Women's Health: Archives

SUMMARY AND COMMENT

Testing Midstream Urine for Chlamydia trachomatis

• February 2, 2012
• Anna Wald, MD, MPH

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

SUMMARY AND COMMENT

Younger Breast Cancer Survivors Have Unique Concerns

• February 2, 2012
• Andrew M. Kaunitz, MD

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

SUMMARY AND COMMENT

Medical Management of Symptomatic Uterine Fibroids: A New Option?Free

• February 1, 2012
• Andrew M. Kaunitz, MD

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

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

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

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

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

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 Koren G and Nordeng H., BMJ 2012 Jan 12; 344:d7642

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 Genazzani AR and Gambacciani M., Menopause 2011 Dec; 18:1265

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

• Reviewing:
• Wilkinson TA et al., JAMA 2011 Dec 19 Steinbrook R., JAMA 2011 Dec 19