Does Timing of Postpartum IUD Insertion Impact Breastfeeding Outcomes?

Patients were randomized (1:1) to receive immediate device insertion postpartum (n=132) or delayed device insertion (n=127), which occurred 4-12 weeks postpartum

Elagolix NDA Submitted for Treating Endometriosis-Associated Pain

Elagolix, an oral gonadotropin-releasing hormone (GnRH) antagonist, was evaluated in two Phase 3 clinical studies in about 1,700 women with moderate-to-severe endometriosis-associated pain.

Recall of Oxytocin Products Due to Lower than Expected Potency

Laboratory test results have indicated a lower than expected potency affecting certain lots which would lead to a lower dose being administered.

Adverse Birth Outcomes Examined by Antiretroviral Tx Regimens

The study authors reported that of the 11,932 infants exposed to HIV, 5780 (48.4%) of them were considered ART exposed from conception.

Licorice Supplements May Put Patients at Risk for Drug Interactions

More women are looking toward alternatives like licorice due to, "concerns about the risk of stroke and breast cancer associated with conventional hormone," said Richard B. van Breemen, PhD, and lead author.

Targeting Premenstrual Breakthrough of Depression with OCs: Is it Effective?

Premenstrual exacerbation (PME) of depression has been found to occur in roughly two-thirds of women with depressive disorders.

Cancer, CV Risks Examined for Vaginal Estrogen Tx in Postmenopausal Women

The data showed women with an intact uterus did not have a significantly different risk of stroke, invasive breast cancer, colorectal cancer, endometrial cancer, and pulmonary embolism/deep vein thrombosis (PE/DVT) between those who used vaginal estrogen and those who did not.

Does Antiepileptic Drug Use Contribute to Adverse Pregnancy Outcomes?

Women with epilepsy were at increased risk of adverse pregnancy and delivery outcomes.

Contraindication Added to OCs, Other Ethinyl Estradiol-Containing Drugs

The concomitant use of HCV drug combinations containing ombitasvir, paritaprevir/ritonavir, with or without dasabuvir is contraindicated due to the potential for liver enzyme elevations.

Dimethyl Fumarate and Oral Contraceptives: Drug Interactions Explored

Delayed-release DMF exerts anti-inflammatory and neuroprotective properties for the treatment of relapsing multiple sclerosis, a disease that often develops in women between the ages of 20 and 40.

Liletta Approved to Prevent Pregnancy for up to Four Years

The FDA's approval of the supplemental New Drug Application (sNDA) was based on efficacy and safety data from the ongoing Phase 3 ACCESS IUS trial.

Novel Treatment for Dyspareunia Due to Menopause Now Available

Intrarosa contains prasterone, an inactive precursor that is converted locally into estrogens and androgens (with minimal systemic exposure) to help restore vaginal tissue.

Ob-Gyn Shortage Possible in Some Parts of the U.S., Says New Report

Commenting on the report, retired Ob-Gyn Valerie Anne Jones, MD said, "Access to maternity care and women's health services is vitally important, and we need to have infrastructure to support the numbers or these women will have no Ob-Gyn to turn to despite having insurance."

Antibiotics During Pregnancy and Birth Defects: What's the Link?

The data showed in utero exposure to clindamycin was associated with a higher risk of MCMs (adjusted odds ratio [aOR] 1.34, 95% CI: 1.02-1.77), musculoskeletal system malformations (aOR 1.67, 95% CI: 1.12-2.48), and ventricular/atrial septal defect (aOR 1.81, 95% CI: 1.04-3.16).

WHO: Resistance to Last-Resort Gonorrhea Tx Seen in 66% of Countries

Gonorrhea is a sexually transmitted infection (STI) that can affect the genitals, rectum, and throat. Complications include pelvic inflammatory disease, ectopic pregnancy, infertility, and an increased risk of HIV.

Maternal Ingestion of Placenta Capsules Linked to Bacteremia in Infant

While the clinicians could not rule out the possibility of transmission from a colonized household member, their final diagnosis was late-onset GBS disease attributable to high maternal colonization secondary to consumption of GBS-infected placental tissue.

NDA Resubmitted for Twirla Contraceptive Patch

In the NDA resubmission, the Company included safety and efficacy data from the Phase 3 trial SECURE, the manufacturing information, and a summary response to the CRL.

Severe, Monthly Hypertensive Episodes in a Female Patient

The patient was a 32-year-old nulliparous white female who reported a 5-year history of severe hypertension, hypokalemia, and resultant systolic dysfunction.

NAMS: New Position Statement on Hormone Therapy

Firstly, NAMS reiterates that HT should be individualized for each patient and requires periodic reevaluation for risks and benefits of selected therapy.

The Stork OTC, an FDA-Cleared, At-Home Conception Device

Cervical cap insemination has demonstrated a pregnancy success rate of up to 20%.

Risks Associated with Lithium Use in Pregnancy Reevaluated

The study included information on 1,325,563 women enrolled in Medicaid. They gave birth between 2000 and 2010.

Ideal Magnesium Sulfate Dose ID'd for Fetal Neuroprotection

The analysis found that the simulated maternal serum concentration associated with the lowest probability of infant cerebral palsy was 4.1mg/dL, while the simulated total administered magnesium dose associated with the lowest probability of delivering an infant with cerebral palsy was 64g.

Higher Alcohol Intake May Up Muscle Loss, Function for Some Women

The data showed sarcopenia was 4 times more prevalent for the high-risk alcohol drinking group vs. the low-risk alcohol drinking group (odds ratio 4.29, 95% CI: 1.87, 9.82).

HIV Prevention Among HIV-Discordant Couples Trying to Conceive

A review of recent data showed that insemination with sperm from an HIV-negative donor is the safest option for a discordant couple where the woman does not have HIV but the man is HIV-positive.

Contraceptive ID'd as Culprit in Patient with Shortness of Breath, Chest Pain

While IUD displacement has been discussed in the literature, the authors could not find a similar case which showed a displaced IUD reaching the diaphragm and causing chest pain.

Birth Control Pills Recalled Due to Out of Sequence Tablets

Mibelas 24 Fe is an oral contraceptive indicated to prevent pregnancy in women who choose to use oral contraceptives.

Medical Abortion via Online Telemedicine: Outcomes Explored

The study was conducted in 1,000 women residing in the Republic of Ireland and Northern Ireland, where abortion is not available through the formal healthcare system.

Menopausal Age May Correlate With Heart Failure Risk, Incidence

The investigators found that earlier menopause was associated with increased risk of heart failure, and this link was stronger in women who had natural rather than surgical menopause.

Replens Moisture Restore Gel Available for Vaginal Dryness

Replens contains a blend of moisturizers and vitamins that help soothe and relieve symptoms such as irritation, discomfort, and chafing.

First-of-its-Kind Device Cleared to Treat Esophageal Birth Defect

All 16 infants in the clinical trial of the device demonstrated a successful joining of their esophagus within 3-10 days after receiving it.

FDA Issues Complete Response Letter for Dyspareunia Drug

The FDA has issued a Complete Response Letter (CRL) to the New Drug Application (NDA) of TX-004HR (TherapeuticsMD) for the treatment of moderate-to-severe vaginal pain during sexual intercourse (dyspareunia), a symptom of vulvar and vaginal atrophy (VVA) due to menopause.

These Antibiotics Were Found to Increase Miscarriage Risk

In general, an increased risk of spontaneous abortion was seen with the use of macrolides (except erythromycin), quinolones, tetracyclines, sulfonamides, and metronidazole during early pregnancy.

Artificial 'Womb' Could Potentially Up Survival of Extremely Premature Infants

Five lamb fetuses of 105 to 108 days of gestation were run for 25-28 days, and three fetuses of 115 to 120 days of gestation were run for 20-28 days.

Does Prenatal Antidepressant Exposure Up Risk of ADHD, Autism?

Autism spectrum disorder was diagnosed by age 15 in 5.28% of exposed vs. 2.14% of unexposed babies; 12.63% of exposed vs. 5.46% of unexposed babies were diagnosed with ADHD by age 15.

Early Hot Flashes May Indicate Presence of Comorbidities

The researchers found the associations of hot flashes to be independent of other cardiovascular disease risk factors.

Prenatal Progesterone Exposure May Affect Offspring Sexual Orientation

"The findings highlight the likelihood that prenatal exposure to progesterone may have a long-term influence on behavior related to sexuality in humans," said lead researcher June Reinisch, Director Emerita of The Kinsey Institute.

Bio-Identical Combo Therapy Promising for Vasomotor Symptoms of Menopause

TherapeuticsMD announced positive data for its investigational hormone therapy, TX-001HR, for the treatment of moderate to severe vasomotor symptoms (VMS) due to menopause. Study findings were presented at the annual meeting of the Endocrine Society, ENDO 2017.

Is Quadrivalent HPV Vaccine During Pregnancy Safe?

Information on vaccination, adverse pregnancy outcomes, and potential confounders were assessed for links in a cohort of women in Denmark.

Mini Personalized Reproductive System Called 'Revolutionary'

What makes the technology ground-breaking is how it creates a dynamic culture in which organs communicate with each other as opposed to being static in a dish.

Vit D Levels May Correlate With Overall Survival in Breast CA

The researchers found that the overall survival was strongest among premenopausal women in the highest 25OHD tertile group.

New Guideline on Hypothalamic Amenorrhea Released

Hypothalamic amenorrhea occurs when the hypothalamus slows or stops releasing GnRH, a hormone that controls the menstrual cycle. It can increase the risk of other health issues such as delayed puberty in adolescents and infertility in female adults.

Single-Dose Treatment for Bacterial Vaginosis Under Priority Review

The FDA has accepted and granted Priority Review to the New Drug Application (NDA) of Solosec (secnidazole oral granules; Symbiomix) for the treatment of bacterial vaginosis (BV).

Does Prenatal DHA Have an Impact on Offspring IQ?

Sales of prenatal supplements with DHA continue to rise, however little evidence exists on whether supplementation imparts a benefit on offspring neurodevelopment.

New Review Makes the Case for OTC Oral Contraceptives

Researchers stated that there is a need for improved contraceptive access for teens, as proven by the increase in use of hormonal emergency contraceptives after the FDA approved the OTC availability under Plan B in 2012.

U.S. Patients Lack Awareness of Less Invasive Options for Fibroids

Embolization for uterine fibroids may be underused in U.S. hospitals, compared with surgery, according to research presented at the annual meeting of the Society of Interventional Radiology, held from March April 4 to 9 in Washington, D.C.

Study Investigates Transfer of TNFi Therapy to Breast Milk

A study which assessed concentrations of certolizumab pegol (Cimzia; UCB) in human breast milk found that minimal to no transfer of drug from plasma to breast milk occurs.

Ondansetron Use Increasing Among Pregnant Women

Findings from a new study published in the journal Pharmacoepidemiology and Drug Safety indicate an increase in ondansetron use for the management of nausea among pregnant women from <1% in 2001 to 22.2% in 2014

Hormone Therapy and Alzheimer's Disease: What's the Link?

Researchers found that their evidence showed no protective association between postmenopausal HT use and AD or dementia, although they observed a reduced AD risk among those with long-term self-reported HT use.

U.S. Survival Rates Assessed for Periviable Infants

The investigators found that overall survival of periviable infants rose from 30% at the start of the research to 36% in the last time period

How Long Does Zika Virus Stay in the Body?

Even though Zika virus was found to linger for 3 months in semen, scientists say recommendations urging abstinence, condoms for 6 months after infection should still be followed.

FDA Approves Liquid Formulation of Levothyroxine

The FDA have approved Tirosint-SOL, a liquid form of levothyroxine; a synthetic form of the thyroid hormone thyroxine.

Can Glucose Supplementation Shorten Labor in Induced Women?

A study published in the American Journal of Obstetrics & Gynecology reports that the total length of induced labor may be reduced with the use of glucose supplementation.

Certain Pain Meds May Have Significant Endocrinologic Effects

Chronic pain patients being treated with certain opioid and non-opioid medications had significantly lower serum concentrations of free testosterone (fTe) and free estradiol (fE2), highlighting the potential endocrinologic side effects of these drugs. These were the findings of a new study published in the journal Drug Testing and Analysis.

Safety, Efficacy of Fecal Transplant for C. difficile During Pregnancy

A fecal microbiota transplant through colonoscopy appears to be safe for recurrent Clostridium difficile infection during pregnancy, according to a case report published in the March issue of Obstetrics and Gynecology.

Exposure to Common Plastic Compound May Increase Offspring Obesity Risk

Prenatal exposure to bisphenol A (BPA) may raise a child's risk of obesity by altering hypothalamic circuits that regulate feeding behavior and energy balance, according to an experimental study published online Feb. 7 in Endocrinology.

Contraceptive, AED Choice May Impact Unintended Pregnancy Rate in Epilepsy

In a study of female patients with epilepsy, retrospective data found that unintended pregnancy was common and varied by contraceptive type and antiepileptic drug (AED) stratification. Full findings are published in Neurology.

Preconception-Initiated Aspirin May Prevent Pregnancy Loss in Certain Women

According to a new study published in The Journal of Clinical Endocrinology & Metabolism, preconception-initiated low-dose aspirin may help prevent pregnancy loss in women with high levels of C-reactive protein (CRP) who have previously lost a pregnancy.

Adverse Events Assessed With Endoscopy During Pregnancy

Endoscopy during pregnancy is associated with increased risk of preterm birth or small for gestational age, according to a study published in the February issue of Gastroenterology.

FDA Approves Screening System that Detects Metabolic Disorders in Newborns

The Food and Drug Administration has approved the marketing of the Seeker System (Baebies, Inc.) for the screening of four rare lysosomal storage disorders (LSDs) in newborns.

Herb, Supplement Use Up Among Pregnant Women

From 2002 to 2012 there was an increase in herb and supplement use among pregnant women, according to a research letter published in the American Journal of Obstetrics and Gynecology.

Should Licorice Consumption During Pregnancy Be Avoided?

Licorice consumption during pregnancy has been linked to lower IQ, poorer memory, and attention deficit hyperactivity disorder (ADHD)-type problems in offspring.

Outcomes Examined for Azithromycin Administered in Labor

Administration of azithromycin during labor is associated with a reduction in maternal and neonatal clinical infections, according to a study published online January 27 in Pediatrics.

Can New Initiatives Cut NTSV Cesarean Rates and Be Safe?

Quality improvement initiatives, including provider education and feedback, can reduce the nulliparous term singleton vertex (NTSV) cesarean delivery rate, according to a study published in the February issue of The Joint Commission Journal on Quality and Patient Safety.

Postpartum Depression and Synthetic Oxytocin: What's the Link?

Peripartum exposure to synthetic oxytocin may increase the risk of postpartum depression or anxiety disorders. These are the findings of a new study published in the journal, Depression and Anxiety.

Can Limiting Weight Gain During Pregnancy Lower Complication Risk in Obese?

Strategies to help overweight or obese women limit their weight gain during pregnancy don't seem to alleviate the risk for obstetric complications, according to a study presented at the annual meeting of the Society for Maternal-Fetal Medicine, The Pregnancy Meeting.

Safety of Subclinical Hypothyroid Tx During Pregnancy Questioned

Treatment of subclinical hypothyroidism in pregnancy may not always be the best option, according to a study published online Jan. 25 in The BMJ.

Parents of Congenital Heart Disease Children ID Most Important Measures

Parents of children with congenital heart disease (CHD) feel that survival statistics, surgeon-specific experience, and complication rates are the most important outcome measures for public reporting, according to a study presented at the annual meeting of the Society of Thoracic Surgeons, held from January 21 to 25 in Houston.

Gestational Diabetes Mellitus and Postpartum Depression: What's The Link?

Gestational diabetes mellitus (GDM) may increase a first-time mother's risk of postpartum depression, and a history of maternal depression along with GDM further increases that risk, according to a study published online in Depression and Anxiety.

Hormone ID'd as Predictor of Menopause in Women With HIV

For HIV-infected women, anti-müllerian hormone is associated with age of menopause onset, according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.

Can MRI at Birth Help Determine Brain Injury in Preemies?

Magnetic resonance imaging (MRI) shortly after birth might help determine which premature babies have sustained a brain injury that will affect their development, according to a study published online in Neurology.

FDA to Review Potential Single-Dose Therapy for Bacterial Vaginosis

Symbiomix announced the submission of a New Drug Application (NDA) to the Food and Drug Administration (FDA) for Solosec (secnidazole oral granules) for the treatment of bacterial vaginosis (BV).

Oxytocin Treatment Assessed in Infants with Prader-Willi Syndrome

For infants with Prader-Willi syndrome (PWS), oxytocin (OXT) administration is associated with improvement in feeding and social skills, according to a study published online January 18 in Pediatrics.

Oral Therapy for Uterine Fibroids Demonstrates Efficacy in Study

Allergan and Gedeon Richter announced positive results from the second Phase 3 trial of ulipristal acetate, evaluating its efficacy and safety for the treatment of abnormal bleeding due to uterine fibroids in women.

Efficacy of Antiplatelets Assessed for Spontaneous Preterm Birth Risk

Among women at risk for preeclampsia, antiplatelet agents reduce the risk of spontaneous preterm birth at less than 37 and less than 34 weeks of gestation, according to a meta-analysis published in the February issue of Obstetrics & Gynecology.

Preterm Risk Up For Subsequent Births After Pregnancy Termination

A short interpregnancy interval after termination of pregnancy is associated with increased risk of preterm birth in subsequent birth, according to a study published in the February issue of Obstetrics & Gynecology.

Initiative Results in Reduced Milk Admin Errors in Neonatal Units

A quality improvement initiative can reduce the number of human milk administration errors in the neonatal intensive care unit, according to a study published online in Pediatrics.

USPSTF Reaffirms Stance on Folic Acid in Preventing Birth Defects

In a recommendation statement published in the Jan. 10 issue of the Journal of the American Medical Association, the U.S. Preventive Services Task Force (USPSTF) reaffirms that folic acid supplements reduce the risk of neural tube defects.

Female Sexual Disorder Drug Appears Effective in Two Phase 3 Studies

AMAG pharmaceuticals and Palatin Technologies have entered into an agreement for the exclusive North American rights to develop and commercialize Rekynda (bremelanotide), an investigational drug to treat hypoactive sexual desire disorder (HSDD).

Is Heartburn Med Use During Pregnancy Tied to Child's Asthma Risk?

Use of acid suppressing agents during pregnancy may increase the risk of asthma in the offspring, according to a study published in The Journal of Allergy and Clinical Immunology.

ATA: Guidelines on Thyroid Disease Management During Pregnancy, Postpartum

The American Thyroid Association (ATA) has released new evidence-based recommendations to guide clinicians in diagnosing and managing thyroid disease during pregnancy and the postpartum period.

Questions Raised Concerning Efficacy of Morning Sickness Drug

Pyridoxine-doxylamine (Diclectin), used to manage the nausea and vomiting associated with morning sickness, may not be as effective as once believed, according to a new analysis published online in PLOS One.

Letrozole vs. Aspirin in Decreasing Severity of Ovarian Hyperstimulation

For high-risk women, letrozole is more effective than aspirin for decreasing the incidence of moderate and severe early-onset ovarian hyperstimulation syndrome, according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.

FDA to Review Liletta Use for Up to 4 Years

Allergan and Medicines360 announced that the Food and Drug Administration (FDA) has accepted for filing the supplemental New Drug Application (sNDA) for Liletta (levonorgestrel-releasing intrauterine system).

Top 10 Most Costly Conditions in the U.S. Announced in New Report

The highest amounts of spending were seen with these 10 conditions.

Labeling Updated for IUDs Regarding Perforation Risk

Data from a large, 1-year postmarketing safety study conducted in Europe found that lactation at the time of insertion of an IUD/IUS was associated with an increased risk of perforation.

Suppression of HSV-2 Shedding Compared for Pritelivir, Valacyclovir

Data from a randomized, double-blind clinical study found that the use of pritelivir led to a lower percentage of swabs with herpes simplex virus (HSV) detection over 28 days vs. valacyclovir. Full findings from the study are published in JAMA.

Hormonal Contraceptive Safety Investigated in Women with Diabetes

In a study published in Diabetes Care, researchers reported that the absolute risk of thromboembolism among women with type 1 or type 2 diabetes using hormonal contraceptives was low.

Endometrial Microbiota Variation May Affect IVF Success Rate

The presence of a non-Lactobacillus-dominated microbiota in a receptive endometrium is associated with poor reproductive outcomes for women undergoing in vitro fertilization (IVF).

FDA: New Warning for Anesthetic/Sedative Use in Children, Pregnant Women

Since 1999, the FDA has been evaluating the potential adverse effects of general anesthetics and sedatives on children's brain development.

Flu Vaccination During Pregnancy 'Still Falls Short' of Recommendations

Data from the Birth Defects Study found that influenza vaccination coverage rose during the 2012-13 and 2013-14 season from 35% to 41%, respectively.

CDC Announces 7 U.S. Public Health Priorities

The Centers for Disease Control and Prevention (CDC) issued the final report on the Winnable Battles program which highlights public health priorities with large-scale impact on health and strategies that may help to address them.

Impact of Anti-TNF-Alpha Drugs on Pregnancy-Related Outcomes

Women with immune-mediated diseases receiving anti-tumor necrosis factor (TNF)-alpha agents had significantly higher risks of preterm birth, spontaneous abortion, and low birth weight vs. the general population, a study published in the Journal of Autoimmunity found.

Weight Gain Concerns May Impact Birth Control Choice

Concerns about gaining weight may impact contraception choices for women.

FDA Approves Intrarosa for the Treatment of Dyspareunia

The FDA has approved Intrarosa (prasterone; Endoceutics) for the treatment of women experiencing moderate to severe dyspareunia, a symptom of vulvar and vaginal atrophy, due to menopause.

FDA: New Warnings for Permanent Birth Control Device

The labeling now includes a new Boxed Warning and a Patient Decision Checklist.

FDA Approves Bonjesta for Pregnancy-Related Nausea and Vomiting

The Food and Drug Administration (FDA) has approved Bonjesta (doxylamine succinate and pyridoxine HCl extended-release tablets; Duchesnay), a fixed-dose combination drug product for the treatment of nausea and vomiting of pregnancy in women who do not respond to conservative management.

​Allergan Launches First COC Softgel Capsule

Allergan announced the availability of Taytulla (norethindrone acetate and ethinyl estradiol capsules and ferrous fumarate capsules) 1mg/20mcg, the first oral contraceptive in a softgel capsule for the prevention of pregnancy.

Does Fracture Risk Go Up After Stopping Hormone Therapy?

For women who are former hormone therapy users, risk of fracture is not increased after discontinuing therapy, according to a study published in the The Journal of Clinical Endocrinology & Metabolism.

Positive Results for On-Demand Hypoactive Sexual Desire Disorder Drug

Palatin has announced positive top-line results from the Phase 3 clinical trial of bremelanotide (a melanocortin 4 receptor agonist), an investigational treatment for hypoactive sexual desire disorder (HSDD).

New Molecular Test Cleared to Detect Vaginitis Causes

BD announced that the Food and Drug Administration (FDA) has granted marketing clearance for BD MAX Vaginal Panel to detect the most common causes for vaginitis.