higher success rates for individuals undergoing fertility preservation treatment under age 35. Additionally, while freezing 20 oocytes is optimal to achieve pregnancy, freezing at least 8-10 oocytes is recommended. While fertility is not guaranteed, current evidence demonstrates that planned oocyte vitrification is an overal...
Source: Obstetrics and Gynecology Clinics - September 7, 2023 Category: OBGYN Authors: Bonnie B. Song, Molly M. Quinn Source Type: research
Male Factor Infertility
Male factor infertility plays a role in approximately 30% of infertility cases. Various causes of male factor infertility exist including congenital, acquired, idiopathic, or environmental factors. Identifying the underlying etiology of male factor infertility is a key step toward providing appropriate counseling, effective treatment options, and improving outcomes for couples with infertility. Although the recent advances and developments in assisted reproductive technology have undoubtedly improved fertility outcomes, clinicians must understand the scope of reproductive urologists in the evaluation and treatment of male ...
Source: Obstetrics and Gynecology Clinics - September 1, 2023 Category: OBGYN Authors: Nihar Rama, Hernan Lescay, Omer Raheem Source Type: research
Prenatal Care: New Perspectives About an Often Used Health Service
Formal prenatal care began nearly a century ago and has remained one of the most often used health services. Women in the United States who eventually deliver with no prenatal care are rare. However, 10% of African American and 7.7 % of Hispanic women have higher rates of inadequate or no prenatal care. This issue of Obstetrics and Gynecology Clinics of North America pertains to the essential need of obstetricians and their coclinicians to reexamine their practices of prenatal care. Originally published in 2008, the issue has been updated and reedited by Sharon T. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Authors: William F. Rayburn Tags: Foreword Source Type: research
Prenatal Care
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Authors: Sharon T. Phelan Source Type: research
Copyright
Elsevier (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Source Type: research
Contributors
WILLIAM F. RAYBURN, MD, MBA (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Source Type: research
Contents
William F. Rayburn (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Source Type: research
Forthcoming Issues
Reproductive Endocrinology and Infertility (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - July 26, 2023 Category: OBGYN Source Type: research
Systemic Oppression, the Impact on Obstetric Care, and Interventions to Achieve Ideal Obstetric Outcomes
Systemic oppression contributes to adverse obstetric outcomes. It is possible to interrupt these adverse outcomes and achieve ideal patient outcomes by learning about our participation in oppression. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - June 9, 2023 Category: OBGYN Authors: Mariam Savabi Source Type: research
Prenatal Counseling and Preparation for Breastfeeding
Breastfeeding is the gold standard of infant nutrition and current guidelines suggest exclusive breastfeeding for 6 months, with continued breastfeeding through 24 months or beyond. Obstetric care professionals can encourage and educate their patients about breastfeeding through the prenatal period when many expectant parents make decisions about their infant feeding choices. Education and support should exten d through the postpartum period and include parents who may have concerns surrounding medical comorbidities, breast augmentation, or substance use disorders. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 25, 2023 Category: OBGYN Authors: Margarita Berwick, Adetola F. Louis-Jacques Source Type: research
Vaginal Bleeding Before 20 Weeks Gestation
Conditions that often present with vaginal bleeding before 20 weeks are common and can cause morbidity and mortality. Clinically stable patients can choose their management options. Clinically unstable patients require urgent procedural management: uterine aspiration, dilation and evacuation, or surgical removal of an ectopic pregnancy. Septic abortion requi res prompt procedural management, intravenous antibiotics, and intravenous fluids. Available data on prognosis with expectant management of pre-viable rupture of membranes in the United States are poor for mothers and fetuses. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 20, 2023 Category: OBGYN Authors: Brenna Banwarth-Kuhn, Miriam McQuade, Jamie W. Krashin Source Type: research
Updates on Evaluation and Treatment of Common Complaints in Pregnancy
Patients experience many new and concerning symptoms during pregnancy and it is the role of the obstetric clinician to provide appropriate guidance, recommendations, and treatment options. Often times, these symptoms are related to hormonal and physiologic changes that occur and will resolve in the postpartum period. However, clinicians must be able to recognize more concerning pathologic symptoms that require further evaluation and treatment. This review provides updates on the evaluation and management of some of the common symptoms during pregnancy. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 12, 2023 Category: OBGYN Authors: Brenna McGuire Source Type: research
Advances and Changes in the Components of Prenatal Care
Over the past couple of decades, there is more appreciation of the limitations and challenges of the “traditional” components of prenatal care. New testing activities, both laboratory and imaging, were tacked on to the original prenatal care schedule that was developed before 1950. Few researchers attempted a critical review of the logistics and content of prenatal care. (Source: Obstetrics and Gynecology Clinics)
Source: Obstetrics and Gynecology Clinics - May 8, 2023 Category: OBGYN Authors: Sharon Theresa Phelan Tags: Preface Source Type: research
