Articles tagged with Gynecology
Gynecologists argue the FDA's warning on power-morcellation is based on flawed data and may limit access to safe, effective treatment options for women. The study group suggests that better preoperative identification and new techniques could improve patient outcomes.
A national insurance database analysis revealed that 1 in 352 women had unsuspected cancer after undergoing minimally invasive gynecologic surgeries. The study highlights the need for safer alternatives to power morcellation to avoid worsening a woman's prognosis.
A new study found that laparoscopic hysterectomy without morcellation was the most effective procedure, while laparoscopic hysterectomy with power morcellation was associated with more intraoperative complications but fewer perioperative risks. The risk of cancer dissemination and mortality varied by age, with higher risks for older wo...
The World Congress of the International Federation of Gynecology and Obstetrics has adopted recommendations from the Perinatology Research Branch at Wayne State University to prevent preterm birth. These guidelines include daily vaginal progesterone treatment for women with short cervices, which can reduce the risk by nearly half.
Northwestern Medicine researchers aim to develop new treatments for uterine fibroids using novel targets and pathways. The NIH grant supports projects focused on progesterone effects, nuclear receptors, and AKT pathway modification.
The International Federation of Gynecology and Obstetrics calls for increased efforts to prevent exposure to toxic chemicals, linked to reproductive issues such as miscarriage, stillbirth, and cancer. The group advocates for policies to protect patients and communities from involuntary chemical exposure.
Georgia Regents University is among 15 institutions receiving federal funding to train the next generation of physician-scientists in obstetrics and gynecology. The program will support junior faculty, residents, and fellows in research, enabling them to focus on research for at least 30 hours weekly.
A study of nearly 60,000 women who received synthetic vaginal mesh slings for stress urinary incontinence found a low risk of needing second surgery for mesh removal or revision. High-volume surgeons performed fewer complications, and multiple mesh-based procedures increased the risk of complications.
A large international randomized clinical trial found that cervical pessary insertion did not reduce spontaneous preterm births or neonatal complications in women with twins. The study, published in the American Journal of Obstetrics and Gynecology, included 1,180 twin pregnancies and showed no significant differences between groups.
Research reveals that women outnumber men in 7 medical specialties, with the highest representation in pediatrics and obstetrics/gynecology. However, significant disparities remain in black and Hispanic trainee numbers compared to the U.S. population.
A recent study reveals that nearly 1 in 3 counties in the US have limited access to specialty care for ovarian and cervical cancers, affecting 14.8 million women. The study also found that 15% of women may face barriers to care due to their referral network.
Research reveals that nearly a third of low-risk pregnancies experience unexpected complications requiring non-routine obstetric or neonatal care. The study analyzed data from over 10 million birth certificates and found that women without prenatal risk factors may still face unexpected complications during delivery or postpartum.
Women treated for gynecologic cancers experience decreased sexual activity, with younger and premenopausal women at higher risk. Counseling during treatment may help alleviate long-term effects on sexual health.
Dr. Gary Frishman's editorial in Journal of Minimally Invasive Gynecology suggests that second-look laparoscopy may not be the best approach due to its risks and high cost. The procedure, which involves a repeat surgery to check for adhesions after a previous treatment, is questioned by Dr. Frishman as a model for responsible healthcare.
Elective tubal sterilization is readily available to women with private payment, but Medicaid beneficiaries face a 30-day wait. Experts argue that this violates healthcare justice and access to permanent contraception for low-income women. The policy restricts nearly half of annual deliveries paid by Medicaid.
A study of over 1,300 women service members and veterans found that fewer than a third sought post-assault health care, despite growing awareness and efforts to deter sexual crimes. Researchers identified embarrassment, confidentiality concerns, and adverse career impacts as key factors preventing servicewomen from seeking care.
The University of Michigan's 1000+ OBGYN Project has developed four new collections of high-quality educational materials to support obstetrician-gynecologist training in low-resource countries. These materials, made publicly available for free, cover topics such as abnormal uterine bleeding and postpartum care, and are intended to imp...
Experts recommend using ultrasound as the first line of imaging for patients with pelvic symptoms due to its cost-effectiveness and safety. Ultrasound has evolved to be an effective tool for evaluating gynecologic patients, providing accurate results without radiation exposure.
Dr. Ayman Al-Hendy has received two top honors from the Society for Reproductive Investigation for his outstanding record of scientific investigation and promising research career. He is being recognized for his work on fibroids, uterine growths affecting up to 75% of women, which can complicate pregnancy and cause excessive bleeding.
A new study published in the American Journal of Obstetrics & Gynecology found that laparoscopic hysterectomy with morcellation is associated with fewer postoperative complications and improved quality of life compared to abdominal surgery. The study used decision-tree analysis to compare outcomes according to the probability of compli...
Portugal's cesarean section rates dropped by 10% between 2009 and 2014, with a 14% reduction in state-hospitals. This decrease is linked to improved information sharing and training among healthcare staff, as well as the inclusion of C-section rates in hospital funding criteria.
A large-scale study found a 0.22% incidence of uterine sarcoma in women after hysterectomy, with most cases being unexpected endometrial cancer. Researchers emphasized the need to balance minimally-invasive procedures with cautious preoperative planning.
Researchers found hormonal IUDs and contraceptive implants to be highly effective one year beyond their approved duration of use, with no pregnancies reported in the implant group. The study aims to enroll a total of 800 women to determine if these methods are effective for up to three years beyond FDA-approved duration.
A study published in Menopause found a link between early menopause and chronic fatigue syndrome in women, with 66% of those with CFS having undergone at least one gynecologic surgery. Women with CFS reported excessive bleeding and used hormones for purposes other than contraception more frequently.
A recent study published in the Journal of Clinical Investigation identified hyaluronon as a critical substance made by the body that protects against premature births from infection. The findings suggest that HA plays a crucial role in epithelial barrier function and offers cervical protection against bacterial infections.
A study of over 3,000 women in Michigan found that nearly 40% did not receive alternative treatment before their hysterectomy. Nearly two in five women under 40 had unsupportive pathology, suggesting that treatment guidelines are often not followed.
A study published in Obstetrics & Gynecology found that robotic-assisted surgery for benign ovarian surgery has more complications and is significantly more expensive than conventional laparoscopic surgery. The median total cost of robot-assisted oophorectomy was $7,426, compared to $4,922 for conventional laparoscopic oophorectomy.
The article presents a framework for future development of fetal interventions while minimizing maternal risk. Experts highlight the need to limit the number of fetal surgery centers due to high costs and rare conditions.
Research finds young multiparous women and those living in remote areas are at greatest risk of unplanned deliveries, which may increase infant mortality. The study suggests that limited access to proper medical care contributes to the increased risk.
A new Dutch study finds that elective C-sections significantly reduce infant mortality in breech presentations, with a 10-fold increase in fetal mortality for vaginal deliveries. Researchers analyzed 58,320 term breech births and found that elective C-section rates increased from 24% to 60%, resulting in a decrease of infant mortality.
Dr. Surendra Sharma, a research scientist and professor at Women & Infants Hospital of Rhode Island, has received the Distinguished Service Award for advancing reproductive immunology research. His laboratory focuses on understanding premature birth and pregnancy complications.
A Yale University study found a 50% drop in obstetric malpractice liability claims and payments after implementing patient safety measures, including standardized care and teamwork training. The hospital's efforts reduced liability claims by 95%, saving over $47 million.
A study published in Acta Obstetricia et Gynecologica Scandinavica found that iron supplements improved energy, physical function, and social function in women with heavy menstrual bleeding. After one year of treatment, anemic women showed significant increases in these areas compared to non-anemic women.
A clinical review published in JAMA explores the diagnosis and management of mixed urinary incontinence in women, a condition affecting 20-36% of women. High-quality evidence supports treating stress and urge urinary incontinences with surgery and medications respectively.
A new study by UTMB researchers discovered that exposure to oxidative stress, triggered by cigarette smoke, leads to premature aging of the placenta. This can result in preterm birth, a condition affecting millions worldwide. The findings suggest alternative strategies may be needed to prevent preterm births beyond current interventions.
Women who received collaborative care for depression at an obstetrics and gynecology clinic showed significant reduction in symptoms, with more than half experiencing post-traumatic stress disorder as well. The approach, called Depression Attention for Women Now, improved patient engagement, treatment recommendations, and follow-up care.
Dr. Charles Rardin suggests hospitals and physicians consider four issues to promote a balanced approach to Minimally Invasive Surgery (MIS), including case criteria, quality management, and support for all forms of MIS. This approach is necessary to ensure patients receive the best care and avoid 'robotic factories'.
The journal Gynecologic Oncology highlights the impact of obesity on gynecologic cancer prevention, treatment, and survivorship in obese women. Research shows that 72% of US women have a BMI of ≥ 25 kg/m2, making it challenging to convince patients of behavioral change.
Researchers discovered a less invasive technique for treating vulvar cancer, removing only the sentinel lymph node to decrease complications while maintaining low recurrence rates. The study, published at the Society of Gynecologic Oncologists meeting, included 73 women and found a 5.2% recurrence rate.
A clinical trial identified women most likely to benefit from vaginal mesh surgery for vaginal prolapse, specifically those with levator avulsion. The study found that patients with this condition had a higher risk of recurrence after sacrospinous vaginal colpopexy, making vaginal mesh implantation a viable alternative.
Group A streptococcus (GAS) infection can be life-threatening in pregnant women, with associated mortality rates of 30-50%. Dr. Brenna Anderson provides recommendations for rapid diagnosis and treatment of GAS infections in pregnant and postpartum women.
A recent study found that reproductive coercion and co-occurring intimate partner violence are prevalent among women in this demographic. The study's results suggest that healthcare providers should address reproductive coercion with their patients, tailoring family planning discussions and recommendations accordingly.
A clinical opinion published in the American Journal of Obstetrics and Gynecology suggests that maternal oxygen supplementation during labor may not benefit the fetus and could be harmful. The authors recommend reserving oxygen for mothers with hypoxia only, pending further research.
Women who experience fertility problems are more likely to stay with their partner if they have a child after infertility evaluation. After 12 years of follow-up, nearly 27% of women were no longer living with the partner if they did not have a child.
New research reveals vulvodynia affects Hispanic women more frequently than black women, with higher incidence rates in younger women and those with pre-existing pain disorders. The study found that nearly 10 million women experience vulvodynia at any given time, highlighting the need for improved diagnosis and treatment.
A 15-year study found human error is the most common cause of infant asphyxiation at birth in Norway, with 50% attributed to poor fetal monitoring. The study suggests training for midwives and obstetricians, along with high-quality audits, could help reduce compensation claims after birth asphyxia.
Researchers will study 1,000 babies born before 30 weeks gestation using the NNNS exam to predict developmental impairment. The goal is to identify infants at greatest risk and provide early intervention and follow-up programs.
A recent study found that African-American women and non-white women have lower knowledge about urinary incontinence and pelvic organ prolapse compared to white women. The study suggests that culturally sensitive educational interventions are urgently needed to address these disparities.
A recent Mayo Clinic survey found that uterine fibroids significantly impact the quality of life and workplace performance of women, with African-American women experiencing more severe symptoms and delayed diagnosis. The study highlights the need for better treatment options and increased awareness about this common public health issue.
A study of 66,111 pregnant women in Norway found that those with negative affectivity were more likely to engage in light alcohol use and binge drinking. This increased risk was associated with higher levels of anxiety and depression, highlighting the need for further research into this issue.
Scientists have created a mouse model that may reveal useful targets for new adenomyosis treatments. The model is based on the beta-catenin protein, which causes changes in cells leading to the disease.
New research reveals that large labor wards with 3,000 to 3,999 deliveries annually have lower obstetric injury claims and higher approval rates compared to smaller units. The study found that greater availability of in-house obstetricians and auxiliary specialists contributes to better patient outcomes.
A Mayo Clinic study found that patients undergoing enhanced recovery pathway (ERP) for gynecologic surgery experienced decreased narcotic use, earlier discharge, and cost savings. The ERP standardized postoperative management to reduce complications and improve patient satisfaction.
A new study published in American Journal of Obstetrics and Gynecology reveals that ethnicity-based birth weight charts are more accurate than traditional population-based standards. These charts can help identify small but healthy babies, reducing parental anxiety and unnecessary healthcare costs.
The University of North Carolina will assist the President's Maternal Health and Safe Motherhood Initiative by designing maternity homes, training healthcare providers, and establishing a residency program. The grant aims to reduce maternal and infant deaths in Malawi, which has one of the highest maternal mortality rates in the world.
A recent survey of US obstetrics and gynecology residents found that fewer than one in five receives formal training in menopause medicine. The study suggests that ob/gyn residency programs need to address this training gap, as the number of menopausal women is expected to increase due to an aging population.
A novel study suggests that surgical removal of an ovary and visible endometriosis significantly lower ovarian cancer risk in women with endometriosis. Hormonal treatments, however, did not show a protective effect against ovarian cancer.
A multistate, hospital-based quality improvement program reduced the rate of elective early term deliveries from 27.8% to 4.8%, resulting in more babies staying in the womb longer. The project saw a decrease in births before 39 weeks and an increase in full-term births.
Women with a pre-pregnancy body mass index (BMI) of 40 or more are at increased risk of vacuum extraction delivery or Cesarean section. Excessive gestational weight gain also increases the risk of forceps, vacuum extraction, and C-section. Obesity is associated with lower gestational weight gain but larger baby sizes.
The use of robotically-assisted hysterectomy for benign gynecologic disorders increased substantially between 2007 and 2010, accounting for 9.5% of procedures in 2010. However, the procedure offered little short-term benefit and was accompanied by significantly greater costs compared to laparoscopic hysterectomy.