Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2020
Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities.
To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance. ⋯ Within hospitals in New York City, black and Latina women are at higher risk of severe maternal morbidity than white women; this is not associated with differences in types of insurance.
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Obstetrics and gynecology · Jan 2020
Persistent Opioid Use After Hysterectomy in the United States, 2005-2015.
To assess variables associated with opioid prescriptions filled perioperatively after hysterectomy and the risk of prolonged opioid use through 1 year after hysterectomy. ⋯ Most women who underwent hysterectomy in the United States from 2005 to 2015 filled a perioperative opioid prescription with a median quantity of 30 pills. The risk of prolonged opioid use through 6 months is quite low, at 0.06% or 1 in 1,547.
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Obstetrics and gynecology · Dec 2019
Randomized Controlled TrialIbuprofen and Postpartum Blood Pressure in Women With Hypertensive Disorders of Pregnancy: A Randomized Controlled Trial.
To evaluate the effect of ibuprofen on blood pressure in women with a diagnosis of hypertensive disorders of pregnancy and mild hypertension during the immediate postpartum period. ⋯ ClinicalTrials.gov NCT03011567.
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Obstetrics and gynecology · Nov 2019
EditorialTelemedicine Companies Providing Prescription-Only Medications: Pros, Cons, and Proposed Guidelines.
In the past few years, there has been a significant increase in the number of direct-to-consumer telehealth companies offering prescription medications to women. Leveraging technology, these companies have the potential to improve access to care and ensure that women have access to prescription-only medications in a convenient fashion. However, it is important to ensure that they are doing so in a safe, patient-centered way that observes evidence-based prescribing guidelines. In this article, we discuss the pros and cons of direct-to-consumer telehealth companies offering prescription medicine and suggest several guidelines to ensure that women are being cared for in an appropriate way.