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Endometriosis Unveiled: Innovations in Diagnosis and Management of Endometriosis. 子宫内膜异位症揭秘：子宫内膜异位症诊断和治疗的创新。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-07-15 DOI: 10.1097/GRF.0000000000001045
Hannah Millimet, Abigail Lee, Courtney Lim, Catherine Allaire, Sawsan As-Sanie
{"title":"Endometriosis Unveiled: Innovations in Diagnosis and Management of Endometriosis.","authors":"Hannah Millimet, Abigail Lee, Courtney Lim, Catherine Allaire, Sawsan As-Sanie","doi":"10.1097/GRF.0000000000001045","DOIUrl":"10.1097/GRF.0000000000001045","url":null,"abstract":"<p><p>Endometriosis is a chronic inflammatory condition that can result in chronic pain through complex nociceptive, neuropathic, and nociplastic pathways. This article provides a comprehensive background on endometriosis as well as future directions in diagnosis and management. The diagnosis of endometriosis is explored, including novel imaging techniques, biomarkers, and the integration of artificial intelligence. The medical management of endometriosis is reviewed, including a focus on new nonhormonal treatment options. Surgical treatments are reviewed along with surgical outcomes. We discuss nonpharmaceutical and behavioral interventions with growing interest. Finally, this article reviews future directions in endometriosis care, including precision medicine and AI.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"378-388"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148434944","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
Offering Prenatal Testing for Adult-Onset Diseases (Argument AGAINST). 为成人发病疾病提供产前检查（反对意见）。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-07-23 DOI: 10.1097/GRF.0000000000001046
Wayne W Grody
{"title":"Offering Prenatal Testing for Adult-Onset Diseases (Argument AGAINST).","authors":"Wayne W Grody","doi":"10.1097/GRF.0000000000001046","DOIUrl":"10.1097/GRF.0000000000001046","url":null,"abstract":"<p><p>The advent of massively parallel (\"next-generation\") DNA sequencing has enabled prenatal testing for any and all diseases at reasonable cost, resulting in the widespread adoption of highly expanded carrier screening. While the size and constitution of these gene panels may be critiqued on various grounds, at least all the diseases selected represent potential risks to the newborn or older child if affected. Thus, the rationale behind the effort falls within ACOG's definition of prenatal care as a preventive health service \"designed to improve the health and well-being of pregnant and birthing individuals and their infants through evidence-based services.\" Nowhere does it promise to improve the health of offspring when they reach adulthood. Here, we argue that testing for adult-onset diseases in the prenatal setting (in the absence of a positive family history) is neither justified nor desirable, based on considerations of equity, scope of practice, downstream burden on the health care system, and psychosocial repercussions.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"448-451"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148560957","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
Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care. 母胎医学专家和常规阴道分娩：为什么亚专科资源应该保留给高危护理。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-07-27 DOI: 10.1097/GRF.0000000000001051
Jeffrey D Sperling
{"title":"Maternal-Fetal Medicine Specialists and Routine Vaginal Birth: Why Subspecialty Resources Should Be Reserved for High-Risk Care.","authors":"Jeffrey D Sperling","doi":"10.1097/GRF.0000000000001051","DOIUrl":"10.1097/GRF.0000000000001051","url":null,"abstract":"<p><p>Maternal-fetal medicine (MFM) specialists are highly trained subspecialists whose expertise lies in managing complex pregnancies. This paper argues against the routine involvement of MFMs in low-risk labor and delivery, focusing on cost inefficiencies, workforce shortages, maternity care deserts, equity concerns, and comparisons to other subspecialists providing primary care. It also highlights the benefits of obstetric hospitalist frameworks and collaborative care models with midwives as sustainable alternatives.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"485-488"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590461","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
Reconsidering the Role of Attempted Uterine Conservation by Intentional Placental Retention in Placenta Accreta Spectrum. 重新考虑有意保留胎盘在胎盘增生谱中试图保留子宫的作用。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-06-16 DOI: 10.1097/GRF.0000000000001033
Helena C Bartels, Sebastian R Hobson
{"title":"Reconsidering the Role of Attempted Uterine Conservation by Intentional Placental Retention in Placenta Accreta Spectrum.","authors":"Helena C Bartels, Sebastian R Hobson","doi":"10.1097/GRF.0000000000001033","DOIUrl":"10.1097/GRF.0000000000001033","url":null,"abstract":"<p><p>Placenta accreta spectrum (PAS) is a rare complication associated with significant maternal morbidity and mortality. Historically, 2 surgical approaches emerged in the management of PAS, namely, hysterectomy or leaving the placenta in situ, hoping to avoid surgical morbidity and preserve future fertility. In this article, we argue that the risks of intentional placental retention for managing PAS outweigh the benefits, leaving patients unnecessarily exposed to the ongoing risk of hemorrhage and hysterectomy, with prolonged intensive follow-up required. Furthermore, histopathologic findings for these cases are inherently lacking, further limiting our ability to fully understand the underlying etiology of these cases.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"478-482"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257473","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: Controversies in Obstetrics Care. 投稿人：产科护理中的争议。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-12-01 Epub Date: 2026-10-19 DOI: 10.1097/01.grf.0001288840.84227.3d
{"title":"Contributors: Controversies in Obstetrics Care.","authors":"","doi":"10.1097/01.grf.0001288840.84227.3d","DOIUrl":"https://doi.org/10.1097/01.grf.0001288840.84227.3d","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 4","pages":"ix-x"},"PeriodicalIF":1.5,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220026","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
Conservative and Nonsurgical Management of Pelvic Organ Prolapse. 盆腔器官脱垂的保守与非手术治疗。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-10-19 DOI: 10.1097/GRF.0000000000001061
Christopher X Hong, Jennifer LaCross
{"title":"Conservative and Nonsurgical Management of Pelvic Organ Prolapse.","authors":"Christopher X Hong, Jennifer LaCross","doi":"10.1097/GRF.0000000000001061","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001061","url":null,"abstract":"<p><p>Pelvic organ prolapse is a common condition for which treatment should be guided by symptom burden, functional impairment, and patient goals. Conservative management represents first-line therapy and includes expectant management, lifestyle and behavioral modification, pelvic floor physiotherapy, and vaginal pessary treatment. This review summarizes contemporary evidence supporting these approaches, including pelvic floor muscle training, constipation and activity management, and pessary fitting, maintenance, and outcomes. We additionally highlight recent advances in pelvic floor rehabilitation, pessary biomechanics, patient self-management, and patient-specific pessary technologies that may further individualize prolapse care.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220013","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
Racial, Ethnic, and Socioeconomic Disparities in Cardio-Obstetrics. 心脏产科的种族、民族和社会经济差异。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-10-12 DOI: 10.1097/GRF.0000000000001060
Omar M Young, Gabrielle Smith, Jenna Skowronski, Sweet Hope Mapatano, Megan Wade, Divya P Mallampati
{"title":"Racial, Ethnic, and Socioeconomic Disparities in Cardio-Obstetrics.","authors":"Omar M Young, Gabrielle Smith, Jenna Skowronski, Sweet Hope Mapatano, Megan Wade, Divya P Mallampati","doi":"10.1097/GRF.0000000000001060","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001060","url":null,"abstract":"<p><p>Racial, ethnic, and socioeconomic disparities persist in American medicine. Black pregnant people die from pregnancy-related causes at 2 to 3 times the rate of their White counterparts, with cardiovascular disease as the leading contributor. These disparities in cardio-obstetrics arise from intersecting structural forces-economic inequity, residential segregation, limited health care access, implicit bias, and the cumulative physiological toll of structural racism. Effective solutions require a multifaceted action: community health worker programs, group prenatal care, hospital quality improvement, diversification of the obstetric health care workforce, and governmental policies extending coverage and accountability. Measurement frameworks must consider such disparities in cardio-obstetrics to establish health care equity.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164823","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
Cardiomyopathies in Pregnancy. 妊娠期心肌病。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-10-07 DOI: 10.1097/GRF.0000000000001058
Faranak Behnia, Corey C Clifford, Sangeeta Jain, Chasey I Omere, Ana Collins-Smith, Luis D Pacheco
{"title":"Cardiomyopathies in Pregnancy.","authors":"Faranak Behnia, Corey C Clifford, Sangeeta Jain, Chasey I Omere, Ana Collins-Smith, Luis D Pacheco","doi":"10.1097/GRF.0000000000001058","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001058","url":null,"abstract":"<p><p>Cardiomyopathies are uncommon but potentially life-threatening causes of cardiovascular disease in pregnancy. Pregnancy-associated hemodynamic changes may reveal unrecognized cardiomyopathy or exacerbate existing myocardial dysfunction. This review summarizes the diagnosis and management of dilated cardiomyopathy, hypertrophic cardiomyopathy, left ventricular hypertrabeculation/noncompaction cardiomyopathy, Takotsubo cardiomyopathy, and other rare cardiomyopathies during pregnancy. Our discussion will include pregnancy-specific hemodynamic considerations, risk stratification, medical management, labor and delivery planning, postpartum surveillance, and counseling regarding future pregnancy. This review does not address peripartum cardiomyopathy because it is considered separately.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105057","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
Contraceptive Counseling and Options in Patients With Cardiovascular Disease. 心血管疾病患者的避孕咨询和选择。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-09-15 DOI: 10.1097/GRF.0000000000001057
Eleanor Christenson, Lindsay Panah
{"title":"Contraceptive Counseling and Options in Patients With Cardiovascular Disease.","authors":"Eleanor Christenson, Lindsay Panah","doi":"10.1097/GRF.0000000000001057","DOIUrl":"https://doi.org/10.1097/GRF.0000000000001057","url":null,"abstract":"<p><p>Cardiovascular disease is among the leading causes of maternal morbidity and mortality in the United States. In patients with underlying cardiovascular disease, safe and effective contraception can prevent the poor outcomes that are associated with unplanned pregnancy. There are many options for contraception, and it is important to understand how certain cardiovascular diseases impact contraceptive recommendations. This review aims to summarize the options for contraception, emphasize the importance of patient-centered contraceptive counseling, and describe the risks and benefits of each method in patients with different types of cardiovascular disease.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148966932","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: Obstetrics Care of the Patient With Disabilities. 投稿人：《残疾患者的产科护理》。
IF 1.5 4区 医学
Clinical obstetrics and gynecology Pub Date : 2026-09-01 Epub Date: 2026-07-24 DOI: 10.1097/01.grf.0001238000.83699.db
{"title":"Contributors: Obstetrics Care of the Patient With Disabilities.","authors":"","doi":"10.1097/01.grf.0001238000.83699.db","DOIUrl":"https://doi.org/10.1097/01.grf.0001238000.83699.db","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"69 3","pages":"vii-viii"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577258","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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