Testing Midstream Urine for Chlamydia trachomatis
SUMMARY AND COMMENT
Midstream samples might be adequate for evaluating both chlamydial and urinary tract infections, but study results were not definitive.
Reviewing:
Mangin D et al., Ann Fam Med 2012 Jan/Feb; 10:50
Younger Breast Cancer Survivors Have Unique Concerns
SUMMARY AND COMMENT
A systematic review focuses on quality of life, emotional health, and menopause- and fertility-related issues in survivors age 50 or younger.
Reviewing:
Howard-Anderson J et al., J Natl Cancer Inst. 2012 Jan 23
Medical Management of Symptomatic Uterine Fibroids: A New Option?
SUMMARY AND COMMENT
Ulipristal acetate was effective and did not cause hypoestrogenism.
Reviewing:
Donnez J et al., N Engl J Med 2012 Feb 2; 366:409
Donnez J et al., N Engl J Med 2012 Feb 2; 366:421
Stewart EA., N Engl J Med 2012 Feb 2; 366:471
Can Exercise Prevent Gestational Diabetes?
SUMMARY AND COMMENT
Trial results do not provide a clear answer.
Reviewing:
Stafne SN et al., Obstet Gynecol 2012 Jan; 119:29
Is Analysis of the Fetal Electrocardiogram Effective in Intrapartum Monitoring?
SUMMARY AND COMMENT
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
Optimizing Delivery Times in Uncomplicated Twin Pregnancies
SUMMARY AND COMMENT
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
Firming up the Benefits of Cervical HPV Detection
SUMMARY AND COMMENT
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
Antidepressants and Fetal Risk: A New Look at SSRIs During Pregnancy
SUMMARY AND COMMENT
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
Koren G and Nordeng H., BMJ 2012 Jan 12; 344:d7642
Do Vasomotor Symptoms Influence Mood — Or Vice Versa?
SUMMARY AND COMMENT
Vasomotor symptoms were related to next-day negative affect.
Reviewing:
Gibson CJ et al., Menopause 2011 Dec; 18:1270
Genazzani AR and Gambacciani M., Menopause 2011 Dec; 18:1265
Emergency Contraception Access Curtailed Yet Again
PRACTICE WATCH
The FDA's approval of over-the-counter access to emergency contraception without age restrictions was recently blocked at the federal level.
CME
Reviewing:
Wilkinson TA et al., JAMA 2011 Dec 19
Steinbrook R., JAMA 2011 Dec 19