Articles tagged with Gynecology
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A Northwestern Medicine study found that postpartum individuals living in states with generous mandated paid family and medical leave are more likely to breastfeed and less likely to experience postpartum depression symptoms. Lower-income populations covered by Medicaid saw the greatest benefits, with a 32% greater likelihood of breast...
The Perinatal LAW Project, a medical-legal partnership, helps pregnant and postpartum patients tackle unmet legal needs, such as housing and financial insecurity. By integrating lawyers into care teams, healthcare providers can better support patients' health-harming legal issues, leading to improved birth outcomes.
A new analysis of 50 years of data found that pregnant people who gained more than the recommended amount of weight had a higher risk of death from heart disease or diabetes in the decades following. Higher risk was found for all weight groups studied, but no increase in risk was uncovered among those who were obese.
A new specimen collection system has been developed to enhance assisted reproductive technologies by providing a simple one-step method for selecting high-quality sperm for ICSI. The system, known as NovaSort, uses a barrier mesh to isolate mobile sperm without damaging their DNA.
Researchers found that women experience a significant increase in anxiety and negative feelings during the 7-day pill-free period, similar to those experienced during menstruation. Long-term pill users may benefit from mood-stabilizing effects while taking their pill.
A new Michigan State University and Corewell Health research found that in-home prenatal services can significantly reduce the risk of premature births and infant deaths. Pregnant individuals receiving enhanced prenatal care saw a 57% reduced risk, while expectant Black mothers experienced an even greater reduction.
A new study by Ohio State University found that most gynecologic cancer-related content on TikTok is poor in quality and accuracy. The majority of the content, over 73%, was deemed inaccurate and of poor educational quality, with racial disparities also present.
A study using a placenta-on-a-chip model investigated the transport of pharmaceutical agents, such as naltrexone, to the fetus. The research revealed significantly higher expression levels of interleukin-6 and tumor necrosis factor-alpha in neural cells exposed to these agents.
The journal's October 2023 issue addresses racism in reproductive health through a transdisciplinary approach, featuring articles on disparities, community engagement, and research. The special issue aims to promote health equity and inclusion, providing a safe space for historically marginalized people.
Residency programs lack standardized menopause curriculum, with only 31% reporting any training. A national curriculum is proposed to improve patient care and address the growing need for menopause education.
A study published in JAMA Network Open found that many websites selling fertility tests make misleading claims about their effectiveness and limitations. The researchers called for increased regulation and oversight on the marketing of home fertility tests, which can lead to false reassurance or worry among women.
A Mount Sinai study identified the most effective and safest outpatient labor induction methods, using low-dose vaginal misoprostol, which reduces hospital stays and increases hospital efficiency. The study found that this approach does not increase cesarean delivery risk or complications.
A new review describes the development and impact of a Latin American mentorship program for Fracture Liaison Services (FLS), resulting in 64 FLSs getting started and providing coverage for over 17,200 patients. The program also supports the establishment of active communities of mentors across Mexico, Brazil, Colombia, and Argentina.
A cross-sectional study found that caregivers of Brazilian girls with Down syndrome commonly expressed concerns about menstrual bleeding and sexual development, with most permitting their child to engage in romantic relationships. The study highlights the need for guidance on addressing difficulties related to menstruation, contracepti...
A Northwestern University study found that only 60% of women with heart disease risk factors received counseling on optimizing their heart health during their six-week postpartum visit. The study highlights the need for improved access to care and increased awareness of maternal cardiovascular health monitoring.
A Michigan State University study found that women with endometriosis have higher cadmium levels in their urine compared to those without the diagnosis. The researchers analyzed data from over 41,000 participants and found a significant link between urinary cadmium concentrations and endometriosis prevalence.
A synoptic report improved the completeness of pretreatment CT reports in patients with advanced ovarian cancer. Involvement of surgically established unresectable or challenging-to-resect disease sites was mentioned in all disease-specific synoptic reports, compared to 37% of simple structured reports.
Researchers at Moffitt Cancer Center found that higher c-reactive protein levels were associated with greater depression and less physical activity among patients with gynecologic cancers. However, most inflammatory markers were not linked to treatment-related symptoms.
Researchers found that women with adenomyosis experienced higher rates of complications during pregnancy, including caesarean sections, surgical removal of the uterus, and wound complications. The study also linked adenomyosis to increased risks of pre-eclampsia, hypertension, and placenta previa.
Research reveals that women with PCOS experience significant body image concerns, including greater self-classification as overweight and lower body satisfaction scores. This correlation may increase the risk of developing eating disorders like anorexia or bulimia.
A global study predicts a significant increase in hip fractures worldwide by 2050, with the number projected to nearly double compared to 2018. The study highlights a post-fracture treatment gap in fracture prevention, particularly for men, leading to increased mortality and dependency.
Research presented at ENDO 2023 found women with PCOS died 47% earlier than those without the condition. They were also at higher risk for deaths due to cardiovascular disease, tumors, diabetes, and lung infections.
A new study from Boston Medical Center found that implementing a streamlined process for urgent cesarean deliveries improved infant Apgar scores, particularly for Black and Hispanic infants. The study reduced decision-to-incision time by 64% among all patients, with the largest improvements seen in Black and Hispanic patients.
ChatGPT achieved high scores in clinical reasoning and demonstrated rapid response times to evolving questions. However, its lack of local ethnic knowledge and limited medical references hindered its performance in highly contextual situations.
Researchers discuss chemotherapeutic resistance in recurring ovarian cancer, focusing on the unfolded protein response and its effect on polyploid giant cancer cells. Understanding this mechanism could lead to investigating cancer cell molecular mechanisms and potential therapeutic strategies.
Researchers found that 78% of patients reported at least one social risk factor impacting their health. A chatbot was developed to provide follow-up outreach and deliver educational content to recently discharged birthing individuals.
A new study found that hysterectomy, oophorectomy, and tubal ligation are associated with an increased risk of cardiovascular disease. The strongest association was seen among women who underwent surgery before age 50.
A recent Fred Hutchinson Cancer Center study found that fibroids were associated with an increased risk of ovarian cancer in both Black and white women, while hysterectomy modified this risk for white women but not Black women. The study highlights the need for further research into racial disparities in ovarian cancer risk.
A study from Lund University found Swedish obstetricians and gynecologists have a significantly higher emotional stability and conscientiousness compared to the general population. This difference affects their decision-making styles in acute childbirth situations.
A multicentre prospective cohort study found that women using traditional Chinese medicine before and during pregnancy had a 2.1-times higher risk of congenital malformations compared to those without exposure. The study identified significant associations with early pregnant use and the use of two or more types of products.
A comprehensive review reveals that postmenopausal dyspareunia is a common condition with various causes, including lack of estrogen, cancer treatments, and musculoskeletal problems. Effective treatments are available, such as lubricants, vaginal estrogen, and fractional CO2 laser treatments.
A randomized clinical trial found that using smartphone apps for home monitoring after oncologic surgery leads to improved quality of recovery and equal patient satisfaction. The study compared this approach with conventional in-person follow-up, revealing no significant differences in these outcomes.
A major international study published in Nature Genetics has provided new insights into the genetics of preterm birth and pregnancy length. The research reveals a mutually antagonistic effect between the woman's and unborn child's genes, favoring earlier labor for the mother's survival and extending pregnancy for the child's weight gain.
Adding pembrolizumab to chemotherapy greatly improves patient outcomes in both MMR-deficient and proficient tumors. Progression-free survival increases by 70% in MMR-deficient tumors and 46% in MMR-proficient tumors.
The ENGOT-EN6-NSGO/GOG-3031/RUBY trial reveals significant improvements in progression-free survival and overall survival for patients with primary advanced or recurrent endometrial cancer when treated with dostarlimab in combination with standard of care carboplatin/paclitaxel. The new treatment regimen offers a substantial increase i...
The NRG-GY018 trial found that pembrolizumab significantly improved progression-free survival outcomes in women with stage III-IV or recurrent endometrial cancer, particularly those with mismatch repair deficient tumors. The treatment also demonstrated improved overall survival and quality of life outcomes.
Researchers at University of California San Diego School of Medicine found a significant reduction in disease growth when combining immunotherapy with chemotherapy in patients with advanced endometrial cancer. The study resulted in a 70% risk reduction in the deficient mismatch repair group.
Researchers identified ARID1A and PIK3CA as potential targets for drug development in recurrent and metastatic cervical cancer. The study found that these mutations were associated with improved survival rates, suggesting their potential as new treatment options.
Women with locally advanced squamous cell carcinoma of the vulva who received gemcitabine concurrently with cisplatin and intensity-modulated radiation therapy exhibited increased rates of pathologic complete responses. The study found improved survival and response outcomes for this population, while minimizing toxicity.
A phase II trial investigating the combination of ribociclib and letrozole showed a response rate of 23%, progression-free survival of 19.1 months, and duration of response of 19.1 months in patients with recurrent low-grade serous ovarian cancer.
Researchers found that miR-145 suppresses cervical cancer cell growth and inhibits aerobic glycolysis. Targeting miR-145 is expected to be an effective strategy for cervical cancer treatment, according to the study.
Research found that pregnancy complications such as preterm delivery, hypertensive disorders, and gestational diabetes are associated with increased risk of mortality. Women who experienced these complications had a higher risk of all-cause mortality, with some complications linked to specific causes of death like cardiovascular diseases.
A new smoking cessation intervention, MAPS, has been shown to increase smoking abstinence rates in patients with cervical cancer or precancerous disease by over two-fold. The study found that extended treatment and sustaining the program may be necessary for long-term abstinence.
A new clinical review provides an overview of endometriosis causes, diagnosis, and management based on the latest evidence. The review aims to help clinicians and patients understand this complex condition, which affects approximately 1 in 10 women of reproductive age.
A randomized controlled trial found that virtual reality lessons significantly improved medical students' knowledge of fetal development, with retention at one-week follow-up. Students showed high satisfaction with the VR tool compared to traditional tutorials.
Researchers discovered that quiescent ovarian cancer cells secrete follistatin, which induces resistance in neighboring cells and worsens survival rates. Targeting this protein may improve chemotherapy response and boost survival in patients with aggressive ovarian cancer.
A study of over 11,000 women with obstetric anal sphincter injuries found that the severity of problems increases with the number of injuries, affecting everyday life and quality of life. Women with two injuries reported high-frequency anal incontinence and a greater impact on their lives.
A new study reveals naked mole-rats produce eggs throughout their lives, contrary to the dogma that female mammals have a finite ovarian reserve. The research found that these rodents have exceptionally large numbers of egg cells and lower cell death rates compared to mice.
Researchers found inconsistencies in labor and delivery policies, causing vicarious trauma among nurses. Policy changes are proposed to improve emotional and mental health support for healthcare workers.
A retrospective review of 27,710 medical records found no clinical measurable difference in AFP levels between non-Black and Black patients. The study urges an end to race-based adjustments for AFP prenatal testing, citing a lack of scientific basis for the practice.
Researchers from UTSA and UT Health San Antonio are developing compounds that target the estrogen receptor-beta, which suppresses cancer growth. The goal is to identify a novel ER-beta agonist with potential as a therapeutic strategy for treating GBM in patients.
A new study suggests that acupressure before surgery can reduce anxiety, while acupuncture during surgery may provide additional relief from severe pain. The research found that patients who received these treatments had better recovery scores and lower levels of pain and anxiety compared to those who received standard care.
A systematic review and meta-analysis found common risk factors for primary dysmenorrhea and premenstrual syndrome, including physical characteristics, menstrual characteristics, and lifestyle factors. Lifestyle changes such as maintaining regular sleep patterns, a healthy BMI, and stress management may help alleviate symptoms.
A study by Mayo Clinic researchers found a specific colonization of microbes in the reproductive tract is commonly found in women with ovarian cancer. The discovery strengthens evidence that the bacterial component of the microbiome is an important indicator for early detection, diagnosis, and prognosis of ovarian cancer.
Researchers developed a blood test using circulating microparticle proteins to predict placenta accreta spectrum (PAS) cases as early as the second trimester. The study found five unique proteins that can distinguish PAS patients from control patients, enabling safe predication before delivery.
Studies found underrepresentation of American Indian, Asian, Black, and Latinx groups in obstetrics and gynecology research. The disparity varies by race, ethnicity, subspecialty, and funder, with some subspecialties having more diverse trials than others.
A new Northwestern Medicine study found that all U.S. OB-GYN subspecialties lack racial and ethnic representation in clinical trials and research publications. This absence has negative consequences, including biased tools for diagnosing endometrial cancer and unacceptably low sensitivity in the Black female population.
A study found that PPMC-owned practices focusing on clinical management lead to significantly lower C-section rates, while those focusing on financial management lead to higher rates. This suggests that the business strategies used by PPMCs can impact patient care.
A new study found that postpartum visit attendance declined by 5.8% during the pandemic, with uninsured women, Black women, and women under 19 facing the largest decreases. The study highlights the need to address health policy and system challenges to reduce ongoing disparities in postpartum care.
A new protocol at Cedars-Sinai improves the timeliness of treatment for women with severe pregnancy-related hypertension, reducing maternal stroke risk. Despite racial disparities in hypertension rates, the initiative found no significant delays in treatment based on race or ethnicity.