Disparities in Access to High-Volume Surgeons Within High-Volume Hospitals for Hysterectomy
Obstet Gynecol. 2021 Nov 1;138(5):819. doi: 10.1097/AOG.0000000000004585.NO ABSTRACTPMID:34673736 | DOI:10.1097/AOG.0000000000004585 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 21, 2021 Category: OBGYN Authors: Caroline C Elbaum John A Harris Source Type: research

In Reply
Obstet Gynecol. 2021 Nov 1;138(5):819-820. doi: 10.1097/AOG.0000000000004586.NO ABSTRACTPMID:34673737 | DOI:10.1097/AOG.0000000000004586 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 21, 2021 Category: OBGYN Authors: Anne Knisely Jason D Wright Source Type: research

Promoting Diversity, Equity, and Inclusion in the Selection of Obstetrician-Gynecologists
Obstet Gynecol. 2021 Nov 1;138(5):820. doi: 10.1097/AOG.0000000000004588.NO ABSTRACTPMID:34673738 | DOI:10.1097/AOG.0000000000004588 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 21, 2021 Category: OBGYN Authors: Claudia L L ópez Melissa J Chen Source Type: research

In Reply
Obstet Gynecol. 2021 Nov 1;138(5):820-821. doi: 10.1097/AOG.0000000000004587.NO ABSTRACTPMID:34673739 | DOI:10.1097/AOG.0000000000004587 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 21, 2021 Category: OBGYN Authors: Helen Kang Morgan Maya M Hammoud Abigail Ford Winkel Source Type: research

ACOG Publications: November 2021
Obstet Gynecol. 2021 Nov 1;138(5):822-823. doi: 10.1097/AOG.0000000000004580.NO ABSTRACTPMID:34673740 | DOI:10.1097/AOG.0000000000004580 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 21, 2021 Category: OBGYN Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients
Obstet Gynecol. 2021 Oct 13. doi: 10.1097/AOG.0000000000004621. Online ahead of print.NO ABSTRACTPMID:34644272 | DOI:10.1097/AOG.0000000000004621 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 13, 2021 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Harsheen K Chawla Priya Puri Frank B Williams Source Type: research

Postpartum Heparin Thromboprophylaxis: More Harm Than Good
Obstet Gynecol. 2021 Oct 1;138(4):527-529. doi: 10.1097/AOG.0000000000004554.NO ABSTRACTPMID:34623064 | PMC:PMC8454497 | DOI:10.1097/AOG.0000000000004554 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Andrew Kotaska Source Type: research

Evaluation of a Risk-Stratified, Heparin-Based, Obstetric Thromboprophylaxis Protocol
Obstet Gynecol. 2021 Oct 1;138(4):530-538. doi: 10.1097/AOG.0000000000004521.ABSTRACTOBJECTIVE: To evaluate outcomes before and after implementation of a risk-stratified heparin-based obstetric thromboprophylaxis protocol.METHODS: We performed a retrospective cohort study of all patients who delivered at our tertiary care center from 2013 to 2018. Deliveries were categorized as preprotocol (2013-2015; no standardized heparin-based thromboprophylaxis) and postprotocol (2016-2018). Patients receiving outpatient anticoagulation for active venous thromboembolism (VTE) or high VTE risk were excluded. Coprimary effectiveness and...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Michelle Y Lu Christina T Blanchard Elizabeth B Ausbeck Kacie R Oglesby Margaret R Page Allison J Lazenby Gabriella D Cozzi Rodrigo D Mu ñoz Rogers Elisa T Bushman Elle R Kaplan Martha F Ruzic Mythreyi Mahalingam Sarah Dunk Macie Champion Brian M Casey A Source Type: research

Causes of Maternal Mortality in Rwanda, 2017-2019
CONCLUSION: Maternal death due to sepsis remain a major cause of maternal deaths in Rwanda. Infection prevention and the early diagnosis and management of sepsis must be a priority in reducing maternal mortality.PMID:34623066 | DOI:10.1097/AOG.0000000000004534 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Stephen Rulisa Polyphile Ntihinyurwa David Ntirushwa Andrew Wong Adeyemi Olufolabi Source Type: research

Stepwise Approach to the Management of Endometriosis-Related Dysmenorrhea: A Cost-Effectiveness Analysis
CONCLUSION: All sequential medical and surgical management strategies for endometriosis-related dysmenorrhea were cost effective when compared with surgery alone. A trial of hormonal management after NSAIDs, before proceeding to surgery, may provide cost savings. Delaying surgical management in an individual with pain refractory to more than three medications may decrease quality of life and increase cost.PMID:34623067 | DOI:10.1097/AOG.0000000000004536 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Jacqueline A Bohn Kimberley A Bullard Maria I Rodriguez Amanda M Ecker Source Type: research

Outcomes of the First Pregnancy After Fertility-Sparing Surgery for Early-Stage Cervical Cancer
CONCLUSION: In a population-based cohort, patients who conceived after surgery for cervical cancer had higher odds of preterm delivery compared with control groups.PMID:34623068 | DOI:10.1097/AOG.0000000000004532 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Roni Nitecki Jessica Floyd Kelly Lamiman Mark A Clapp Shuangshuang Fu Kirsten Jorgensen Alexander Melamed Paula C Brady Anjali Kaimal Marcela G Del Carmen Terri L Woodard Larissa A Meyer Sharon H Giordano Pedro T Ramirez J Alejandro Rauh-Hain Source Type: research

The Role of Subcutaneous Depot Medroxyprogesterone Acetate in Equitable Contraceptive Care: A Lesson From the Coronavirus Disease 2019 (COVID-19) Pandemic
Obstet Gynecol. 2021 Oct 1;138(4):574-577. doi: 10.1097/AOG.0000000000004524.ABSTRACTSince the beginning of the coronavirus disease 2019 (COVID-19) pandemic, health care professionals have made swift accommodations to provide consistent and safe care, including emphasizing remote access to allow physical distancing. Depot medroxyprogesterone acetate intramuscular injection (DMPA-IM) prescription is typically administered by a health care professional, whereas DMPA-subcutaneous has the potential to be safely self-injected by patients, avoiding contact with a health care professional. However, DMPA-subcutaneous is rarely pre...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Audrey M Burlando Anne N Flynn Sarah Gutman Arden McAllister Andrea H Roe Courtney A Schreiber Sarita Sonalkar Source Type: research

Website Review of Variation in Individual State Medicaid Sterilization Policies
Obstet Gynecol. 2021 Oct 1;138(4):578-579. doi: 10.1097/AOG.0000000000004537.ABSTRACTThere is variation of availability and policy details on each state Medicaid office’s website regarding the Medicaid sterilization policy.PMID:34623070 | PMC:PMC8514051 | DOI:10.1097/AOG.0000000000004537 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Heather Bouma-Johnston Kavita Shah Arora Source Type: research

Invasive Cervical Cancer After a Positive Pap Test Result and Negative Human Papillomavirus Test Result
Obstet Gynecol. 2021 Oct 1;138(4):580-581. doi: 10.1097/AOG.0000000000004543.NO ABSTRACTPMID:34623071 | DOI:10.1097/AOG.0000000000004543 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Alexander Locke Nina R Shah Barbara Fetterman Nancy Poitras Soora Wi Philip E Castle Nicolas Wentzensen Walter Kinney Megan A Clarke Thomas Lorey Source Type: research

Reduction in Cesarean Delivery Rates Associated With a State Quality Collaborative in Maryland
Obstet Gynecol. 2021 Oct 1;138(4):583-592. doi: 10.1097/AOG.0000000000004540.ABSTRACTOBJECTIVE: To assess the extent to which hospitals participating in the MDPQC (Maryland Perinatal-Neonatal Quality Care Collaborative) to reduce primary cesarean deliveries adopted policy and practice changes and the association of this adoption with state-level cesarean delivery rates.METHODS: This prospective evaluation of the MDPQC includes 31 (97%) of the birthing hospitals in the state, which all voluntarily participated in the 30-month collaborative from June 2016 to December 2018. Hospital teams agreed to implement practices from th...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Jennifer A Callaghan-Koru Bonnie DiPietro Inaya Wahid Katrina Mark Ann B Burke Geoffrey Curran Andreea A Creanga Source Type: research

Evaluation of Respiratory Emissions During Labor and Delivery: Potential Implications for Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
CONCLUSION: Labor and vaginal delivery increase the propagation of respiratory emissions that may increase risk of respiratory transmission of SARS-CoV-2.PMID:34623073 | PMC:PMC8462302 | DOI:10.1097/AOG.0000000000004533 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Thalia Mok Elijah Harris Andres Vargas Yalda Afshar Christina S Han Ann Karagozian Rashmi Rao Source Type: research

Neonatal Outcomes After Delivery in Water
CONCLUSION: In this cohort of low-risk pregnant women, births in water and on land were associated with similar rates of admission to the NICU.PMID:34623074 | DOI:10.1097/AOG.0000000000004545 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Ariel L Lanier Samantha L Wiegand Kathleen Fennig E Kaye Snow Rose A Maxwell David McKenna Source Type: research

Evaluation of an Initiative to Decrease the Use of Oxygen Supplementation for Category II Fetal Heart Rate Tracings
Obstet Gynecol. 2021 Oct 1;138(4):627-632. doi: 10.1097/AOG.0000000000004544.ABSTRACTOBJECTIVE: To examine compliance with a guideline to reduce exposure to supplemental oxygen for category II fetal heart rate (FHR) tracings in normally oxygenated laboring patients.METHODS: All patients in labor in an urban academic medical center from January 1 to July 31, 2020 were assessed. The preintervention group included those who delivered from January 1 to March 19, 2020. On March 20, 2020, a new guideline took effect that recommended no maternal supplemental oxygen for category II FHR tracings. The postintervention group delivere...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Julia E Burd Kathryn Anderson Vincenzo Berghella Daniel G Duncan Jason K Baxter Johanna Quist-Nelson Source Type: research

Associations Between Maternal Depression, Antidepressant Use During Pregnancy, and Adverse Pregnancy Outcomes: An Individual Participant Data Meta-analysis
CONCLUSION: Depressive symptoms or a clinical diagnosis of depression during pregnancy are associated with preterm birth and low Apgar scores, even without exposure to antidepressants. However, SSRIs may be independently associated with preterm birth and low Apgar scores.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42016035711.PMID:34623076 | DOI:10.1097/AOG.0000000000004538 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Richelle Vlenterie Marleen M H J van Gelder H Ross Anderson Liselott Andersson Birit F P Broekman Gal Dubnov-Raz Hanan El Marroun Ema Ferreira Emma Fransson Frank M M A van der Heijden Claudia B Holzman J Jo Kim Ali S Khashan Betty R Kirkwood Harold J H K Source Type: research

Retrograde Bladder Filling After Outpatient Gynecologic Surgery: A Systematic Review and Meta-analysis
CONCLUSION: Retrofilling the bladder in the operating room after outpatient gynecologic surgery modestly reduces the time to first void and discharge with no increase in adverse events.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42020203692.PMID:34623077 | DOI:10.1097/AOG.0000000000004541 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Peter S Thiel Siddhi Mathur Andrew Zakhari John Matelski Chris Walsh Ally Murji Source Type: research

Home Induction of Buprenorphine for Treatment of Opioid Use Disorder in Pregnancy
Obstet Gynecol. 2021 Oct 1;138(4):655-659. doi: 10.1097/AOG.0000000000004539.NO ABSTRACTPMID:34623078 | DOI:10.1097/AOG.0000000000004539 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Jeannie C Kelly Nandini Raghuraman Molly J Stout Sharman Russell Marta Perez Sarah Nazeer Nicole El Helou Fan Zhang Ebony Carter Source Type: research

Iron Deficiency Anemia in Pregnancy
Obstet Gynecol. 2021 Oct 1;138(4):663-674. doi: 10.1097/AOG.0000000000004559.ABSTRACTAnemia is defined as a low red blood cell count, a low hematocrit, or a low hemoglobin concentration. In pregnancy, a hemoglobin concentration of less than 11.0 g/dL in the first trimester and less than 10.5 or 11.0 g/dL in the second or third trimester (depending on the guideline used) is considered anemia. Anemia is the most common hematologic abnormality in pregnancy. Maternal anemia is associated with adverse fetal, neonatal and childhood outcomes, but causality is not established. Maternal anemia increases the likelihood of transfusio...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Andra H James Source Type: research

Cochrane Review Summaries-October 2021
Obstet Gynecol. 2021 Oct 1;138(4):675-677. doi: 10.1097/AOG.0000000000004551.ABSTRACTIn this month's issue, the journal continues to bring new insights from Cochrane Systematic Reviews to the readers of Obstetrics & Gynecology. This month, we highlight a review of low-dose oral misoprostol for labor induction, strategies to increase continuation of shorter-term hormonal contraception, and early postnatal discharge. The summaries are published below. The complete references with hyperlinks are listed in Box 1.PMID:34623080 | DOI:10.1097/AOG.0000000000004551 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Bachar Hadaie David M Haas Source Type: research

Connect the Dots-October 2021
Obstet Gynecol. 2021 Oct 1;138(4):678-679. doi: 10.1097/AOG.0000000000004550.NO ABSTRACTPMID:34623081 | DOI:10.1097/AOG.0000000000004550 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Samantha B Kaiser Aimee Morrison Christine Boyajian Dwight J Rouse Source Type: research

Pain Associated With Cervical Priming for First-Trimester Surgical Abortion: A Randomized Controlled Trial
Obstet Gynecol. 2021 Oct 1;138(4):680. doi: 10.1097/AOG.0000000000004552.NO ABSTRACTPMID:34623082 | DOI:10.1097/AOG.0000000000004552 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Mitchell D Creinin Source Type: research

Perinatal Outcomes of Two Screening Strategies for Gestational Diabetes Mellitus
Obstet Gynecol. 2021 Oct 1;138(4):680-681. doi: 10.1097/AOG.0000000000004553.NO ABSTRACTPMID:34623083 | DOI:10.1097/AOG.0000000000004553 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Donald R Coustan Alan R Dyer Boyd E Metzger Source Type: research

Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions: A Randomized Controlled Trial
Obstet Gynecol. 2021 Oct 1;138(4):681. doi: 10.1097/AOG.0000000000004555.NO ABSTRACTPMID:34623084 | DOI:10.1097/AOG.0000000000004555 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Yves-G érard Durand Maud Vachette David Desseauve Source Type: research

In Reply
Obstet Gynecol. 2021 Oct 1;138(4):681-682. doi: 10.1097/AOG.0000000000004556.NO ABSTRACTPMID:34623085 | DOI:10.1097/AOG.0000000000004556 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Caroline Verhaeghe Romain Corroenne Andrew Spiers Philippe Descamps G éraldine Gascoin Pierre-Emmanuel Bouet Elsa Parot-Schinkel Guillaume Legendre Source Type: research

ACOG Practice Bulletin No. 228: Management of Symptomatic Uterine Leiomyomas: Correction
Obstet Gynecol. 2021 Oct 1;138(4):683. doi: 10.1097/AOG.0000000000004557.NO ABSTRACTPMID:34623086 | DOI:10.1097/AOG.0000000000004557 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Source Type: research

ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period: Correction
Obstet Gynecol. 2021 Oct 1;138(4):683. doi: 10.1097/AOG.0000000000004558.NO ABSTRACTPMID:34623087 | DOI:10.1097/AOG.0000000000004558 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Source Type: research

ACOG Publications: October 2021
Obstet Gynecol. 2021 Oct 1;138(4):686-687. doi: 10.1097/AOG.0000000000004546.NO ABSTRACTPMID:34623088 | DOI:10.1097/AOG.0000000000004546 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Source Type: research

Complementary and Integrative Approaches in Obstetrics and Gynecology: Clinical Updates In Women's Health Care Primary and Preventive Care Review
Obstet Gynecol. 2021 Oct 1;138(4):687. doi: 10.1097/AOG.0000000000004482.ABSTRACTIntegrative medicine is a holistic approach to health care that acknowledges multiple dimensions of health, including its physical, emotional, and spiritual aspects. It approaches health not just as absence of disease but as a state of optimal vitality, and utilizes all appropriate evidence-based modalities, including lifestyle interventions, complementary treatments, and conventional allopathic methods, in one paradigm. Utilization of non-conventional therapies by women and interest in integrative care is very high. Much disinformation exists...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Anna Barbieri Suzanne Fenske Source Type: research

Presidential Task Force Summary: Revisit the Visit: Leveraging Access and Trust To Prevent Chronic Disease Through Personalized Care
Obstet Gynecol. 2021 Oct 1;138(4):688-690. doi: 10.1097/AOG.0000000000004542.NO ABSTRACTPMID:34623090 | DOI:10.1097/AOG.0000000000004542 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Erin A Keyser Luu Ireland Katie McHugh Diana Ramos Nancy E O'Reilly Mary L Rosser Source Type: research

Postpartum Heparin Thromboprophylaxis: More Harm Than Good
Obstet Gynecol. 2021 Oct 1;138(4):527-529. doi: 10.1097/AOG.0000000000004554.NO ABSTRACTPMID:34623064 | PMC:PMC8454497 | DOI:10.1097/AOG.0000000000004554 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Andrew Kotaska Source Type: research

Evaluation of a Risk-Stratified, Heparin-Based, Obstetric Thromboprophylaxis Protocol
Obstet Gynecol. 2021 Oct 1;138(4):530-538. doi: 10.1097/AOG.0000000000004521.ABSTRACTOBJECTIVE: To evaluate outcomes before and after implementation of a risk-stratified heparin-based obstetric thromboprophylaxis protocol.METHODS: We performed a retrospective cohort study of all patients who delivered at our tertiary care center from 2013 to 2018. Deliveries were categorized as preprotocol (2013-2015; no standardized heparin-based thromboprophylaxis) and postprotocol (2016-2018). Patients receiving outpatient anticoagulation for active venous thromboembolism (VTE) or high VTE risk were excluded. Coprimary effectiveness and...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Michelle Y Lu Christina T Blanchard Elizabeth B Ausbeck Kacie R Oglesby Margaret R Page Allison J Lazenby Gabriella D Cozzi Rodrigo D Mu ñoz Rogers Elisa T Bushman Elle R Kaplan Martha F Ruzic Mythreyi Mahalingam Sarah Dunk Macie Champion Brian M Casey A Source Type: research

Causes of Maternal Mortality in Rwanda, 2017-2019
CONCLUSION: Maternal death due to sepsis remain a major cause of maternal deaths in Rwanda. Infection prevention and the early diagnosis and management of sepsis must be a priority in reducing maternal mortality.PMID:34623066 | DOI:10.1097/AOG.0000000000004534 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Stephen Rulisa Polyphile Ntihinyurwa David Ntirushwa Andrew Wong Adeyemi Olufolabi Source Type: research

Stepwise Approach to the Management of Endometriosis-Related Dysmenorrhea: A Cost-Effectiveness Analysis
CONCLUSION: All sequential medical and surgical management strategies for endometriosis-related dysmenorrhea were cost effective when compared with surgery alone. A trial of hormonal management after NSAIDs, before proceeding to surgery, may provide cost savings. Delaying surgical management in an individual with pain refractory to more than three medications may decrease quality of life and increase cost.PMID:34623067 | DOI:10.1097/AOG.0000000000004536 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Jacqueline A Bohn Kimberley A Bullard Maria I Rodriguez Amanda M Ecker Source Type: research

Outcomes of the First Pregnancy After Fertility-Sparing Surgery for Early-Stage Cervical Cancer
CONCLUSION: In a population-based cohort, patients who conceived after surgery for cervical cancer had higher odds of preterm delivery compared with control groups.PMID:34623068 | DOI:10.1097/AOG.0000000000004532 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Roni Nitecki Jessica Floyd Kelly Lamiman Mark A Clapp Shuangshuang Fu Kirsten Jorgensen Alexander Melamed Paula C Brady Anjali Kaimal Marcela G Del Carmen Terri L Woodard Larissa A Meyer Sharon H Giordano Pedro T Ramirez J Alejandro Rauh-Hain Source Type: research

The Role of Subcutaneous Depot Medroxyprogesterone Acetate in Equitable Contraceptive Care: A Lesson From the Coronavirus Disease 2019 (COVID-19) Pandemic
Obstet Gynecol. 2021 Oct 1;138(4):574-577. doi: 10.1097/AOG.0000000000004524.ABSTRACTSince the beginning of the coronavirus disease 2019 (COVID-19) pandemic, health care professionals have made swift accommodations to provide consistent and safe care, including emphasizing remote access to allow physical distancing. Depot medroxyprogesterone acetate intramuscular injection (DMPA-IM) prescription is typically administered by a health care professional, whereas DMPA-subcutaneous has the potential to be safely self-injected by patients, avoiding contact with a health care professional. However, DMPA-subcutaneous is rarely pre...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Audrey M Burlando Anne N Flynn Sarah Gutman Arden McAllister Andrea H Roe Courtney A Schreiber Sarita Sonalkar Source Type: research

Website Review of Variation in Individual State Medicaid Sterilization Policies
Obstet Gynecol. 2021 Oct 1;138(4):578-579. doi: 10.1097/AOG.0000000000004537.NO ABSTRACTPMID:34623070 | DOI:10.1097/AOG.0000000000004537 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Heather Bouma-Johnston Kavita Shah Arora Source Type: research

Invasive Cervical Cancer After a Positive Pap Test Result and Negative Human Papillomavirus Test Result
Obstet Gynecol. 2021 Oct 1;138(4):580-581. doi: 10.1097/AOG.0000000000004543.NO ABSTRACTPMID:34623071 | DOI:10.1097/AOG.0000000000004543 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Alexander Locke Nina R Shah Barbara Fetterman Nancy Poitras Soora Wi Philip E Castle Nicolas Wentzensen Walter Kinney Megan A Clarke Thomas Lorey Source Type: research

Reduction in Cesarean Delivery Rates Associated With a State Quality Collaborative in Maryland
Obstet Gynecol. 2021 Oct 1;138(4):583-592. doi: 10.1097/AOG.0000000000004540.ABSTRACTOBJECTIVE: To assess the extent to which hospitals participating in the MDPQC (Maryland Perinatal-Neonatal Quality Care Collaborative) to reduce primary cesarean deliveries adopted policy and practice changes and the association of this adoption with state-level cesarean delivery rates.METHODS: This prospective evaluation of the MDPQC includes 31 (97%) of the birthing hospitals in the state, which all voluntarily participated in the 30-month collaborative from June 2016 to December 2018. Hospital teams agreed to implement practices from th...
Source: Obstetrics and Gynecology - October 8, 2021 Category: OBGYN Authors: Jennifer A Callaghan-Koru Bonnie DiPietro Inaya Wahid Katrina Mark Ann B Burke Geoffrey Curran Andreea A Creanga Source Type: research