Articles tagged with Gynecology
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.
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.
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.
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.
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 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.
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.
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.
Women with excessive menstrual bleeding may have underlying bleeding disorders. The consensus conference recommends hematologic evaluations to diagnose conditions like Von Willebrand Disease, which affects 74-92% of women with menorrhagia.
Researchers at Temple University discovered that women who perceive their bodies as ideal, even if they are obese or overweight, can still experience health issues. The study found that African-American and Hispanic women underestimated their current body size more often than white women.
A study at Yale-New Haven Hospital found that implementing simple clinical interventions, including communication training and standardizing procedures, significantly improved maternal and newborn outcomes. The rate of adverse events decreased by 60%, while the staff's perception of safety increased by 30%.
A noninvasive test using diffusion weighted MRI accurately identifies benign from malignant pelvic lymph nodes in patients with gynecologic malignancy. The test has a sensitivity of 92% and specificity of 85%, making it a useful tool for determining the extent of cancer spread.
A new procedure using saline-infusion sonography allows doctors to visualize and diagnose diseases in the lining of the uterus, improving diagnosis accuracy. The study found that the procedure correctly diagnosed benign polyps and cancers more often than blind biopsies.
Lawrence Platt and Ernest Feleppa receive top awards for their contributions to medical ultrasound, with Platt recognized for clinical science and Feleppa for basic science research, both funded by the National Institutes of Health.
Einstein College of Medicine has established a Specialized Cooperative Center Program in Reproduction and Infertility Research, focusing on menstrual disorders, endometriosis, and infertility. The center aims to translate breakthroughs in reproductive biology into clinical practice and address health disparities in the local community.
A study by Massachusetts General Hospital found that both Latino and non-Latino women are more likely to accept HPV vaccination for themselves and their children than previously reported. The main motivator for these women is the prevention of cancer, with no association between vaccine acceptance and income or education level.
A post-hysterectomy analysis found about half of women with pre-cancerous cell changes still had invasive endometrial cancer. Women diagnosed with complex atypical hyperplasia should be referred to a gynecologic oncologist for evaluation.
The Ovarian Cancer Research Fund (OCRF) and the Gynecologic Cancer Foundation (GCF) have jointly funded a new study on ovarian cancer symptoms, aiming to develop a systematic screening process. Dr. Barbara Goff will lead the three-year study, which seeks to create a symptom index for early detection.
A study found that measuring lower uterine segment (LUS) thickness can predict uterine scar defects and anticipate high-risk patients for subsequent uterine rupture. Women with full LUS thickness under 2.3mm and single-layer muscular closure are at increased risk.
A phase III, international randomized clinical trial supports a new standard of treatment for women with advanced ovarian cancer, reducing complications and post-operative deaths. The study demonstrates that neoadjuvant chemotherapy followed by interval debulking surgery can be the preferred treatment for patients with very extensive d...
Pregnant women who wait out stalled labor for an extra two hours can reduce health risks and eliminate over 130,000 C-section deliveries per year. A new study by researchers at UCSF found that one-third of women achieve a normal delivery without harm.
A recent study published in Obstetrics & Gynecology reveals that nearly 40% of women experience sexual problems, but only 12% report these issues as a source of significant personal distress. The study suggests that certain age groups and health conditions can influence the level of distress associated with sexual problems.
A two-year study led by UT Southwestern Medical Center found that combining a vaginal delivery with a Caesarean section for the second twin is generally safe. The researchers compared over 1,000 women who underwent this procedure and found that it was associated with a slightly higher risk of infection, but this risk was easily treated.