Gynecology & Obstetrics (all articles)
Guideline Update | Diagnosis and management of hypertension in pregnancy
24 Apr, 2023 | 13:43h | UTC
Cohort Study | Prenatal exposure to antiseizure medication and incidence of childhood-onset psychiatric disorders
24 Apr, 2023 | 13:10h | UTCPrenatal Exposure to Antiseizure Medication and Incidence of Childhood- and Adolescence-Onset Psychiatric Disorders – JAMA Neurology (link to abstract – $ for full-text)
Author Interview: Prenatal Exposure to Antiseizure Medication and Psychiatric Disorders – JAMA
Commentary on Twitter
Study strengthens the evidence for the warning against the use of valproate in pregnancy, supports concerns about the use of topiramate, and provides a preliminary indication for caution with the use of levetiracetam in pregnancy. https://t.co/BZzZP0tSZs
— JAMA Neurology (@JAMANeuro) April 17, 2023
Review | The management of pregnant trauma patients
24 Apr, 2023 | 13:01h | UTCThe Management of Pregnant Trauma Patients: A Narrative Review – Anesthesia & Analgesia (free for a limited period)
See also: Infographic (free for a limited period)
RCT | Pregnant individuals benefit from brief interpersonal psychotherapy for depression
21 Apr, 2023 | 13:05h | UTCCommentary: Interpersonal Psychotherapy Reduces Depression Symptoms of Pregnant Women – HCP Live
Commentary on Twitter
A randomized clinical trial of prenatal interpersonal psychotherapy showed rapid decreases in depression. Depression in the intervention group dropped from 37% before intervention to 6% after (vs. 26% in control group). https://t.co/rJADZZkfER
— JAMA Psychiatry (@JAMAPsych) April 19, 2023
RCT | Prophylactic tranexamic acid in cesarean delivery did not significantly reduce maternal death or transfusion risk
19 Apr, 2023 | 13:22h | UTCTranexamic Acid to Prevent Obstetrical Hemorrhage after Cesarean Delivery – New England Journal of Medicine (link to abstract – $ for full-text)
News Release: Tranexamic acid does not appear to prevent maternal hemorrhage after cesarean delivery – National Institutes of Health
Commentary on Twitter
In a placebo-controlled trial involving patients undergoing cesarean delivery, prophylactic use of tranexamic acid did not lead to a significantly lower risk of a composite outcome of maternal death or blood transfusion. https://t.co/iB3axZiVqw pic.twitter.com/RDFUsspIr0
— NEJM (@NEJM) April 12, 2023
Study suggests that routine axillary scanning in diagnostic breast ultrasound has limited impact on cancer detection
19 Apr, 2023 | 13:06h | UTCTo scan or not to scan: effect of scanning the axilla of all patients undergoing diagnostic breast ultrasound – Clinical Imaging (link to abstract – $ for full-text)
Commentary: Is scanning the axilla during diagnostic breast ultrasound necessary? – Health Imaging
Guideline | Intrahepatic cholestasis of pregnancy
18 Apr, 2023 | 13:24h | UTCIntrahepatic cholestasis of pregnancy – BJOG
M-A | McDonald vs. Shirodkar cerclage technique in the prevention of preterm birth
18 Apr, 2023 | 13:22h | UTC
M-A | Self-sampling strategies in populations at risk of Chlamydia trachomatis and Neisseria gonorrhoeae
18 Apr, 2023 | 13:09h | UTC
Commentary on Twitter
#OnlineFirst https://t.co/hOPwxJ2SLD
Vialard et al ➡️ diagnostic accuracy of self-sampling followed by CT/GC NAAT was similar to clinician-collected for extragenital sites in high-income countries. Vaginal self-sampling for women in low-income countries had lower accuracy. pic.twitter.com/lIzbQPufJl
— STI_BMJ (@STI_BMJ) April 11, 2023
RCT | Operative hysteroscopy vs. vacuum aspiration for incomplete spontaneous abortion
18 Apr, 2023 | 13:04h | UTCOperative Hysteroscopy vs Vacuum Aspiration for Incomplete Spontaneous Abortion: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)
Commentary on Twitter
Study does not support the use of hysteroscopy as the first-line surgical treatment for patients with incomplete spontaneous abortions. https://t.co/pNI9XOmzae pic.twitter.com/FgWytS2XeR
— JAMA (@JAMA_current) April 14, 2023
M-A | Postoperative analgesic effects of serratus anterior plane block for thoracic and breast surgery
18 Apr, 2023 | 13:01h | UTC
M-A | Efficacy of postpartum pharmacologic thromboprophylaxis
17 Apr, 2023 | 12:55h | UTC
RCT | Safety of Fezolinetant for vasomotor symptoms associated with menopause
17 Apr, 2023 | 12:54h | UTCRelated:
RCT | Fezolinetant for treatment of moderate-to-severe vasomotor symptoms associated with menopause
RCT | Efficacy of Fezolinetant in moderate-to-severe vasomotor symptoms associated with menopause
RCT | 10-year results show low-dose tamoxifen reduces noninvasive breast cancer recurrence
17 Apr, 2023 | 12:50h | UTCRandomized Placebo Controlled Trial of Low-Dose Tamoxifen to Prevent Recurrence in Breast Noninvasive Neoplasia: A 10-Year Follow-Up of TAM-01 Study – Journal of Clinical Oncology (link to abstract – $ for full-text)
SR | Mechanical methods for induction of labor
17 Apr, 2023 | 12:42h | UTCMechanical methods for induction of labour – Cochrane Library
Summary: Mechanical methods for induction of labour – Cochrane Library
Cohort Study | Third trimester ultrasound reduces undiagnosed breech presentations
12 Apr, 2023 | 13:27h | UTCCommentary: Timely Ultrasound Can ID Undiagnosed Breech Presentations – HealthDay
RCT | Exploring the potential of peritumoral lidocaine infiltration to improve outcomes in early breast cancer
11 Apr, 2023 | 14:37h | UTCEffect of Peritumoral Infiltration of Local Anesthetic Before Surgery on Survival in Early Breast Cancer – Journal of Clinical Oncology (link to abstract – $ for full-text)
Review | Pulmonary arterial hypertension in pregnancy
11 Apr, 2023 | 14:06h | UTCPulmonary arterial hypertension in pregnancy – Current Opinion in Cardiology
M-A | The risk of long-term cardiometabolic disease in women with premature or early menopause
11 Apr, 2023 | 13:59h | UTC
RCT | Maternal RSVpreF vaccination protects infants from severe RSV illness
10 Apr, 2023 | 13:56h | UTCBivalent Prefusion F Vaccine in Pregnancy to Prevent RSV Illness in Infants – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Vaccination during pregnancy could prevent RSV illness in infants – Charité – Universitätsmedizin Berlin
Commentary on Twitter
In a phase 3 trial, adults (≥60 years of age) received one 120-μg dose of RSVpreF vaccine or placebo. Vaccine efficacy against RSV-associated lower respiratory tract illness was 67 to 86%. https://t.co/R9u77iWjF9 pic.twitter.com/iPU8VAMQ9M
— NEJM (@NEJM) April 5, 2023
Cohort Study | Long-term mortality in individuals diagnosed with cancer during pregnancy or postpartum
10 Apr, 2023 | 13:48h | UTCLong-term Mortality in Individuals Diagnosed With Cancer During Pregnancy or Postpartum – JAMA Oncology (free for a limited period)
Commentary on Twitter
Retrospective cohort study of 24,307 premenopausal women w/cancer shows higher risk of death w/pregnancy-assoc cancer than cancer remote from pregnancy, but results varied by site of cancer & in pregnancy vs. postpartum. https://t.co/7Eps4fUfLS
— JAMA Oncology (@JAMAOnc) April 7, 2023
Review | Urinary incontinence and pelvic organ prolapse in women
10 Apr, 2023 | 13:27h | UTC
SR | Insufficient evidence on skin-sparing mastectomy efficacy and safety for breast cancer
6 Apr, 2023 | 13:04h | UTCSkin‐sparing mastectomy for the treatment of breast cancer – Cochrane Database of Systematic Reviews
Cohort Study | Maternal cardiac arrest: occurrence, survival, and influencing factors
6 Apr, 2023 | 12:59h | UTCCardiac Arrest During Delivery Hospitalization: A Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries:
Cardiac Arrest During Delivery Hospitalization – American College of Cardiology
Cardiac Arrest During Childbirth Is Rare, But Some Women Face Higher Risks – HealthDay
Commentary on Twitter
Study of pregnant women hospitalized during delivery found #CardiacArrest occurred in 1 in 9k deliveries, higher than other reported rates. More common in older or Black patients or persons w/ #Medicare or underlying conditions: https://t.co/ko1K7NFaPi. @CDCgov pic.twitter.com/23CxVi138k
— Annals of Int Med (@AnnalsofIM) March 15, 2023
SR | Induction of labor at or near term for suspected fetal macrosomia
6 Apr, 2023 | 12:55h | UTC