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Novel Insights on Group B Streptococcus in Pregnancy. 对妊娠期 B 群链球菌的新认识。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-06-21 DOI: 10.1097/GRF.0000000000000883
Ethan Litman, Brett Young, Melissa Spiel
{"title":"Novel Insights on Group B Streptococcus in Pregnancy.","authors":"Ethan Litman, Brett Young, Melissa Spiel","doi":"10.1097/GRF.0000000000000883","DOIUrl":"10.1097/GRF.0000000000000883","url":null,"abstract":"<p><p>Group B Streptococcus (GBS) is a frequent colonizer of the human genital and gastrointestinal tract. In pregnant or postpartum persons, colonization is often asymptomatic and can contribute to infectious morbidity in both the parturient and the newborn. The prevalence of invasive GBS disease has dramatically decreased over the past 3 decades. However, despite standardized clinical algorithms, GBS disease remains a public health concern. Our review summarizes the GBS bacteria pathophysiology, morbidity, management guidelines, and summarizes ongoing research. While novel testing and parturient vaccination are being explored, barriers exist, preventing guideline updates and widespread implementation.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"633-643"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431552","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
Contemporary Parental Leave Policies and Practice Among Obstetrics and Gynecology Trainees and Faculty. 当代妇产科实习生和教师的育儿假政策与实践。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-06-04 DOI: 10.1097/GRF.0000000000000876
Larissa H Mattei, Rosa M Polan
{"title":"Contemporary Parental Leave Policies and Practice Among Obstetrics and Gynecology Trainees and Faculty.","authors":"Larissa H Mattei, Rosa M Polan","doi":"10.1097/GRF.0000000000000876","DOIUrl":"10.1097/GRF.0000000000000876","url":null,"abstract":"<p><p>This article aims to describe contemporary parental leave among obstetrics and gynecology trainees and early-career faculty. Here, we present results of a survey that collected information about parental leave policies and contemporary practice, as well as beliefs about surgical and clinical experience for those who take leave. Faculty and trainees were equally well represented among respondents, with half of each group self-identifying as a parent. Most reported that childbearing trainees currently take 6 weeks or less of parental leave and believed that childbearing and nonchildbearing residents should be able to take 12 weeks of leave without extending training.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"524-530"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141236801","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
COVID-19 in Pregnancy: An Update for Clinicians. 妊娠期 COVID-19：为临床医生提供的最新信息。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-05 DOI: 10.1097/GRF.0000000000000885
Claire H Packer, Malavika Prabhu
{"title":"COVID-19 in Pregnancy: An Update for Clinicians.","authors":"Claire H Packer, Malavika Prabhu","doi":"10.1097/GRF.0000000000000885","DOIUrl":"10.1097/GRF.0000000000000885","url":null,"abstract":"<p><p>In this review, we will discuss the risks of COVID-19 on maternal, obstetric, and neonatal outcomes. We will also review the safety of COVID-19 vaccination in pregnancy, as well as review the management of COVID-19 in pregnancy.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"565-575"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533854","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
Group B Streptococcus and Intraamniotic Inflammation and Infection. B 组链球菌与羊膜腔内炎症和感染
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1097/GRF.0000000000000884
Macy Afsari, Alesha White, Emily H Adhikari
{"title":"Group B Streptococcus and Intraamniotic Inflammation and Infection.","authors":"Macy Afsari, Alesha White, Emily H Adhikari","doi":"10.1097/GRF.0000000000000884","DOIUrl":"10.1097/GRF.0000000000000884","url":null,"abstract":"<p><p>Intraamniotic inflammation and infection complicate 2% to 5% of term deliveries. Group B Streptococcus (GBS) is a common cause of intraamniotic infection associated with invasive neonatal disease and maternal morbidity. Universal vaginal-rectal screening for GBS colonization is recommended between 36 and 37 weeks. Intrapartum antibiotic prophylaxis is recommended for individuals with positive GBS screens and other risk factors. Intravenous penicillin is the preferred antimicrobial agent. Individuals with penicillin allergies may receive cefazolin for low-risk allergies and either clindamycin or vancomycin for high-risk allergies, depending on their antimicrobial susceptibilities. Clinical trials are underway to evaluate the safety and immunogenicity of maternal anti-GBS vaccine candidates.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"67 3","pages":"576-588"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765695","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: Hot Topics in Obstetrics and Gynecology Medical Education. 妇产科医学教育热点话题前言》。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI: 10.1097/GRF.0000000000000877
Helen Kang Morgan
{"title":"Foreword: Hot Topics in Obstetrics and Gynecology Medical Education.","authors":"Helen Kang Morgan","doi":"10.1097/GRF.0000000000000877","DOIUrl":"10.1097/GRF.0000000000000877","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"463-464"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305617","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
Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management. 妊娠期流感：妊娠期流感：孕产妇、产科和胎儿的影响、诊断和管理》（Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1097/GRF.0000000000000880
Sarah K Dotters-Katz
{"title":"Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.","authors":"Sarah K Dotters-Katz","doi":"10.1097/GRF.0000000000000880","DOIUrl":"10.1097/GRF.0000000000000880","url":null,"abstract":"<p><p>Influenza(flu) in pregnancy is associated with higher rates of hospitalization, ICU admission, and death and with increased odds of congenital anomalies and stillbirth, but not preterm birth. Clinical manifestations of flu in pregnancy are the same as nonpregnant patients. Pregnant individuals with flu-like symptoms or flu exposure should be treated with antivirals. Diagnostic testing is not needed. Oseltamivir is the mainstay of treatment(and prophylaxis), and when given within 48 hours of symptom onset, it decreases morbidity and mortality. Influenza is associated with worse maternal, obstetric, and neonatal outcomes. These risks are mitigated by early oseltamivir treatment and maternal vaccination; hence the recommendation for universal vaccination in pregnancy.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"67 3","pages":"557-564"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765696","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
Malaria in Pregnancy, Current Challenges, and Emerging Prevention Strategies in a Warming Climate. 气候变暖背景下的妊娠期疟疾、当前挑战和新兴预防策略。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-04 DOI: 10.1097/GRF.0000000000000888
Anju Ranjit, Blair J Wylie
{"title":"Malaria in Pregnancy, Current Challenges, and Emerging Prevention Strategies in a Warming Climate.","authors":"Anju Ranjit, Blair J Wylie","doi":"10.1097/GRF.0000000000000888","DOIUrl":"10.1097/GRF.0000000000000888","url":null,"abstract":"<p><p>Malaria still presents a grave threat to the health of pregnancies worldwide with prevention currently stalling as traditional control and prevention strategies are limited by both insecticide and drug resistance. Furthermore, climate change is bringing malaria to locations where it was once eradicated and intensifying malaria in other areas. Even where malaria is not currently common, obstetricians will need to understand the pathogenesis of the disease, how it is transmitted, methods for prevention and treatment in pregnancy, and promising emerging strategies such as vaccines. A renewed global response is needed for this age-old disease in which pregnancy poses specific susceptibility.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":"67 3","pages":"620-632"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765697","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
Moving the Needle: Using Guidelines on Diversity, Equity, and Inclusion to Uplift a Stronger Medical Education Community. 移动针头：使用《多样性、公平性和包容性指南》提升更强大的医学教育社区。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-05-28 DOI: 10.1097/GRF.0000000000000875
Samantha D Buery-Joyner, Laura Baecher-Lind, Nadine T Katz
{"title":"Moving the Needle: Using Guidelines on Diversity, Equity, and Inclusion to Uplift a Stronger Medical Education Community.","authors":"Samantha D Buery-Joyner, Laura Baecher-Lind, Nadine T Katz","doi":"10.1097/GRF.0000000000000875","DOIUrl":"10.1097/GRF.0000000000000875","url":null,"abstract":"<p><p>The Association of Professors of Gynecology and Obstetrics created the Diversity, Equity, and Inclusion Guidelines Task Force to develop best practices to establish a diverse physician workforce and eliminate racism in medical education. Using the guidelines, educators are impacting their communities and, in some areas, leading their institutions toward greater diversity and inclusion. The guidelines are organized by 4 domains: learning environment, grading and assessment, pathway programs, and metrics. This manuscript uses that framework to highlight the work of individual educators who are moving the needle towards racism-free health care and aims to inspire others contemplating incorporation into their programs.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"493-498"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157555","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
Benzodiazepines in Pregnancy: Erratum. 妊娠期苯二氮卓类药物：勘误。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1097/GRF.0000000000000429
{"title":"Benzodiazepines in Pregnancy: Erratum.","authors":"","doi":"10.1097/GRF.0000000000000429","DOIUrl":"10.1097/GRF.0000000000000429","url":null,"abstract":"","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"652-653"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37212461","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
Abortion Education for Medical Students in an Era of Increased Abortion Restrictions. 在堕胎限制增多的时代对医科学生进行堕胎教育。
IF 1.4 4区 医学
Clinical obstetrics and gynecology Pub Date : 2024-09-01 Epub Date: 2024-05-30 DOI: 10.1097/GRF.0000000000000874
Valerie A French, Melody Y Hou
{"title":"Abortion Education for Medical Students in an Era of Increased Abortion Restrictions.","authors":"Valerie A French, Melody Y Hou","doi":"10.1097/GRF.0000000000000874","DOIUrl":"10.1097/GRF.0000000000000874","url":null,"abstract":"<p><p>Following the Supreme Court's decision in Dobbs v Jackson Women's Health in June 2022, many states restricted or banned abortion. Medical educators have focused on how this change impacts abortion training for residents, but schools must also adapt undergraduate medical education. Medical schools provide the foundation for future physicians' knowledge and attitudes on abortion. Comprehensive, high-quality abortion education for all medical students is essential for the future of abortion care. Here, we present how education champions can lead curricular improvements in abortion education in the preclinical, clerkship, and postclerkship phases of undergraduate medical education.</p>","PeriodicalId":10415,"journal":{"name":"Clinical obstetrics and gynecology","volume":" ","pages":"539-554"},"PeriodicalIF":1.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174582","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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