Gynecology & Obstetrics

COVID-19 Updates for Obstetricians

6 Apr, 2020 | 00:22h | UTC





Information for Pregnant Women and Their Families:

COVID-19 Obstetrics: This page will be updated as often as necessary and will be fixed in the right column on our homepage.


Podcast: Polycystic Ovary Syndrome

10 Mar, 2020 | 08:35h | UTC

Healthy Birth—and Then What?

1 Mar, 2020 | 19:00h | UTC

Cannabis use during pregnancy and postpartum – Canadian Family Physician (free)

Related: AAP Clinical Report: Implications of Marijuana Use During Pregnancy and Breastfeeding (free report and commentaries)

“There is no known safe level of cannabis use during pregnancy or lactation”


A Randomized Controlled Trial of Ceftriaxone and Doxycycline, with or Without Metronidazole, for the Treatment of Acute Pelvic Inflammatory Disease – Clinical Infectious Diseases (link to abstract – $ for full-text)


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Restrictive versus routine episiotomy among Southeast Asian term pregnancies: a multicentre randomised controlled trial – BJOG (link to abstract – $ for full-text)

Related Cochrane Review: Selective versus routine use of episiotomy for vaginal birth (free) AND Summary (free)


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Leaving no woman, no child, and no adolescent behind – The BMJ (free articles)

News Release: Can we achieve health for all women, children, and adolescents by 2030? – Partnership for Maternal, Newborn and Child Health (free)


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Metformin for ovulation induction (excluding gonadotrophins) in women with polycystic ovary syndrome – Cochrane Library (free)

Summary: Metformin for ovulation induction in women with a diagnosis of polycystic ovary syndrome and subfertility – Cochrane Library (free)


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Cross-sectional imaging of acute gynaecologic disorders: CT and MRI findings with differential diagnosis – Insights into Imaging (free articles)

Part I: corpus luteum and haemorrhagic ovarian cysts, genital causes of haemoperitoneum and adnexal torsion

Part II: uterine emergencies and pelvic inflammatory disease


New baby: fads, fashions and evidence for new parents – Evidently Cochrane (free)


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Breast Conservation After Neoadjuvant Chemotherapy for Triple-Negative Breast Cancer: Surgical Results From the BrighTNess Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Commentary: Despite effective therapy, US rate of breast conservation lower than other countries – Brigham and Women’s Hospital (free)


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External beam accelerated partial breast irradiation versus whole breast irradiation after breast conserving surgery in women with ductal carcinoma in situ and node-negative breast cancer (RAPID): a randomised controlled trial – The Lancet (link to abstract – $ for full-text)

Commentary: Results mixed for twice-daily APBI in early breast cancer – MedicalXpress (free)


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Long-term primary results of accelerated partial breast irradiation after breast-conserving surgery for early-stage breast cancer: a randomised, phase 3, equivalence trial – The Lancet (link to abstract – $ for full-text)


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NICE Guideline: Menopause

6 Dec, 2019 | 10:50h | UTC

Supplemental MRI Screening for Women with Extremely Dense Breast Tissue – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Does MRI Screening Benefit Women With Extremely Dense Breasts? – U.S. News (free) AND Mixed Results With Mammo Plus MRI Screening – MedPage Today (free)

“The benefits need to be carefully weighed against the harms, as MRI examination is more expensive, and it requires the injection of a contrast agent into the body. MRI will also detect abnormalities that later turn out not to be breast cancer after all” (from U.S News)


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Review: Cardiomyopathy and Pregnancy

27 Nov, 2019 | 07:39h | UTC

Review: Bladder Pain Syndrome in Women

24 Nov, 2019 | 20:34h | UTC

Bladder Pain Syndrome in Women – JAMA (free for a limited period)


Recurrence of breast cancer after regional or general anaesthesia: a randomised controlled trial – The Lancet (link to abstract – $ for full-text)

Commentaries: Anesthesia for breast cancer surgery has no influence on risk of tumor recurrence – Medical University of Vienna (free) AND Anesthesia Technique Flops in Large Breast Cancer Trial – MedPage Today (free registration required)


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Effectiveness of routine third trimester ultrasonography to reduce adverse perinatal outcomes in low risk pregnancy (the IRIS study): nationwide, pragmatic, multicentre, stepped wedge cluster randomised trial – The BMJ (free)

Commentary: Routine third trimester ultrasonography: Avoiding “too much too soon” – The BMJ Opinion (free)


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Special Issue: Obstetric Anesthesia

2 Oct, 2019 | 02:08h | UTC

Treatment of Vulvovaginal Atrophy – JAMA (free for a limited period)


C-section babies are missing key microbes – Nature News (free)

Original Study: Stunted microbiota and opportunistic pathogen colonization in caesarean-section birth – Nature (link to abstract – $ for full-text)

Other Commentaries: Babies’ gut bacteria affected by delivery method, Baby Biome project shows – Wellcome Sanger Institute (free) AND Babies born by C-section have more potentially infectious bacteria in their guts – ScienceNews (free)

“UK study provides the best evidence yet that the way infants are born can alter their microbiomes — but the health effects are unclear.”


Sacrospinous hysteropexy versus vaginal hysterectomy with uterosacral ligament suspension in women with uterine prolapse stage 2 or higher: observational follow-up of a multicentre randomised trial – The BMJ (free)


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