New evidence-based guidelines provide guidance on medical and surgical methods for second-trimester abortion and management of associated complications.
In utero exposure to cigarette smoking puts women at higher risk of subsequently developing gestational diabetes or obesity in adulthood.
Menopausal hormone therapy should not be used for prevention of coronary heart disease.
A hysterectomy in midlife with or without ovarian conservation is unlikely to accelerate women's cardiovascular disease risk.
Even mild iodine deficiency during pregnancy is associated with adverse child cognitive development.
In 2008-2010, the prevalence of key health behaviors among U.S. adults varied, with about one in five adults current smokers and 62.1% overweight or obese.
Obese and overweight adults can improve symptoms of gastroesophageal reflux disease by losing weight, while regaining even small amounts of weight can worsen symptoms.
For patients with stable Crohn's disease, vitamin D supplementation is associated with improvements in hand-grip strength, fatigue, and quality of life.
Combination therapy with teriparatide and denosumab may be most effective in treating postmenopausal women with osteoporosis at risk for fracture.
In women with pelvic organ prolapse who undergo abdominal sacrocolpopexy, the failure rates increase with longer follow-up.
Even mild iodine deficiency during pregnancy can have long-term adverse effects on a child's cognition.
Women who undergo in vitro fertilization by transfer of a single embryo that has undergone screening for genetic abnormalities have significantly better obstetric and neonatal outcomes than women who receive two embryos.
Fecundity seems to be related to the nutritional components of diet, with high protein intake linked to improved blastocyst development and pregnancy rates.
For extremely preterm infants, the optimal target oxygen saturation levels are unclear.
Particular gene variants of follicle stimulating hormone and its receptor are associated with significantly reduced fertility in men.
Low birth weight is associated with about 10-15% of the total prevalence of intellectual disability among children who received a life-saving intervention in their first five years of life.
About three-quarters of infants born extremely prematurely who receive active care have mild or no neurodevelopmental disability at 2.5 years of age.
Every newborn infant, including those born at home, is entitled to appropriate care.
Teen mothers are more likely to be overweight or obese later in life compared to women who do not give birth as a teen.
For pregnant women with abdominal pain or vaginal bleeding, transvaginal sonography is the best modality for diagnosing ectopic pregnancy.
Prenatal exposure to valproate correlates with an increased risk of autism spectrum disorder and childhood autism in offspring.
For Australian women aged ≤30 years there has been a decrease in the proportion found to have genital warts following the introduction of the human papillomavirus (HPV) vaccine program.
For infants with critical congenital heart defects (CCHDs), one-year survival has improved over time, with an increased risk of mortality associated with earlier diagnosis, low birth weight, and maternal age.
A low carbohydrate diet does not alter insulin needs or pregnancy outcomes in women with gestational diabetes mellitus.
For women with rheumatoid arthritis, exposure to methotrexate is associated with a reduced risk of induced abortions.
Longer breastfeeding duration is associated with increased odds of iron deficiency in healthy children.
For premature infants, exposure to live music and parent-preferred lullabies can influence physiological and developmental function.
For healthy full-term infants, development at age 12 months is associated with gestational age, with scores increasing for each additional week of gestation.
The rate of laparoscopic hysterectomy has greatly increased over the past decade and is now higher than that of abdominal hysterectomy.
A fasting plasma glucose value of 4.4mmol/L is the optimal cut point for determining which pregnant Chinese women need a 75-g 2-h oral glucose tolerance test offered at 24-28 weeks' gestation.
The ectopic pregnancy rate is higher among Medicaid beneficiaries than the privately insured.
The risk of venous thromboembolism among pregnant women is highest if they have had a stillbirth. Risks also increase if the women are obese or have conditions such as varicose veins, inflammatory bowel disease, obstetric hemorrhage, preterm delivery, or cesarean section.
For women with degenerative spondylolisthesis, polymorphisms in the estrogen receptor α (ERα) are associated with back pain intensity.
A multistate collaborative process improvement program can reduce the rate of elective scheduled singleton early-term deliveries.
Missense mutations associated with long QT syndrome (LQTS) susceptibility may explain some cases of intrauterine fetal death.
For post-menopausal women, increased physical activity is associated with lower levels of estradiol and estrone and with lower levels of specific estrogen metabolites.
Increased exposure to air pollution during pregnancy and the first year of life is associated with an increased risk of pediatric acute lymphoblastic leukemia, germ cell tumors, and retinoblastoma.
An integrated model for first-trimester screening of preeclampsia (PE) seems effective in a routine care setting.
Despite a decline in the prevalence of repeat teen births in recent years, nearly 20% of all teen births are a repeat birth with significant racial/ethnical and geographical variations.
Among those under 12 years old, sexual activity was rare, and most was nonconsensual. Most teens aged 17-19 years were found to be sexually active, while about 30% of 15- to 16-year-olds reported having had sex.
For women with vasomotor symptoms, greater leisure time activity and greater household physical activity are associated with more favorable sleep characteristics.
In-person recruitment at hospital-based prenatal clinics produces the highest yield of early stage pregnant study participants.
Postmenopausal hormone therapy with estrogen plus progestin is associated with an increased risk of breast cancer.
Increased time to pregnancy and not fertility treatment is associated with suboptimal neurological dysfunction in 2-year-old children born to subfertile parents.
Primary care physicians are more or less likely to prescribe long-acting reversible contraception such as intrauterine devices to adolescents based on their knowledge, skills, clinical environment, and attitudes.
DNA-based testing with Hybrid Capture 2 assay is more accurate than repeat cytology in identifying women with cervical cancer when their initial Pap smear shows atypical squamous cells of undetermined significance.
In low- and middle-income countries, fast linear growth in the first two years of life is associated with increased adult height and completion of more schooling, while higher weight at birth and later in childhood is associated with increased risk of obesity.
Around 37-38 weeks' gestation, the number of fetal deaths that could be avoided by delivery is greater than the number of neonatal deaths that would be anticipated by delivery, according to a new study.
For Chinese women, the age of menarche and menopause is not related to the risk of diabetes, but does correlate with cardiovascular disease and osteoporosis.
Children born to mothers who lost a close relative around the time of conception have a slightly higher risk of congenital heart disease.
At no age is there an overall survival benefit associated with bilateral oophorectomy compared with ovarian conservation at the time of hysterectomy for benign disease.
A new position statement published by The Endocrine Society recommends that estradiol measurement assays and reference ranges be standardized and that the health care community work toward improving the accessibility of accurate estradiol testing methods.
Although no obvious relationship between organic diet during pregnancy and hypospadias has been found, frequent consumption of non-organic high-fat dairy products during pregnancy might be associated with increased odds of hypospadias.
Ecological evidence does not definitively link the decline in the use of hormone replacement therapy to a fall in the incidence of breast cancer.
For women with gestational diabetes mellitus, clinical and genetic factors including higher pre-pregnancy body mass index are associated with development of type 2 diabetes mellitus.
Urging physicians to ignore the hype about robotic surgery, ACOG says the procedure, which is considerably more expensive, does not improve patient outcomes for a minimally invasive hysterectomy.
About 14% of mothers are depressed postpartum, according to a new study. The most common diagnosis is major depressive disorder with comorbid anxiety disorders.
While the average rate was near 33%, the actual cesarean delivery rate varied from 7-70%. The rate was comparable across all hospital categories.
While promoting breastfeeding increases breastfeeding rates, it has no effect on the risk of overweight or obesity in children. The study looked at children at a median age of 11.5 years.
Since 1990, contraceptive use has increased 8.5% worldwide, but the absolute number of women with a demand for contraception will likely increase by 6.8% by 2015, to 962 million.
A new study found that intravaginal insertion of over-the-counter (OTC) products increases risk of bacterial vaginosis in sexually active women, aged 18-65 years.
Postpartum anxiety is more common than depression in the days and months following delivery, and is associated with adverse maternal heath outcomes and reduced duration of breastfeeding.
The American College of Obstetricians and Gynecologists (The College), in coordination with the American Board of Internal Medicine's Choosing Wisely campaign, has published the top five tests and procedures to question in obstetrics and gynecology.
Maternal caffeine intake is associated with lower birth weight and increased odds of a baby being small for gestational age (SGA), but does not increase the risk of spontaneous preterm delivery (PTD).
Maternal alcohol-use disorder increases the risk of both sudden infant death syndrome (SIDS) and non-SIDS-related infant mortality.
A woman's plasma level of anti-Müllerian hormone (AMH), produced in the ovaries, is strongly associated with the rate of live birth after in vitro fertilization (IVF) and may serve as a prognostic factor for the chance of pregnancy and live birth.
The use of robotically-assisted and laparoscopic hysterectomy increased from 2007-2010; and despite similar complication rates, robotic procedures result in considerably higher costs than laparoscopic hysterectomy.
The levels of bisphenol A (BPA) in the urine of premature infants in the neonatal intensive care unit is associated with greater exposure to medical devices, but not with nutritional intake.
17 alpha-hydroxyprogesterone caproate (17P) is ineffective in preventing preterm delivery in women with a short cervix asymptomatically carrying twins, and may actually be harmful.
The use of emergency contraception has more than doubled in recent years, primarily due to large increases in use by women in their early twenties.
Platelet-derived thrombogenic microvesicles correlate with increased white matter hyperintensity (WMH) load in recently menopausal women.
Women with type 1 diabetes experience post-pregnancy deterioration in glycemic control and sustained weight gain.
Maternal use of folic acid supplements around the time of conception is associated with a reduced risk of having children with autistic disorder.
The majority of obstetrician-gynecologists perceive bimanual pelvic examinations as important for adult women of all ages, although the reasons cited for performing the exam vary widely.
Mode of delivery and infant diet affect the gut microbiota early in life.
Women with asthma have significantly higher odds for nearly all obstetric complications.
The prevalence of breastfeeding, considered by the American Academy of Pediatrics as the normative standard for infant feeding, has grown in the United States, but in 2008, most infants were not being breastfed for the recommended 12 months.
Current recommendations for the assessment and management of female reproductive complications following treatment of cancers in childhood, adolescence, and young adulthood have been updated.
Use of the injectable contraceptive depot medroxyprogesterone acetate (MPA), common in areas such as sub-Saharan Africa with high HIV-1 prevalence, is associated with suppression of the immune response.
High serum calcium levels are associated with a greater risk of developing ovarian cancer.
Low adiponectin levels during the first trimester of pregnancy correlate with a higher level of insulin resistance and an increased risk of developing gestational diabetes mellitus (GDM).
The rate of premature births has declined to 11.7%, the lowest rate in a decade.
There does not appear to be an increased risk for complications in twin pregnancies with fibroid tumors compared with those without fibroid tumors.
The microbiome of breast milk is influenced by many factors, including maternal weight and how the baby was delivered.
Obstetrician-gynecologists can improve the health of women and adolescent girls experiencing reproductive and sexual coercion by providing interventions ranging from patient education to discreet contraception.
For new contraceptive users, perceived weight gain, reported by about one-third of users, often represents actual weight gain.
Women with gestational diabetes mellitus (GDM) are significantly more likely to receive an emergency cesarean section, have their infant admitted to a neonatal care unit, and incur significantly higher maternity care costs, compared to women without GDM.
To minimize risk, women should ideally wait 12-18 months after bariatric surgery before becoming pregnant and, for optimal management, should receive counseling from a multidisciplinary team.
Pregnant women have an increased risk of venous thromboembolism and pulmonary embolism after in vitro fertilization (IVF), especially during the first trimester.
High pollen exposure in utero late in pregnancy is associated with an increased risk of asthma hospitalization during the first year of life.
Early age at surgical menopause correlates with cognitive decline, with slower decline linked to the duration of hormone replacement therapy (HRT).
For women with preeclampsia, sleep disordered breathing (SDB) is linked to reduced fetal activity, and treatment with continuous positive airway pressure (CPAP) increases the number of fetal movements.
Pain beginning at delivery is rarely reported 6-12 months after delivery; and the postpartum period seems to protect from chronic hypersensitivity to peripheral nerve injury in rats.
Single embryo transfer (SET) guidelines developed by the Association of Clinical Embryologists (ACE) and the British Fertility Society (BFS) are associated with a significant reduction in the multiple pregnancy rate and increases in the live birth rate following in vitro fertilization treatment.
Higher first-trimester maternal 25-hydroxyvitamin D (25[OH]D) levels are significantly linked to markers of growth in term infants.
Infertility rates worldwide are similar to those in 1990, though the number of couples affected by infertility rose to nearly 50 million in 2010 due to population growth.
For women who have undergone a hysterectomy for endometrial cancer, abnormal Papanicolaou (Pap) test results do not aid in diagnosing recurrent disease.
Women who experience early menopause have a greater risk of type 2 diabetes.
The Institute of Medicine's (IOM) 2009 guidelines on gestational weight gain should serve as a basis for clinical practice.
The Affordable Care Act's (ACA) provision of preventive services, including contraceptive methods, has raised religious objections and complex legal issues for secular employers.