Obstetrics and gynecology
-
Obstetrics and gynecology · Apr 2016
Cervical Pessary and Vaginal Progesterone in Twin Pregnancies With a Short Cervix.
To evaluate cervical pessary as an intervention to prevent preterm birth in twin pregnancies with a short cervix. ⋯ For twin pregnancies with a short cervix, the addition of a cervical pessary to vaginal progesterone is associated with prolonged pregnancy and reduced risk of adverse neonatal outcomes. A large randomized trial should be performed to verify these retrospective findings.
-
Obstetrics and gynecology · Apr 2016
Randomized Controlled Trial Multicenter StudyComplications and Safety of Preconception Low-Dose Aspirin Among Women With Prior Pregnancy Losses.
To evaluate complications and safety of preconception low-dose aspirin in 1,228 U.S. women (2007-2011). ⋯ Although rare but serious complications resulting from low-dose aspirin cannot be ruled out, preconception low-dose aspirin appears to be well tolerated by women trying to conceive, women who become pregnant, and by their fetuses and neonates.
-
Obstetrics and gynecology · Apr 2016
Multicenter Study Observational StudyAssociation of the Duration of Active Pushing With Obstetric Outcomes.
To estimate the associations between the duration of active pushing during the second stage of labor and maternal and neonatal outcomes. ⋯ A longer duration of pushing is associated with an increased relative risk, but small absolute difference in risk, of neonatal complications. Approximately 78% of nulliparous women delivered vaginally even after 4 hours of pushing.
-
Obstetrics and gynecology · Mar 2016
Comparative Study Observational StudyComparison of Women in Department Leadership in Obstetrics and Gynecology With Those in Other Specialties.
To compare the representation of women in obstetrics and gynecology department-based leadership to other clinical specialties while accounting for proportions of women in historical residency cohorts. ⋯ Despite having the largest proportion of leaders who were women, representation ratios demonstrate obstetrics and gynecology is behind other specialties in progression of women to departmental leadership. Women's overrepresentation as residency program directors raises concern because education-based academic tracks may not lead to major leadership roles.
-
Obstetrics and gynecology · Mar 2016
Postpartum Hemorrhage and Use of Serotonin Reuptake Inhibitor Antidepressants in Pregnancy.
To examine whether using selective serotonin reuptake inhibitors and selective serotonin-norepinephrine reuptake inhibitors in pregnancy is associated with an increased risk of postpartum hemorrhage. ⋯ Serotonin-norepinephrine reuptake inhibitor exposure in late pregnancy was associated with a 1.6- to 1.9-fold increased risk of postpartum hemorrhage.