Current Opinion in Obstetrics & Gynecology最新文献_第4页

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":" ","pages":"414-419"},"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

Editorial introductions. 编辑介绍。

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.0000000000000994

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":" ","pages":"408-413"},"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":" ","pages":"444-449"},"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":" ","pages":"450-456"},"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

Rh sensitization in abortion care: where we've been and where we're going. 人工流产护理中的 Rh 敏感性：我们的过去和未来。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-12 DOI: 10.1097/GCO.0000000000000988

Stephanie I Amaya, Erica Cahill, Paul D Blumenthal

引用次数: 0

Editorial introductions. 编辑介绍。

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.0000000000000994

引用次数: 0

Patient navigation in reproductive healthcare. 生殖保健中的患者导航。

IF 2.2 4区医学

Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-17 DOI: 10.1097/GCO.0000000000000997

Melissa Schechter, Eve Espey, Jamie W Krashin

{"title":"Patient navigation in reproductive healthcare.","authors":"Melissa Schechter, Eve Espey, Jamie W Krashin","doi":"10.1097/GCO.0000000000000997","DOIUrl":"10.1097/GCO.0000000000000997","url":null,"abstract":"Purpose of review: This review summarizes evidence about barriers to abortion care pre- Dobbs and post- Dobbs , inequities in abortion access, and approaches to improving access to abortion care with use of patient navigators.Recent findings: The Dobbs decision and resulting state-level restrictions exacerbated economic, knowledge, and logistic barriers to abortion care. Abortion funds and emotional support are two main resources to help address these barriers; however, only with coordination can patients and clinics fully benefit from the resources. Patient navigation provides that coordination. Evidence shows it improves reproductive outcomes, is acceptable to patients and providers, and engages community health workers and community-based organizations.Summary: Increasing legal restrictions and barriers to abortion care have motivated advocates to identify effective interventions to facilitate patient-centered and culturally competent care. Navigators have improved postpartum care by increasing attendance, education and helping coordinate overall care. They have improved referrals and access to abortion care in statewide programs.","PeriodicalId":55194,"journal":{"name":"Current Opinion in Obstetrics & Gynecology","volume":" ","pages":"420-425"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373615","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