Unshackled, but Still Bound: An Exploration of Racism in Medicine.
PMID: 33030859 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Griffin A Tags: Obstet Gynecol Source Type: research

Birth Behind Bars: The Need for Labor Support in the Incarcerated Population.
Abstract The population of women within carceral systems is growing rapidly. A portion of these individuals are pregnant and will deliver while incarcerated. Although shackling laws for pregnant persons have improved, incarcerated patients are forced to labor without the support of anyone but a carceral officer and their medical staff. We believe access to continuous labor support is critical for all pregnant persons. Carceral systems and their affiliated hospitals have the opportunity to change policies to reflect that continuous labor support is a basic human right and should be permitted for incarcerated pregna...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Dahl CM, Geynisman-Tan JM, Premkumar A Tags: Obstet Gynecol Source Type: research

Wireless Laparoscopy in the 2020s: State-of-the-Art Technology in Surgery.
CONCLUSION: This report presents the use of a wireless camera throughout the course of a laparoscopic surgery, and the results are promising. The new systems' favorable characteristics, such as wireless signal transmission, cost, flexibility, and size, support this as a feasible new technique for performing laparoscopic surgery. PMID: 33030861 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Chatzipapas I, Kathopoulis N, Siemou P, Protopapas A Tags: Obstet Gynecol Source Type: research

Management of Postpartum Hemorrhage With a Mini-Sponge Tamponade Device.
CONCLUSION: This study supports further evaluation of the mini-sponge device for the management of postpartum hemorrhage. FUNDING: This study was funded by OBSTETRX, Inc. PMID: 33030862 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Rodriguez MI, Bullard M, Jensen JT, Gregory K, Vwalika B, Barofsky AD, Marts T, Edelman AB Tags: Obstet Gynecol Source Type: research

Immediate Repair of a Complete Uterine Transection After Motor Vehicle Collision.
CONCLUSION: Uterine integrity should be confirmed in female patients with pelvic crush injuries who undergo exploratory laparotomy given the unknown extent of intra-abdominal trauma. Immediate surgical correction of uterine transection at the time of injury with restoration of the genital outflow tract is feasible and may allow preservation of fertility. PMID: 33030863 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Mankus E, Braun A, Knudtson J, Medrano-Valle G, McCann G Tags: Obstet Gynecol Source Type: research

Connect the Dots-November 2020.
PMID: 33030864 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Demaree D, Lindner P, Tarsi E, Chescheir NC Tags: Obstet Gynecol Source Type: research

The Case for Standardizing Cesarean Delivery Technique: Seeing the Forest for the Trees.
Abstract In this Commentary, we explain the case for a standardized cesarean delivery surgical technique. There are three strong arguments for a standardized approach to cesarean delivery, the most common major abdominal surgery performed in the world. First, standardization within institutions improves safety, efficiency, and effectiveness in health care delivery. Second, surgical training among obstetrics and gynecology residents would become more consistent across hospitals and regions, and proficiency in performing cesarean delivery measurable. Finally, standardization would strengthen future trials of cesarea...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Dahlke JD, Mendez-Figueroa H, Maggio L, Sperling JD, Chauhan SP, Rouse DJ Tags: Obstet Gynecol Source Type: research

Evaluation of an Inpatient Postpartum Human Papillomavirus Immunization Program.
Abstract OBJECTIVE: To evaluate the result of an inpatient postpartum human papillomavirus (HPV) immunization pilot program in a diverse, low-income patient population from an urban, hospital-based obstetrics and gynecology clinic. METHODS: In this cohort study, we present results from the first 2 years of the inpatient postpartum HPV immunization program, in which vaccine-eligible postpartum women were identified and immunized during their hospital stays. The program was implemented after educational outreach with prenatal and postpartum clinicians and nurses. Associations between receipt of the HPV vaccine ...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Avni-Singer L, Oliveira CR, Torres A, Shapiro ED, Niccolai LM, Sheth SS Tags: Obstet Gynecol Source Type: research

Associations Between Comorbidities and Severe Maternal Morbidity.
CONCLUSION: We found a dose-response relationship between number of comorbidities and risk of severe maternal morbidity, with the highest rates of severe maternal morbidity among women with three or more comorbidities. Focusing on the prevention and treatment of chronic conditions among women of childbearing age may have the potential to improve maternal outcomes across races and ethnicities. PMID: 33030867 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Brown CC, Adams CE, George KE, Moore JE Tags: Obstet Gynecol Source Type: research

Association of a Pediatric Gynecology eLearning Module With Resident Knowledge and Clinical Skills: A Randomized Controlled Trial.
Abstract OBJECTIVE: To assess whether a pediatric and adolescent gynecology electronic learning (eLearning) module improves knowledge and clinical performance among obstetrics and gynecology residents. METHODS: We conducted a multi-institutional, single-blinded, randomized controlled trial across four university programs; three had pediatric and adolescent gynecology rotations, and two had pediatric and adolescent gynecology fellowship-trained faculty. Applying permutated block randomization, residents were randomized to no intervention or completion of a validated eLearning module on prepubertal bleeding. Al...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Huguelet PS, Abraham M, Alaniz VI, Dolinko AV, Dumont T, Karjane N, Pearce JV, Ruder K, Wheeler C, Guiahi M Tags: Obstet Gynecol Source Type: research

Prioritizing Desiredness in Pregnancy of Unknown Location: An Algorithm for Patient-Centered Care.
Abstract Patient-centered care is one of the six aims for improvement in health care quality outlined by the National Academy of Medicine (previously known as the Institute of Medicine). We propose an algorithm for patients who are presenting with a pregnancy of unknown location that emphasizes pregnancy desiredness to improve patient-centered care. Health care professionals should assess pregnancy desiredness at a patient's initial consultation for evaluation of pregnancy of unknown location; desiredness, along with other clinical criteria, should guide management. For women with an undesired pregnancy, health ca...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Flynn AN, Schreiber CA, Roe A, Shorter JM, Frarey A, Barnhart K, Sonalkar S Tags: Obstet Gynecol Source Type: research

Evaluation of Early Pregnancy Concerns in an Early Pregnancy Unit Compared With an Emergency Department.
Abstract OBJECTIVE: To assess total time for evaluation of women with first-trimester pregnancy concerns in an early pregnancy unit compared with an emergency department (ED) within a single safety net hospital system. METHODS: We performed a retrospective cohort study at Denver Health Medical Center from May 1, 2017, to April 30, 2018. All patients who presented to the early pregnancy unit and a random sample of patients who presented to the ED were identified, stratified by month. Patients were eligible if they were aged 12-55 years, hemodynamically stable, in the first trimester with a positive pregnancy t...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: VanArendonk SH, Rockhill K, Stickrath EH, Alston MJ Tags: Obstet Gynecol Source Type: research

Risk Factors for Surgical Failure and Worsening Pelvic Floor Symptoms Within 5 Years After Vaginal Prolapse Repair.
CONCLUSIONS: Hispanic ethnicity, larger preoperative perineal body, and higher pretreatment Pelvic Organ Prolapse Distress Inventory scores were risk factors for surgical failure up to 5 years after vaginal prolapse repair. Participants with higher baseline Pelvic Floor Distress Inventory scores were less likely to worsen. Risk factors for worsening Urinary Distress Inventory and Colorectal-Anal Distress Inventory scores included more vaginal deliveries and increased age, respectively. CLINICAL TRIAL REGISTRATION: NCT00597935, NCT01166373. PMID: 33030871 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Jakus-Waldman S, Brubaker L, Jelovsek JE, Schaffer JI, Ellington DR, Mazloomdoost D, Whitworth R, Gantz MG, NICHD Pelvic Floor Disorders Network (PFDN) Tags: Obstet Gynecol Source Type: research

Subcutaneous Buprenorphine Extended-Release Use Among Pregnant and Postpartum Women.
PMID: 33030872 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Cleary EM, Byron RK, Hinely KA, Talley AW, Costantine MM, Rood KM Tags: Obstet Gynecol Source Type: research

Delayed Norfentanyl Clearance During Pregnancy.
CONCLUSION: This case highlights the importance of acknowledging pregnancy, genetic, or medication-induced changes to fentanyl pharmacokinetics when interpreting urine tests, especially given the potential sequelae of a false-positive urine test result. PMID: 33030873 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Wanar A, Saia K, Field TA Tags: Obstet Gynecol Source Type: research

Changes in Sexual Activity and Function After Pelvic Organ Prolapse Surgery: A Systematic Review.
CONCLUSION: Sexual function improves or remains unchanged after all types of reconstructive POP surgeries and does not worsen for any surgery type. Prevalence of total dyspareunia was lower after all POP surgery types, and de novo dyspareunia was low ranging 0-9%. This information can help surgeons counsel patients preoperatively. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42019124308. PMID: 33030874 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Antosh DD, Kim-Fine S, Meriwether KV, Kanter G, Dieter AA, Mamik MM, Good M, Singh R, Alas A, Foda MA, Balk EM, Rahn DD, Rogers RG Tags: Obstet Gynecol Source Type: research

Identification of Juvenile Cystic Adenomyoma Using High-Resolution Imaging.
CONCLUSION: Gynecologists should be aware of the possibility of juvenile cystic adenomyoma in adolescents with dysmenorrhea refractory to medical management. Three-dimensional ultrasonography may provide the resolution necessary to distinguish this rare condition. PMID: 33030875 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Wilcox A, Schmidt M, Luciano D Tags: Obstet Gynecol Source Type: research

Detection and Prevention of Postpartum Posttraumatic Stress Disorder: A Call to Action.
Abstract The rising maternal mortality rate has drawn increased focus to postpartum depression. However, other mental health conditions, such as birth-related postpartum traumatic stress disorder, have not garnered the same level of attention. The majority of research about postpartum posttraumatic stress disorder (PTSD) is published in journals focused on psychiatry, psychology, and nursing, where this phenomenon is well recognized. In contrast, there is a lack of awareness among most obstetricians. Consequently, few recommendations are available to guide clinical practice. This commentary will present a clinical...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Canfield D, Silver RM Tags: Obstet Gynecol Source Type: research

Establishing Validity for a Vaginal Hysterectomy Simulation Model for Surgical Skills Assessment.
Abstract OBJECTIVE: To use the Messick validity framework for a simulation-based assessment of vaginal hysterectomy skills. METHODS: Video recordings of physicians at different levels of training and experience performing vaginal hysterectomy on a high-fidelity vaginal surgery model were objectively assessed using a modified 10-item Vaginal Surgical Skills Index, a one-item global scale of overall performance, and a pass-fail criterion. Participants included obstetrics and gynecology trainees and faculty from five institutions. Video recordings were independently assessed by expert surgeons blinded to the ide...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Chen CCG, Lockrow EG, DeStephano CC, Nihira MA, Matthews C, Kammire L, Landrum LM, Anderson BD, Miyazaki D Tags: Obstet Gynecol Source Type: research

A Framework Proposal for Quality and Safety Measurement in Gynecologic Emergency Care.
CONCLUSIONS: Potentially life-threatening gynecologic emergencies are high-risk conditions that may serve as a useful framework to improve quality and safety in emergency care. PMID: 33030878 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Fauconnier A, Provot J, Le Creff I, Boulkedid R, Vendittelli F, Doret-Dion M, Sroussi J, Giraudet G, Jacobs R, Bourret A, Bauville E, Carvalho S, Tourette C, Koskas M, Akladios C, Nisolle M, Lejeune C, Huchon C, Alberti C, Dumont A, Bouvier-Colle MH Tags: Obstet Gynecol Source Type: research

Contributions, Aspirations, and Challenges of Academic Specialist Divisions in Obstetrics and Gynecology.
Abstract Shortly after its inception, the Society for Academic Specialists in General Obstetrics and Gynecology recognized that no data described the composition and faculty activities of "academic generalist divisions." Consequently, in 2018, the Society for Academic Specialists in General Obstetrics and Gynecology appointed a presidential task force and conducted the current surveys of chairs and division directors and key informant interviews to understand the composition and faculty activities in divisions of academic specialists in departments of obstetrics and gynecology and propose criteria for ex...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: LaCoursiere DY, Scott JR, Chelmow D, Young AE, Sawaya GF, Delancey J, Learman LA Tags: Obstet Gynecol Source Type: research

Primary Dysmenorrhea: Diagnosis and Therapy.
Abstract Primary dysmenorrhea is defined as pain during the menstrual cycle in the absence of an identifiable cause. It is one of the most common causes of pelvic pain in women. Dysmenorrhea can negatively affect a woman's quality of life and interfere with daily activities. The pathophysiology of primary dysmenorrhea is likely a result of the cyclooxygenase pathway producing increased prostanoids, particularly prostaglandins (PGs). The increased PGs cause uterine contractions that restrict blood flow and lead to the production of anaerobic metabolites that stimulate pain receptors. Women with a history typical fo...
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Ferries-Rowe E, Corey E, Archer JS Tags: Obstet Gynecol Source Type: research

Foley Bulb Added to an Oral Misoprostol Induction Protocol: A Cluster Randomized Trial.
CONCLUSION: Induction of labor in gravid women at term with intact membranes by using oral misoprostol plus Foley bulb did not result in a higher vaginal delivery rate, but it did result in more clinical chorioamnionitis compared with the use of oral misoprostol alone. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT03407625. PMID: 33030881 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Adhikari EH, Nelson DB, McIntire DD, Leveno KJ Tags: Obstet Gynecol Source Type: research

Vaginal Delivery After External Cephalic Version in Patients With a Previous Cesarean Delivery: A Systematic Review and Meta-analysis.
CONCLUSION: Women with previous cesarean birth have similar rates of successful external cephalic version when compared with women without a cesarean birth. Although the rate of vaginal delivery is lower, the majority of patients have a successful vaginal birth after cesarean. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42020160145. PMID: 33030882 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 8, 2020 Category: OBGYN Authors: Homafar M, Gerard J, Turrentine M Tags: Obstet Gynecol Source Type: research

Clinical Presentation of Coronavirus Disease 2019 (COVID-19) in Pregnant and Recently Pregnant People.
CONCLUSION: COVID-19 has a prolonged and nonspecific disease course during pregnancy and in the 6 weeks after pregnancy. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT04323839. PMID: 33027186 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - October 7, 2020 Category: OBGYN Authors: Afshar Y, Gaw SL, Flaherman VJ, Chambers BD, Krakow D, Berghella V, Shamshirsaz AA, Boatin AA, Aldrovandi G, Greiner A, Riley L, Boscardin WJ, Jamieson DJ, Jacoby VL Tags: Obstet Gynecol Source Type: research

Rates of Maternal and Perinatal Mortality and Vertical Transmission in Pregnancies Complicated by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Co-V-2) Infection: A Systematic Review.
PMID: 32976369 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Authors: Delgado A, Santos Lira LC, Soligo Takemoto ML, Katz L, Amorim MM Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32976370 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Authors: Huntley BJF, Huntley ES, Di Mascio D, Chen T, Berghella V, Chauhan SP Tags: Obstet Gynecol Source Type: research

ACOG Practice Bulletin No. 220: Management of Genital Herpes in Pregnancy.
PMID: 32976371 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Authors: Urato AC Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32976372 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Authors: Hollier LM, Jamieson DJ, Caughey AB, Zahn CM Tags: Obstet Gynecol Source Type: research

ACOG Publications: October 2020.
Authors: PMID: 32976373 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Medication Abortion Up to 70 Days of Gestation: ACOG Practice Bulletin Summary, Number 225.
Authors: Abstract Medication abortion, also referred to as medical abortion, is a safe and effective method of providing abortion. Medication abortion involves the use of medicines rather than uterine aspiration to induce an abortion. The U.S. Food and Drug Administration (FDA)-approved medication abortion regimen includes mifepristone and misoprostol. The purpose of this document is to provide updated evidence-based guidance on the provision of medication abortion up to 70 days (or 10 weeks) of gestation. Information about medication abortion after 70 days of gestation is provided in other ACOG publications (). ...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Screening for Fetal Chromosomal Abnormalities: ACOG Practice Bulletin Summary, Number 226.
Authors: Abstract Prenatal testing for chromosomal abnormalities is designed to provide an accurate assessment of a patient's risk of carrying a fetus with a chromosomal disorder. A wide variety of prenatal screening and diagnostic tests are available; each offers varying levels of information and performance, and each has relative advantages and limitations. When considering screening test characteristics, no one test is superior in all circumstances, which results in the need for nuanced, patient-centered counseling from the obstetric care professional and complex decision making by the patient. Each patient sh...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

The Initial Reproductive Health Visit: ACOG Committee Opinion Summary, Number 811.
Authors: Abstract The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Topical Hemostatic Agents at Time of Obstetric and Gynecologic Surgery: ACOG Committee Opinion Summary, Number 812.
Authors: Abstract There are three broad categories of hemostatic agents: 1) caustic, 2) physical, and 3) biologic. Because of the paucity of data on the use of topical hemostatic agents in gynecologic and obstetric surgery, indications for use are extrapolated from data on the use of these agents in other types of surgeries and are based on expert opinion. Topical hemostatic agents can be a useful adjunct to assist in the management of intraoperative bleeding in select circumstances. Topical hemostatic agents most commonly are used in situations where the use of electrocautery or sutures for hemostatic control of...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

The Initial Reproductive Health Visit: ACOG Committee Opinion, Number 811.
Authors: Abstract The primary goal of the initial reproductive health visit is to provide preventive health care services, educational information, and guidance, in addition to problem-focused care. The initial reproductive health visit should take place between the ages of 13 and 15 years. The scope of the initial visit will depend on the patient's concerns, medical history, physical and emotional development, and the level of care the patient is receiving from other health care professionals. All adolescents should have the opportunity to discuss health issues with a health care professional one-on-one, because...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Topical Hemostatic Agents at Time of Obstetric and Gynecologic Surgery: ACOG Committee Opinion, Number 812.
Authors: Abstract There are three broad categories of hemostatic agents: 1) caustic, 2) physical, and 3) biologic. Because of the paucity of data on the use of topical hemostatic agents in gynecologic and obstetric surgery, indications for use are extrapolated from data on the use of these agents in other types of surgeries and are based on expert opinion. Topical hemostatic agents can be a useful adjunct to assist in the management of intraoperative bleeding in select circumstances. Topical hemostatic agents most commonly are used in situations where the use of electrocautery or sutures for hemostatic control of...
Source: Obstetrics and Gynecology - September 27, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Age-Dependent and Seasonal Changes in Menstrual Cycle Length and Body Temperature Based on Big Data.
CONCLUSION: These results, derived from data self-entered into a smartphone application, revealed underrecognized age-dependent and seasonal changes in menstrual cycle length and BBT, which will contribute to a better understanding of female reproductive health in the modern world. PMID: 32925608 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Tatsumi T, Sampei M, Saito K, Honda Y, Okazaki Y, Arata N, Narumi K, Morisaki N, Ishikawa T, Narumi S Tags: Obstet Gynecol Source Type: research

Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recurrence.
Abstract OBJECTIVE: To assess whether resting genital hiatus, perineal body, and total vaginal length measured intraoperatively at the conclusion of surgery are associated with prolapse recurrence 2 years after native tissue pelvic organ prolapse reconstruction. METHODS: This ancillary analysis of the OPTIMAL (Operations and Pelvic Muscle Training in the Management of Apical Support Loss) trial included women who had an immediate postoperative pelvic organ prolapse quantification (POP-Q) examination and 2-year follow-up. Primary outcome was bothersome bulge symptoms. Secondary outcomes were anatomic failure, ...
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Siff LN, Barber MD, Zyczynski HM, Rardin CR, Jakus-Waldman S, Rahn DD, Smith AL, Mazloomdoost D, Sridhar A, Gantz MG, NICHD Pelvic Floor Disorders Network Tags: Obstet Gynecol Source Type: research

Occupational Exposure to Human Papillomavirus and Vaccination for Health Care Workers.
Abstract Multiple studies suggest that health care workers treating human papillomavirus (HPV)-associated conditions may experience occupational exposure to the virus. Case reports describe the development of cancer and other disease in health care professionals at low risk for such conditions except for their work. Despite limited data, vaccination can be a safe and effective method to reduce this uncertain risk. We argue that health care workers, including physicians, nurses, and others, who participate in the treatment of HPV-associated disease should consider vaccination. PMID: 32925610 [PubMed - as suppl...
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Harrison R, Huh W Tags: Obstet Gynecol Source Type: research

Identification of Delivery Encounters Using International Classification of Diseases, Tenth Revision, Diagnosis and Procedure Codes.
PMID: 32925611 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Clapp MA, James KE, Friedman AM Tags: Obstet Gynecol Source Type: research

Risk Factors for Bowel Injury in Hysterectomy for Benign Indications.
CONCLUSION: Increased risk of bowel injury is associated with endometriosis and the abdominal surgical approach to hysterectomy. These findings have implications for the surgical care of women with benign uterine disease. PMID: 32925612 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Zhu CR, Mallick R, Singh SS, Auer R, Solnik J, Choudhry AJ, Chen I Tags: Obstet Gynecol Source Type: research

Externally Validated Prediction Model of Vaginal Delivery After Preterm Induction With Unfavorable Cervix.
CONCLUSION: Our externally validated model was efficient in predicting vaginal delivery after preterm induction with unfavorable cervix. PMID: 32925613 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Kawakita T, Reddy UM, Huang JC, Auguste TC, Bauer D, Overcash RT Tags: Obstet Gynecol Source Type: research

Maternal and Neonatal Outcomes in Hospital-Based Deliveries With Water Immersion.
CONCLUSION: Hospital-based deliveries with second-stage water immersion had lower risk of NICU or special care nursery admission and perineal lacerations than matched deliveries in the control group without water immersion. PMID: 32925614 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Sidebottom AC, Vacquier M, Simon K, Wunderlich W, Fontaine P, Dahlgren-Roemmich D, Steinbring S, Hyer B, Saul L Tags: Obstet Gynecol Source Type: research

Pregnancy-Associated Mortality Due to Accidental Drug Overdose and Suicide in Ohio, 2009-2018.
PMID: 32925615 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Hall OT, Hall OE, Rood KM, McKiever ME, Teater J, Senay A Tags: Obstet Gynecol Source Type: research

Standardized Criteria for Review of Perinatal Suicides and Accidental Drug-Related Deaths.
Abstract OBJECTIVE: To estimate the proportion of accidental drug-related deaths and suicides classified as pregnancy-related from 2013 to 2014 (preimplementation of standardized criteria) and 2015 to 2016 (postimplementation). METHODS: Based on Centers for Disease Control and Prevention pregnancy-related death criteria, the Utah Perinatal Mortality Review Committee developed a standardized evaluation tool to assess accidental drug-related death and suicide beginning in 2015. We performed a retrospective case review of all pregnancy-associated deaths (those occurring during pregnancy or 1 year postpartum for ...
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Smid MC, Maeda J, Stone NM, Sylvester H, Baksh L, Debbink MP, Varner MW, Metz TD Tags: Obstet Gynecol Source Type: research

Outcomes of Subsequent Births After Placenta Accreta Spectrum.
CONCLUSION: Women with a history of placenta accreta spectrum have increased risk of maternal morbidity, preterm birth, and placenta accreta spectrum in the subsequent pregnancy compared with similar-risk women with no previous placenta accreta spectrum, although the absolute risks are generally low. These findings may be used to inform counseling of women on the risks of future pregnancies. PMID: 32925617 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Baldwin HJ, Nippita TA, Torvaldsen S, Ibiebele I, Ford JB, Patterson JA Tags: Obstet Gynecol Source Type: research

The Promise of Telepsychiatry to Reduce Maternal Mortality by Increasing Access to Maternal Mental Health and Addiction Services.
PMID: 32925618 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Meltzer-Brody S, Kimmel M Tags: Obstet Gynecol Source Type: research

Connect the Dots-October 2020.
PMID: 32925619 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Savabi M, Reyes-Baez FE, Berkley HH, Chescheir NC Tags: Obstet Gynecol Source Type: research

Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery.
CONCLUSION: An ERAS approach for the cesarean delivery population is associated with improved outcomes including decreases in opioid use, length of stay, and costs. PMID: 32925620 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Mullman L, Hilden P, Goral J, Gwacham N, Tauro C, Spinola K, Rosales K, Collier S, Holmes L, Maccione J, Pitera R, Miller R, Yodice P Tags: Obstet Gynecol Source Type: research

Mifepristone Combination Therapy Compared With Misoprostol Monotherapy for the Management of Miscarriage: A Cost-Effectiveness Analysis.
CONCLUSION: Mifepristone combined with misoprostol is, overall, more cost effective than monotherapy, and therefore cost should not be a deterrent to its adoption in the management of miscarriage. PMID: 32925621 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - September 9, 2020 Category: OBGYN Authors: Berkley HH, Greene HL, Wittenberger MD Tags: Obstet Gynecol Source Type: research