Ob/Gyn & Women's Health Clinical Briefs

• Migraine With Aura Doubles Stroke Risk CME Ischemic stroke risk doubles in individuals with migraine with aura, especially in those who are women, young, smokers, or those receiving contraceptives containing estrogen.
  Medscape Medical News CME, November 2009
• Pap Tests and Liquid-Based Cytology Equivalent in Detecting Precancerous Lesions CME A large Dutch study reports that liquid-based cytology was neither more sensitive nor more specific than conventional Pap tests in detecting precancerous lesions or cervical cancer.
  Medscape Medical News CME, November 2009
• CDC Issues Guidelines for Early Empiric Antiviral Treatment in Persons With Suspected Influenza CME/CE The new recommendations aim to assist clinicians in prioritizing use of antiviral medications for hospitalized patients and those at higher risk for influenza-related complications.
  Medscape Medical News CME, October 2009
• Excessive Pregnancy Weight Gain in Obese Women May Be Retained for 1 Year CME In a retrospective cohort study, obese women who gain more than the recommended amount of weight during pregnancy are much more likely to retain a portion of that weight 1 year after delivery.
  Medscape Medical News CME, October 2009
• Psychiatric Disorders, Sexual Trauma Linked to Urinary Tract Symptoms CME Depression, anxiety, and sexual trauma have all been implicated as risk factors in lower urinary tract symptoms.
  Medscape Medical News CME, October 2009
• Guidelines Updated on Number of Embryos to Be Transferred During In Vitro Fertilization CME The guidelines advise limiting the number of embryos to be transferred to reduce the number of high-risk multiple pregnancies.
  Medscape Medical News CME, October 2009
• FDA Safety Changes: Ultram, Ultracet, Sustiva, Kayexalate CME/CE The FDA has approved safety labeling revisions for tramadol HCl tablets, tramadol plus acetaminophen tablets, efavirenz capsules and tablets, and sodium polystyrene sulfonate powder.
  Medscape Medical News CME, October 2009
• IDF Releases New Guidelines on Diabetes Management CME Guidelines issued at the World Diabetes Congress advocate universal screening of diabetes in pregnancy and individualized self-monitoring blood glucose protocols for type 2 diabetic patients not receiving insulin.
  Medscape Medical News CME, October 2009
• Chlorhexidine Vaginal and Infant Wipes May Not Prevent Neonatal Sepsis CME In a randomized trial, use of vaginal and infant wipes soaked in chlorhexidine did not prevent neonatal sepsis or mother-infant transmission of pathogenic bacteria.
  Medscape Medical News CME, October 2009
• Obesity Not a Risk Factor for Epidural Failure in Cesarean Delivery CME The risk for respiratory depression or epidural failure is not increased by the administration of neuraxial morphine to obese patients following cesarean delivery.
  Medscape Medical News CME, October 2009
• FDA Approvals: Gardasil, Cervarix, Micardis CME/CE The FDA has approved a vaccine for the prevention of genital warts in males, a human papillomavirus vaccine for cervical cancer prevention, and an expanded indication for telmisartan.
  Medscape Medical News CME, October 2009
• New-Onset Breast Tenderness During Hormone Therapy Linked to Increased Breast Cancer Risk CME/CE In a randomized controlled trial, new-onset breast tenderness during conjugated equine estrogens plus medroxyprogesterone therapy was associated with increased breast cancer risk.
  Medscape Medical News CME, October 2009
• Maternal Smoking in Pregnancy Linked to Increased Risk for Psychotic Symptoms in Adolescents CME/CE A new cohort study from the United Kingdom shows that maternal (but not paternal) use of tobacco during pregnancy is associated with an increased risk for psychotic symptoms in their children.
  Medscape Medical News CME, October 2009
• Vaginal Danazol Effective in Young Women With Menorrhagia CME In a recent trial, low-dose danazol tablets placed in the vagina were safe and effective in reducing menorrhagia in young fertile women and promoted no significant adverse effects.
  Reuters Health Information CME, October 2009
• Treatment Method After a Miscarriage Does Not Affect Subsequent Pregnancies CME In a randomized controlled trial, the method of miscarriage management did not affect subsequent pregnancy rates, suggesting that long-term fertility concerns need not affect choice of treatment.
  Medscape Medical News CME, October 2009
• FDA Approvals: Mirena, Welchol, FetaLink CME/CE The FDA has approved a new indication for a levonorgestrel-releasing intrauterine device, an expanded indication for colesevelam, and clearance granted to maternal-fetal data-keeping software.
  Medscape Medical News CME, October 2009
• Small but Significant Risk for Heart Defects Linked to SSRI Use During Pregnancy CME A link may exist between SSRI use in early pregnancy and a small risk for heart defects, but experts say clinicians must weigh this against risks associated with untreated or undertreated depression.
  Medscape Medical News CME, October 2009
• Minimally Invasive Synthetic Suburethral Sling Operations May Be Effective CME A systematic review suggests that these procedures are as effective for stress urinary incontinence as more invasive procedures but with fewer postoperative complications.
  Medscape Medical News CME, October 2009
• Prenatal SSRIs Linked to Problems in Newborns CME/CE Babies of mothers who took selective serotonin reuptake inhibitors during pregnancy are more likely to have preterm birth, low 5-minute Apgar scores, and neonatal intensive care unit admission.
  Medscape Medical News CME, October 2009
• Certain Prophylactic Medications Reduce Risk for Breast Cancer but May Increase Other Risks CME A systematic review shows a reduced risk for primary breast cancer but an increased risk for thromboembolic events (tamoxifen, raloxifene), endometrial cancer (tamoxifen), or stroke (tibolone).
  Medscape Medical News CME, October 2009