Current Opinion in Obstetrics & Gynecology最新文献

Aftercare following second trimester abortion procedures. 第二胎人工流产术后护理。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-08-26 DOI: 10.1097/GCO.0000000000000987

Natalie C Spach, Andrea Henkel

{"title":"Aftercare following second trimester abortion procedures.","authors":"Natalie C Spach, Andrea Henkel","doi":"10.1097/GCO.0000000000000987","DOIUrl":"10.1097/GCO.0000000000000987","url":null,"abstract":"Purpose of review: The purpose of this review is to examine patient experiences following second-trimester abortion care to identify clinical interventions to improve aftercare.Recent findings: Early validation of a five-question Reproductive Grief Screen suggests that this instrument may be useful for clinicians to identify patients with maladaptive grief responses following a second-trimester abortion. Patients want to talk with their healthcare providers about grief following abortion and desire frequent mental health check-ins. Most people will have breast symptoms following a second-trimester abortion; a one-time dose of cabergoline at time of abortion appears to be an effective intervention to prevent bothersome breast symptoms. As patient desires vary regarding disposition of fetal remains, clinicians should be prepared to discuss donation for research or cremation/ burial as alternatives to routine disposal. With significant variation in availability and cost of ceremonial disposition, clinicians and healthcare systems should identify local resources to facilitate this aspect of aftercare.Summary: Clinical practices and healthcare systems should prioritize the aftercare experience including the management of breast symptoms, bereavement, disposition of fetal remains, and follow-up care.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367555","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

An update on surgical management for stress urinary incontinence. 压力性尿失禁手术治疗的最新进展。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-07 DOI: 10.1097/GCO.0000000000000989

Kelsey Gallo, Hillary Weiner, Kavita Mishra

{"title":"An update on surgical management for stress urinary incontinence.","authors":"Kelsey Gallo, Hillary Weiner, Kavita Mishra","doi":"10.1097/GCO.0000000000000989","DOIUrl":"10.1097/GCO.0000000000000989","url":null,"abstract":"Purpose of review: Stress urinary incontinence (SUI) is a common condition for which women often opt for surgical management. Synthetic midurethral slings (MUS) have been the dominant treatment for decades. Single-incision slings (SIS) have been introduced to lower the morbidity associated with trocar passage during MUS placement. Urethral bulking has been used less frequently owing to its lower cure rates. New data have recently emerged in support of single-incision slings (SIS) and urethral bulking with Bulkamid polyacrylamide hydrogel (PAHG).Recent findings: Several studies with a follow-up ≥10 years have shown stable efficacy and complication rates of retropubic (RMUS) and transobturator (TMUS) midurethral slings over time. SIS products show equivalent efficacy to traditional TMUS and RMUS at up to 3 years of follow-up and can be placed under local anesthesia. While urethral bulking with PAHG results in lower cure rates compared to slings, satisfaction rates are high and responders have sustained improvement at 7 years follow-up.Summary: All three types of available slings, TMUS, RMUS, and SIS, are now considered appropriate surgical options for the treatment of SUI. Although the absence of comparative data precludes a formal recommendation for one injectable over another, urethral bulking with PAHG has favorable long-term results and an excellent safety profile.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367556","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 in entertainment media, 2019-2024. 2019-2024 年娱乐媒体中的堕胎问题。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-19 DOI: 10.1097/GCO.0000000000000977

Stephanie Herold

{"title":"Abortion in entertainment media, 2019-2024.","authors":"Stephanie Herold","doi":"10.1097/GCO.0000000000000977","DOIUrl":"10.1097/GCO.0000000000000977","url":null,"abstract":"Purpose of review: Entertainment media contribute to how people understand and make sense of health issues, especially stigmatized ones such as abortion. This paper reviews the peer-reviewed literature published between 2019 and 2024 on how abortion is depicted in scripted television and film available for viewing in the United States.Recent findings: The majority of recent studies focus on qualitative content analysis of a composite of television shows, documenting the myriad ways that these programs reflect and are distinct from the reality of abortion access in the United States. The quantitative studies find small but significant increases in abortion knowledge related to exposure to television abortion plotlines, but no increases in support for abortion postexposure. No studies track the impact of exposure to multiple abortion plotlines at multiple points in time. Only one study included a sample of entertainment content creators to understand their motivations for creating abortion plotlines.Summary: Media depictions of abortion are often rife with misinformation, and may influence the U.S. public's general knowledge and beliefs about abortion. More research is needed to understand possible relationships between television and film abortion content and its impact on viewers.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984009","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

Adolescent reproductive health in a post- Dobbs landscape: a review. 后多布斯时代的青少年生殖健康：综述。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-24 DOI: 10.1097/GCO.0000000000000980

Alexis A Doyle, Serena M Liu, Nichole A Tyson

{"title":"Adolescent reproductive health in a post- Dobbs landscape: a review.","authors":"Alexis A Doyle, Serena M Liu, Nichole A Tyson","doi":"10.1097/GCO.0000000000000980","DOIUrl":"10.1097/GCO.0000000000000980","url":null,"abstract":"Purpose of review: To summarize notable recent research in adolescent reproductive health, particularly with respect to a rapidly changing legal landscape surrounding health services that significantly impact adolescent health.Recent findings: Approval of the first over-the-counter contraceptive pill represented a major advance in adolescent reproductive health, which relied on research regarding its safety, efficacy, and potential to increase access for vulnerable groups. Despite this approval, disparities persist in equitable contraceptive access for adolescents of color and those from sexual and gender identity minorities. Legal changes in access to abortion care and parental involvement in reproductive health decision-making have presented significant challenges for young people across the U.S. Recent research points to the promise of telehealth abortion care and parental acceptance of confidentiality in adolescent reproductive healthcare. Misinformation remains a barrier to advancing adolescent reproductive health and points to continued opportunities for providers to create evidence-based online content.Summary: In this review, we discuss recent research regarding adolescent reproductive health and laws impacting the reproductive health of adolescents. As the legal landscape evolves, further research surrounding the effect of policy changes that both expand and restrict access to adolescent reproductive health services will be critical to advancing adolescent health.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984010","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 blood loss in second-trimester abortion. 第二胎流产失血的处理。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI: 10.1097/GCO.0000000000000991

Simranvir Kaur, Metabel Tori Markwei, Kate A Shaw

{"title":"Management of blood loss in second-trimester abortion.","authors":"Simranvir Kaur, Metabel Tori Markwei, Kate A Shaw","doi":"10.1097/GCO.0000000000000991","DOIUrl":"10.1097/GCO.0000000000000991","url":null,"abstract":"Purpose of review: While major complications in second-trimester abortion are rare, blood loss and hemorrhage are among the most common and have the potential for high morbidity. Here, we review the current literature on risk factors, prevention, and treatment of blood loss in second-trimester abortion.Recent findings: A comprehensive approach to hemorrhage during second-trimester abortions is essential. Understanding hemorrhage risk factors, prevention strategies, and treatment options makes second-trimester abortion safer. Some pharmacologic methods may both prevent and treat excessive blood loss. Mechanical methods are primarily used for treatment. Key risk factors include prior uterine scars, gestational duration, insufficient cervical preparation, high BMI, procedural inexperience, fetal demise, and halogenated anesthetics. Developing evidence-based protocols for and further research into hemorrhage related complications are crucial for improving safety in second-trimester abortion care.Summary: Prevention of hemorrhage improves outcomes. However data are limited. For treatment, this includes using pharmacological interventions and mechanical methods. Identifying high-risk patients and implementing preprocedural optimization are proactive measures that aid in decreasing the occurrence and severity of blood loss and hemorrhage.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367558","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

Waste not want not: the story of surgical trash. 废物利用：手术垃圾的故事。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-09 DOI: 10.1097/GCO.0000000000000992

Noe Woods, Alexandra I Melnyk, Pamela Moalli

{"title":"Waste not want not: the story of surgical trash.","authors":"Noe Woods, Alexandra I Melnyk, Pamela Moalli","doi":"10.1097/GCO.0000000000000992","DOIUrl":"10.1097/GCO.0000000000000992","url":null,"abstract":"Purpose of review: Our escalating reliance on disposable products in the operating room has generated a large amount of waste, cost, and environmental pollution. Heath damages from the pollution caused by the US healthcare industry cause as much harm, as measured by disability-adjusted life years, as total medical errors. Our response to our own environmental impact should be proportional to that harm. Understanding the waste streams we create and the factors that contribute to our large waste generation in the operating room can help us target solutions to our most harmful practices.Recent findings: Recent studies within the field of medical waste in ObGyn have included a systematic review analyzing most effective practices for waste reduction and environmental life cycle analyses of specific medical procedures.Summary: Operating room waste includes regulated medical waste, pathologic waste/chemotherapy, sharps, general municipal waste, recycling, linens, and anesthetic gases. The most effective way to reduce the environmental impact from medical waste is to reduce our use of disposable supplies in favor of durable reusable materials. Other important interventions include eliminating 'overage' of unused supplies, optimizing use of anesthetic gas, custom pack scale backs, and proper waste segregation. This review of operative waste is intended to aid healthcare facilities in understanding and addressing their own environmental impact.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367560","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

Contraception and abortion update: forward gears only. 避孕和堕胎的最新情况：仅向前推进。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.1097/GCO.0000000000000993

Paul D Blumenthal

引用次数: 0

Biologic grafts for pelvic organ prolapse repairs: what have we learned in the last 20 years? 用于盆腔器官脱垂修复的生物移植物：过去 20 年我们学到了什么？

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-02 DOI: 10.1097/GCO.0000000000000990

Karla Lorente, Olivia Chang

引用次数: 0

A review of ethnic disparities in preeclampsia. 回顾子痫前期的种族差异。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-18 DOI: 10.1097/GCO.0000000000000996

Katie Raphael, Kate Wiles, Stamatina Iliodromiti, Elena Greco

{"title":"A review of ethnic disparities in preeclampsia.","authors":"Katie Raphael, Kate Wiles, Stamatina Iliodromiti, Elena Greco","doi":"10.1097/GCO.0000000000000996","DOIUrl":"10.1097/GCO.0000000000000996","url":null,"abstract":"Purpose of review: Recent reports have reiterated the inequities in maternal morbidity and mortality for minority ethnic groups, with preeclampsia being a significant concern. Females of Black and South Asian ethnicity have an increased risk of preeclampsia with disproportionately higher adverse outcomes compared to white females.Recent findings: This review will explore ethnic disparities in preeclampsia outcomes, prediction, diagnosis, prevention and management. Recent evidence has demonstrated that biochemical and biophysical markers that are used for preeclampsia prediction and diagnosis vary for females of different ethnic groups. This needs careful consideration given the current need for accurate prediction models. Furthermore, recent reports have highlighted the disparity in maternal morbidity for those of minority ethnic groups. The reasons for this are multifactorial but underlying biases and racism have been attributed as major contributors to poor care and adverse outcomes.Summary: Exploring disparities in preeclampsia care is essential to address ethnic inequities that lead to increased adverse outcomes. We must alter current clinical practice to break down the barriers that result in substandard care for females from minority ethnic backgrounds.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373614","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

Two years in a post- Dobbs world: clinical, social and professional consequences. 后多布斯世界的两年：临床、社会和专业后果。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-07-10 DOI: 10.1097/GCO.0000000000000975

Isabel Beshar, Megan Corn, Paul D Blumenthal

{"title":"Two years in a post- Dobbs world: clinical, social and professional consequences.","authors":"Isabel Beshar, Megan Corn, Paul D Blumenthal","doi":"10.1097/GCO.0000000000000975","DOIUrl":"10.1097/GCO.0000000000000975","url":null,"abstract":"Purpose of review: Dobbs v Jackson Women's Health Organization revoked the decades-old precedent that pregnancy termination is a constitutional right. This review article explores the research landscape describing the consequences of overturning Roe v Wade for patients and providers.Recent findings: To date, fourteen states have enforced total bans on abortion, with seven more restricting abortion access to levels not seen since before Roe. Dobbs has had immediate and swift consequences from clinical, social and professional perspectives, with increases in maternal mortality and demand for long-acting and permanent contraception, matched by declines in both access to methotrexate and applications to Obstetrics & Gynecology training programs.Summary: Eighteen million patients now live in states where abortion access is highly if not completely inaccessible. Abortion restrictions have profound implications beyond those desiring pregnancy termination; future research should continue to explore the ways Dobbs has affected clinical care, public health and social practices.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141984011","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