Articles tagged with Gynecology
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.
The study found a significant decline in surgical and medical complications for hysterectomies, with laparoscopic-assisted vaginal hysterectomy showing a 50% reduction. However, African-American women had higher rates of medical and surgical complications, highlighting the need for further research to address disparities.
A new study reveals that perinatal death takes a significant emotional toll on obstetricians, with three-quarters reporting an emotional impact. Obstetricians often struggle with feelings of guilt and self-blame after a stillbirth or infant death, and worry about disciplinary action from no identified cause. Improved bereavement traini...
A study found that bullying in nursing workplaces leads to declining patient care quality and increased health problems among nurses. Author Dianne Felblinger recommends implementing zero-tolerance standards to prevent such incidents.
A case report describes a woman with small bowel endometriosis who presented symptoms similar to Crohn's disease. Histopathological examination confirmed the diagnosis of Crohn's disease, highlighting the need for accurate differential diagnosis in clinical practice.
A multi-center study of 500 women found that more women preferred the contraceptive ring over the skin patch due to lower complication rates and higher satisfaction. The ring was also reported to have fewer side effects compared to the patch.
Researchers identified a significant association between genetic mutations in the TLR4 gene and inflammatory injury to the placenta, increasing the risk of preterm birth. Women with this mutation were five times more likely to experience placental inflammation, while babies with the mutation faced nearly five times the risk.
Approximately 44.4 million US adults receive preventive health examinations annually, with 20.9% of the population participating in both genders. Preventive services such as mammograms and cholesterol screening are provided at 52.9% of these visits.
A recent study published in Archives of Internal Medicine found that nearly 21% of US adults receive a preventive physical exam annually, with estimated total costs reaching $5.2 billion per year. The study also revealed significant variations in clinical practice patterns and patient beliefs across the country.
A team of U-M researchers, including gynecologists and engineers, will use the grant to examine damage to pelvic muscles during vaginal deliveries. They aim to develop preventive strategies to reduce injury rates, which affect up to 300,000 women per year.
Researchers at Virginia Commonwealth University discovered that intrauterine devices (IUDs) are acceptable for women at high risk of sexually transmitted infections and pregnancy. The study, published in the American Journal of Obstetrics and Gynecology, found lower rates of complications and greater acceptability with the Mirena IUS.
A study of 132 rare ovarian cancer survivors found that most retained menstrual function and reproductive ability after treatment. Despite reproductive concerns, survivors were more likely to be in meaningful, positive relationships than healthy counterparts.
Researchers found that treating expectant mothers with 17 Alpha Hydroxyprogesterone caproate reduces short-term and lifetime medical costs in offspring by an estimated $2 billion annually. This could lead to significant cost savings for the US healthcare system, making it a promising preventive measure against preterm births.
A case-control study found that women with no annual medical visits or pelvic examinations and those with no regular health care provider are at a higher risk of ovarian cancer. Postmenopausal women are particularly vulnerable to this increased risk.
Research shows African American mothers are 3 times more likely to deliver prematurely at 20-34 weeks and almost 4 times more likely to deliver extremely prematurely. Repeating premature births also occur at a significantly higher rate among African American women compared to Caucasian mothers.
The March of Dimes has allocated $3 million to support eight scientists' research on predicting and preventing preterm birth. Five projects focus on immune responses, while others investigate the role of genetic factors, circadian rhythms, and potassium balance.
A study found a strong connection between muscle damage during vaginal deliveries and pelvic organ prolapse, which causes the uterus, bladder, or bowel to fall down. The research suggests that preventing these injuries can help reduce the rate of pelvic organ prolapse.
Researchers at Yale University found that competitive female cyclists have reduced genital sensitivity. No negative effects were observed on sexual function or quality of life in the study's young, healthy participants.
SAGE Publications will begin publishing Reproductive Sciences on behalf of the Society for Gynecologic Investigation (SGI), advancing knowledge in reproductive biology. The journal, formerly known as the Journal of SGI, has an impact factor of 2.887 and is ranked 8th among obstetrics and gynecology journals.
A recent study found that Florida medical students are discouraged from pursuing obstetrics and gynecology careers due to high malpractice premiums and liability concerns. The survey results suggest a significant shortage of specialists in the field, with many students considering leaving the state to practice.
A new study from Michigan Medicine found that managing early pregnancy failures in an office setting is an acceptable option for many women, with lower costs and longer procedures compared to operating room procedures. Women opted for the office procedure reported higher pain levels but no major complications.
A multicenter trial of thousands of women found that physicians' judgment plays a crucial role in determining the speed of emergency Cesarean deliveries. The study showed no significant difference in complications between those performed within and outside the 30-minute time limit.
A study of 195 patients found that obese pregnant women who underwent induced labor took longer to deliver their babies and required more medication. Doctors should inform obese women about the risks of prolonged labor and consider waiting for spontaneous labor onset instead.
Researchers at Saint Louis University School of Medicine caution against inducing labor due to the risk of chorioamnionitis, a severe infection that can lead to sepsis and future infertility. Women considering induced labor are advised to weigh the risks and consider letting nature take its course.
Dr. Lawrence Platt is a renowned expert in ultrasound technology, particularly in prenatal diagnosis and 2D/3D/4D imaging. He has authored numerous publications and holds leadership roles in prominent professional organizations.
Women are taking control of their feminine health, but many remain embarrassed about discussing sensitive topics. The survey found that one in four women admit to not being honest with their gynecologists about their habits, with specific issues including smoking and exercise.
A new trial combining thalidomide and topotecan shows a 47% overall response rate, compared to 21% for topotecan alone. Women treated with the combination had improved disease-free survival and trended towards increased overall survival.
Fecal incontinence affects 7.2% of US women aged 30-90, often accompanied by urinary incontinence and other medical conditions like diabetes or major depression. Treatment options include diet changes, medications, surgery, and biofeedback exercises.
A New England Journal of Medicine study found that women who received intraperitoneal chemotherapy had a median survival time 16 months longer than those receiving IV chemotherapy alone. The importance of referral to physicians with expertise in surgical management of ovarian cancer is highlighted.
The National Cancer Institute has issued a clinical announcement recommending a combination of chemotherapy regimens for women with advanced ovarian cancer. The treatment involves delivering chemotherapy directly into the abdominal cavity (intraperitoneal, or IP) in addition to traditional IV chemotherapy. This approach appears to be m...
A new study by UT Southwestern researchers found that coaching women to push during labor does not significantly affect the length of labor or long-term pelvic floor problems. However, coached women experienced shorter labors and smaller bladder capacities, with bladder function returning to normal over time.
A new study challenges conventional wisdom that vaginal delivery leads to urinary incontinence later in life. Instead, research suggests an underlying genetic predisposition plays a larger role. This finding has significant implications for basic research, treatment approaches and potential prophylactic interventions.
The study found that cervical cancer has a significant impact on relationships, intimacy, and instrumental life domains for both women and their partners. Women reported greater illness-induced disruptions to relationships and more fatigue than their partners, highlighting the need for comprehensive psychosocial support.
The Contraception Awareness Program at Queen's University has developed an innovative bilingual web site, sexualityandu.ca, which attracts 5,000 hits per day. The site provides information and answers to queries about contraception, safer sex practices, and sexual well-being.
A study by Yale researchers found that a combination of platinum-based chemotherapy and vaginal radiation significantly reduces the recurrence of uterine papillary serous carcinoma (UPSC). The procedure increases survival rates among women with this aggressive form of uterine cancer, which affects about seven percent of new cases at Yale.
A recent study published in Obstetrics & Gynecology found that babies born at night have a 12-16% increase in neonatal mortality, accounting for almost 10% of all neonatal deaths in California. This increased risk is attributed to various factors, including potential complications during delivery and reduced access to healthcare services.
Research suggests that hormone replacement therapy (HRT) can be beneficial for women experiencing moderate to severe vasomotor symptoms due to estrogen deficiency. Additionally, studies have shown that HRT does not compromise survival in patients who are survivors from gynecologic cancer.
A study published in Obstetrics & Gynecology found that high malpractice premiums are affecting the supply of obstetricians, particularly in states with the highest costs. Researchers found a significant increase in births-per-junior fellow in high-premium states compared to low-premium states.
A study by University of North Carolina researchers finds that routine episiotomy during childbirth does not reduce pain or prevent complications, but may cause more harm. Women who underwent the procedure were more likely to experience urinary and fecal incontinence, pelvic organ prolapse, and impaired sexual function.
Researchers explore non-surgical options for treating cervical disease, including chemoprevention and HPV vaccines, which delay or prevent cancer development. These methods allow for monitoring of infected tissues through colposcopy, providing a safer alternative to surgery.
A new algorithm calculates the ratio of three specific proteins in urine and blood to identify severe preeclampsia with high sensitivity and specificity. This approach may provide a more accurate diagnosis than current tests, which can be confusing and lead to premature birth.
Researchers estimate that progesterone therapy could reduce the rate of recurrent preterm birth in the US by about 2%, preventing around 10,000 premature births annually. The study's findings are based on a clinical trial showing a significant reduction in preterm birth risk among women with a history of spontaneous preterm birth.
A study using a birthing simulator found that turning the baby so its spine faces the mother's belly requires less force and stretching on the baby's nerves than other techniques. This method can help reduce the risk of injury to babies during complicated deliveries.
Researchers developed a PCOS-specific questionnaire to measure disease-related dysfunction in women with polycystic ovary syndrome (PCOS). The Polycystic Ovary Syndrome Questionnaire (PCOSQ) improves quality of life perception with therapy, particularly for hirsutism and excess weight.
A large study of 188 women found that nearly 55% with minimal unwanted hair growth had an androgen excess disorder, primarily polycystic ovary syndrome (PCOS). Women with PCOS often struggle with menstrual irregularities, skin problems, and excess weight.
A subanalysis of a broader study found that patient-controlled, transdermal pain management system IONSYS TM provided similar pain relief to IV PCA morphine after gynecologic surgery. The study showed no significant differences in overall pain control, supplemental medication use, or adverse events between the two groups.
A new hysteroscopic sterilization technique has been shown to be less expensive than traditional laparoscopic tubal ligation, with patients typically leaving the hospital within an hour and recovering quickly. The method requires minimal sedation and no surgical incision, resulting in significant cost savings for patients.
A review of ovarian cancer treatment controversies highlights potential caveats in the current standard first-line therapy. The study suggests that optimal management questions remain, including the effectiveness of doublet platinum-cyclophosphamide and higher doses.
A new study by Dr. Katherine Hartmann found that women experience significant improvements in self-reported pelvic pain and depression two years after hysterectomy. The study involved nearly 1,300 women who reported a reduction in symptoms, with the group experiencing both conditions showing the most improvement.
Dr. Lancaster's presentation at the IGCS conference used microarray analysis to predict response to platinum-based chemotherapy for advanced stage epithelial ovarian cancers. The study aimed to individualize therapy for patients with advanced ovarian cancer, showcasing Moffitt's expertise in gynecologic cancer research.
A study surveyed 900 physicians from the Society of Gynecologic Oncologists, revealing that a physician's comfort level discussing death and their medical ethics training significantly affect end-of-life choices for terminally ill patients. Key aspects of effective conversations include 'straight talk' and compassion.
A study by AIUM found significant improvements in ultrasound practice quality after reaccreditation. The proportion of practices meeting accreditation requirements increased significantly, and scores were higher than initial applications.
A new study by UNC researchers reveals that primary-care doctors who received comprehensive smoking cessation intervention training during residency are more likely to continue using these methods in their medical practice years later. The long-term effects of such training on physician behavior have significant implications for public...
The largest study on the prevalence of polycystic ovary syndrome (PCOS) in the United States found that approximately 6.6% of premenopausal women have PCOS, surpassing previous estimates. This significant increase may be due to a more representative sample size and improved diagnostic methods.
A study by Johns Hopkins Medicine found that nearly half of ovarian cancer surgeries in Maryland were performed by low-volume surgeons, those with four or fewer cases per year. High-volume surgeons, who perform more than 10 cases per year, are more likely to accurately assess disease stage and increase survival rates.
Researchers analyzed over 13,000 live term births to assess the effect of medical abortion on subsequent pregnancy's birth weight. The study found that women who had undergone a medically induced abortion had lower rates of Low Birth Weight compared to those with no abortion history.
The American Association for the Advancement of Science recommends physicians consider risk factors and prevention options when prescribing hormone replacement therapy. Women with a high risk of chronic diseases may benefit from alternative treatments, while those with menopause-related symptoms may still be suitable candidates for HRT.
The American College of Obstetricians and Gynecologists (ACOG) has released new guidelines on using progesterone to prevent preterm birth. Preliminary results show promise in reducing the risk of preterm birth by one-third and half. However, more research is needed to fully understand its effectiveness.
A manual, low-tech method for 2nd trimester abortions has been deemed safe and effective. The study, conducted at Johns Hopkins Medicine, compared the procedure to electric vacuum aspiration and found no significant differences in complications or procedure time.
Researchers at the University of Pittsburgh School of Medicine found that only 16% of pregnant women with parvovirus B19 exhibited symptoms, while 12% experienced fetal heart failure and 16% suffered fetal death. The study highlights the need for closer monitoring and counseling of high-risk patients.