Articles tagged with Gynecology
A recent study published in The Lancet Oncology reveals that patients with low-grade serous carcinoma of the ovary or peritoneum can experience tumor stabilization or shrinkage after taking a regular dose of selumetinib. This breakthrough discovery offers new possibilities for treating previously chemoresistant tumors.
Researchers suggest refining definition of intrauterine growth restriction based on pregnancy outcomes, finding adverse effects mostly in pregnancies with EFW less than the 3rd centile. Most babies born to those with lower fetal weights were healthy despite abnormal ultrasound features.
Researchers studied over 2800 women and found that planned vaginal birth is as safe as a planned cesarean section for twins born between 32-38 weeks. The study reveals no advantage in choosing cesarean births for these types of twins, with no decrease or increase in perinatal/neonatal death or serious neonatal morbidity.
A study found that perinatal outcomes of frozen/thawed embryo replacement (FER) were better than those of fresh in vitro fertilization (IVF), but poorer than the general population. FER resulted in higher rates of low birth weight, preterm birth, and macrosomia compared to spontaneous conceptions.
Women who have undergone tubal ligation are more likely to go without regular Pap tests, increasing their risk of cervical cancer. The study found that women with tubal ligation were less frequent with Pap screenings in all age groups compared to those using other forms of contraception.
A nationwide survey of obstetricians and gynecologists found that many doctors perform routine pelvic exams in low-risk women due to misconceptions about ovarian cancer screening. The study suggests that the exams may be performed for non-clinical reasons, such as reassurance or expectation, rather than medical necessity.
A recent study published in the American Journal of Obstetrics and Gynecology challenges the benefits of planned home birth, citing higher rates of unexpected complications, emergency transports, and perinatal mortality. The authors argue that a hospital-based approach can provide a safer and more satisfying experience for patients.
The UMSOM dean and co-author argue that changes to diagnostic criteria could dramatically increase the number of women identified with gestational diabetes, placing a burden on healthcare systems. They advise caution before revising guidelines due to potential risks and costs.
The University of Michigan will receive a $5.2 million federal grant to study the relationship between birth-related pelvic floor injuries and common disorders such as urinary incontinence and pelvic organ prolapse. Researchers hope to develop new prevention strategies and treatment options for women suffering from these conditions.
A Loyola Medicine study reveals that breech births significantly increase the risk of complications for mothers and babies when the amniotic sac ruptures early. The study found that breech pregnancies were more likely to result in low amniotic fluid, premature birth, and serious neonatal outcomes.
Women who regularly use aspirin have a decreased risk of serous ovarian cancer, an aggressive form of the disease. However, the benefit must be balanced against potential adverse effects of pain medication use.
A Vanderbilt study found that pregnant women who have had prior preterm births may benefit from additional hormone, progestogens, to prevent early childbirth. However, the review also found that progestogens do not seem to help prevent preterm labor in women carrying twins or triplets.
A new study published in the American Journal of Obstetrics and Gynecology found that vaginal delivery is comparable to cesarean delivery for early preterm births presenting head first. However, breech presentations resulted in high failure rates and significantly lower neonatal mortality with planned cesarean delivery.
A new study by U-M researchers found that residency programs vary in their interpretation of National Residency Matching Program rules, leading to stress for both OB-GYN residents and program directors. The study suggests that frequent communication with candidates may create an unfair advantage, undermining the original purpose of the...
A new study found that caring for patients with fecal incontinence costs over $4,000 per person each year, making it a significant economic burden. The condition affects 8.3% of adults and can lead to depression and social isolation.
A new study by UC Irvine finds significant racial and socioeconomic disparities in ovarian cancer care and survival rates. Poor women and those without insurance face significantly lower survival rates compared to their white and affluent counterparts.
The hospital will expand its Transition Home Plus Program, training caregivers and reducing emergency room visits and hospital readmissions. The program is expected to save an estimated $3.7 million over three years.
Researchers have developed a new radiation therapy method, stereotactic body radiotherapy (SBRT), that shortens treatment time for gynecologic cancers from 5 weeks to just 3 days. This highly specific procedure targets well-defined tumors with focused radiation beams, minimizing damage to healthy tissues.
A study by Loyola Medicine found that despite encouragement, some patients do not walk after surgery, with median steps recorded at 80. Early discontinuation of catheters and IV fluids, as well as improved pain management, have the potential to increase walking and overall outcomes for these patients.
The study finds that early initiation of breastfeeding is the most equitable intervention among various maternal and newborn health interventions. Community-based interventions were more equally distributed than those delivered in health facilities, suggesting a need for targeted efforts to reach poorest individuals.
A national survey of OB-GYNs found that most doctors do not routinely ask about sexual problems or satisfaction, and even fewer inquire about a patient's orientation. This omission can lead to missed opportunities for diagnosis and treatment, with women often suffering in silence due to fear or embarrassment.
Researchers found that red blood cell transfusion decreased physical fatigue in women with acute postpartum anemia, but the effect was small. The study, which included over 50 Dutch hospitals, showed that expectant management without transfusion is a preferred approach.
A new study suggests that preterm labor diagnostic markers are not universal, and should be tailored to each individual's risk factors. The research found distinct inflammatory mediators in response to different bacterial pathogens, highlighting the need for personalized approaches to diagnosis and intervention.
A new study by researchers at Johns Hopkins University found that infants born via cesarean section had a higher risk of respiratory distress syndrome compared to those delivered vaginally. The study, which analyzed birth data from 1995-2003, challenged the long-held assumption that cesarean delivery is safer for high-risk pregnancies.
A new study suggests that induced labor may not lower the risk of infection or respiratory problems in newborns. The research indicates that expectant management, which involves close monitoring rather than inducing labor, is a safe alternative for women with preterm ruptured membranes.
The March of Dimes has launched a virtual network to prevent preterm birth, with the goal of reducing the rate to 9.6%. The network aims to share information on successful programs and policies to prevent preterm births, resulting in better health outcomes for babies.
A new fermented soy ingredient containing S-equol significantly reduced hot flash frequency in a placebo-controlled study of postmenopausal Japanese women. The supplement also relieved muscle discomfort, including neck and shoulder stiffness.
Fetal tracheal occlusion significantly improves infant survival in severe cases of CDH by enhancing pulmonary growth, increasing survival rates from less than 5% to about 50%. The study establishes FETO as standard care for severe forms of congenital diaphragmatic hernia.
A University of Cincinnati researcher is comparing historical data on home births from the 1970s with current trends, highlighting similarities in higher education levels among women opting for home births. In contrast, physician attendance at home births has decreased significantly over time, according to the study.
A recent study published in Obstetrics & Gynecology found that hysterectomies increase the risk of early menopause among younger women. The research tracked over 900 women for five years and found that 14.8% experienced menopause, compared to 8% of healthy controls.
Medical students who practiced on a patient simulator before assisting in real-life vaginal deliveries scored significantly higher on their final examinations. Simulation training increased student confidence and effectiveness in performing vaginal delivery maneuvers.
Researchers at UT Southwestern Medical Center found an accelerated hepatitis B vaccination schedule to be effective and well-tolerated in high-risk pregnant women. The study's findings suggest that a shortened 12-week vaccine regimen can provide long-term immunity and is comparable to the standard 6-month adult schedule.
A recent Yale study examining the rise in cesarean births found that a significant proportion of the increase was due to slow progress in labor and fetal heart rate concerns. The researchers also discovered that suspected large infants, twin pregnancies, and preeclampsia contributed to the increase despite stable rates in the population.
Cervical ripening in preterm and term births has distinct processes, with preterm ripening caused by inflammation-induced changes and not an acceleration of the physiologic process. The study aims to determine effective therapies for each cause of preterm birth.
The Society of Gynecologic Oncology has released guidelines for surveillance of gynecologic cancer recurrence in women who have had a complete response to primary cancer therapy. The recommendations focus on clinical effectiveness and cost-effectiveness, advising against routine cytologic procedures or imaging unless necessary.
Pelvic organ prolapse is caused by a combination of loss of elasticity and breakdown of proteins in the vaginal wall. Researchers found that fibulin-5 blocks enzymes degrading protein support structures, leading to prolapse.
The FIGO PALM-COEIN classification system provides a universally accepted method for classifying abnormal uterine bleeding, facilitating communication among clinicians and researchers. The system categorizes causes of AUB into nine categories, enabling consistent and practical application of medical and surgical therapy.
Dr. Mala S. Mahendroo will investigate biological mechanisms and causes of premature birth with a new $600,000 Burroughs Wellcome Fund grant. She aims to develop an imaging tool to assess collagen changes that precede preterm birth.
A study of pregnant women using intrauterine devices found that over half had malpositioned devices, which may increase pregnancy complications. Regular sonograms after IUD placement can help confirm proper positioning and reduce risks.
A survey of hundreds of cancer survivors confirms that more than forty percent want medical attention for their sexual health needs. The researchers found that younger women and those who had been out of treatment for over a year were more likely to want medical care, highlighting the need for better support.
Researchers found elderly patients are four times more likely to die from treatment complications than the disease itself. The study, which analyzed data from 70 women, showed that elderly patients faced a higher risk of dying from intercurrent diseases or treatment-related complications.
A recent study from the University of Texas Medical Branch (UTMB Health) has found that women using injectable or oral contraception, including DMPA and desogestrel, do not experience adverse effects on glucose and insulin levels. The research, conducted over three years, provides reassuring news for non-diabetic women using hormonal c...
The American Association of Gynecologic Laparoscopy (AAGL) advocates for vaginal or laparoscopic hysterectomy due to low surgical risks and reduced morbidity. These minimally invasive procedures enable faster recovery periods and shorter hospital stays.
Three papers were selected for the inaugural Contraception Article Award for their exceptional quality and impact on the field of family planning. The awarded articles cover topics such as bone mineral density recovery after contraceptive use, medical abortion follow-up, and postpartum intrauterine contraception cost-effectiveness.
Dr. Edward Chien's $3.7M NIH grant will recruit up to 700 pregnant women to develop more accurate algorithms for tracking fetal development and predicting healthy small fetuses. The study aims to identify pathologic versus normal growth patterns in both singletons and twins.
A University of Michigan study found that in-country OB/GYN training programs significantly contributed to doctors' decision to remain in Ghana. The availability and presence of a viable training program played a crucial role, along with social and economic factors, in graduates' choices.
A new study found that planned home births are associated with a tripling of the neonatal mortality rate compared to planned hospital deliveries. Women giving birth at home experienced fewer medical interventions, but their infants had higher rates of respiratory distress and failed resuscitation.
Researchers at UT Southwestern Medical Center compared the outcomes of two surgical procedures designed to alleviate symptoms of stress urinary incontinence. Both procedures, transvaginal sling and transobturator midurethral sling, appear to be similarly effective in women up to 12 months after the procedures were performed.
Researchers at Yale University have discovered a novel protein called Preimplantation Factor, which is crucial for successful pregnancy. The protein modulates maternal immunity and promotes early embryo attachment, influencing uterine cell remodeling.
Two surgical techniques for female stress incontinence were found to be equivalent in efficacy but differed in side effects. The retropubic procedure had a higher rate of urinary dysfunction requiring surgery compared to the transobturator procedure. These findings will help guide care for women undergoing stress-incontinence surgery.
A study found that pregnant women with flu often experience symptoms like nausea and a rapid heartbeat. Early diagnosis and treatment are crucial to prevent complications, according to the UT Southwestern Medical Center researchers.
A recent survey of women undergoing gynecologic surgery found that most were not concerned about the effects on their sex lives, despite 37% expressing worries about reduced desire after sterilization. Hormone levels are not affected by these procedures.
The revised CONSORT 2010 statement provides a checklist to ensure randomised controlled trials are reported transparently and reliably. The guidelines aim to improve the quality of trial reports, making it easier for decision-makers to evaluate the soundness of trial results.
A new study suggests that elective removal of ovaries during hysterectomy may not be beneficial and could even increase the risk of other health problems. The study analyzed data from over 300,000 women who underwent the procedure, finding a link between oophorectomy and increased risks of coronary artery disease and hip fractures.
A recent study found that many young women view gynaecological visits as a chance to discuss their sex lives and relationships. Women, doctors, and midwives agree that these visits can foster confident women who better understand their bodies and sexuality.
Women without HOXA13 gene mutations do not need x-rays and tests for hand-foot genital syndrome, according to a new study. Hand-foot genital syndrome affects reproductive and urinary systems development.
A study ranked obstetrical residency programs based on maternal complication rates, finding that top-quintile programs had significantly lower complication rates compared to bottom-quintile programs. The rankings were consistent across individual types of complications, suggesting that these rates may reflect overall quality.
Elective labor induction at 41 weeks of gestation lowers cesarean risk by 22 percent compared to waiting. Women whose labor was electively induced were also half as likely to have meconium-stained amniotic fluid, a sign of fetal stress. However, physicians need to give inductions sufficient time to work before deciding on a cesarean.
Researchers identified 'early gainers' who averaged 24 pounds of weight gain over three years, linked to increased abdominal fat and metabolic syndrome. The study recommends physicians tailor counseling based on women's risk factors and suggest alternative contraception methods for those who gain significant weight.
Research conducted by Yale University researchers found that women with preeclampsia in previous pregnancies are at higher risk of hypertension after pregnancy. Additionally, preterm delivery, preeclampsia, and low-birth weight tend to recur and increase the risk of complications in future pregnancies.