Article
How common is IUD perforation, expulsion, and malposition?
IUD perforation of the uterus is uncommon, occurring in 0.1% of low-risk patients. IUD expulsion is common, with a rate of...
Article
Will NAAT replace microscopy for the identification of organisms causing vaginitis?
Molecular testing is more sensitive and specific than microscopy for the identification of organisms causing disease. There will...
Article
Drospirenone vs norethindrone progestin-only pills. Is there a clear winner?
Among progestin-only contraceptive pills, compared to norethindrone, drospirenone has superior performance on key dimensions
...Article
Individualize the duration of postpartum magnesium treatment for patients with preeclampsia to best balance the benefits and harms of treatment
Magnesium treatment reduces the risk of seizure in patients with preeclampsia. However, prolonged postpartum magnesium infusion may cause harm,...
Article
Reduce the use of perioperative opioids with a multimodal pain management strategy
Patients undergoing cesarean surgery who were previously naïve to opioid medications have a 0.33% to 2.2% probability of transitioning to the...
Article
How to screen for prediabetes and type 2 diabetes in an ObGyn practice
In the United States, 1 in 7 adults has type 2 diabetes mellitus (T2DM), and one-quarter of people with T2DM are undiagnosed. Screening for...
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Can we return to the ABCs of crafting a medical record note?
Medical record “note bloat” is adversely impacting communication among clinicians. It is time to refocus on the ABCs of note writing including...
Article
Relugolix combination therapy: A novel hormonal treatment for AUB associated with uterine fibroids
Oral relugolix combination therapy (relugolix, estradiol, norethindrone acetate) was effective in controlling excess bleeding caused by uterine...
Article
Colorectal cancer screening, 2021: An update
The American Cancer Society now recommends screening for colorectal cancer starting at age 45 years, not 50. The best colorectal...
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3 cases of hormone therapy optimized to match the patient problem
There are 5 different dose combinations of ethinyl estradiol and norethindrone acetate, ranging from 2.5 µg to 30 µg of ethinyl estradiol, and a...
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Adverse pregnancy outcomes and later cardiovascular disease
Such adverse pregnancy outcomes (APOs) as miscarriage, preterm birth, low-birth weight, gestational diabetes, preeclampsia, and placental...
Article
Obstetric anal sphincter injury: Prevention and repair
The repair of anal sphincter injury continues to evolve. Consider incorporating the ideas in this editorial in your practice.
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Optimize your treatment of endometriosis by using an FDA-approved hormonal medication
For women with endometriosis, if one estrogen-progestin contraceptive results in suboptimal control of pelvic pain, do not...
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Office-based ambulatory cervical ripening prior to inpatient induction of labor
There is growing literature to support the use of ambulatory cervical ripening (CR) for low-risk women—initiating CR in the office, sending the...
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Cesarean myomectomy: Safe operation or surgical folly?
In many countries cesarean myomectomy is now viewed as a safe and effective procedure in carefully selected clinical situations