Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2019
EditorialMenstrual Suppression for Military Women: Barriers to Care in the United States.
Since 2000 there has been a 17% increase in the number of women serving in the U. S. military. As women enter the services in more significant numbers and are increasingly deployed to combat operations, the military must adopt policies and practices that accommodate the health care needs of female warriors. ⋯ This article provides an overview of the growing body of survey and interview data focusing on military women's health to show that there are gaps in knowledge and significant barriers to care that must be addressed. Ultimately, this work argues that medical care and counseling should be more responsive to the needs of female service members. Educating female service members on the option of menstrual suppression should be made a standard part of routine well-woman care and predeployment physicals, thereby removing sex-specific barriers and enabling more women to take on forward combat roles.
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Obstetrics and gynecology · Jul 2019
Case ReportsIntrauterine Foley Balloon Catheter to Manage Acute Heavy Menstrual Bleeding in a Perimenarchal 10-Year-Old Girl.
Intrauterine balloon tamponade is commonly used to treat postpartum hemorrhage refractory to pharmacologic interventions. It has not been well-studied in girls or adolescents for treatment of acute heavy menstrual bleeding. ⋯ Foley catheter placement is a low-risk, low-cost, and readily accessible option for intrauterine tamponade to consider for young girls and adolescents with acute heavy menstrual bleeding resistant to medical management.
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Obstetrics and gynecology · Jun 2019
Comparative StudyMaternal and Neonatal Morbidity Associated With Early Term Delivery of Large-for-Gestational-Age But Nonmacrosomic Neonates.
To evaluate whether, at 37-39 weeks of gestation, delivery of a neonate with a birth weight that is 90% or greater for gestational age but less than 4,000 g is associated with increased composite maternal and neonatal morbidity. ⋯ At 37-39 weeks of gestation, delivery of a neonate with a birth weight that is 90% or greater for gestational age but less than 4,000 g is associated with increased composite maternal and neonatal morbidity.
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Obstetrics and gynecology · Jun 2019
Association of Pharmacist Prescription of Hormonal Contraception With Unintended Pregnancies and Medicaid Costs.
To estimate unintended pregnancies averted and the cost effectiveness of pharmacist prescription of hormonal contraception. ⋯ Pharmacist prescription of hormonal contraception averts unintended pregnancies and is cost effective. Full implementation of the policy is needed for maximum benefits. Prospective data on the effect of the policy on contraceptive continuation rates are needed.
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Obstetrics and gynecology · Apr 2019
Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery Rates.
To evaluate maternal and neonatal safety measures in a large-scale quality improvement program associated with reductions in nulliparous, term, singleton, vertex cesarean delivery rates. ⋯ Mothers and neonates participating in a large-scale Supporting Vaginal Birth collaborative had no evidence of worsened birth outcomes, even in hospitals with large cesarean delivery rate reductions, supporting the safety of efforts to reduce primary cesarean delivery using American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine guidelines and enhanced labor support.