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Women's Health
Journal Watch condenses summaries of key research across specialties from more than 250 medical journals into concise yet comprehensive articles, incorporating clinical commentary from prominent physician-editors in the field.
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Featured Article
SUMMARY AND COMMENT
Firming up the Benefits of Cervical HPV DetectionFree
- January 26, 2012
- Anna Wald, MD, MPH
Compared with cytology alone, performing human papillomavirus DNA testing plus cytology led to fewer high-grade cervical lesions 5 years later.
- Reviewing:
- Rijkaart DC et al. Lancet Oncol 2012 Jan; 13:78
Recent Women's Health Articles
SUMMARY AND COMMENT
Optimizing Delivery Times in Uncomplicated Twin Pregnancies
- January 26, 2012
- Allison Bryant, MD, MPH
Risk for fetal demise among monochorionic twins was 1.5% after 34 weeks' gestation; among dichorionic twins, no perinatal deaths occurred after 33 weeks.
- Reviewing:
- Breathnach FM et al. Obstet Gynecol 2012 Jan; 119:50
SUMMARY AND COMMENT
Is Analysis of the Fetal Electrocardiogram Effective in Intrapartum Monitoring?
- January 26, 2012
- Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC
Adding ST-waveform analysis to standard fetal monitoring significantly lowered incidence of operative vaginal deliveries but not neonatal metabolic acidosis.
- Reviewing:
- Becker JH et al. Obstet Gynecol 2012 Jan; 119:145
SUMMARY AND COMMENT
Can Exercise Prevent Gestational Diabetes?
- January 26, 2012
- Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC
Trial results do not provide a clear answer.
- Reviewing:
- Stafne SN et al. Obstet Gynecol 2012 Jan; 119:29
SUMMARY AND COMMENT
Association of Lipid Subfractions and Cardiovascular Events in Women
- January 19, 2012
- Jamaluddin Moloo, MD, MPH
- General Medicine
An analysis confirms the inverse relation between HDL cholesterol levels and adverse coronary events in women.
- Reviewing:
- Mora S et al. Ann Intern Med 2011 Dec 6; 155:742
SUMMARY AND COMMENT
When Should Bone-Density Tests Be Repeated?Free
- January 24, 2012
- Allan S. Brett, MD
- General Medicine
A 15-year interval is reasonable in older women if baseline BMD is normal or only mildly osteopenic.
- Reviewing:
- Gourlay ML et al. N Engl J Med 2012 Jan 19; 366:225
SUMMARY AND COMMENT
Antidepressants and Fetal Risk: A New Look at SSRIs During PregnancyFree
- January 19, 2012
- Allison Bryant, MD, MPH
Maternal use of selective serotonin reuptake inhibitors during late pregnancy raised risk for neonatal pulmonary hypertension, but individual risk-benefit profiles should be evaluated.
- Reviewing:
- Kieler H et al. BMJ 2012 Jan 12; 344:d8012
SUMMARY AND COMMENT
Do Vasomotor Symptoms Influence Mood — Or Vice Versa?
- January 19, 2012
- Anne A. Moore, WHNP/ANP-BC, FAANP
Vasomotor symptoms were related to next-day negative affect.
- Reviewing:
- Gibson CJ et al. Menopause 2011 Dec; 18:1270
PRACTICE WATCH
Emergency Contraception Access Curtailed Yet AgainFree
- January 12, 2012
- Eleanor Bimla Schwarz, MD, MS
The FDA's approval of over-the-counter access to emergency contraception without age restrictions was recently blocked at the federal level. CME
SUMMARY AND COMMENT
Is Misoprostol an Alternative to Oxytocin for Augmenting Labor?
- January 12, 2012
- Diane J. Angelini, EdD, CNM, FACNM, FAAN, NEA-BC
Other than higher incidence of uterine hypertonus, maternal and neonatal outcomes did not differ with misoprostol.
- Reviewing:
- Bleich AT et al. Obstet Gynecol 2011 Dec; 118:1255
SUMMARY AND COMMENT
Night Float: A Step Toward Better Obstetric Outcomes?
- January 12, 2012
- Allison Bryant, MD, MPH
Initiation of a night-float system at one hospital was associated with improved outcomes.
- Reviewing:
- Barber EL et al. Obstet Gynecol 2011 Dec; 118:1371
Journal Watch Women's Health summarizes important medical journal articles about a wide variety of subjects relevant to the medical care of the female patient including breast cancer, cervical cancer, contraception, hormone therapy, IVF, menopause, osteoporosis, ovarian cancer and pregnancy.
