Assisted Reproduction for Couples with HIV-Positive Male Partners
SUMMARY AND COMMENT
IVF with intracytoplasmic sperm injection using washed sperm is safe and effective.
Reviewing:
Sauer MV et al., Fertil Steril 2009 Jun; 91:2455
Enhancing the Safety of Medical Abortion
SUMMARY AND COMMENT
Buccal administration of misoprostol and routine antibiotic use were associated with lower rates of serious infections after medical abortions.
CME
Reviewing:
Fjerstad M et al., N Engl J Med 2009 Jul 9; 361:145
Can Progesterone Stave Off Preterm Births of Twins?
SUMMARY AND COMMENT
Progesterone does not prevent preterm delivery in women with twin gestations.
Reviewing:
Norman JE et al., Lancet 2009 Jun 13; 373:2034
Elective Repeat Cesarean Delivery vs. VBAC: Neonatal Outcomes
SUMMARY AND COMMENT
Complication rates in newborns were higher after cesarean delivery than after successful VBAC.
Reviewing:
Kamath BD et al., Obstet Gynecol 2009 Jun; 113:1231
Can Breast-Feeding and Pacifiers Coexist?
SUMMARY AND COMMENT
Pacifier use did not affect prevalence of breast-feeding at 3 months.
Reviewing:
Jenik AG et al., J Pediatr 2009 May 20
How Much Weight Gain During Pregnancy?
PRACTICE WATCH
Updated IOM guidelines specify weight gain by prepregnancy WHO BMI categories.
Reviewing:
Committee to Reexamine IOM Pregnancy Weight Guidelines. Institute of Medicine; National Research Council., Washington, DC. National Academies Press 2009
Cervical Cancer Risk Among Women Who Have Been Treated for CIN
SUMMARY AND COMMENT
Long-term risk for invasive cancer remained higher among women treated for CIN, especially those who underwent cryotherapy.
Reviewing:
Melnikow J et al., J Natl Cancer Inst 2009 May 20; 101:721
Should Women Stop HT Temporarily Before Undergoing Screening Mammography?
SUMMARY AND COMMENT
Suspending HT for 1 or 2 months did not lower mammography recall rates, but did increase likelihood of experiencing vasomotor symptoms.
CME
Reviewing:
Buist DSM et al., Ann Intern Med 2009 Jun 2; 150:752
Is Radical Hysterectomy for Cervical Cancer Patients Obsolete?
SUMMARY AND COMMENT
Embryologically based surgical approach might offer benefits in the treatment of women with early invasive cervical cancer.
Reviewing:
Höckel M et al., Lancet Oncol 2009 May 29
Still Looking for Effective Nonhormonal Hot Flash Therapies
SUMMARY AND COMMENT
Acupuncture, Chinese herbs, and other nonestrogenic therapies resulted in modest improvements in hot flash frequency; head-to-head comparisons with estrogen are lacking.
Reviewing:
Borud EK et al., Menopause 2009 May/Jun; 16:484
Soares CN., Menopause 2009 May/Jun; 16:434
Grady D et al., Menopause 2009 May/Jun; 16:458
Kaunitz AM., Menopause 2009 May/Jun; 16:428
Bardia A et al., Menopause 2009 May/Jun; 16:477
Santoro NF and Dicken CL., Menopause 2009 May/Jun; 16:432