Obstetrics and gynecology
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Obstetrics and gynecology · Aug 2019
Comparative StudyElective Induction of Labor in the 39th Week of Gestation Compared With Expectant Management of Low-Risk Multiparous Women.
To compare perinatal and maternal outcomes in low-risk multiparous women who underwent elective induction of labor in the 39th week of gestation with those who were expectantly managed. ⋯ Elective induction of labor in low-risk multiparous women in the 39th week of gestation was associated with decreased perinatal morbidity and a lower frequency of cesarean delivery compared with expectant management.
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Obstetrics and gynecology · Aug 2019
Referral Patterns for the Evaluation of Asymptomatic Microscopic Hematuria in Women in a Single Health Care System: Room for Improvement.
To identify patterns of care for women referred for asymptomatic microhematuria in a single, hospital-based health care system and estimate the cost of unindicated evaluation. ⋯ Fewer than half of the referrals for asymptomatic microhematuria were appropriate, leading to wasted and entirely preventable health care expenditures. This study highlights the need for education of health care providers making these referrals.
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Obstetrics and gynecology · Aug 2019
Use and Misuse of Opioids After Gynecologic Surgical Procedures.
To examine the rate of opioid use for gynecologic surgical procedures and to investigate persistent opioid use among those women who received an initial opioid prescription. ⋯ The rate of new persistent opioid use after major and minor gynecologic procedures is substantial.
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Obstetrics and gynecology · Aug 2019
Neonatal and Maternal Adverse Outcomes Among Low-Risk Parous Women at 39-41 Weeks of Gestation.
To compare the composite neonatal or maternal adverse outcome among low-risk, parous women at 39-41 weeks of gestation. ⋯ Though only modestly, the rates of the composite neonatal and maternal adverse outcomes increase, from 39 through 41 weeks of gestation, among low-risk parous women.
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Obstetrics and gynecology · Jul 2019
EditorialMenstrual Suppression for Military Women: Barriers to Care in the United States.
Since 2000 there has been a 17% increase in the number of women serving in the U. S. military. As women enter the services in more significant numbers and are increasingly deployed to combat operations, the military must adopt policies and practices that accommodate the health care needs of female warriors. ⋯ This article provides an overview of the growing body of survey and interview data focusing on military women's health to show that there are gaps in knowledge and significant barriers to care that must be addressed. Ultimately, this work argues that medical care and counseling should be more responsive to the needs of female service members. Educating female service members on the option of menstrual suppression should be made a standard part of routine well-woman care and predeployment physicals, thereby removing sex-specific barriers and enabling more women to take on forward combat roles.