Personalized radiotherapy for invasive breast cancer in 2017

23Jun
2017

Improving Awareness of and Screening for Health Risks Among Sex Workers

23Jun
2017

Breastfeeding and the Risk of Maternal Cardiovascular Disease

23Jun
2017

An update on Zika virus infection

22Jun
2017

An update on Zika virus infection – The Lancet (free registration required)

“Update on Zika virus infection (2017): review focuses on important updates & gaps in the knowledge” (RT @TheLancet see Tweet)

 

Every Newborn Action Plan – World Health Organization

22Jun
2017

Every Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)

Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)

Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.

 

Induction of labour may be considered in pregnant women with a large baby

21Jun
2017

Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question

21Jun
2017

Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)

“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology”

 

Simplifying Prenatal Care for Low-Risk Patients

20Jun
2017

How Mayo Clinic Is Simplifying Prenatal Care for Low-Risk Patients – Harvard Business Review (a few articles per month are free)

“Prenatal care model makes mothers-to-be active participants while reducing costs & time commitment” (RT @MayoClinic see Tweet)

 

Free online course. Starts today! Improving the Health of Women, Children and Adolescents

19Jun
2017

Why treating breast cancer with less radiation may be more

19Jun
2017

Family planning, assisted reproduction, pregnancy and menopause in patients with SLE and/or antiphospholipid syndrome

19Jun
2017

Managing epilepsy in women of childbearing age

19Jun
2017

Primary hyperparathyroidism in pregnancy

19Jun
2017

Optimizing Breast Cancer Adjuvant Radiation and Integration of Breast and Reconstructive Surgery

16Jun
2017

Breast Cancer After Childhood, Adolescent, and Young Adult Cancer

16Jun
2017

Risk of major congenital malformations in relation to maternal overweight and obesity severity

16Jun
2017

Uterine Fibroids and Miscarriage Risk

11Jun
2017

Mammograms: Are we overdiagnosing small tumors?

9Jun
2017

Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy

9Jun
2017

Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy – Cochrane Library (link to abstract – $ for full-text)

“Cervical cerclage reduces the risk of preterm birth in women at high-risk of preterm birth and probably reduces risk of perinatal deaths”

 

Association of Gestational Weight Gain With Maternal and Infant Outcomes

8Jun
2017

Pelvic floor exercises may reduce need for further treatments for pelvic organ prolapse

8Jun
2017

#ASCO2017 – Pregnancy After Breast Cancer Does Not Increase Chance of Recurrence

7Jun
2017

Prenatal antidepressant use and risk of attention-deficit/hyperactivity disorder in offspring

7Jun
2017

Maternal and Fetal Outcomes of Anticoagulation in Pregnant Women With Mechanical Heart Valves

1Jun
2017

Maternal and Fetal Outcomes of Anticoagulation in Pregnant Women With Mechanical Heart Valves – Journal of The American College of Cardiology (free)

Commentaries: Warfarin OK in Expectant Moms with Mechanical Heart Valve – MedPage Today (free registration required) AND Anticoagulation in Pregnant Women With Mechanical Valves – American College of Cardiology, Latest in Cardiology (free) (RT @keaglemd see Tweet)

In this meta-analysis, warfarin was associated with lower risk of adverse maternal outcomes, whereas LMWH was associated with lower risk of adverse fetal outcomes.

 

The tiny pill which gave birth to an economic revolution

30May
2017

The tiny pill which gave birth to an economic revolution – BBC News (free)

A great read—and a powerful reminder that contraceptives are one of the best tools we have to drive economic growth” (RT @melindagatessee Tweet).

 

Induction of labour within 24 hours, if waters break at 37 weeks of pregnancy, can reduce womb infection

26May
2017

Induction of labour within 24 hours, if waters break at 37 weeks of pregnancy, can reduce womb infection – NIHR Signal (free)

Original article: Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more) – Cochrane Library (Link to abstract – $ for full-text)

“Inducing labour within 24hrs may halve risk of infection in the womb when waters break from 37 weeks” (RT @NIHR_DC see Tweet)

 

Oil-Based or Water-Based Contrast for Hysterosalpingography in Infertile Women

25May
2017

Electronic WHO Postpartum Family Planning Compendium

24May
2017

Electronic WHO Postpartum Family Planning Compendium – World Health Organization (free)

How to use it: Introducing the World Health Organization Postpartum Family Planning Compendium – International Journal of Gynaecology and Obstetrics (free)

This interactive website integrates essential guidance on postpartum family planning for clinicians, program managers, and policy makers.

 

Just one alcoholic drink a day may increase breast cancer risk

24May
2017

Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth

18May
2017

Menopausal Hormone Therapy for Prevention of Chronic Conditions

17May
2017

Draft Recommendation Statement: Menopausal Hormone Therapy: Primary Prevention of Chronic Conditions – U.S. Preventive Services Task Force (free)

Source: USPSTF Recommendation Against HRT for Chronic Conditions Stands – Medscape (free registration required)

“The USPSTF recommends against the use of combined estrogen and progestin for the prevention of chronic conditions in postmenopausal women”.

 

CDC updates Zika test guidance for pregnant women

6May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

Multiple-micronutrient supplementation for women during pregnancy

5May
2017

Multiple-micronutrient supplementation for women during pregnancy – Cochrane Library (free summary – $ for full-text)

See also a recent landmark study on the subject in our March 27th issue, see #9.

Source: EvidenceAlerts

The findings of this systematic review support the effect of Multiple-micronutrient supplements with iron and folic acid in improving some birth outcomes.

 

Use of antibiotics during pregnancy and risk of spontaneous abortion

2May
2017

Use of antibiotics during pregnancy and risk of spontaneous abortion – Canadian Medical Association Journal (free) (RT @CMAJ see Tweet)

Commentary: Use of Certain Antibiotics in Pregnancy Tied to Spontaneous Abortion – Physician’s First Watch (free)

In this nested case-control study, use of common antibiotics such as macrolides (excluding erythromycin), quinolones, tetracyclines, sulfonamides and metronidazole during early pregnancy was associated with an increased risk of spontaneous abortion.

 

Women with symptoms of a urinary tract infection but a negative urine culture

2May
2017

For Pregnant Women, Getting Serious About Whooping Cough

2May
2017

UK guideline for the prevention and treatment of osteoporosis

1May
2017

Management of Inherited Bleeding Disorders in Pregnancy

1May
2017

Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage

27Apr
2017

Screening for Preeclampsia – USPSTF Recommendations

26Apr
2017

Guideline: Screening for Preeclampsia: US Preventive Services Task Force Recommendation Statement – JAMA (free)

Evidence Report and Systematic Review: Preeclampsia Screening (free)

Editorial 1: Early Identification of Pregnant Women at Risk for Preeclampsia (free)

Editorial 2: Screening for Preeclampsia and the USPSTF Recommendations (free)

Editorial 3: Preeclampsia and Hypertension – Courting a Long While: Time to Make It Official (free)

“The USPSTF recommends screening for preeclampsia in all pregnant women with blood pressure measurements throughout pregnancy”

 

Hormone Therapy in Primary Ovarian Insufficiency

25Apr
2017

β-Blocker Exposure in Pregnancy and Risk of Fetal Cardiac Anomalies

20Apr
2017

Maternal asthma: Management strategies

19Apr
2017

Associations of Maternal Antidepressant Use and Complications in Offspring

19Apr
2017

Associations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring – JAMA (link to abstract – $ for full-text)

Contradicting a previous study showing increased risk of autism with antidepressant use during pregnancy (free), this large retrospect cohort study of 1 580 629 Swedish offspring did not show an association of antidepressant use during pregnancy and autism or other neurodevelopment problems.

 

The Breastfeeding-Friendly Pediatric Office Practice

18Apr
2017

The Breastfeeding-Friendly Pediatric Office Practice – American Academy of Pediatrics (free)

Source: AAP: Pediatricians Should Support Breastfeeding Moms – MedPage Today (free registration required)

Recent recommendation from another organization: Breastfeeding: Primary Care Interventions – U.S. Preventive Services Task Force (free)

Summary of USPSTF recommendations: Primary Care Interventions to Support Breastfeeding: Recommendation Statement – American Family Physician (free)

The American Academy of Pediatrics and the U.S. Preventive Services Task Force have issued recommendations for promoting and supporting breastfeeding.

 

Life after breast, prostate, and colon cancer: Primary care’s role

17Apr
2017

Screening to Prevent Invasive Cervical Cancer Guideline

13Apr
2017

Screening to Prevent Invasive Cervical Cancer: ASCO Resource-Stratified Clinical Practice Guideline (free)

“The ASCO guidelines outline the minimum standards for HPV-based screening for each resource strata; additional and more frequent screening may be added as the resources become available”.

 

Pertussis shot in pregnant moms protects newborns

6Apr
2017

One in 10 Pregnant Women With Zika in U.S. Have Babies With Birth Defects

5Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 

Functional Hypothalamic Amenorrhea Guideline

3Apr
2017

Exposure to antenatal corticosteroids and outcomes in preterm infants

31Mar
2017

Exposure to any antenatal corticosteroids and outcomes in preterm infants by gestational age: prospective cohort study – The BMJ (free)

Editorial: Antenatal corticosteroids for women at risk of preterm delivery (free)

See also: Antenatal Steroids Benefit Very Premature Infants Most – Medscape (free registration required)

“This study found that among infants born from 23 to 34 weeks’ gestation, antenatal exposure to corticosteroids compared with no exposure was associated with lower mortality and morbidity at most gestations”.

 

Management of Breech Presentation

28Mar
2017

Surgeries are being performed with the patient awake

27Mar
2017

Going Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)

“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.

 

Prenatal nutrition, socioenvironmental conditions, and child development

27Mar
2017

Maternal multiple micronutrient supplementation and other biomedical and socioenvironmental influences on children’s cognition at age 9–12 years in Indonesia: follow-up of the SUMMIT randomised trial – The Lancet Global Health (free)

Related commentary: Prenatal nutrition, socioenvironmental conditions, and child development (free)

“Maternal MMN had long-term benefits for child cognitive development at 9–12 years of age, thereby supporting its role in early childhood development, and policy change toward MMN”. The related commentary above does not seem to agree with this statement from the authors, stating that the new evidence does not provide enough weight for a policy change from prenatal iron and folate to MMN supplementation.

 

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