Ob/Gyn & Women's Health Clinical Briefs

• New Guidelines on H1N1 Influenza Urge Quicker Use of Antivirals CME/CE Updated WHO treatment guidelines for H1N1 influenza urge clinicians to administer antiviral medications as soon as possible for patients in at-risk groups with flu-like symptoms.
  Medscape Medical News CME, November 2009
• Women With SCA Less Likely Than Men to Have Structural Heart Disease CME In a study, women were significantly less likely than men to have a diagnosis of structural heart disease (left ventricular dysfunction or coronary artery disease) before sudden cardiac arrest.
  Medscape Medical News CME, November 2009
• Chronic Pain May Persist for Years After Breast Cancer Surgery CME Nearly half of all breast cancer patients reported having persistent pain following surgery, even after several years, according to a large Danish study.
  Medscape Medical News CME, November 2009
• USPSTF Issues New Breast Cancer Screening Guidelines CME/CE The US Preventive Services Task Force recommends against routine mammography screening for women before age 50 years and suggests that screening end at age 74 years.
  Medscape Medical News CME, November 2009
• Mammographic Breast Density May Help Predict Risk for Local Breast Cancer Recurrence CME A study shows that mammographic breast density is an important risk factor for local breast cancer recurrence among women not receiving breast irradiation.
  Medscape Medical News CME, November 2009
• Postnatal HIV Transmission Seen After Infant Prophylaxis Stopped CME HIV virus transmission via breast milk occurred after antiretroviral prophylaxis was stopped, suggesting that infant prophylaxis was only effective while the agents were being administered.
  Reuters Health Information CME, November 2009
• Role of Primary Care Clinicians in HIV Management Reviewed CME/CE A review describes the role of primary care clinicians in the treatment of patients with HIV infection.
  Medscape Medical News CME, November 2009
• Many Antibiotics Used During Pregnancy Are Not Associated With Several Birth Defects CME In a case-control study, penicillins, erythromycins, and cephalosporins were not associated with many birth defects, but sulfonamides and nitrofurantoins were linked to several birth defects.
  Medscape Medical News CME, November 2009
• Trait Anxiety in Pregnant Women Linked to Smaller Infant Size CME In a longitudinal cohort study, trait anxiety measured in pregnant women at the second and third trimesters predicted reduced birth weight and length.
  Medscape Medical News CME, November 2009
• Vaginal Hysterectomy Preferred for Benign Conditions CME The American College of Obstetricians and Gynecologists advocates vaginal hysterectomy as the safest, most cost-effective method to remove the uterus for noncancerous reasons.
  Medscape Medical News CME, November 2009
• 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