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Early Gestational Diabetes Mellitus: Screening and Management. 妊娠早期糖尿病：筛查和管理。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-06-01 Epub Date: 2026-04-03 DOI: 10.1097/GRF.0000000000001011
Rajesh Reddy, Lorie Harper
{"title":"Early Gestational Diabetes Mellitus: Screening and Management.","authors":"Rajesh Reddy, Lorie Harper","doi":"10.1097/GRF.0000000000001011","DOIUrl":"10.1097/GRF.0000000000001011","url":null,"abstract":"<p><p>With increasing maternal age and obesity rates in reproductive-aged women, gestational diabetes has increased in prevalence. This has generated interest in broadening screening for glycemic dysfunction in pregnancy, to detect both previously undiagnosed diabetes as well as early gestational diabetes. Clinical guidance is limited, however, due to the shortage of high-quality evidence and the lack of uniform diagnostic criteria. This review will provide a summary of the screening and diagnosis of GDM before 20 weeks of gestation.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"163-169"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608326","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
Vulvar Dermatitis: Diagnosis and Management. 外阴皮炎：诊断和治疗。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-06-01 Epub Date: 2026-03-24 DOI: 10.1097/GRF.0000000000001006
Amaris N Geisler, John J Willems
{"title":"Vulvar Dermatitis: Diagnosis and Management.","authors":"Amaris N Geisler, John J Willems","doi":"10.1097/GRF.0000000000001006","DOIUrl":"10.1097/GRF.0000000000001006","url":null,"abstract":"<p><p>Candidiasis, herpes simplex virus, bacterial vaginosis, irritant contact dermatitis, allergic contact dermatitis, psoriasis, and eczema/lichen simplex chronicus are often misdiagnosed, mistreated, and underrecognized causes of vulvar discomfort. Vulvar discomfort is frequently encountered in dermatology, gynecology, urology, and primary practice. A lack of ownership among specialties often leads to significant knowledge gaps among these providers and delays in care. Clinical symptoms of vulvar dermatitis can overlap, posing a diagnostic challenge. Herein, we provide a tool to guide the diagnostic algorithm for vulvar dermatitis, along with detailed diagnostic and treatment recommendations.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"103-113"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147502979","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
Type 2 Diabetes in Pregnancy: Management and Novel Therapies. 妊娠期2型糖尿病：管理和新疗法。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-06-01 Epub Date: 2026-03-25 DOI: 10.1097/GRF.0000000000001008
Gianna Wilkie
{"title":"Type 2 Diabetes in Pregnancy: Management and Novel Therapies.","authors":"Gianna Wilkie","doi":"10.1097/GRF.0000000000001008","DOIUrl":"10.1097/GRF.0000000000001008","url":null,"abstract":"<p><p>Type 2 diabetes mellitus (T2DM) is estimated to affect 2% of all pregnancies, and it is associated with numerous adverse perinatal outcomes. Glycemic monitoring and strict glycemic control are required to improve overall outcomes. Insulin is the mainstay of treatment, with limited data regarding newer medications like glucagon-like peptide 1 receptors agonists (GLP-1 RAs), dual incretin agonists like tirzepatide, sodium-glucose cotransporter-2 inhibitors (SGLT2i), and dipeptidyl peptidase-4 inhibitors (DPP-4i). This chapter will provide a review of the current available literature regarding T2DM management in pregnancy.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"203-209"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147509982","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
Perioperative and Intraoperative Considerations for Gynecology Patients With Disabilities: A Review. 妇科残疾患者围手术期和术中注意事项综述。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-04-27 DOI: 10.1097/GRF.0000000000001021
Anna M Frappaolo, Beth Cronin, Rose A M Huynh
{"title":"Perioperative and Intraoperative Considerations for Gynecology Patients With Disabilities: A Review.","authors":"Anna M Frappaolo, Beth Cronin, Rose A M Huynh","doi":"10.1097/GRF.0000000000001021","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001021","url":null,"abstract":"<p><p>In 2022, ∼30% of adult women in the United States reported living with a disability, and yet, there has been a paucity of research performed for this population, particularly regarding perioperative/operative gynecologic care. In this review, we sought to compile existing research as well as extrapolate findings from other surgical fields. Our review is separated by physical and intellectual disabilities with contributions from Case Reports to Expert Opinion to Scoping Reviews. The most consistent evidence-based recommendation was the benefit of a multidisciplinary team. Otherwise, most recommendations were practical, without supporting data, highlighting the need for more studies.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764614","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
What Gynecologists Need to Know About Intellectual and Developmental Disabilities. 关于智力和发育障碍妇科医生需要知道的事情。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-04-23 DOI: 10.1097/GRF.0000000000001019
Hannah Facey, Kathryn Broderick, Bridget Cichon, Mary Stephens
{"title":"What Gynecologists Need to Know About Intellectual and Developmental Disabilities.","authors":"Hannah Facey, Kathryn Broderick, Bridget Cichon, Mary Stephens","doi":"10.1097/GRF.0000000000001019","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001019","url":null,"abstract":"<p><p>Although patients with intellectual and developmental disabilities (IDD) have a right to comprehensive and accessible gynecologic care, they have historically faced discrimination within the health care system, and many providers report limited confidence in their ability to provide high-quality care. To combat this disparity, this article presents a framework for structuring gynecologic visits and reviews practical tools that clinicians can use to support successful clinical encounters and provide equitable care. These recommendations were informed by the expert opinion of health care professionals experienced in caring for patients with IDD, as well as through a review of current literature.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764638","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
Menopause in Patients With Disabilities. 残疾患者的更年期。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-04-22 DOI: 10.1097/GRF.0000000000001020
John A Harris, Claire Z Kalpakjian
{"title":"Menopause in Patients With Disabilities.","authors":"John A Harris, Claire Z Kalpakjian","doi":"10.1097/GRF.0000000000001020","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001020","url":null,"abstract":"<p><p>This review covers menopause physiology, screening, treatment, and experience for women with physical, sensory, and intellectual and developmental disabilities. Menopause is a near-universal physiological experience for women with disabilities, but the menopause experience and management may vary widely due to differences or barriers related to cognition, communication, mobility, and disability-related medical conditions. While there are very limited trials of menopause treatments in populations of women with disabilities, there is substantial literature on the experience of menopause among these populations, and thoughtful extrapolations of available evidence support aggressive, evidence-based treatment for burdensome menopause symptoms.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764640","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
Preconception Counseling for People With Disabilities. 残疾人士孕前咨询。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-03-19 DOI: 10.1097/GRF.0000000000001004
Darienne Madlala, Whitney Bender
{"title":"Preconception Counseling for People With Disabilities.","authors":"Darienne Madlala, Whitney Bender","doi":"10.1097/GRF.0000000000001004","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001004","url":null,"abstract":"<p><p>Over 70 million Americans, including 35 million women, are living with a disability including ~10% to 12% of reproductive-age women. Having a disability does not preclude a desire to or ability to have children. Studies have demonstrated that an increased risk of adverse outcomes, including hypertensive disorders, hemorrhage, and preterm birth, occurs among pregnant people with physical, intellectual, developmental, and sensory disabilities. This review aims to evaluate pregnancy outcomes, outline general preconception care, and review disability-specific considerations with the goal of improving pregnancy outcomes in this population.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479971","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
Artificial Intelligence in Obstetrics: The Promise Has Become Reality. 产科中的人工智能：承诺已成为现实。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1097/GRF.0000000000000995
Daniele Di Mascio, Alessandra Familiari
{"title":"Artificial Intelligence in Obstetrics: The Promise Has Become Reality.","authors":"Daniele Di Mascio, Alessandra Familiari","doi":"10.1097/GRF.0000000000000995","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000995","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 1","pages":"45-46"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040532","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
Transforming Gynecologic Cancer Care Through Artificial Intelligence: A Clinician's Guide to the Evolving Landscape. 通过人工智能改变妇科癌症治疗：临床医生对不断发展的景观的指导。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-03-01 Epub Date: 2025-12-09 DOI: 10.1097/GRF.0000000000000985
Andrew Polio, Vincent M Wagner
{"title":"Transforming Gynecologic Cancer Care Through Artificial Intelligence: A Clinician's Guide to the Evolving Landscape.","authors":"Andrew Polio, Vincent M Wagner","doi":"10.1097/GRF.0000000000000985","DOIUrl":"10.1097/GRF.0000000000000985","url":null,"abstract":"<p><p>Artificial intelligence (AI) is rapidly reshaping gynecologic oncology across the continuum of care. This clinician-focused review synthesizes current evidence for AI-enabled prevention and screening (HPV-informed risk models, AI-assisted colposcopy), early detection and diagnosis (radiomics, liquid biopsy, and digital pathology), prognosis and risk prediction (multimodal models integrating clinical, imaging, histology, and genomics), and treatment guidance (surgical planning and response-predictive therapeutics). Across domains, deep learning and emerging multimodal models consistently match or surpass conventional approaches, offering gains in accuracy, speed, and reproducibility while enabling biologically informed decision support. We outline practical pathways for clinical integration, human-in-the-loop workflows, explainable outputs, and ethical and regulatory guardrails. Priority future directions include rigorous prospective trials, real-world performance tracking, and equity-centered deployment to ensure benefits generalize across diverse populations. Taken together, AI has the potential to enhance precision, consistency, and access in gynecologic cancer care, not by replacing clinicians, but by augmenting expertise at scale.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"18-25"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707624","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
Evaluating the Role of Artificial Intelligence in Fetal Medicine: Opportunities, Evidence, and Challenges, A Narrative Review. 评估人工智能在胎儿医学中的作用：机遇、证据和挑战。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-03-01 Epub Date: 2025-12-04 DOI: 10.1097/GRF.0000000000000981
Emrah Aydin, Hiba J Mustafa
{"title":"Evaluating the Role of Artificial Intelligence in Fetal Medicine: Opportunities, Evidence, and Challenges, A Narrative Review.","authors":"Emrah Aydin, Hiba J Mustafa","doi":"10.1097/GRF.0000000000000981","DOIUrl":"https://doi.org/10.1097/GRF.0000000000000981","url":null,"abstract":"<p><p>Artificial intelligence has emerged as a promising tool in fetal medicine, with applications in prenatal imaging, anomaly detection, and biometric analysis. Peer-reviewed studies have reported high accuracy for AI models in identifying congenital heart defects, segmenting brain structures, and predicting fetal growth patterns. Despite strong retrospective performance, most tools remain investigational due to limited external validation, lack of explainability, and poor integration with clinical workflows. This review synthesizes current evidence on AI applications in fetal diagnostics, highlights both capabilities and limitations, and outlines future directions needed for safe and effective clinical translation.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 1","pages":"70-74"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040583","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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