Articles tagged with Obstetrics
Researchers argue that mandatory FGM reporting as child abuse is not an effective solution and propose a three-step approach: educating health workers, women at risk, and incorporating antenatal screening. This proactive strategy relies on awareness, training, and proper documentation to make a positive change.
A study published in the Journal of Obstetrics and Gynaecology Canada found that less invasive hysterectomies resulted in quicker recoveries, fewer complications, and cost savings for The Ottawa Hospital. The research showed a significant increase in minimally invasive surgeries from 40% to 74% between 2005 and 2012.
A new study from Washington University School of Medicine found that chlorhexidine-alcohol is significantly more effective in preventing surgical-site infections after cesarean sections. The research, which included 1,147 patients, showed a nearly half reduction in infection rates compared to iodine-alcohol.
A new algorithm assesses adnexal masses with ultrasound, identifying 89-99% of patients with ovarian cancer. The approach allows for individualized patient management and potentially levels the playing field in expert interpretation.
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.
Babies born in English NHS hospitals at the weekend have a higher risk of death within seven days and increased rates of other complications. Researchers estimated around 770 newborn deaths and 470 maternal infections per year above expected levels if performance was consistent across different days of the week.
A new study published in The BMJ found that higher-spending physicians face significantly fewer malpractice claims, with malpractice rates ranging from 1.6% to 4.1% per physician-year across specialties. This suggests that increased spending may signal defensive practice and reduce errors or liability.
A new study by researchers at USC, Harvard and Stanford universities found that spending more on patients lowers doctors' malpractice risk. The study analyzed Florida physician and claims data and found an inverse correlation between adjusted hospital spending per physician year and malpractice claim rates.
A US study found that physicians who spend more resources are less likely to face malpractice claims, regardless of whether it's for defensive or non-defensive reasons. The study analyzed data from nearly 19 million hospital admissions and found associations across seven specialties, with family medicine physicians being the exception.
Pregnant women should abstain from alcohol due to the risk of fetal alcohol syndrome and developmental abnormalities. Current guidance is inconsistent and often misleading, leaving women uncertain about safe levels of consumption.
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.
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 US study found that fetal electrocardiogram ST segment analysis does not improve outcomes during labor and delivery or decrease cesarean deliveries compared to conventional fetal heart rate monitoring. The research involved 11,108 randomized patients and found no significant differences in negative outcomes.
The Society of Obstetricians and Gynaecologists of Canada has selected Elsevier to publish its journal JOGC, a leading peer-reviewed publication on obstetrics and gynaecology. The partnership aims to improve the journal's content and services for its members and the wider medical community.
Cerebral palsy cases can be attributed to genetic mutations in up to 45% of cases, according to a study by the Australian Cerebral Palsy Research Group. The research suggests that genetic sequencing techniques will increase the identification of genetically caused cerebral palsy cases.
A large study found that most women, regardless of their background, experience urinary urgency and stress incontinence during menopause. The strongest associations with seeking care were worsening and persistence of symptoms, highlighting the importance of discussing treatment options with a healthcare provider.
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.
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...
A proactive labor induction practice from 37 weeks gestation improved perinatal outcomes in Denmark, reducing neonatal deaths and asphyxia risk by almost half. The study found decreases in macrosomia and peripheral nerve injury but an increase in shoulder dystocia.
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 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.
Women with mobility disabilities experience pregnancy-related problems, including falls, urinary issues, and breathing difficulties. The study's findings provide preliminary insights for women and obstetrical practitioners to plan ahead.
Researchers at UCSF have identified patterns of genetic activity that can be used to diagnose endometriosis and its severity, offering a less invasive alternative to surgery. The test uses machine learning to analyze gene expression patterns in uterine lining cells.
A study analyzed data from over 100,000 deliveries and found that quality indicators were not correlated with hospital-level obstetric quality of care. Maternal and neonatal complications still varied significantly between hospitals, highlighting the need for improved care measures.
Researchers at Yale School of Medicine have found a synthetic molecule called PreImplantation Factor (sPIF) that protects against neuronal death and brain injury. The study suggests that sPIF mitigates brain damage through a novel pathway, potentially treating perinatal brain injuries and neurodegenerative disorders.
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.
Researchers found a 57% decrease in wound complications when sutured incisions were used compared to staple closure. Suturing takes 9 minutes longer to complete than stapling, but has a clear benefit for women.
A UCSF-led study found that nearly 80% of obstetricians agree that physicians have a role in helping patients reduce exposures to environmental health hazards. However, only one in five physicians routinely ask about these exposures or receive training on toxic chemicals' effects.
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 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.
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'.
Researchers identified a link between fetal growth and the risk of stillbirth, finding that fetuses with restricted or excessive growth had a higher risk. The study suggests that obstetricians should focus on identifying fetuses at the extremes of growth for prevention strategies.
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 study analyzing 11 years of data found that less than 1% of NHS doctors prompt performance concerns each year. Doctors in the late stages of their career are six times more likely to be referred for remedial help, highlighting a need for greater attention to mental wellbeing among staff.
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 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.
Despite a decline in spontaneous stillbirths, stillbirth rates in British Columbia, Canada, have increased by 31% over the past decade, according to a study published in CMAJ. The increase was mainly due to prenatal diagnosis and pregnancy terminations of fetuses with congenital anomalies.
A rapid laboratory test for pregnant women to detect Group B strep has been developed and is highly valid, identifying GBS colonization in six and a half hours. This new test could help reduce the overuse of resources and minimize bacterial resistance by targeting patients with threatened preterm labor.
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 study found that online information on 'designer vagina' procedures is often inaccurate and lacks standard terminology. Researchers call for clearer guidelines to improve standards and empower women to make informed choices.
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.
A new approach to hysterectomy allows for essentially scar-free surgery using robotic arms in a thin incision. The technique provides improved access for surgeons, enabling clearer views of anatomy and reducing the risk of injury to vital structures.
A collaborative maternity care program in Vancouver reduced cesarean deliveries by 25% and shortened hospital stays by 22 hours for mothers and babies. The program also increased breastfeeding rates, with midwives delivering 42% of births compared to obstetricians.
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 scheme supporting midwives in rural Nigeria has improved maternal, newborn, and child health outcomes by redistributing healthcare workers. The Midwife Service Scheme helps address health inequities between urban and rural areas, offering a potential model for low-income countries.
A Canadian Medical Association Journal analysis reveals a gap in consent policies for pelvic exams under anesthesia. The updated policy statement for medical students requires explicit consent, but residents are not subject to the same requirements, leaving some women less protected.
The American Institute of Ultrasound in Medicine (AIUM) recognized outstanding achievements in medical ultrasound at the 2012 Annual Convention. Awards were presented to individuals who have significantly contributed to the growth and scientific progress of medical ultrasound.
Dr. Joshua A. Copel, a renowned expert in maternal and fetal medicine, will receive the William J. Fry Memorial Lecture Award. He has significantly contributed to the scientific progress of medical ultrasound through his innovative research efforts.
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.
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 new study published in European Obstetrics & Gynaecology shows that DuoFertility's monitoring and support service can achieve pregnancy rates comparable to IVF for many infertile couples. This viable, non-invasive alternative could save the NHS millions of pounds each year.
Researchers found a higher likelihood of conception in March among school-aged adolescents compared to adults. The study suggests that biological factors and increased access to contraception during Spring Break may contribute to this phenomenon.
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.
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.
Researchers at Yale University found that skin wrinkles and quality can reflect bone mineral density in early menopausal women. The severity of wrinkles was related to lower bone density, while higher skin rigidity was associated with better bone health.
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.
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.
A perinatal safety initiative led by Northwell Health has significantly reduced adverse obstetrical outcomes, including returning to the operating room and birth trauma, from 2% to 0.8% over a two-year period.