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Clinical obstetrics and gynecology最新文献

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Contraception After Abortion. 流产后的避孕。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-18 DOI: 10.1097/GRF.0000000000000809
Marit Pearlman Shapiro, Paris Stowers, Shandhini Raidoo
{"title":"Contraception After Abortion.","authors":"Marit Pearlman Shapiro, Paris Stowers, Shandhini Raidoo","doi":"10.1097/GRF.0000000000000809","DOIUrl":"10.1097/GRF.0000000000000809","url":null,"abstract":"<p><p>After a spontaneous or induced abortion, people may desire to delay or prevent a future pregnancy and many desire to use contraceptive methods to do so. Contraception counseling and provision at the time of abortion care are important components to improve contraceptive access and convenience for people undergoing abortion care. The majority of hormonal and barrier contraceptive methods may be safely initiated at the time of medication or procedural abortion or shortly thereafter, although delayed initiation may be necessary in certain circumstances. A patient-centered approach to contraceptive counseling can identify patients' priorities and mitigate provider coercion or pressure.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41121652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Second-trimester Abortion. 妊娠中期流产。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-10-20 DOI: 10.1097/GRF.0000000000000825
Vanessa Swantic, Darell Hawley, Christopher Zipp, Nancy Lee, Piyapa Praditpan
{"title":"Second-trimester Abortion.","authors":"Vanessa Swantic, Darell Hawley, Christopher Zipp, Nancy Lee, Piyapa Praditpan","doi":"10.1097/GRF.0000000000000825","DOIUrl":"10.1097/GRF.0000000000000825","url":null,"abstract":"<p><p>In 2019, the US Centers for Disease Control reported that 7% of abortions were performed after 13 weeks of pregnancy, a small proportion of all terminations. However, the need for second-trimester abortions will increase commensurate with restrictions to access nationwide. Second-trimester abortions are performed with medications or through a procedure. Health care practitioners serving persons at risk of pregnancy should understand how abortions are performed and how to deliver evidence-based postabortion care. The purpose of this article is to provide a foundation for caring for individuals before, during, and after second-trimester abortion.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Timing of Delivery for Twins. 捆绳的交付时间。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-22 DOI: 10.1097/GRF.0000000000000813
Dana Senderoff Berger, Young Mi Lee
{"title":"Timing of Delivery for Twins.","authors":"Dana Senderoff Berger, Young Mi Lee","doi":"10.1097/GRF.0000000000000813","DOIUrl":"10.1097/GRF.0000000000000813","url":null,"abstract":"<p><p>The optimal gestational age for delivery of twin gestations balances the risk to the mother with the risks to the fetus and newborn. Primary considerations should include chorionicity and the presence or absence of other obstetrical complications such as fetal growth restriction or hypertensive disorders of pregnancy. More than half of twin gestations will deliver preterm, and a significant portion will be due to spontaneous labor or medical indications, such that the timing of delivery for twins is typically less determined by the provider discretion. Future studies are needed to assist in clarifying the optimal timing for delivery of twin pregnancies.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreword: Multiple Gestations. 前言:多胎妊娠。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI: 10.1097/GRF.0000000000000827
Elizabeth Ramsey Unal
{"title":"Foreword: Multiple Gestations.","authors":"Elizabeth Ramsey Unal","doi":"10.1097/GRF.0000000000000827","DOIUrl":"10.1097/GRF.0000000000000827","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Structural Anomalies in Multifetal Gestations. 多胎妊娠的结构异常。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-19 DOI: 10.1097/GRF.0000000000000816
Elizabeth A Hoover, Yasuko Yamamura, Gwyneth Thompson
{"title":"Structural Anomalies in Multifetal Gestations.","authors":"Elizabeth A Hoover, Yasuko Yamamura, Gwyneth Thompson","doi":"10.1097/GRF.0000000000000816","DOIUrl":"10.1097/GRF.0000000000000816","url":null,"abstract":"<p><p>Multifetal gestations are at increased risk for structural anomalies relative to singletons. Determination of chorionicity is critical, as the risk is highest for monochorionic pregnancies. In a singleton gestation, counseling is structured around optimization of fetal outcomes and careful consideration of the patient's choices in management decisions. However, in multifetal gestations affected by a fetal anomaly, complex counseling with consideration for the pregnancy as a whole is necessary. We review the incidence of structural anomalies in twins and highlight unique considerations including selective termination for discordant anomalies. We emphasize the role of shared decision making between provider and patient.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contributors: Multiple Gestations. 贡献者:多重妊娠。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-11-13 DOI: 10.1097/01.grf.0000996632.23371.e1
{"title":"Contributors: Multiple Gestations.","authors":"","doi":"10.1097/01.grf.0000996632.23371.e1","DOIUrl":"10.1097/01.grf.0000996632.23371.e1","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-managed Medication Abortion in the United States. 美国自行管理药物流产。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-18 DOI: 10.1097/GRF.0000000000000810
Christina Jung, Siripanth Nippita
{"title":"Self-managed Medication Abortion in the United States.","authors":"Christina Jung, Siripanth Nippita","doi":"10.1097/GRF.0000000000000810","DOIUrl":"10.1097/GRF.0000000000000810","url":null,"abstract":"<p><p>Self-managed abortion (SMA) is ending a pregnancy without medical supervision, either by obtaining medications (known as self-managed medication abortion) or through other means. Many factors influence a person's decision to pursue self-managed abortion, such as time constraints, financial considerations, and local availability of abortion services. We present on the prevalence, methods and best practices for clinicians in the United States who may interface with individuals undergoing self-managed medication abortion at any point in the process through a harm reduction approach.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Twin Gestation With Spontaneous Reduction To Singleton. 双胎妊娠，自然减为辛格尔顿。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-10-20 DOI: 10.1097/GRF.0000000000000820
Kristina E Sondgeroth
{"title":"Twin Gestation With Spontaneous Reduction To Singleton.","authors":"Kristina E Sondgeroth","doi":"10.1097/GRF.0000000000000820","DOIUrl":"10.1097/GRF.0000000000000820","url":null,"abstract":"<p><p>Twin gestations are at increased risk of single intrauterine fetal death. A first-trimester loss is a common complication in twin gestations. The rate of co-twin morbidity and mortality is higher when a single demise occurs in the second and third trimesters. Monochorionicity strongly influences the prognosis for the surviving co-twin. Fetal ultrasound combined with MRI may be able to help predict neurological injury to the surviving co-twin. The rate of co-twin demise decreases with advancing gestation. After single intrauterine fetal demise, monochorionic gestations should be delivered by 34 weeks and dichorionic by 36 to 37 weeks gestation.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monochorionic Twins: TTTS, TAPS, and Selective Fetal Growth Restriction. 单眼双胞胎：TTTS、TAPS和选择性胎儿生长受限。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-22 DOI: 10.1097/GRF.0000000000000821
Matthew A Shanahan, Michael W Bebbington
{"title":"Monochorionic Twins: TTTS, TAPS, and Selective Fetal Growth Restriction.","authors":"Matthew A Shanahan, Michael W Bebbington","doi":"10.1097/GRF.0000000000000821","DOIUrl":"10.1097/GRF.0000000000000821","url":null,"abstract":"<p><p>With an increasing incidence of twin gestations, understanding the inherent risks associated with these pregnancies is essential in modern obstetrics. The unique differences in placentation in monochorionic twins leads to unique complications, including twin-to-twin transfusion syndrome, the twin anemia-polycythemia sequence, and selective fetal growth restriction. Not only does the understanding of the monochorionic placenta lead to an understanding of the pathophysiology of the complications of monochorionic twins, but it also has led to the development of highly effective directed fetal therapy via fetoscopic laser coagulation used in twin-to-twin transfusion syndrome.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foreword: Abortion Care. 前言:流产护理。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-10-05 DOI: 10.1097/GRF.0000000000000826
Katherine Rivlin
{"title":"Foreword: Abortion Care.","authors":"Katherine Rivlin","doi":"10.1097/GRF.0000000000000826","DOIUrl":"10.1097/GRF.0000000000000826","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107590429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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