Diagnosis and Management of Cervical Squamous Intraepithelial Lesions in Pregnancy and Postpartum
Obstet Gynecol. 2024 Mar 29. doi: 10.1097/AOG.0000000000005566. Online ahead of print.ABSTRACTPerinatal care provides important health care opportunities for many individuals at risk for cervical cancer. Pregnancy does not alter cervical cancer screening regimens. ASCCP risk-based management has a colposcopy threshold of a 4% immediate risk of cervical intraepithelial neoplasia (CIN) 3 or cancer, but the actual risk can be considerably higher based on current and past screening results. Improving cervical cancer outcomes with diagnosis during pregnancy rather than postpartum and facilitating further evaluation and treatmen...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Alyssa Larish Margaret E Long Source Type: research

Long-Term Risk of Reintervention After Surgical Leiomyoma Treatment in an Integrated Health Care System
CONCLUSION: Long-term reintervention risks for uterine artery embolization, endometrial ablation, and hysteroscopic myomectomy are greater than for myomectomy, with potential variation by patient age and parity but not BMI, race and ethnicity, or Neighborhood Deprivation Index.PMID:38547478 | DOI:10.1097/AOG.0000000000005557 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Susanna D Mitro Fei Xu Catherine Lee Eve Zaritsky L Elaine Waetjen Lauren A Wise Monique M Hedderson Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Equitable Artificial Intelligence in Obstetrics, Maternal-Fetal Medicine, and Neonatology
Obstet Gynecol. 2024 Mar 28. doi: 10.1097/AOG.0000000000005563. Online ahead of print.ABSTRACTArtificial intelligence (AI) offers potential benefits in the interconnected fields of obstetrics, maternal-fetal medicine, and neonatology to bridge disciplinary silos for a unified approach. Artificial intelligence has the capacity to improve diagnostic accuracy and clinical decision making for the birthing parent-neonate dyad. There is an inherent risk of ingrained biases in AI that perpetuate existing inequalities; thus, care must be taken to include diverse data sets with interdisciplinary collaboration that centers equitable...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Ryan M McAdams Tiffany L Green Source Type: research

Obstetric Racial Disparities in the Era of the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) Trial and the Coronavirus Disease 2019 (COVID-19) Pandemic
CONCLUSION: Changes in obstetric practice after both the ARRIVE trial and the COVID-19 pandemic were not associated with changes in Black-White racial differences in labor induction, cesarean delivery, and pregnancy-associated hypertension.PMID:38547489 | DOI:10.1097/AOG.0000000000005564 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Sarahn M Wheeler Tracy Truong Shakthi Unnithan Hwanhee Hong Evan Myers Geeta K Swamy Source Type: research

Diagnosis and Management of Cervical Squamous Intraepithelial Lesions in Pregnancy and Postpartum
Obstet Gynecol. 2024 Mar 29. doi: 10.1097/AOG.0000000000005566. Online ahead of print.ABSTRACTPerinatal care provides important health care opportunities for many individuals at risk for cervical cancer. Pregnancy does not alter cervical cancer screening regimens. ASCCP risk-based management has a colposcopy threshold of a 4% immediate risk of cervical intraepithelial neoplasia (CIN) 3 or cancer, but the actual risk can be considerably higher based on current and past screening results. Improving cervical cancer outcomes with diagnosis during pregnancy rather than postpartum and facilitating further evaluation and treatmen...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Alyssa Larish Margaret E Long Source Type: research

Long-Term Risk of Reintervention After Surgical Leiomyoma Treatment in an Integrated Health Care System
CONCLUSION: Long-term reintervention risks for uterine artery embolization, endometrial ablation, and hysteroscopic myomectomy are greater than for myomectomy, with potential variation by patient age and parity but not BMI, race and ethnicity, or Neighborhood Deprivation Index.PMID:38547478 | DOI:10.1097/AOG.0000000000005557 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Susanna D Mitro Fei Xu Catherine Lee Eve Zaritsky L Elaine Waetjen Lauren A Wise Monique M Hedderson Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Equitable Artificial Intelligence in Obstetrics, Maternal-Fetal Medicine, and Neonatology
Obstet Gynecol. 2024 Mar 28. doi: 10.1097/AOG.0000000000005563. Online ahead of print.ABSTRACTArtificial intelligence (AI) offers potential benefits in the interconnected fields of obstetrics, maternal-fetal medicine, and neonatology to bridge disciplinary silos for a unified approach. Artificial intelligence has the capacity to improve diagnostic accuracy and clinical decision making for the birthing parent-neonate dyad. There is an inherent risk of ingrained biases in AI that perpetuate existing inequalities; thus, care must be taken to include diverse data sets with interdisciplinary collaboration that centers equitable...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Ryan M McAdams Tiffany L Green Source Type: research

Obstetric Racial Disparities in the Era of the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) Trial and the Coronavirus Disease 2019 (COVID-19) Pandemic
CONCLUSION: Changes in obstetric practice after both the ARRIVE trial and the COVID-19 pandemic were not associated with changes in Black-White racial differences in labor induction, cesarean delivery, and pregnancy-associated hypertension.PMID:38547489 | DOI:10.1097/AOG.0000000000005564 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Sarahn M Wheeler Tracy Truong Shakthi Unnithan Hwanhee Hong Evan Myers Geeta K Swamy Source Type: research

Diagnosis and Management of Cervical Squamous Intraepithelial Lesions in Pregnancy and Postpartum
Obstet Gynecol. 2024 Mar 29. doi: 10.1097/AOG.0000000000005566. Online ahead of print.ABSTRACTPerinatal care provides important health care opportunities for many individuals at risk for cervical cancer. Pregnancy does not alter cervical cancer screening regimens. ASCCP risk-based management has a colposcopy threshold of a 4% immediate risk of cervical intraepithelial neoplasia (CIN) 3 or cancer, but the actual risk can be considerably higher based on current and past screening results. Improving cervical cancer outcomes with diagnosis during pregnancy rather than postpartum and facilitating further evaluation and treatmen...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Alyssa Larish Margaret E Long Source Type: research

Long-Term Risk of Reintervention After Surgical Leiomyoma Treatment in an Integrated Health Care System
CONCLUSION: Long-term reintervention risks for uterine artery embolization, endometrial ablation, and hysteroscopic myomectomy are greater than for myomectomy, with potential variation by patient age and parity but not BMI, race and ethnicity, or Neighborhood Deprivation Index.PMID:38547478 | DOI:10.1097/AOG.0000000000005557 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Susanna D Mitro Fei Xu Catherine Lee Eve Zaritsky L Elaine Waetjen Lauren A Wise Monique M Hedderson Source Type: research

Active Compared With Passive Voiding Trials After Midurethral Sling Surgery: A Systematic Review
CONCLUSION: Passive trial of void had higher passing rates and lower discharge with catheter than active trial of void. Rates of most complications were low and similar between both groups, although passive trial of void had higher sling revisions.SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42022341318.PMID:38547487 | DOI:10.1097/AOG.0000000000005567 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Siri Drangsholt Cassidy Lleras Rebecca Kindler Maytal Babajanian Bracha Pollack Aleksandr Harutyunyan Matan Grunfeld Yehuda Gejerman Katherine Kilkenny Moshe Bulmash Rahim Hirani Parissa Alerasool Christopher McNeil Patrick Popiel Elizabeth D Drugge Cara Source Type: research

Equitable Artificial Intelligence in Obstetrics, Maternal-Fetal Medicine, and Neonatology
Obstet Gynecol. 2024 Mar 28. doi: 10.1097/AOG.0000000000005563. Online ahead of print.ABSTRACTArtificial intelligence (AI) offers potential benefits in the interconnected fields of obstetrics, maternal-fetal medicine, and neonatology to bridge disciplinary silos for a unified approach. Artificial intelligence has the capacity to improve diagnostic accuracy and clinical decision making for the birthing parent-neonate dyad. There is an inherent risk of ingrained biases in AI that perpetuate existing inequalities; thus, care must be taken to include diverse data sets with interdisciplinary collaboration that centers equitable...
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Ryan M McAdams Tiffany L Green Source Type: research

Obstetric Racial Disparities in the Era of the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) Trial and the Coronavirus Disease 2019 (COVID-19) Pandemic
CONCLUSION: Changes in obstetric practice after both the ARRIVE trial and the COVID-19 pandemic were not associated with changes in Black-White racial differences in labor induction, cesarean delivery, and pregnancy-associated hypertension.PMID:38547489 | DOI:10.1097/AOG.0000000000005564 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 28, 2024 Category: OBGYN Authors: Sarahn M Wheeler Tracy Truong Shakthi Unnithan Hwanhee Hong Evan Myers Geeta K Swamy Source Type: research