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Reproductive Justice as a Framework for Abortion Care. 生殖正义作为堕胎护理的一个框架。
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.0000000000000811
Bianca Hall, Cynthia Akwatu, Antoinette A Danvers
{"title":"Reproductive Justice as a Framework for Abortion Care.","authors":"Bianca Hall, Cynthia Akwatu, Antoinette A Danvers","doi":"10.1097/GRF.0000000000000811","DOIUrl":"10.1097/GRF.0000000000000811","url":null,"abstract":"<p><p>This article presents an in-depth analysis of abortion access and rights within the Reproductive Justice framework, underscoring the health, social, and economic consequences of limited access. It emphasizes the critical role of abortion as essential, safe health care and highlights the complexities surrounding abortion decisions and the barriers faced by poor and historically marginalized populations. Amid the escalating access restrictions, the article concludes with a call to action for obstetricians and gynecologists and our allied health care providers to recognize, support, and advocate for safe, legal, and affordable abortion services as fundamental to health care equity and human rights.</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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10840704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing Monoamniotic Twin Pregnancies. 管理单羊水双胎妊娠。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-12-01 Epub Date: 2023-09-27 DOI: 10.1097/GRF.0000000000000817
Annalisa L Post
{"title":"Managing Monoamniotic Twin Pregnancies.","authors":"Annalisa L Post","doi":"10.1097/GRF.0000000000000817","DOIUrl":"10.1097/GRF.0000000000000817","url":null,"abstract":"<p><p>Monoamniotic twins comprise a rare subset of twins at risk of unique and serious complications. In addition to the risks faced by all twins (premature birth, growth restriction), all monochorionic twins (twin-to-twin transfusion syndrome), and all monozygotic twins (congenital anomalies), monoamniotic twins face the unique risk of cord entanglement, in addition to a markedly increased risk of congenital anomalies. Early diagnosis, screening for fetal anomalies and surveillance for twin-twin transfusion syndrome are critical. After fetal viability, frequent fetal monitoring reduces the risk of intrauterine fetal demise.</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":"71421320","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
Overview of Noninvasive Prenatal Testing (NIPT) for the Detection of Fetal Chromosome Abnormalities; Differences in Laboratory Methods and Scope of Testing. 无创产前检查(NIPT)检测胎儿染色体异常的综述实验室方法和测试范围的差异。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000803
Peter Benn, Howard Cuckle
{"title":"Overview of Noninvasive Prenatal Testing (NIPT) for the Detection of Fetal Chromosome Abnormalities; Differences in Laboratory Methods and Scope of Testing.","authors":"Peter Benn,&nbsp;Howard Cuckle","doi":"10.1097/GRF.0000000000000803","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000803","url":null,"abstract":"<p><p>Although nearly all noninvasive prenatal testing is currently based on analyzing circulating maternal cell-free DNA, the technical methods usedvary considerably. We review the different methods. Based on validation trials and clinical experience, there are mostly relatively small differences in screening performance for trisomies 21, 18, and 13 in singleton pregnancies. Recent reports show low no-call rates for all methods, diminishing its importance when choosing a laboratory. However, method can be an important consideration for twin pregnancies, screening for sex chromosome abnormalities, microdeletion syndromes, triploidy, molar pregnancies, rare autosomal trisomies, and segmental imbalances, and detecting maternal chromosome abnormalities.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135652","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
Navigation of Prenatal Care With Sex Discordance Between Cell-free DNA and Ultrasound Findings. 无细胞DNA与超声结果性别差异的产前护理导航。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000802
Laurie B Griffin, Meghan McCarthy, Melissa L Russo
{"title":"Navigation of Prenatal Care With Sex Discordance Between Cell-free DNA and Ultrasound Findings.","authors":"Laurie B Griffin,&nbsp;Meghan McCarthy,&nbsp;Melissa L Russo","doi":"10.1097/GRF.0000000000000802","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000802","url":null,"abstract":"<p><p>The utilization of cell-free DNA (cfDNA) screening has expanded rapidly across the age spectrum of pregnant persons. With cfDNA's widespread adoption, genetic fetal sex is now often known before a phenotypic assessment on anatomic survey. CfDNA detects sex discordance in 1/1500 to 2000 pregnancies. Upon detection of sex discordance, lab error or other factors should first be assessed. Once other causes have been ruled out, this may indicate an underlying disorder/difference in sex development. A multidisciplinary team should coordinate diagnosis, treatment, and support for the family. This review discusses the diagnostic workup, emphasizing the multidisciplinary counseling and management of disorder/differences in sex development.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135658","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
Human Papillomavirus Vaccines. 人乳头瘤病毒疫苗。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000788
Christine Conageski
{"title":"Human Papillomavirus Vaccines.","authors":"Christine Conageski","doi":"10.1097/GRF.0000000000000788","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000788","url":null,"abstract":"<p><p>Human papillomavirus (HPV) vaccines are highly effective in preventing the transmission of HPV and thus downstream HPV-related lower genital tract neoplasias. First introduced in 2006, the HPV vaccine has demonstrated clinical efficacy in both men and women. Several commercially available vaccines now exist, but only one is available in the United States. Both prelicensure and postlicensure studies demonstrate robust safety profiles. HPV vaccines should be made available to everyone between the ages of 9 and 26 years of age. Newer vaccination recommendations in expanded populations rely on patient-provider shared decision making. Currently, available HPV vaccines offer little therapeutic benefit. Recent research has identified several new DNA vaccines and delivery modifications with early demonstrated success at eliminating prevalent HPV infections and precancerous lesions. Despite the success of the HPV vaccine, vaccination hesitancy and disinformation continue to threaten our ability to eliminate these deadly cancers. Informational, behavioral, and environmental interventions have mixed success in increasing vaccination rates, but several strategies do exist to increase rates of vaccination.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10142395","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: Noninvasive Screening for Prenatal Diagnosis. 贡献者:无创筛查产前诊断。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/01.grf.0000978352.00973.ee
{"title":"Contributors: Noninvasive Screening for Prenatal Diagnosis.","authors":"","doi":"10.1097/01.grf.0000978352.00973.ee","DOIUrl":"https://doi.org/10.1097/01.grf.0000978352.00973.ee","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483270","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
Cervical Cancer Screening: Evolution of National Guidelines and Current Recommendations. 宫颈癌筛查:国家指南和当前建议的演变。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000791
Michelle J Khan
{"title":"Cervical Cancer Screening: Evolution of National Guidelines and Current Recommendations.","authors":"Michelle J Khan","doi":"10.1097/GRF.0000000000000791","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000791","url":null,"abstract":"<p><p>Cancer of the cervix is preventable through vaccination against human papillomavirus and by screening and treatment of cervical precancers. Cervical cancer screening has evolved since the Pap smear was first discovered in the 1920s. Current guidelines from the US Preventive Services Task Force and the American Cancer Society incorporate the use of cervical cytology and high-risk human papillomavirus tests performed every 3 to 5 years for screening in average-risk asymptomatic patients. Testing should begin at age 21 to 25 years old and stop at 65 years old if sufficient cessation criteria has been met.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146214","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
Index. 索引。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/01.grf.0000978356.05360.47
{"title":"Index.","authors":"","doi":"10.1097/01.grf.0000978356.05360.47","DOIUrl":"https://doi.org/10.1097/01.grf.0000978356.05360.47","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10495674","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
Prenatal Screening for Microdeletions and Rare Autosomal Aneuploidies. 微缺失和罕见常染色体非整倍体的产前筛查。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000799
Desiree Fiorentino, Pe'er Dar
{"title":"Prenatal Screening for Microdeletions and Rare Autosomal Aneuploidies.","authors":"Desiree Fiorentino,&nbsp;Pe'er Dar","doi":"10.1097/GRF.0000000000000799","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000799","url":null,"abstract":"<p><p>Noninvasive prenatal screening with cell-free DNA is now considered a first-line screening for common aneuploidies. Advancements in existing laboratory techniques now allow to interrogate the entirety of the fetal genome, and many commercial laboratories have expanded their screening panels to include screening for rare autosomal aneuploidies and copy number variants. Here, we review the currently available data on the performance of fetal cell-free DNA to detect rare autosomal aneuploidies and copy number variants that are associated with clinically significant microdeletion and microduplication syndromes and the current position of medical societies on routine screening for these syndromes.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10133565","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
Management of Abnormal Cervical Cancer Screening Test: A Risk-based Approach. 异常子宫颈癌筛查试验的管理:基于风险的方法。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2023-09-01 DOI: 10.1097/GRF.0000000000000794
Richard Guido, Rebecca B Perkins
{"title":"Management of Abnormal Cervical Cancer Screening Test: A Risk-based Approach.","authors":"Richard Guido,&nbsp;Rebecca B Perkins","doi":"10.1097/GRF.0000000000000794","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000794","url":null,"abstract":"<p><p>Cervical cancer screening plays a major role in preventing cervical cancer. The field is based on understanding the natural history of human papillomavirus and its role in cervical cancer. Screening has evolved to assessing the risk for cervical intraepithelial neoplasia grade 3, a true cancer precursor, and performing diagnostic tests based on those risks. This article summarizes the present state of management of abnormal cervical cancer screening tests in the United States, based on the most recent 2019 American Society of Colposcopy and Cervical Pathology guidelines.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135654","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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