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Archive for the ‘OB/Gyn’ Category

Use of CPAP increases fetal movement during sleep

Researchers have found a possible link between sleep-disordered breathing and reduced fetal movements
in pregnant women with preeclampsia. An article published in the January 2013 issue of the journal Sleep details
the results of a study of patients with preeclampsia who received nasal continuous positive airway pressure
(CPAP).Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+News/Use-of-CPAP-increases-fetal-movement-during-sleep/ArticleStandard/Article/detail/801887?ref=25

Clarithromycin and higher risk of miscarriage

Researchers in Denmark have tied the use of the antibiotic clarithromycin to an increased risk of
miscarriage-but not to an increased risk of birth defects.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Clarithromycin-and-higher-risk-of-miscarriage/ArticleStandard/Article/detail/801888?ref=25

‘Brain fog’ more common in first year postmenopause

A cross-sectional National Institutes of Health (NIH)-supported study published in Menopause shows
that changes in cognitive function associated with menopause aren’t linear and, in fact, decline is most common in
the first year after the final menstrual period.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Brain-fog-more-common-in-first-year-postmenopause/ArticleStandard/Article/detail/801889?ref=25

Diabetes risk may be higher for breast Ca survivors

Researchers looking into a possible link between breast Ca and diabetes risk have found a modest
increase in the incidence of diabetes among postmenopausal breast Ca survivors that varied over time.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Diabetes-risk-may-be-higher-for-breast-Ca-survivor/ArticleStandard/Article/detail/800766?ref=25

Microarrays beat karyotyping in prenatal diagnosis

In a head-to-head trial, chromosomal microarray analysis was shown to be more effective than
traditional karyotyping in prenatal diagnosis. Results of the study-which is the largest of its kind and which
received support from the National Institutes of Child Health and Human Development-reflect the accuracy, efficacy,
and incremental yield of the technologies.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Microarrays-beat-karyotyping-in-prenatal-diagnosis/ArticleStandard/Article/detail/800281?ref=25

Even moderate smoking risky for women

Researchers who prospectively examined the association between cigarette smoking/smoking cessation and
the risk of sudden cardiac death (SCD) have found that even "light-to-moderate" smokers (those who
smoke 1 to 14 cigarettes daily) are at increased risk. The study looked at 101,018 women participating in the
Nurses’ Health Study without known coronary heart disease (CHD), stroke, and cancer beginning in 1980. (The Nurses’
Health Study has collected biannual health questionnaires from US female nurses since 1976.)Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Even-moderate-smoking-risky-for-women/ArticleStandard/Article/detail/800274?ref=25

Ovarian Ca screening: Needed in non-BRCA carriers?

A study published online by the Archives of Internal Medicine reports that women who are screened for
the BRCA gene and found not to be carriers often undergo ovarian Ca screening, despite the fact that the lifetime
risk of developing ovarian cancer is only 1% to 2% in the general population.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Ovarian-Ca-screening-Needed-in-non-BRCA-carriers/ArticleStandard/Article/detail/800764?ref=25

Do pregnant women benefit from marriage over cohabitation?

A cross-sectional nationwide Canadian epidemiological study suggests that marriage rather than
cohabitation may have psychosocial benefits for pregnant women. Published in the American Journal of Public Health,
the results point to a need for research on maternal and child health that distinguishes between married and
unmarried cohabiting women.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Do-pregnant-women-benefit-from-marriage-over-cohab/ArticleStandard/Article/detail/800765?ref=25

Study finds link between HPV risk and timing of ‘sexual debut’

Human papillomavirus (HPV) detection among older patients may be due to reactivation of the virus, not
a new acquisition, according to new research. This fact, as well as the aging of the baby boomer generation-the
first generation to have experienced the sexual revolution of the 1960s and 1970s-means that perimenopausal women
who are found to have HPV may have acquired it years before.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+News/Study-finds-link-between-HPV-risk-and-timing-of-se/ArticleStandard/Article/detail/800273?ref=25

Hospital-employed physicians may be under pressure

The New York Times claims that today, about 39% of doctors nationwide are independent, down from 57%
in 2000, citing estimates by the consulting firm Accenture. The article "A Hospital War Reflects a Bind for
Doctors in the U.S.," which appeared on the New York Times web site on November 30, 2012, discusses the
state of healthcare in Boise, Idaho, which the authors call "a medical battleground" and claim is
representative of the healthcare situation in many cities around the United States.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Hospital-employed-physicians-may-be-under-pressure/ArticleStandard/Article/detail/799451?ref=25

A decade of tamoxifen reduces BCa recurrence

Doubling the duration of adjuvant tamoxifen treatment in women estrogen receptor (ER)-positive breast
cancer reduces risk of late recurrence and death compared with the current standard-of-care of 5 years’ therapy. So
say the results of a large international randomized trial presented at the 2012 CTRC-AACR San Antonio Breast Cancer
Symposium and simultaneously published in The Lancet.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/A-decade-of-tamoxifen-reduces-BCa-recurrence/ArticleStandard/Article/detail/799478?ref=25

Sleep apnea found to affect women’s brains more than men’s

Sleep apnea affects women and men differently because of sex-specific changes in the brain. This is
the finding of researchers at the University of California at Los Angeles (UCLA)’s School of Nursing, School of
Medicine, and Brain Research Institute.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Sleep-apnea-found-to-affect-womens-brains-more-tha/ArticleStandard/Article/detail/799014?ref=25

BPA found in fetal liver tissue

A National Institutes of Health-funded study published in the Journal of Biochemical and Molecular
Toxicology provides evidence that exposure to the compound bisphenol A (BPA) during human pregnancy is
considerable, and that elimination of BPA occurs more slowly in fetuses than in adults.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/BPA-found-in-fetal-liver-tissue/ArticleStandard/Article/detail/799015?ref=25

Link between ART and asthma?

Researchers in the United Kingdom have found an increased prevalence of asthma among children born to
parents who used assisted reproductive technologies (ART). A large registry-based study conducted by researchers at
the University of Oxford and the University of Essex in England drew from the Millennium Cohort Study, a UK-wide,
prospective study of 18,818 children recruited at age 9 months.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Link-between-ART-and-asthma/ArticleStandard/Article/detail/799449?ref=25

Prenatal peptides promising in Down syndrome model

A mouse model suggests that prenatal treatment with neuroprotective peptides may have potential in
improving learning performance in Down syndrome, according to researchers from the National Institute of Child
Health and Human Development (NICHD).Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Prenatal-peptides-promising-in-Down-syndrome-model/ArticleStandard/Article/detail/799016?ref=25

US birth rate falls to record low

The 2011 US birth rate was the lowest ever recorded, according to a report by the Pew Research Center
for its Social & Demographic Trends project. The decline was greatest in births to immigrant
women.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+News/US-birth-rate-falls-to-record-low/ArticleStandard/Article/detail/798661?ref=25

What drives prophylactic mastectomy?

Fear-not clinical indications-may be the driving force in women’s decision-making about contralateral
prophylactic mastectomy (CPM). That is the surprising conclusion from a population-based study presented by
investigators from Michigan at the 2012 American Society of Clinical Oncology (ASCO) Quality Symposium in San
Diego.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/What-drives-prophylactic-mastectomy/ArticleStandard/Article/detail/798660?ref=25

Systematic review ranks tocolytics

Prostaglandin inhibitors, such as celecoxib and indomethacin, and calcium channel blockers, such as
nifedipine and nicardipine, had the highest probability of delaying premature labor by 48 hours and improving
maternal and neonatal outcomes, according to a systematic review and network meta-analysis published in a recent
issue of BMJ.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Systematic-review-ranks-tocolytics/ArticleStandard/Article/detail/798662?ref=25

Green tea linked to lower risk of digestive cancers

Women in China who drink 2 to 3 cups of tea daily over many years have a reduced rate of cancers of
the digestive system, according to a study by researchers at the Vanderbilt University School of Medicine in
Nashville, Tennessee. Researchers in the division of Vanderbilt-Ingram Cancer Center, led by Sarah Nechuta, PhD,
MPH, surveyed participants in the Shanghai Women’s Health Study, a population-based prospective cohort study of
approximately 75,000 middle-aged and older Chinese women who were recruited from 1996 to 2000.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+News/Green-tea-linked-to-lower-risk-of-digestive-cancer/ArticleStandard/Article/detail/796702?ref=25

Lifetime risk of CVD high in men and women

Even with absence of smoking and diabetes and optimal health profiles, men and women demonstrate
lifetime risks for total cardiovascular disease (CVD) of greater than 40% and 30%, respectively, according to the
results of a retrospective study.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Lifetime-risk-of-CVD-high-in-men-and-women/ArticleStandard/Article/detail/796704?ref=25

Pregnancy tests skipped in the ED

Teenaged girls who present to emergency departments (EDs) are not being screened for pregnancy before
receiving treatment. Researchers found that testing was not routinely performed even if the girls complained of
abdominal pain or if they needed radiologic imaging.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Pregnancy-tests-skipped-in-the-ED/ArticleStandard/Article/detail/796703?ref=25

Scarring Post-Ablation

What physiological changes occur in the uterus after ablation? Are there differences in uterine
scarring depending on GEA method? Is assessment of the uterine cavity limited after GEA, in particular the NovaSure
GEA? What is the incidence of endometrial cancer after GEA and is it masked by changes to the uterine cavity
post-ablation?Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Scarring-Post-Ablation/ArticleStandard/Article/detail/795783?ref=25

Women smokers benefit from quitting before middle age

Excess mortality caused by smoking in women could be virtually eliminated if women quit the habit
before age 40. So say the results of a prospective analysis of more than 1 million women in the United Kingdom (UK)
over a period of 15 years.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Women-smokers-benefit-from-quitting-before-middle-/ArticleStandard/Article/detail/795471?ref=25

Preeclampsia risk higher in women with SLE

Risk of preeclampsia is two-fold higher in women with systemic lupus erythematosus (SLE), whether they
use disease-modifying antirheumatic drugs (DMARDs), corticosteroids, or nonsteroidal inflammatory drugs (NSAIDs),
according to a retrospective study.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Preeclampsia-risk-higher-in-women-with-SLE/ArticleStandard/Article/detail/795474?ref=25

Delay in post-surgical RT risky in endometrial Ca

Likelihood of recurrence increases when post-surgical radiation therapy (RT) is delayed in patients
with endometrial carcinoma, according to results of a retrospective study by researchers at Henry Ford Health
System, Detroit, MI. The findings were presented at the 54th annual meeting of the American Society for Radiation
Oncology (ASTRO) in Boston in October.Source:
http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Feature+Articles/Delay-in-post-surgical-RT-risky-in-endometrial-Ca/ArticleStandard/Article/detail/795470?ref=25

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