Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2016
ReviewWhat is New in the Management of Acute Preterm Labor?: Best Articles From the Past Year.
This month we focus on current research in the management of acute preterm labor. Dr. Malone discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts.
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Obstetrics and gynecology · Feb 2016
Comparative StudyProphylactic Antibiotic Choice and Risk of Surgical Site Infection After Hysterectomy.
To evaluate associations between prophylactic preoperative antibiotic choice and surgical site infection rates after hysterectomy. ⋯ Compared with women receiving β-lactam antibiotic regimens, there is a higher risk of surgical site infection after hysterectomy among those receiving a recommended β-lactam alternative or nonstandard regimen.
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Obstetrics and gynecology · Feb 2016
ReviewCommittee Opinion No. 658 Summary: Optimizing Support For Breastfeeding As Part Of Obstetric Practice.
Although most women in the United States initiate breastfeeding, more than one half wean earlier than they desire. As reproductive health experts and advocates for women's health who work in conjunction with other obstetric and pediatric health care providers, obstetrician-gynecologists are uniquely positioned to enable women to achieve their infant feeding goals. The American College of Obstetricians and Gynecologists recommends exclusive breastfeeding for the first 6 months of life, with continued breastfeeding as complementary foods are introduced through the infant's first year of life, or longer as mutually desired by the woman and her infant. ⋯ Obstetrician-gynecologists and other obstetric care providers should support each woman's informed decision about whether to initiate or continue breastfeeding, recognizing that she is uniquely qualified to decide whether exclusive breastfeeding, mixed feeding, or formula feeding is optimal for her and her infant. Obstetrician-gynecologists and other obstetric care providers should support women in integrating breastfeeding into their daily lives in the community and in the workplace. The offices of obstetrician-gynecologists and other obstetric care providers should be a resource for breastfeeding women through the infant's first year of life, and for those who continue beyond the first year.
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Obstetrics and gynecology · Feb 2016
Comparative Study Observational StudyQuantitative Fetal Fibronectin at 18 Weeks of Gestation to Predict Preterm Birth in Asymptomatic High-Risk Women.
To compare quantitative fetal fibronectin measurement from 18 to 21 weeks of gestation to measurement at 22-27 weeks of gestation for the prediction of spontaneous preterm birth. ⋯ Quantitative cervicovaginal fetal fibronectin measured from 18 to 21 weeks of gestation has similar predictive value as measurement at 22-27 weeks of gestation for prediction of spontaneous preterm birth. Low fibronectin concentrations are associated with spontaneous preterm birthrates approaching population background levels.
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Obstetrics and gynecology · Feb 2016
Multicenter StudyAnatomical Cystocele Recurrence: Development and Internal Validation of a Prediction Model.
To develop a prediction model that estimates the risk of anatomical cystocele recurrence after surgery. ⋯ This prediction model, including history of assisted delivery, preoperative stage, number of compartments, levator defects, and levator hiatus, estimates the risk of anatomical cystocele recurrence.