Current Obstetrics and Gynecology Reports最新文献_第6页

Telehealth in Trans and Gender Diverse Communities: the Impact of COVID-19. 跨性别和性别多样化社区的远程医疗:COVID-19的影响

IF 0.7

Current Obstetrics and Gynecology Reports Pub Date : 2022-01-01 Epub Date: 2022-04-19 DOI: 10.1007/s13669-022-00334-7

Laura J Mintz, Braveheart Gillani, Scott E Moore

{"title":"Telehealth in Trans and Gender Diverse Communities: the Impact of COVID-19.","authors":"Laura J Mintz, Braveheart Gillani, Scott E Moore","doi":"10.1007/s13669-022-00334-7","DOIUrl":"10.1007/s13669-022-00334-7","url":null,"abstract":"Purpose of review: This paper synthesizes current knowledge regarding telehealth and the impact of the SARS-COV2 pandemic on transgender and gender diverse (TGD) patients. We discuss the benefits and challenges of telehealth for patients, providers, and trainees.Recent findings: Mental health of TGD populations has been disproportionately challenged in the context of SARS-COV2, and telehealth interventions focused on gender affirmation and mental health are desired and acceptable by TGD populations.Summary: Telehealth in the era of SARS-COV-2 has a mixed impact on TGD patients and families, increasing access, decreasing travel time, and allowing for comfort and safety during care while also leaving gaps in care for patients without web/phone access and/or without a confidential place to participate in appointments, or to manage health concerns that require in-person evaluation. Providers have benefitted from the ability to reach TGD patients that are far from practice sites and to provide remote consultation for procedures and other interventions. Trainees have challenges as a result of telehealth practice which can impair the ability to learn in-person care, but have benefitted from remote training opportunities, including surgical training. Alterations in compensation structures have allowed sustainable telehealth practice to be an option for providers and health systems. As telehealth evolves, quality improvement and research efforts aimed at resolving known challenges and expanding beneficial uses of telehealth should consistently include and consider not only the beneficiaries of telehealth but also those who may struggle with access.","PeriodicalId":44726,"journal":{"name":"Current Obstetrics and Gynecology Reports","volume":"11 1","pages":"75-80"},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45290390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Best Practices for Managing Postpartum Hypertension. 产后高血压管理的最佳实践。

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2022-01-01 Epub Date: 2022-06-20 DOI: 10.1007/s13669-022-00343-6

Natasha Raj Kumar, Adi Hirshberg, Sindhu K Srinivas

{"title":"Best Practices for Managing Postpartum Hypertension.","authors":"Natasha Raj Kumar, Adi Hirshberg, Sindhu K Srinivas","doi":"10.1007/s13669-022-00343-6","DOIUrl":"https://doi.org/10.1007/s13669-022-00343-6","url":null,"abstract":"Purpose of review: Patients remain at risk for persistent and de novo postpartum hypertension related to pregnancy. This review aims to summarize the current definitions, clinical practices, and novel systems innovations and therapies for postpartum hypertension.Recent findings: Recent changes to the definitions of hypertension outside of pregnancy have not yet impacted definitions or management of hypertensive disorders of pregnancy (HDP), though research examining the implications of these new definitions on risks of developing HDP and the resultant sequelae is ongoing. The administration of diuretics has been shown to reduce postpartum hypertension among women with HDP. Widespread implementation of telemedicine models and remote assessment of ambulatory blood pressures has increased data available on postpartum blood pressure trajectories, which may impact clinical management. Additionally, policy changes such as postpartum Medicaid extension and an increasing emphasis on building bridges to primary care in the postpartum period may improve long-term outcomes for women with postpartum hypertension. Prediction models utilizing machine learning are an area of ongoing research to assist with risk assessment in the postpartum period.Summary: The clinical management of postpartum hypertension remains focused on blood pressure control and primary care transition for cardiovascular disease risk reduction. In recent years, systemic innovations have improved access through implementation of new care delivery models. However, the implications of changing definitions of hypertension outside of pregnancy, increased data assessing blood pressure trajectories in the postpartum period, and the creation of new risk prediction models utilizing machine learning remain areas of ongoing research.","PeriodicalId":44726,"journal":{"name":"Current Obstetrics and Gynecology Reports","volume":"11 3","pages":"159-168"},"PeriodicalIF":0.5,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40402574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Association of Human Papillomavirus and Chlamydia trachomatis Coinfection with Cervical Intraepithelial Lesions and Cervical Cancer 人乳头瘤病毒和沙眼衣原体联合感染与宫颈上皮内病变和宫颈癌症的关系

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-11-25 DOI: 10.1007/s13669-021-00319-y

Çiğdem Kılıç

引用次数: 1

Sexually Transmitted Infections in Pregnancy, Screening and Treatment 妊娠期性传播感染的筛查和治疗

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-11-25 DOI: 10.1007/s13669-021-00318-z

Banuhan Şahin, Buğra Şahin, Gizem Cura Şahin

引用次数: 2

Embryos with a Mosaic Result: the Known and Unknown Reproductive Potential 具有镶嵌结果的胚胎：已知和未知的繁殖潜力

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-11-15 DOI: 10.1007/s13669-021-00317-0

P. Romanski, E. Hariton

引用次数: 0

Review of Infertility Diagnosis and Evaluation 不孕症诊断与评价综述

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-11-06 DOI: 10.1007/s13669-021-00315-2

Zachary Walker, D. Gunn

引用次数: 0

Thyroid Disease, Pregnancy, and Selenium Supplementation 甲状腺疾病、妊娠和补硒

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-11-05 DOI: 10.1007/s13669-021-00314-3

Giovanna Savastano, V. Del Negro, Damiana Pompeo, S. Sorrenti, P. Galoppi, R. Brunelli, M. Piccioni

引用次数: 2

Anti-Müllerian Hormone: Current Understanding and Clinical Use 抗<s:1>勒氏杆菌激素:目前的认识和临床应用

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-10-20 DOI: 10.1007/s13669-021-00310-7

C. E. Gordon, E. Yanushpolsky

引用次数: 1

Management of Ovarian Endometrioma in Asymptomatic Reproductive Age Women 无症状育龄妇女卵巢子宫内膜异位瘤的治疗

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-10-14 DOI: 10.1007/s13669-021-00311-6

P. Bortoletto, Meridith P. Pollie

引用次数: 1

Recent Advances and Current Perspectives on Endometrial Receptivity 子宫内膜容受性的研究进展及展望

IF 0.5

Current Obstetrics and Gynecology Reports Pub Date : 2021-10-06 DOI: 10.1007/s13669-021-00313-4

Jennifer B. Bakkensen, R. Agarwal, M. Shapiro

引用次数: 0