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class="grid grid-cols-1 gap-4 md:grid-cols-2"><div class="grid grid-cols-4 gap-3 mt-3 md:col-span-2"><a href="/view/dr-bayer-highlights-pain-management-strategies-for-iud-placement"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%] md:rounded-bl-none md:rounded-tl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Dr. Bayer highlights pain management strategies for IUD placement | Image Credit: ohsu.edu/providers." title="Dr. Bayer highlights pain management strategies for IUD placement | Image Credit: ohsu.edu/providers." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover"/><noscript><img alt="Dr. Bayer highlights pain management strategies for IUD placement | Image Credit: ohsu.edu/providers." title="Dr. Bayer highlights pain management strategies for IUD placement | Image Credit: ohsu.edu/providers." srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F995d0d81fda960520b0b7bb614e06ec4275bd8c1-214x236.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F995d0d81fda960520b0b7bb614e06ec4275bd8c1-214x236.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F995d0d81fda960520b0b7bb614e06ec4275bd8c1-214x236.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:cover" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/dr-bayer-highlights-pain-management-strategies-for-iud-placement">Dr. Bayer highlights pain management strategies for IUD placement</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 20th 2025</p><p class="text-md block">Learn how clinicians can reduce pain during intrauterine device placement with evidence-based, patient-centered approaches to improve accessibility and patient experience.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/study-links-neuroactive-steroids-to-postpartum-depression-risk"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Study links neuroactive steroids to postpartum depression risk | Image Credit: © Pixel-Shot - © Pixel-Shot - stock.adobe.com." title="Study links neuroactive steroids to postpartum depression risk | Image Credit: © Pixel-Shot - © Pixel-Shot - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Study links neuroactive steroids to postpartum depression risk | Image Credit: © Pixel-Shot - © Pixel-Shot - stock.adobe.com." title="Study links neuroactive steroids to postpartum depression risk | Image Credit: © Pixel-Shot - © Pixel-Shot - stock.adobe.com." srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa6c544d2b6ecb8edc0e9001ccd5f46f33d6fcf84-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa6c544d2b6ecb8edc0e9001ccd5f46f33d6fcf84-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa6c544d2b6ecb8edc0e9001ccd5f46f33d6fcf84-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/study-links-neuroactive-steroids-to-postpartum-depression-risk">Study links neuroactive steroids to postpartum depression risk</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 20th 2025</p><p class="text-md hidden">Researchers have identified key neuroactive steroid imbalances in the third trimester that may predict postpartum depression risk, paving the way for earlier intervention and preventive treatments.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/dr-somi-javaid-provides-advice-for-sexual-health-care"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Dr. Somi Javaid provides advice for sexual health care | Image Credit: hermd.com." title="Dr. Somi Javaid provides advice for sexual health care | Image Credit: hermd.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Dr. Somi Javaid provides advice for sexual health care | Image Credit: hermd.com." title="Dr. Somi Javaid provides advice for sexual health care | Image Credit: hermd.com." srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F064f031d4268a9ffe930de688d849558a9a24c04-768x768.png%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F064f031d4268a9ffe930de688d849558a9a24c04-768x768.png%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F064f031d4268a9ffe930de688d849558a9a24c04-768x768.png%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/dr-somi-javaid-provides-advice-for-sexual-health-care">Dr. Somi Javaid provides advice for sexual health care</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 20th 2025</p><p class="text-md hidden">Somi Javaid, MD, FACOG, urges clinicians to prioritize sexual health care through specialized training or referrals, highlighting the importance of patient empowerment and emerging treatments such as testosterone therapy and pelvic floor health tools.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/inflammation-linked-to-preterm-birth-in-developing-regions"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Inflammation linked to preterm birth in developing regions | Image Credit: © Alessandro Grandini - © Alessandro Grandini - stock.adobe.com." title="Inflammation linked to preterm birth in developing regions | Image Credit: © Alessandro Grandini - © Alessandro Grandini - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Inflammation linked to preterm birth in developing regions | Image Credit: © Alessandro Grandini - © Alessandro Grandini - stock.adobe.com." title="Inflammation linked to preterm birth in developing regions | Image Credit: © Alessandro Grandini - © Alessandro Grandini - stock.adobe.com." srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F3fce4ef2d75f61f0446633760998c65847ed0820-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F3fce4ef2d75f61f0446633760998c65847ed0820-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F3fce4ef2d75f61f0446633760998c65847ed0820-5760x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/inflammation-linked-to-preterm-birth-in-developing-regions">Inflammation linked to preterm birth in developing regions</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 19th 2025</p><p class="text-md hidden">A new study highlights a strong link between placental inflammation and preterm birth, with developing regions showing higher incidences of infection-related complications.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/socioeconomic-disadvantage-in-pregnancy-linked-to-postpartum-cvd-risk"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Socioeconomic disadvantage in pregnancy linked to postpartum CVD risk | Image Credit: © alenamozhjer - © alenamozhjer - stock.adobe.com." title="Socioeconomic disadvantage in pregnancy linked to postpartum CVD risk | Image Credit: © alenamozhjer - © alenamozhjer - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Socioeconomic disadvantage in pregnancy linked to postpartum CVD risk | Image Credit: © alenamozhjer - © alenamozhjer - stock.adobe.com." title="Socioeconomic disadvantage in pregnancy linked to postpartum CVD risk | Image Credit: © alenamozhjer - © alenamozhjer - stock.adobe.com." srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F49de856ae57c61780bef91ff223ec0cab09c1a5f-3000x1688.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F49de856ae57c61780bef91ff223ec0cab09c1a5f-3000x1688.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F49de856ae57c61780bef91ff223ec0cab09c1a5f-3000x1688.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/socioeconomic-disadvantage-in-pregnancy-linked-to-postpartum-cvd-risk">Socioeconomic disadvantage in pregnancy linked to postpartum CVD risk</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 19th 2025</p><p class="text-md hidden">A new study highlights how neighborhood-level socioeconomic deprivation in early pregnancy significantly raises the long-term risk of cardiovascular disease in postpartum women, emphasizing the role of social determinants in maternal health.</p></div></div></div></div><div class="border-y border-secondary py-4"><div class="bg-primary swiper mySwiper"><div class="swiper-wrapper"></div><div class="swiper-pagination"></div></div></div><div class="relative w-full py-4"><div class="flex items-center space-x-4 border-0 border-b border-secondary select-none py-1"><h2 class="text-3xl text-primary">Conference Coverage</h2><a class="text-sm text-primary flex items-center" href="/latest-conference"><span>View All</span><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" class="w-3 h-3 -mr-2"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="1.5" stroke="currentColor" d="M8.25 4.5l7.5 7.5-7.5 7.5"></path></svg><svg xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24" class="w-3 h-3 -mr-2"><path stroke-linecap="round" stroke-linejoin="round" stroke-width="1.5" stroke="currentColor" d="M8.25 4.5l7.5 7.5-7.5 7.5"></path></svg></a></div><div class="grid grid-cols-1 gap-4 md:grid-cols-2"><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/mirvie-s-rna-platform-revolutionizes-detection-of-fetal-growth-restriction"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img 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Tavella, MPH" title="Nicola F. Tavella, MPH" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Nicola F. Tavella, MPH" title="Nicola F. Tavella, MPH" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fc22d36ee3f774591197b5ef8080fc4bc0111764a-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fc22d36ee3f774591197b5ef8080fc4bc0111764a-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fc22d36ee3f774591197b5ef8080fc4bc0111764a-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/unplanned-cesarean-delivery-linked-to-higher-risk-of-postpartum-depression">Unplanned cesarean delivery linked to higher risk of postpartum depression</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/morgan-petronelli">Morgan Ebert, Managing Editor</a></span></div><p class="text-sm text-gray-500">February 3rd 2025</p><p class="text-md hidden">Nicola F. Tavella, MPH, dives into his team's research on postpartum depression and unplanned cesarean delivery, which was presented at SMFM's 2025 Pregnancy Meeting.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/screening-to-diagnosis-interval-vital-for-gestational-diabetes-outcomes"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net" title="Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net" title="Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe43eedaed9ee19332d60f816f3b79463b37f5d54-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe43eedaed9ee19332d60f816f3b79463b37f5d54-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe43eedaed9ee19332d60f816f3b79463b37f5d54-480x600.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/screening-to-diagnosis-interval-vital-for-gestational-diabetes-outcomes">Screening-to-diagnosis interval vital for gestational diabetes outcomes</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><p class="text-sm text-gray-500">February 1st 2025</p><p class="text-md hidden">Timely diagnosis of gestational diabetes is crucial for optimal maternal and fetal health, but a recent study highlights demographic disparities in screening delays and the need for further research on potential health impacts.</p></div></div><div class="grid grid-cols-4 gap-3 mt-3 "><a href="/view/first-trimester-hemorrhage-and-anemia-new-insights-into-placenta-accreta-spectrum-risk"><div class="w-full aspect-square overflow-hidden rounded-bl-[10%]"><span style="box-sizing:border-box;display:inline-block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative;max-width:100%"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;max-width:100%"><img style="display:block;max-width:100%;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0" alt="" aria-hidden="true" src="data:image/svg+xml,%3csvg%20xmlns=%27http://www.w3.org/2000/svg%27%20version=%271.1%27%20width=%27250%27%20height=%27250%27/%3e"/></span><img alt="Henri M. Rosenberg, MD" title="Henri M. Rosenberg, MD" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="intrinsic" class="object-cover w-full h-full" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:"/><noscript><img alt="Henri M. Rosenberg, MD" title="Henri M. Rosenberg, MD" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d393d20484aa0a2972a7767f49b6408faf380a7-512x512.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=256&q=75 1x, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d393d20484aa0a2972a7767f49b6408faf380a7-512x512.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 2x" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d393d20484aa0a2972a7767f49b6408faf380a7-512x512.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75" decoding="async" data-nimg="intrinsic" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%;object-fit:" class="object-cover w-full h-full" loading="lazy"/></noscript></span></div></a><div class="col-span-3 space-y-1"><a class="font-bold text-md md:text-lg" href="/view/first-trimester-hemorrhage-and-anemia-new-insights-into-placenta-accreta-spectrum-risk">First trimester hemorrhage and anemia: New insights into placenta accreta spectrum risk</a><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/morgan-petronelli">Morgan Ebert, Managing Editor</a></span></div><p class="text-sm text-gray-500">February 1st 2025</p><p class="text-md hidden">A new study links first-trimester hemorrhage and anemia to a higher placenta accreta spectrum risk, emphasizing early screening and non-traditional risk factors.</p></div></div></div></div><div class="jsx-19ede9f0a5a45918 py-4 relative px-0"><div class="jsx-19ede9f0a5a45918 "><div class="flex justify-between items-center py-1 space-x-4 border-0 select-none sm:border-b border-secondary"><div class="text-3xl text-primary ">Video Series</div></div></div><div style="scroll-snap-type:none" class="jsx-19ede9f0a5a45918 flex items-start 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health | Image Credit: hermd.com." title="Efficacy found from biopsychosocial approach to women’s sexual health | Image Credit: hermd.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Efficacy found from biopsychosocial approach to women’s sexual health | Image Credit: hermd.com." title="Efficacy found from biopsychosocial approach to women’s sexual health | Image Credit: hermd.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F064f031d4268a9ffe930de688d849558a9a24c04-768x768.png%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, 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href="/view/efficacy-found-from-biopsychosocial-approach-to-women-s-sexual-health">Efficacy found from biopsychosocial approach to women’s sexual health</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/efficacy-found-from-biopsychosocial-approach-to-women-s-sexual-health"><span class="text-sm text-gray-500">February 19th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Discover how a comprehensive biopsychosocial approach addressing biological, psychological, and social factors can improve sexual health, boost confidence, and enhance overall well-being.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/regulatory-t-cell-alterations-in-early-pregnancy-linked-to-spontaneous-preterm-labor"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:43.65124474252586%"></span><img alt="Regulatory T cell alterations in early pregnancy linked to spontaneous preterm labor | Image Credit: © weyo - © weyo - stock.adobe.com." title="Regulatory T cell alterations in early pregnancy linked to spontaneous preterm labor | Image Credit: © weyo - © weyo - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Regulatory T cell alterations in early pregnancy linked to spontaneous preterm labor | Image Credit: © weyo - © weyo - stock.adobe.com." title="Regulatory T cell alterations in early pregnancy linked to spontaneous preterm labor | Image Credit: © weyo - © weyo - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F95b6c2b9c3803ca16411900defd48150ebeb57a7-8797x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F95b6c2b9c3803ca16411900defd48150ebeb57a7-8797x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F95b6c2b9c3803ca16411900defd48150ebeb57a7-8797x3840.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, 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href="/view/regulatory-t-cell-alterations-in-early-pregnancy-linked-to-spontaneous-preterm-labor"><span class="text-sm text-gray-500">February 18th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A recent study reveals that specific Treg subpopulation changes in the first trimester may contribute to spontaneous preterm labor, shedding light on the role of immune regulation in pregnancy outcomes.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/dr-somi-javaid-highlights-disparities-in-sexual-health"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:100%"></span><img alt="Dr. Somi Javaid 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href="/view/dr-somi-javaid-highlights-disparities-in-sexual-health">Dr. Somi Javaid highlights disparities in sexual health</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/dr-somi-javaid-highlights-disparities-in-sexual-health"><span class="text-sm text-gray-500">February 18th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Despite sexual health being a fundamental right, women face significant disparities in treatment, awareness, and insurance coverage—highlighting the need for systemic change.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/maternal-hypertension-and-diabetes-linked-to-worse-offspring-cardiovascular-health"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.70689655172414%"></span><img alt="Maternal hypertension and diabetes linked to worse offspring cardiovascular health | Image Credit: © CasanoWa Stutio - © CasanoWa Stutio - stock.adobe.com." title="Maternal hypertension and diabetes linked to worse offspring cardiovascular health | Image Credit: © CasanoWa Stutio - © CasanoWa Stutio - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Maternal hypertension and diabetes linked to worse offspring cardiovascular health | Image Credit: © CasanoWa Stutio - © CasanoWa Stutio - stock.adobe.com." title="Maternal hypertension and diabetes linked to worse offspring cardiovascular health | Image Credit: © CasanoWa Stutio - © CasanoWa Stutio - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d29f1d1e0df83ad7126cf95379235b6b4968d01-5800x3869.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d29f1d1e0df83ad7126cf95379235b6b4968d01-5800x3869.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d29f1d1e0df83ad7126cf95379235b6b4968d01-5800x3869.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F4d29f1d1e0df83ad7126cf95379235b6b4968d01-5800x3869.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/maternal-hypertension-and-diabetes-linked-to-worse-offspring-cardiovascular-health">Maternal hypertension and diabetes linked to worse offspring cardiovascular health</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/maternal-hypertension-and-diabetes-linked-to-worse-offspring-cardiovascular-health"><span class="text-sm text-gray-500">February 17th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study finds that children born to mothers with hypertensive disorders of pregnancy or gestational diabetes are at a higher risk of developing cardiovascular health issues by ages 10 to 14 years.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/late-third-trimester-ultrasound-accurately-predicts-large-for-gestational-age-births"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="Late third-trimester ultrasound accurately predicts large for gestational age births | Image Credit: © Alexander Raths - © Alexander Raths - stock.adobe.com." title="Late third-trimester ultrasound accurately predicts large for gestational age births | Image Credit: © Alexander Raths - © Alexander Raths - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Late third-trimester ultrasound accurately predicts large for gestational age births | Image Credit: © Alexander Raths - © Alexander Raths - stock.adobe.com." title="Late third-trimester ultrasound accurately predicts large for gestational age births | Image Credit: © Alexander Raths - © Alexander Raths - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8b9195e98cf6fccba0be11f9f3f9e719a70dc670-6048x4032.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8b9195e98cf6fccba0be11f9f3f9e719a70dc670-6048x4032.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8b9195e98cf6fccba0be11f9f3f9e719a70dc670-6048x4032.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8b9195e98cf6fccba0be11f9f3f9e719a70dc670-6048x4032.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, 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style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/late-third-trimester-ultrasound-accurately-predicts-large-for-gestational-age-births">Late third-trimester ultrasound accurately predicts large for gestational age births</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/late-third-trimester-ultrasound-accurately-predicts-large-for-gestational-age-births"><span class="text-sm text-gray-500">February 17th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study confirms that estimating fetal weight with ultrasound between 35 to 38 weeks’ gestation strongly predicts large for gestational age births, helping guide clinical management decisions.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/study-reports-rising-infant-mortality-with-abortion-bans"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:56.24444444444444%"></span><img alt="Study reports rising infant mortality with abortion bans | Image Credit: © BazziBa - © BazziBa - stock.adobe.com." title="Study reports rising infant mortality with abortion bans | Image Credit: © BazziBa - © BazziBa - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Study reports rising infant mortality with abortion bans | Image Credit: © BazziBa - © BazziBa - stock.adobe.com." title="Study reports rising infant mortality with abortion bans | Image Credit: © BazziBa - © BazziBa - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa85b11b2f2c435e6b96cda40af297fa30d089641-4500x2531.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa85b11b2f2c435e6b96cda40af297fa30d089641-4500x2531.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa85b11b2f2c435e6b96cda40af297fa30d089641-4500x2531.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa85b11b2f2c435e6b96cda40af297fa30d089641-4500x2531.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/study-reports-rising-infant-mortality-with-abortion-bans">Study reports rising infant mortality with abortion bans</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/study-reports-rising-infant-mortality-with-abortion-bans"><span class="text-sm text-gray-500">February 17th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">In a recent study, the rate of infant deaths was increased by 5.6% in US states implementing abortion bans.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/how-advancements-in-ivf-are-impacting-embryologist-workload-and-patient-care"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:100%"></span><img alt="How advancements in IVF are impacting embryologist workload and patient care | Image Credit: fertility.coopersurgical.com/our_experts" title="How advancements in IVF are impacting embryologist workload and patient care | Image Credit: fertility.coopersurgical.com/our_experts" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="How advancements in IVF are impacting embryologist workload and patient care | Image Credit: fertility.coopersurgical.com/our_experts" title="How advancements in IVF are impacting embryologist workload and patient care | Image Credit: fertility.coopersurgical.com/our_experts" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F21a83ea00e0f30c57f458ac6c692a3b115962086-167x167.webp%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F21a83ea00e0f30c57f458ac6c692a3b115962086-167x167.webp%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F21a83ea00e0f30c57f458ac6c692a3b115962086-167x167.webp%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F21a83ea00e0f30c57f458ac6c692a3b115962086-167x167.webp%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F21a83ea00e0f30c57f458ac6c692a3b115962086-167x167.webp%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, 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loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/how-advancements-in-ivf-are-impacting-embryologist-workload-and-patient-care">How advancements in IVF are impacting embryologist workload and patient care</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/how-advancements-in-ivf-are-impacting-embryologist-workload-and-patient-care"><span class="text-sm text-gray-500">February 14th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">As in vitro fertilization procedures evolve with new technologies and extended embryo care, embryologists face increasing workloads, higher stress levels, and the challenge of maintaining precision, leading to concerns about burnout and efficiency in the lab.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/contemporary-ob-gyn-week-in-review-faster-abortion-care-hormonal-contraceptive-risks-and-more"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:33.339999999999996%"></span><img alt="Contemporary OB/GYN week in review: faster abortion care, hormonal contraceptive risks, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." title="Contemporary OB/GYN week in review: faster abortion care, hormonal contraceptive risks, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Contemporary OB/GYN week in review: faster abortion care, hormonal contraceptive risks, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." title="Contemporary OB/GYN week in review: faster abortion care, hormonal contraceptive risks, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa699fb9c88f238295701162655f00ea0956e67bc-5000x1667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa699fb9c88f238295701162655f00ea0956e67bc-5000x1667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa699fb9c88f238295701162655f00ea0956e67bc-5000x1667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa699fb9c88f238295701162655f00ea0956e67bc-5000x1667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/contemporary-ob-gyn-week-in-review-faster-abortion-care-hormonal-contraceptive-risks-and-more">Contemporary OB/GYN week in review: faster abortion care, hormonal contraceptive risks, and more</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/contemporary-ob-gyn-week-in-review-faster-abortion-care-hormonal-contraceptive-risks-and-more"><span class="text-sm text-gray-500">February 14th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Review some of the top stories from the Contemporary OB/GYN website over the last week, and catch up on anything you may have missed.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/study-finds-no-causal-link-between-maternal-health-in-pregnancy-and-autism-risk"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:43.75%"></span><img alt="Study finds no causal link between maternal health in pregnancy and autism risk | Image Credit: med.nyu.edu/faculty." title="Study finds no causal link between maternal health in pregnancy and autism risk | Image Credit: med.nyu.edu/faculty." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Study finds no causal link between maternal health in pregnancy and autism risk | Image Credit: med.nyu.edu/faculty." title="Study finds no causal link between maternal health in pregnancy and autism risk | Image Credit: med.nyu.edu/faculty." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F87f10dc6cc9f805b978670d32388dcbd94bad449-3840x1680.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/study-finds-no-causal-link-between-maternal-health-in-pregnancy-and-autism-risk">Study finds no causal link between maternal health in pregnancy and autism risk</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/study-finds-no-causal-link-between-maternal-health-in-pregnancy-and-autism-risk"><span class="text-sm text-gray-500">February 14th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">New research from NYU Grossman School of Medicine reveals that maternal health conditions during pregnancy are correlated with autism risk but are not a direct cause, highlighting the role of genetic and familial factors.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/state-abortion-bans-linked-to-increased-fertility-rates"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:54.511863088292486%"></span><img alt="State abortion bans linked to increased fertility rates | Image Credit: © Parilov - © Parilov - stock.adobe.com." title="State abortion bans linked to increased fertility rates | Image Credit: © Parilov - © Parilov - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="State abortion bans linked to increased fertility rates | Image Credit: © Parilov - © Parilov - stock.adobe.com." title="State abortion bans linked to increased fertility rates | Image Credit: © Parilov - © Parilov - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F5921a9f65cb82ee84c6006539aa4695c55c335c0-5142x2803.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/state-abortion-bans-linked-to-increased-fertility-rates">State abortion bans linked to increased fertility rates</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/state-abortion-bans-linked-to-increased-fertility-rates"><span class="text-sm text-gray-500">February 13th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study found that US states with 6-week or complete abortion bans saw a 1.70% rise in fertility rates, with the greatest increases observed in Texas, Kentucky, and Mississippi.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/intraoperative-esketamine-linked-to-lower-postpartum-depression-rates-after-cesarean-delivery"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:63.582966226138026%"></span><img alt="Image Credit: © kieferpix - stock.adobe.com" title="Image Credit: © kieferpix - stock.adobe.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Image Credit: © kieferpix - stock.adobe.com" title="Image Credit: © kieferpix - stock.adobe.com" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7b7efb4961950a4029fc72ba744e2c827b0cbb34-6129x3897.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/intraoperative-esketamine-linked-to-lower-postpartum-depression-rates-after-cesarean-delivery">Intraoperative esketamine linked to lower postpartum depression rates after cesarean delivery</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/morgan-petronelli">Morgan Ebert, Managing Editor</a></span></div><a href="/view/intraoperative-esketamine-linked-to-lower-postpartum-depression-rates-after-cesarean-delivery"><span class="text-sm text-gray-500">February 13th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A study finds that esketamine during cesarean delivery may reduce postpartum depression risk, though further research is needed to confirm its safety and efficacy.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/hormonal-contraceptives-linked-to-increased-stroke-and-heart-attack-risk"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:93.7%"></span><img alt="Hormonal contraceptives linked to increased stroke and heart attack risk | Image Credit: © utah51 - © utah51 - stock.adobe.com." title="Hormonal contraceptives linked to increased stroke and heart attack risk | Image Credit: © utah51 - © utah51 - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Hormonal contraceptives linked to increased stroke and heart attack risk | Image Credit: © utah51 - © utah51 - stock.adobe.com." title="Hormonal contraceptives linked to increased stroke and heart attack risk | Image Credit: © utah51 - © utah51 - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F939a61521ae4f37b684f14437d6673a6c29004b7-6000x5622.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F939a61521ae4f37b684f14437d6673a6c29004b7-6000x5622.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F939a61521ae4f37b684f14437d6673a6c29004b7-6000x5622.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F939a61521ae4f37b684f14437d6673a6c29004b7-6000x5622.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/hormonal-contraceptives-linked-to-increased-stroke-and-heart-attack-risk">Hormonal contraceptives linked to increased stroke and heart attack risk</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/hormonal-contraceptives-linked-to-increased-stroke-and-heart-attack-risk"><span class="text-sm text-gray-500">February 13th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A recent BMJ study reveals that hormonal contraceptives, particularly those containing oestrogen, may elevate the risk of ischemic stroke and heart attack, though absolute risks remain low.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/removing-parental-consent-reduces-delays-in-adolescent-abortion-care"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:56.745021709836806%"></span><img alt="Removing parental consent reduces delays in adolescent abortion care | Image Credit: © freshidea - © freshidea - stock.adobe.com." title="Removing parental consent reduces delays in adolescent abortion care | Image Credit: © freshidea - © freshidea - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Removing parental consent reduces delays in adolescent abortion care | Image Credit: © freshidea - © freshidea - stock.adobe.com." title="Removing parental consent reduces delays in adolescent abortion care | Image Credit: © freshidea - © freshidea - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fb844f23f08f5964b30ad08a8bc9a8b13abc6a063-6679x3790.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fb844f23f08f5964b30ad08a8bc9a8b13abc6a063-6679x3790.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fb844f23f08f5964b30ad08a8bc9a8b13abc6a063-6679x3790.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fb844f23f08f5964b30ad08a8bc9a8b13abc6a063-6679x3790.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, 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style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/removing-parental-consent-reduces-delays-in-adolescent-abortion-care">Removing parental consent reduces delays in adolescent abortion care</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/removing-parental-consent-reduces-delays-in-adolescent-abortion-care"><span class="text-sm text-gray-500">February 12th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study links the removal of parental consent requirements for abortion in Massachusetts to significantly earlier gestational age at the time of the procedure, highlighting the impact of reduced barriers on timely reproductive care.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/from-data-to-wisdom"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.73913043478261%"></span><img alt="From data to wisdom | Image Credit: © Fabio Balbi - © Fabio Balbi - stock.adobe.com." title="From data to wisdom | Image Credit: © Fabio Balbi - © Fabio Balbi - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="From data to wisdom | Image Credit: © Fabio Balbi - © Fabio Balbi - stock.adobe.com." title="From data to wisdom | Image Credit: © Fabio Balbi - © Fabio Balbi - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F1b5c2c86dae9cdf838a7982eb5bc22c6a5e6b73e-7360x4912.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F1b5c2c86dae9cdf838a7982eb5bc22c6a5e6b73e-7360x4912.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F1b5c2c86dae9cdf838a7982eb5bc22c6a5e6b73e-7360x4912.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, 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src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F1b5c2c86dae9cdf838a7982eb5bc22c6a5e6b73e-7360x4912.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/from-data-to-wisdom">From data to wisdom</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/brian-k-iriye-md">Brian K. Iriye, MD</a></span><span class="text-md "><span class="mr-1 italic"><br/></span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/james-d-keller-md-mhsa">James D. Keller, MD, MHSA</a></span></div><a href="/view/from-data-to-wisdom"><span class="text-sm text-gray-500">February 12th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Leveraging the DIKW pyramid, SOAP notes, and teamwork for practice efficiency and performance improvement.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/clitoral-anatomy-linked-to-sexual-function-after-vaginal-surgery"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.66666666666666%"></span><img alt="Clitoral anatomy linked to sexual function after vaginal surgery | Image Credit: © Georgii - © Georgii - stock.adobe.com." title="Clitoral anatomy linked to sexual function after vaginal surgery | Image Credit: © Georgii - © Georgii - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Clitoral anatomy linked to sexual function after vaginal surgery | Image Credit: © Georgii - © Georgii - stock.adobe.com." title="Clitoral anatomy linked to sexual function after vaginal surgery | Image Credit: © Georgii - © Georgii - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F7a4e9320fea64b1c6d9c3b4c5c3fdc80fa1d506b-5328x3552.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, 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href="/view/clitoral-anatomy-linked-to-sexual-function-after-vaginal-surgery">Clitoral anatomy linked to sexual function after vaginal surgery</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/clitoral-anatomy-linked-to-sexual-function-after-vaginal-surgery"><span class="text-sm text-gray-500">February 12th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study highlights how clitoral size, position, and shape may influence sexual function following transvaginal surgery for pelvic organ prolapse.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/survey-highlights-postpartum-incontinence-struggles-and-lack-of-medical-support"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.7%"></span><img alt="Image Credit: © lijphoto - stock.adobe.com" title="Image Credit: © lijphoto - stock.adobe.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Image Credit: © lijphoto - stock.adobe.com" title="Image Credit: © lijphoto - stock.adobe.com" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe22602ec94b4137dc96d678423f962d31838c7fd-1000x667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe22602ec94b4137dc96d678423f962d31838c7fd-1000x667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe22602ec94b4137dc96d678423f962d31838c7fd-1000x667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe22602ec94b4137dc96d678423f962d31838c7fd-1000x667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe22602ec94b4137dc96d678423f962d31838c7fd-1000x667.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, 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loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/survey-highlights-postpartum-incontinence-struggles-and-lack-of-medical-support">Survey highlights postpartum incontinence struggles and lack of medical support</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/morgan-petronelli">Morgan Ebert, Managing Editor</a></span></div><a href="/view/survey-highlights-postpartum-incontinence-struggles-and-lack-of-medical-support"><span class="text-sm text-gray-500">February 11th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A survey by Aeroflow Urology finds many mothers face postpartum incontinence without medical support, impacting their health, stress, and daily life.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/variations-reported-in-state-level-maternal-death-causes"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:67.20794958797867%"></span><img alt="Variations reported in state-level maternal death causes | Image Credit: © Igor Borodin - © Igor Borodin - stock.adobe.com." title="Variations reported in state-level maternal death causes | Image Credit: © Igor Borodin - © Igor Borodin - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Variations reported in state-level maternal death causes | Image Credit: © Igor Borodin - © Igor Borodin - stock.adobe.com." title="Variations reported in state-level maternal death causes | Image Credit: © Igor Borodin - © Igor Borodin - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe1e2f4245346e8d06646efb79a2a008a3eb1a1b5-4126x2773.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe1e2f4245346e8d06646efb79a2a008a3eb1a1b5-4126x2773.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe1e2f4245346e8d06646efb79a2a008a3eb1a1b5-4126x2773.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fe1e2f4245346e8d06646efb79a2a008a3eb1a1b5-4126x2773.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/variations-reported-in-state-level-maternal-death-causes">Variations reported in state-level maternal death causes</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/variations-reported-in-state-level-maternal-death-causes"><span class="text-sm text-gray-500">February 11th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A recent study highlights significant variations in pregnancy-related deaths across US states, emphasizing the need for targeted policies to address homicide, suicide, and drug overdose among pregnant and postpartum individuals.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/ai-analysis-reveals-key-risk-factors-for-severe-pregnancy-outcomes"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.75531914893617%"></span><img alt="AI analysis reveals key risk factors for severe pregnancy outcomes | Image Credit: © Yakobchuk Olena - © Yakobchuk Olena - stock.adobe.com." title="AI analysis reveals key risk factors for severe pregnancy outcomes | Image Credit: © Yakobchuk Olena - © Yakobchuk Olena - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="AI analysis reveals key risk factors for severe pregnancy outcomes | Image Credit: © Yakobchuk Olena - © Yakobchuk Olena - stock.adobe.com." title="AI analysis reveals key risk factors for severe pregnancy outcomes | Image Credit: © Yakobchuk Olena - © Yakobchuk Olena - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Ff8be25f88cdcca1d47ab0ab5b01213397c2b14ad-6016x4016.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Ff8be25f88cdcca1d47ab0ab5b01213397c2b14ad-6016x4016.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Ff8be25f88cdcca1d47ab0ab5b01213397c2b14ad-6016x4016.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Ff8be25f88cdcca1d47ab0ab5b01213397c2b14ad-6016x4016.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, 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style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/ai-analysis-reveals-key-risk-factors-for-severe-pregnancy-outcomes">AI analysis reveals key risk factors for severe pregnancy outcomes</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/ai-analysis-reveals-key-risk-factors-for-severe-pregnancy-outcomes"><span class="text-sm text-gray-500">February 11th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new artificial intelligence-based study found risk factor combinations linked to severe adverse pregnancy outcomes, offering a more personalized and transparent approach to risk assessment in obstetrics.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/study-finds-accuracy-of-preeclampsia-risk-models-decline-over-time"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.44951140065146%"></span><img alt="Study finds accuracy of preeclampsia risk models decline over time | Image Credit: © vchalup - © vchalup - stock.adobe.com." title="Study finds accuracy of preeclampsia risk models decline over time | Image Credit: © vchalup - © vchalup - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Study finds accuracy of preeclampsia risk models decline over time | Image Credit: © vchalup - © vchalup - stock.adobe.com." title="Study finds accuracy of preeclampsia risk models decline over time | Image Credit: © vchalup - © vchalup - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fd18a6114fe58469cc706e8071e4ee85f33bb5aed-4912x3264.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/study-finds-accuracy-of-preeclampsia-risk-models-decline-over-time">Study finds accuracy of preeclampsia risk models decline over time</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/study-finds-accuracy-of-preeclampsia-risk-models-decline-over-time"><span class="text-sm text-gray-500">February 10th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Prediction models for severe preeclampsia complications are most accurate on day 2 after hospital admission but become less reliable over time, according to a recent study.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/later-onset-menopause-linked-to-lower-heart-disease-risk"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:65.92082616179002%"></span><img alt="Later-onset menopause linked to lower heart disease risk | Image Credit: © Syda Productions - © Syda Productions - stock.adobe.com." title="Later-onset menopause linked to lower heart disease risk | Image Credit: © Syda Productions - © Syda Productions - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Later-onset menopause linked to lower heart disease risk | Image Credit: © Syda Productions - © Syda Productions - stock.adobe.com." title="Later-onset menopause linked to lower heart disease risk | Image Credit: © Syda Productions - © Syda Productions - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1200&q=75 1200w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1920&q=75 1920w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=2048&q=75 2048w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F99ba1fc8facb0591f42220892f8bc106716e5355-3486x2298.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/later-onset-menopause-linked-to-lower-heart-disease-risk">Later-onset menopause linked to lower heart disease risk</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/later-onset-menopause-linked-to-lower-heart-disease-risk"><span class="text-sm text-gray-500">February 10th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study from the University of Colorado Boulder suggests that women who experience menopause at age 55 years or later may have significantly better vascular health and a reduced risk of heart attacks and strokes.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/deep-dive-into-fetal-ventriculomegaly"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:74.76780185758514%"></span><img alt="Deep dive into fetal ventriculomegaly | Image Credit: © Mikael Damkier - © Mikael Damkier - stock.adobe.com." title="Deep dive into fetal ventriculomegaly | Image Credit: © Mikael Damkier - © Mikael Damkier - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Deep dive into fetal ventriculomegaly | Image Credit: © Mikael Damkier - © Mikael Damkier - stock.adobe.com." title="Deep dive into fetal ventriculomegaly | Image Credit: © Mikael Damkier - © Mikael Damkier - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F26e78d21a79b2dc3eb255478efd633ba952dc092-2584x1932.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F26e78d21a79b2dc3eb255478efd633ba952dc092-2584x1932.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F26e78d21a79b2dc3eb255478efd633ba952dc092-2584x1932.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F26e78d21a79b2dc3eb255478efd633ba952dc092-2584x1932.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/deep-dive-into-fetal-ventriculomegaly">Deep dive into fetal ventriculomegaly</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/leen-al-hafez-md">Leen Al-Hafez, MD</a></span></div><a href="/view/deep-dive-into-fetal-ventriculomegaly"><span class="text-sm text-gray-500">February 10th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Fetal ventriculomegaly, a condition marked by the dilation of cerebral ventricles, is a common finding on second-trimester ultrasounds and requires careful evaluation to determine its causes, severity, and potential impact on neurological outcomes.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/preventing-preeclampsia-may-lower-maternal-health-risks-linked-to-hypertension"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:66.67224360046846%"></span><img alt="Preventing preeclampsia may lower maternal health risks linked to hypertension | Image Credit: © Sukjai Photo - © Sukjai Photo - stock.adobe.com." title="Preventing preeclampsia may lower maternal health risks linked to hypertension | Image Credit: © Sukjai Photo - © Sukjai Photo - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Preventing preeclampsia may lower maternal health risks linked to hypertension | Image Credit: © Sukjai Photo - © Sukjai Photo - stock.adobe.com." title="Preventing preeclampsia may lower maternal health risks linked to hypertension | Image Credit: © Sukjai Photo - © Sukjai Photo - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8be2af8fccc7ed9ce830d80798becd04a5e52dbe-5977x3985.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8be2af8fccc7ed9ce830d80798becd04a5e52dbe-5977x3985.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8be2af8fccc7ed9ce830d80798becd04a5e52dbe-5977x3985.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F8be2af8fccc7ed9ce830d80798becd04a5e52dbe-5977x3985.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=1080&q=75 1080w, 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style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/preventing-preeclampsia-may-lower-maternal-health-risks-linked-to-hypertension">Preventing preeclampsia may lower maternal health risks linked to hypertension</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/preventing-preeclampsia-may-lower-maternal-health-risks-linked-to-hypertension"><span class="text-sm text-gray-500">February 7th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A recent study highlights the need to manage chronic hypertension before and during pregnancy to mitigate the heightened risk of severe maternal morbidity associated with preeclampsia.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/revi-system-demonstrates-positive-two-year-results-for-treating-urgency-urinary-incontinence"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:52.734375%"></span><img alt="Image Credit: © rocketclips - stock.adobe.com" title="Image Credit: © rocketclips - stock.adobe.com" src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Image Credit: © rocketclips - stock.adobe.com" title="Image Credit: © rocketclips - stock.adobe.com" sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa0db526b15e9f59501b49c18be050e608f59bff9-5120x2700.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa0db526b15e9f59501b49c18be050e608f59bff9-5120x2700.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa0db526b15e9f59501b49c18be050e608f59bff9-5120x2700.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=828&q=75 828w, 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src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2Fa0db526b15e9f59501b49c18be050e608f59bff9-5120x2700.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/revi-system-demonstrates-positive-two-year-results-for-treating-urgency-urinary-incontinence">Revi System demonstrates positive two-year results for treating urgency urinary incontinence</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/morgan-petronelli">Morgan Ebert, Managing Editor</a></span></div><a href="/view/revi-system-demonstrates-positive-two-year-results-for-treating-urgency-urinary-incontinence"><span class="text-sm text-gray-500">February 7th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">BlueWind Medical’s Revi System shows strong two-year efficacy and safety for UUI, with symptom reduction and high patient satisfaction.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 md:flex-none md:w-48" href="/view/contemporary-ob-gyn-week-in-review-ulipristal-for-abortion-genetic-testing-and-more"><div class=""><span style="box-sizing:border-box;display:block;overflow:hidden;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;position:relative"><span style="box-sizing:border-box;display:block;width:initial;height:initial;background:none;opacity:1;border:0;margin:0;padding:0;padding-top:33.339999999999996%"></span><img alt="Contemporary OB/GYN week in review: Ulipristal for abortion, genetic testing, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." title="Contemporary OB/GYN week in review: Ulipristal for abortion, genetic testing, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" decoding="async" data-nimg="responsive" class="shrink-0" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Contemporary OB/GYN week in review: Ulipristal for abortion, genetic testing, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." title="Contemporary OB/GYN week in review: Ulipristal for abortion, genetic testing, and more | Image Credit: © Aleksey 159 - © Aleksey 159 - stock.adobe.com." sizes="100vw" 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loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/contemporary-ob-gyn-week-in-review-ulipristal-for-abortion-genetic-testing-and-more">Contemporary OB/GYN week in review: Ulipristal for abortion, genetic testing, and more</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/contemporary-ob-gyn-week-in-review-ulipristal-for-abortion-genetic-testing-and-more"><span class="text-sm text-gray-500">February 7th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">Review some of the top stories from the Contemporary OB/GYN website over the last week, and catch up on anything you may have missed.</p></a><div class="flex mt-4"></div></div></div></div><div class="w-full h-full"><div class="flex mt-4"><a class="w-full mt-3 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style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%"/><noscript><img alt="Menopausal hormone therapy linked to increased risk of SLE and SSc | Image Credit: © Graphicroyalty - © Graphicroyalty - stock.adobe.com." title="Menopausal hormone therapy linked to increased risk of SLE and SSc | Image Credit: © Graphicroyalty - © Graphicroyalty - stock.adobe.com." sizes="100vw" srcSet="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F816564448741b0aa30c0870f417338bcb9142dbe-5472x3648.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=640&q=75 640w, /_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F816564448741b0aa30c0870f417338bcb9142dbe-5472x3648.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=750&q=75 750w, 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/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F816564448741b0aa30c0870f417338bcb9142dbe-5472x3648.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75 3840w" src="/_next/image?url=https%3A%2F%2Fcdn.sanity.io%2Fimages%2F0vv8moc6%2Fcontobgyn%2F816564448741b0aa30c0870f417338bcb9142dbe-5472x3648.jpg%3Ffit%3Dcrop%26auto%3Dformat&w=3840&q=75" decoding="async" data-nimg="responsive" style="position:absolute;top:0;left:0;bottom:0;right:0;box-sizing:border-box;padding:0;border:none;margin:auto;display:block;width:0;height:0;min-width:100%;max-width:100%;min-height:100%;max-height:100%" class="shrink-0" loading="lazy"/></noscript></span></div></a><div class="w-[200%] md:w-[auto] flex-auto p-2 ml-2"><p class="font-bold"><a class="" href="/view/menopausal-hormone-therapy-linked-to-increased-risk-of-sle-and-ssc">Menopausal hormone therapy linked to increased risk of SLE and SSc</a></p><div><span class="text-md "><span class="mr-1 italic">By </span><a class="mr-1 text-sky-800 hover:text-primary" href="/authors/celeste-krewson">Celeste Krewson, Assistant Editor</a></span></div><a href="/view/menopausal-hormone-therapy-linked-to-increased-risk-of-sle-and-ssc"><span class="text-sm text-gray-500">February 7th 2025</span><div class="mt-2"></div><p class="mt-4 text-gray-800">A new study found that menopausal hormone therapy is associated with a higher risk of systemic lupus erythematosus and systemic sclerosis, emphasizing the role of female sex hormones in immune-mediated diseases.</p></a><div class="flex mt-4"></div></div></div></div></div><div class="text-center w-full pt-4 text-2xl font-bold pb-24"><a class="text-lg hover:text-gray-400 hover:underline" href="/news">See All News ></a></div></div></div><div class="flex-none w-[300px] z-[9999] relative hidden md:block"><div style="top:4rem" class="sticky custom-spacing"><div class="collapse-container " style="overflow:hidden;max-height:900px;transition:max-height .4s ease-in-out"></div></div></div></div><div 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There's a great place ISSWSH, the International Society for the Study of Women's Sexual Health, where you can get trained if you did not get that training. And if you don't have the time or the desire, then please, at least refer your patient to someone who does specialize in sexual health care, or who has had adequate training. Do not minimize the problem because you feel as though it won't kill your patient, or it's not important to you. And the other thing is, one of my colleagues said this, and I think it's pretty profound, but when you dress with the white coat, you undress your own biases, and so really, allowing that patient to be comfortable, not shutting them down, empowering them, giving them education, and if you don't want to take care of them because you don't have the right skill set, put them into the hands of someone who will.","_key":"7687f1ea135e"}],"_type":"block","style":"normal","_key":"796a31b88d9e","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"9769fe9b4af5"}],"_type":"block","style":"normal","_key":"a9d3b841dcde"},{"_type":"block","style":"normal","_key":"e800744e3087","markDefs":[],"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"9e28e5a3e624","_type":"span"}]},{"_key":"70cf31c3bae7","markDefs":[],"children":[{"_type":"span","marks":[],"text":"We’re just about ready to wrap up, but there anything you want to add first?","_key":"669494bdebc3"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"c529adb83aab","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"04db3b81a364"}]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Javaid","_key":"d4eeb880e63c"}],"_type":"block","style":"normal","_key":"bb562348d905"},{"style":"normal","_key":"c62bf21b9c98","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yes. I think testosterone is going to be an upcoming hot button topic. There are multiple medical guidelines that support the use of testosterone, particularly for sexual health care, and there was a large study on vibrators as well that help support pelvic floor health and sexual health care, and I think we need to look at those as tools rather than toys. And so, I think the bottom line is, there are multiple treatment options out there despite the gender disparity, so we really don't want people to give up or stop seeking solutions.","_key":"290b47b7f31f"}],"_type":"block"},{"_key":"3d66599be8ad","markDefs":[{"_key":"81a768ba58bf","nofollow":true,"blank":true,"_type":"link","href":"https://www.contemporaryobgyn.net/view/dr-somi-javaid-highlights-disparities-in-sexual-health"},{"nofollow":true,"blank":true,"_type":"link","href":"https://www.contemporaryobgyn.net/view/efficacy-found-from-biopsychosocial-approach-to-women-s-sexual-health","_key":"f26135c3e78e"}],"children":[{"_type":"span","marks":["em"],"text":"This video is part 3 of a 3-part series. 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Additionally, a dismissive attitude within the medical community often leads to the neglect of these concerns, despite the availability of treatment options for other non-life-threatening conditions.","_key":"c88f3d39f0e4","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"b000a7f4ee55"},{"_key":"6a53253e783c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Javaid also addressed limitations in traditional sexual health treatments for women. A stark disparity exists between FDA-approved treatments for men vs women, with 29 medications available for male sexual health and only 2 available for women. High costs and stricter regulatory requirements for female-specific treatments further exacerbate this issue. Many women remain unaware that their decreased sexual desire could be linked to treatable conditions such as hypoactive sexual desire disorder. ","_key":"546744725ce9"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"47c3f2b955ca","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Even when treatments exist, insurance coverage remains biased, often reimbursing providers significantly less for female conditions vs male ones. For example, Viagra, a well-known male sexual health drug, is widely covered, while female-focused treatments such as Addyi remain underutilized because of lack of awareness, advertising restrictions, and insurance denials.","_key":"d98a6188a3ee"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Javaid shared a striking example of this disparity. A patient struggling with sexual pain was denied insurance coverage for a prescribed vaginal suppository, while her husband’s Viagra was fully covered. The insurance company deemed female sexual health treatment as \"elective,\" reinforcing the systemic bias. These inequities highlight the urgent need for improved education, awareness, policy changes, and a comprehensive biopsychosocial approach to ensure equitable sexual health care for women.","_key":"ee578f442a7a"}],"_type":"block","style":"normal","_key":"4d5d759f7f24"},{"children":[{"marks":["em"],"text":"This video is part 1 of a 3-part series. 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First, the study found that maternal diagnoses during pregnancy, such as asthma or depression, are associated with a slightly increased likelihood of having a child with autism. However, the absolute risk remains small. For example, women with such diagnoses may have a 50% higher relative risk, but this translates to an increase from a baseline of approximately 2.5% to only 3.75%, fewer than 4 in 100 women.","_key":"83387fc7219c"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"Second, the study provided strong evidence that these associations are not causal. The research found that women who had a certain diagnosis in one pregnancy but not in another still had children with similar autism risks across both pregnancies. Furthermore, paternal diagnoses were just as strongly associated with autism risk as maternal diagnoses, despite fathers having minimal direct biological impact after conception. These findings suggest that maternal health conditions during pregnancy do not directly cause autism, but co-occur with other underlying factors, likely genetic in nature.","_key":"6954c0842a37"}],"_type":"block","style":"normal","_key":"28570e7e247d","markDefs":[]},{"_type":"block","style":"normal","_key":"448b68b541c0","markDefs":[],"children":[{"marks":[],"text":"Regarding prior studies, Janecka acknowledged that familial confounding is a complex issue that is often difficult to detect and address. Some earlier studies may have reported correlational links without fully accounting for these confounders. 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If left undetected, FGR increases the risk of adverse pregnancy outcomes, including stillbirth, as well as health issues for the baby after birth. Traditionally, clinicians assess fetal growth by measuring the mother’s abdomen with a measuring tape and using ultrasounds. However, these methods often detect FGR only later in pregnancy, limiting the window for early interventions."}],"_type":"block","style":"normal"},{"style":"normal","_key":"ca671c2e6b4a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Mirvie’s RNA platform represents a groundbreaking approach by using a simple maternal blood sample to analyze RNA from both the placenta and the fetus. The study discussed in the interview involved blood draws between 17 weeks and 4 days' and 22 weeks' gestation—well before conventional methods would detect FGR. 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","_key":"41e46a69b9dc"}],"_type":"block","style":"normal","_key":"e9733a080d53"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Reed, also the principal medical advisor for Women's Health at Myriad Genetics, discussed the importance of carrier screening and noninvasive prenatal testing (NIPT) in improving outcomes for pregnant individuals. Carrier screening helps identify recessive or X-linked genetic conditions where parents may carry a genetic mutation without showing symptoms. ","_key":"c9be35116f52"}],"_type":"block","style":"normal","_key":"c14292453b1c"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"If both parents are carriers of a recessive condition, there is a 25% chance of passing it to their child. Since most people do not have a known family history of these conditions, screening is essential, ideally before pregnancy. Early knowledge allows couples to explore reproductive options, including in vitro fertilization, donor gametes, adoption, or additional medical preparations. However, since many pregnancies are unplanned, screening often occurs early in pregnancy when some options are still available but time-sensitive. Reed emphasized the importance of educating patients about screening during routine gynecological visits to maximize their choices.","_key":"306a5a54f219"}],"_type":"block","style":"normal","_key":"6c878ae3678e"},{"_type":"block","style":"normal","_key":"cfc803244e63","markDefs":[],"children":[{"_type":"span","marks":[],"text":"NIPT, such as Myriad’s Prequel Prenatal Screen, is a noninvasive test that detects chromosomal abnormalities such as aneuploidies, microdeletions, and sex chromosome differences as early as 8 weeks of pregnancy. While it is a screening tool rather than a diagnostic test, it helps identify potential conditions in the fetus, allowing patients to pursue confirmatory testing through procedures such aschorionic villus sampling or amniocentesis. This knowledge helps families prepare for necessary medical care, specialist involvement, and delivery planning. Reed highlighted that genetic screening empowers patients by giving them control over their pregnancy journey, rather than inducing fear.","_key":"0b57762e0914"}]},{"markDefs":[],"children":[{"text":"To increase prenatal genetic screening adoption, Reed advised clinicians to direct patients to educational resources such as the ","_key":"bbf9acff3874","_type":"span","marks":[]},{"_key":"08af9fe28e69","_type":"span","marks":["em"],"text":"Know More Sooner"},{"_type":"span","marks":[],"text":" website and encourage family discussions about genetic conditions. She also recommended OB-GYNs collaborate with maternal-fetal medicine specialists, genetic counselors, and geneticists to integrate screening into patient care effectively. Genetic testing companies, including Myriad, offer support through cost transparency, detailed reports, and access to prenatal genetic counseling, making the process more accessible for both providers and patients.","_key":"88c26ce2214d"}],"_type":"block","style":"normal","_key":"e8478fbafff3"},{"_type":"block","style":"normal","_key":"b4c2b754bc70","markDefs":[],"children":[{"marks":[],"text":"Reed encouraged providers to stay informed, seek guidance from genetics professionals, and engage in continuous learning to better serve their patients in navigating genetic screening and reproductive decision-making.","_key":"0f4744ee28a1","_type":"span"}]},{"markDefs":[{"_key":"c0328229fbb9","nofollow":true,"blank":true,"_type":"link","href":"https://www.contemporaryobgyn.net/view/dallas-reed-md-highlights-trends-and-barriers-in-prenatal-genetic-testing"}],"children":[{"_type":"span","marks":["em"],"text":"This video is part 2 of a 2-part series. 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"}]},{"_key":"6780ff3d5b94","markDefs":[],"children":[{"text":"There are two types of genetic screening: noninvasive prenatal testing (NIPT), such as Myriad Genetics' Prequel test, and carrier screening, such as Myriad’s Foresight test, which should be done before pregnancy. These screenings help parents understand their child's potential genetic risks.","_key":"8fd97693d9a1","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"771ff99c4307","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Reed highlighted that while most expectant parents express interest in genetic screening when informed about it, approximately 40% report not being offered such tests. To address this, Myriad Genetics launched an educational website, knowmoresooner.com, aimed at informing prospective parents so they can proactively discuss screening options with their health care providers.","_key":"1284ab930aad"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Discussing barriers to genetic screening, Reed identified several key issues. One significant challenge is health care providers' awareness and familiarity with evolving genetic screening options. As genetic testing has become more advanced and affordable, the number of available tests may be overwhelming for OB-GYNs, midwives, and nurse practitioners. Patients also face challenges in navigating the vast amount of prenatal information, which can make genetic screening seem daunting.","_key":"9501f060d45a"}],"_type":"block","style":"normal","_key":"58d873ead651"},{"_key":"056844d870cc","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Additionally, disparities in access to genetic screening exist among different populations. Historically, genetic screenings have been tailored primarily to individuals of Caucasian descent, limiting their effectiveness across diverse ethnic backgrounds. Myriad Genetics has worked to address this by designing its carrier screening to be more inclusive. Another challenge is that individuals with higher body mass index sometimes receive inconclusive results from NIPT because of technical limitations. To mitigate this, Myriad has developed \"AMPLIFY\" technology, which enhances test accuracy and reduces the likelihood of inconclusive results, preventing delays in obtaining critical information.","_key":"3ebe358d1684"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"marks":[],"text":"Another barrier is the limited availability of genetic counseling services. Many areas have few, if any, genetic counselors or geneticists, making it difficult for patients to receive expert guidance when dealing with complex genetic findings. To bridge this gap, Myriad provides access to genetic counselors to assist clinicians and patients in understanding and interpreting test results.","_key":"2fac8e6079d5","_type":"span"}],"_type":"block","style":"normal","_key":"3e1a30de4cf0"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Reed emphasized the need for both health care providers and patients to be proactive about prenatal genetic screening. 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","_key":"a6b48585ed5b"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"marks":[],"text":"Heaney explained the capabilities and benefits of these FDA-cleared and CLIA-waived diagnostic tools. The cobas liat panels come in two versions: a 2-plex panel detecting ","_key":"b635b93ed9f1","_type":"span"},{"_type":"span","marks":["em"],"text":"Chlamydia trachomatis","_key":"6a9256413522"},{"_type":"span","marks":[],"text":" and ","_key":"d4efcee33b3d"},{"text":"Neisseria gonorrhoeae","_key":"179773bbaaa5","_type":"span","marks":["em"]},{"text":", and a 3-plex panel that also includes ","_key":"6fb52d2bfb69","_type":"span","marks":[]},{"_type":"span","marks":["em"],"text":"Mycoplasma genitalium","_key":"f1461c8a21e8"},{"_type":"span","marks":[],"text":". These tests utilize real-time polymerase chain reaction (PCR) technology, a highly reliable molecular method that individually identifies the presence of each pathogen. The ability to differentiate these infections is crucial for appropriate treatment and antibiotic stewardship.","_key":"da6c375cfa02"}],"_type":"block","style":"normal","_key":"f7ff2f721fd4"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"One of the major advantages of these panels is their speed. Results are available within 20 minutes, allowing for rapid diagnosis and treatment within a test-to-treat model. Unlike traditional STI testing, which often requires samples to be sent to high-throughput laboratories, these tests can be conducted in decentralized settings such as urgent care centers, emergency rooms, and physician office labs. 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By making testing available in non-traditional settings, these assays help reduce barriers to care, improve patient outcomes, and contribute to antibiotic stewardship by ensuring that infections are accurately diagnosed and treated with the appropriate medication.","_key":"9aaf4817ca55"}],"_type":"block","style":"normal","_key":"9b277e2dbf3a"},{"children":[{"_type":"span","marks":[],"text":"The FDA 510(k) clearance and CLIA waiver of these tests mark a significant shift in STI testing capabilities. Historically, molecular diagnostic tests were considered complex and restricted to specialized laboratories. However, with these approvals, such advanced testing can now be conducted in point-of-care settings, making diagnostics more accessible and reducing the time to treatment.","_key":"23c42525ad9e"}],"_type":"block","style":"normal","_key":"4510e2c0295f","markDefs":[]},{"_key":"16c6153f9379","markDefs":[],"children":[{"text":"Clinicians using the panels should recognize the impact of rapid, on-site STI testing. Traditionally, most STI screening focuses on chlamydia and gonorrhea, but with advancements in rapid diagnostics, broader pathogen detection can enhance patient management. The ability to test and diagnose within a single visit aligns with long-standing clinician demands for more efficient STI management, ultimately leading to improved patient care.","_key":"2a6ca93b4201","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"style":"normal","_key":"993803362de7","markDefs":[],"children":[{"marks":[],"text":"Heaney concluded by highlighting the broader public health benefits of these rapid assays. Given the rise in STI cases, particularly during the COVID-19 pandemic, expanding access to testing can help reduce transmission rates, improve early detection, and ensure appropriate treatment. Roche is enthusiastic about the potential impact of these assays in bringing high-quality STI testing closer to patients, ultimately enhancing disease control and prevention efforts.","_key":"819701d47e71","_type":"span"}],"_type":"block"}],"authorMapping":[{"firstName":"Celeste","lastName":"Krewson","displayName":"Celeste Krewson, Assistant Editor","_type":"author","_id":"ee298dd8-2193-4a3b-9a46-5cbf697c2249","url":{"current":"celeste-krewson","_type":"slug"},"_createdAt":"2022-08-11T17:40:16Z","_rev":"e84NFPEZDE2m9ARZ9doCYO","_updatedAt":"2023-03-20T18:34:04Z"}],"_createdAt":"2025-01-30T18:37:44Z","url":{"current":"how-the-cobas-liat-assay-panels-improve-sti-detection","_type":"slug"}},{"published":"2025-02-01T01:01:53.587Z","contentCategory":{"_createdAt":"2020-03-04T05:44:42Z","_rev":"IlP9l41tH9jB20SbSpveLm","_type":"contentCategory","name":"Videos","_id":"42000fd0-0d05-4832-9f2c-62c21079b76c","_updatedAt":"2020-03-04T05:44:42Z"},"_updatedAt":"2025-02-03T20:25:01Z","body":[{"disableLightBox":true,"alt":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net","_key":"62b4cea2bbdf","asset":{"_ref":"image-e43eedaed9ee19332d60f816f3b79463b37f5d54-480x600-jpg","_type":"reference"},"disableTextWrap":false,"_type":"figure","imgcaption":[{"_type":"block","style":"normal","_key":"421e5f8c6377","markDefs":[],"children":[{"marks":[],"text":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net","_key":"b635511ece25","_type":"span"}]}],"alignment":"right","widthP":50},{"_type":"block","style":"normal","_key":"7b5e54dc054c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Chloe Getrajdman, MD, MSCR, Resident at Mount Sinai, discusses a recent study evaluating the association between the screening-to-diagnosis interval and gestational diabetes outcomes.","_key":"c6dced1d0409"}]},{"markDefs":[],"children":[{"_key":"3ff918ed819d","_type":"span","marks":["em","strong"],"text":""}],"_type":"block","style":"normal","_key":"a0c5e522e1e2"},{"markDefs":[],"children":[{"marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"285b6166b6ec","_type":"span"}],"_type":"block","style":"normal","_key":"7b9ad08250bf"},{"children":[{"_type":"span","marks":["em"],"text":"What is the importance of having a short interval between screening and diagnosis for gestational diabetes (GDM)?","_key":"e89d8dd44811"}],"_type":"block","style":"normal","_key":"33f6c0f8eedf","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"6beaa976c4e1"}],"_type":"block","style":"normal","_key":"0345f6064115","markDefs":[]},{"_key":"6ec54fce1ae1","markDefs":[],"children":[{"text":"Chloe Getrajdman, MD, MSCR:","_key":"334d0ac48041","_type":"span","marks":["strong"]}],"_type":"block","style":"normal"},{"style":"normal","_key":"d2cec9b46abc","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Screening for gestational diabetes (GDM) is important in order to identify those individuals with the condition and prevent adverse maternal and fetal outcomes that can come from having this diagnosis in pregnancy. The gold standard method of screening involves a 1-hour screening test, followed by a 3-hour test if the 1-hour test is positive. Since the 3-hour test requires individuals to fast for at least 8 hours, it has to be scheduled on a day when the patient can return to the clinic fasting. This inherently creates delays in diagnosis and, ultimately and more importantly, delays in treatment. We hypothesized that a prolonged interval between screening and diagnosis of GDM would be associated with a higher likelihood of adverse maternal and fetal outcomes.","_key":"733a0030ea75"}],"_type":"block"},{"_type":"block","style":"normal","_key":"4d5802ce70dd","markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"","_key":"8c99401d1a04"}]},{"children":[{"marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"0ee0b27b5660","_type":"span"}],"_type":"block","style":"normal","_key":"a80258889430","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"Please provide a brief overview of your study presented at SMFM 2025.","_key":"575396c817bc"}],"_type":"block","style":"normal","_key":"655994f2bb9c"},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"53dad2304cef","_type":"span"}],"_type":"block","style":"normal","_key":"a12fd9e79662"},{"children":[{"_type":"span","marks":["strong"],"text":"Getrajdman:","_key":"838432d37c0e"}],"_type":"block","style":"normal","_key":"d94da4f1ab67","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"The objective of the study was to determine whether the interval between GDM screening via the 1-hour glucose challenge test (GCT) and the 3-hour glucose tolerance test (GTT) is associated with adverse perinatal outcomes. The study was a retrospective cohort study of 389 singleton, non-anomalous pregnancies from 2019 to 2022, diagnosed with GDM with this 2-step test.","_key":"16c04efecea3"}],"_type":"block","style":"normal","_key":"b77f01fddf4e","markDefs":[]},{"style":"normal","_key":"8ac8ab8a4d1c","markDefs":[],"children":[{"_key":"4e4d8a0df936","_type":"span","marks":["em"],"text":""}],"_type":"block"},{"style":"normal","_key":"9e7f578a543b","markDefs":[],"children":[{"marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"9834686aa5e1","_type":"span"}],"_type":"block"},{"_key":"d4223a2c03a3","markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"What results did the study find on the association of the interval between GDM screening and diagnosis with perinatal outcomes?","_key":"9fe338fecd83"}],"_type":"block","style":"normal"},{"style":"normal","_key":"419af3159a99","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"","_key":"da97482872a3"}],"_type":"block"},{"_type":"block","style":"normal","_key":"6194ea6bd6d1","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Getrajdman:","_key":"cff5f39109c9"}]},{"children":[{"_type":"span","marks":[],"text":"The study demonstrated that the majority of patients (66.3%) had an interval of screening less than 10 days, while approximately about a third of patients (33.7%) had an interval of greater than or equal to 10 days. Patients with delayed screening were more likely to be obese (30% vs 43.7%), Black (9.4% vs 12.9%), and have public insurance. The results of the study did not demonstrate any significant difference in a composite outcome of perinatal morbidity that included macrosomia, shoulder dystocia, hypertensive disorders of pregnancy, cesarean delivery for presumed macrosomia, neonatal intensive care unit (NICU) admission, among other adverse neonatal outcomes.","_key":"2832785673e0"}],"_type":"block","style":"normal","_key":"d79180c7aa7d","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"","_key":"5889d51e748c"}],"_type":"block","style":"normal","_key":"92926b0d8e56"},{"markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"6e2ca3d32b8c"}],"_type":"block","style":"normal","_key":"181f6e211eaa"},{"children":[{"_type":"span","marks":["em"],"text":"What are the key clinical takeaways of this information for health care providers?","_key":"b92910462bea"}],"_type":"block","style":"normal","_key":"07e702e305d2","markDefs":[]},{"markDefs":[],"children":[{"text":"","_key":"28c2fafe9376","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"7ee144227f20"},{"_type":"block","style":"normal","_key":"d36bdfbefdcb","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Getrajdman:","_key":"a57cc31fdb03"}]},{"_key":"07fc0fef8f6c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"While there were no differences in our primary outcome, this study did reveal demographic differences in the population of patients who were able to undergo their 3-hour screening test within 10 days, as compared to those who completed their test greater than 10 days from the screening test. More research is needed to better understand the barriers to returning for the 3-hour test, and whether this delay between screening and diagnosis may result in other adverse outcomes not captured by this study.","_key":"a28e0377789e"}],"_type":"block","style":"normal"}],"link":"/view/screening-to-diagnosis-interval-vital-for-gestational-diabetes-outcomes","_type":"article","showSocialShare":true,"documentGroupMapping":[{"_ref":"obgyn_documentGroup_616_smfm","_type":"reference","_key":"7211254a1a40"}],"seoTag":["screening","diagnosis","interval","gestational 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She graduated from Youngstown State University in 2019 with a bachelor's degree in journalism and a minor in political science. Prior to graduating, Morgan worked as the editor-in-chief of her college newspaper. She went on to work as an assignment editor at a broadcast news station in Youngstown, Ohio before joining "},{"marks":["em"],"text":"the Contemporary ","_key":"00b8264e12af","_type":"span"},{"_type":"span","marks":[],"text":"brands","_key":"7b352c410c7d"},{"_type":"span","marks":["em"],"text":".","_key":"b46dc7b453de"},{"_key":"67cca3345c41","_type":"span","marks":[],"text":" You can reach her at mpetronelli@mjhlifesciences.com."}],"_type":"block","style":"normal","_key":"41bf2e52024b"}],"profileImage":{"_type":"mainImage","alt":"Morgan Ebert","asset":{"_ref":"image-7953af088000e9267e824fcca3a0708382efc50a-352x313-jpg","_type":"reference"}},"profileThumbnail":{"_type":"mainImage","alt":"Morgan Ebert","asset":{"_ref":"image-7953af088000e9267e824fcca3a0708382efc50a-352x313-jpg","_type":"reference"}},"_createdAt":"2021-10-05T20:43:20Z","company":"Contemporary OB/GYN","twitter":"https://twitter.com/petronellimedia?lang=en","displayName":"Morgan Ebert, Managing Editor","_type":"author","_id":"80f05b8a-1aa3-4506-b64b-d7bad043d8bb","lastName":"Ebert","linkedIn":"https://www.linkedin.com/in/morgan-petronelli/","url":{"current":"morgan-petronelli","_type":"slug"},"firstName":"Morgan","_updatedAt":"2024-09-30T20:33:30Z","email":"mpetronelli@mjhlifesciences.com"}],"ExcludeFromPubMedXML":false,"_updatedAt":"2025-02-03T17:02:03Z","contentCategory":{"_rev":"IlP9l41tH9jB20SbSpveLm","_type":"contentCategory","name":"Videos","_id":"42000fd0-0d05-4832-9f2c-62c21079b76c","_updatedAt":"2020-03-04T05:44:42Z","_createdAt":"2020-03-04T05:44:42Z"},"_rev":"sl0dTFPwzMUihljQVMJceF","documentGroupMapping":[{"_ref":"obgyn_documentGroup_616_smfm","_type":"reference","_key":"acb69b731ef4"}],"seoTag":["PAS","placenta accreta spectrum","SMFM 2025"],"body":[{"_key":"22b012a63c18","videoObject":{"videoDuration":"PT4M18S","videoDescription":"First trimester hemorrhage and anemia: new insights into placenta accreta spectrum risk","_type":"videoDetails","videoTitle":"First trimester hemorrhage and anemia: new insights into placenta accreta spectrum risk","thumbnail":{"_type":"image","asset":{"_ref":"image-692c1d5048ac9a1f5e93c7d2046eb9e390c8d8d8-868x482-png","_type":"reference"}}},"_type":"video","videoID":"6368067549112","disableAutoPlayVideo":false,"source":"brightcove"},{"style":"normal","_key":"dd289837e093","markDefs":[],"children":[{"_type":"span","marks":[],"text":"A recent study led by researchers at Mount Sinai sheds light on a potential link between first-trimester hemorrhage, anemia, and placenta accreta spectrum (PAS) development. This research aims to refine risk stratification in obstetric care, potentially leading to earlier and more targeted surveillance for high-risk pregnancies.","_key":"484b18127ea0"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"101903de6717","_type":"span","marks":[],"text":"\"The motivation for this study was born out of a parental study that's currently unpublished, ongoing with our main goal of identifying non-traditional risk factors for PAS,\" said Henri M. Rosenberg, MD, a third-year fellow in maternal-fetal medicine at the Icahn School of Medicine at Mount Sinai in New York. \"What the ultimate goal of being able at a preconception visit, or at a first OB, initial OB appointment, is being able to really scrutinize and risk stratify who needs more surveillance in this pregnancy.\""}],"_type":"block","style":"normal","_key":"f073a8589a10"},{"style":"normal","_key":"764d8eaca898","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The study’s findings revealed a significantly higher association between concurrent first-trimester hemorrhage and anemia with PAS. Rosenberg emphasized that while association does not imply causation, biological mechanisms could help explain the connection. \"When we have hemorrhage and when we have anemia at a placental local level, there could be some local hypoxia going on, disruption of the placenta from the decidua. And in those cases, it's possible that at least so pro-inflammatory state, abnormal vascular remodeling of the arterials, and could ultimately lead to an abnormal attachment of the placenta to any prior uterine defect.\"","_key":"dec5ad75839e"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"One of the most significant findings in the study was the strength of this association. \"I don't think we expected to find the degree of association as high as it is, being 16 times higher for the development of PAS or diagnosis of PAS, if you have a concurrent hemorrhage and anemia,\" Rosenberg noted. \"We think of all these traditional risk factors being prior C-sections, with or without prior previa, assisted reproductive technology, myomectomies, anything that can lead to uterine defect. But when we looked at when we compared our risk of association with the concurrent hemorrhage, it was much higher than these traditional risk factors.\"","_key":"7e32ffc5474c"}],"_type":"block","style":"normal","_key":"a97206ec48de","markDefs":[]},{"_key":"b654cc691621","markDefs":[],"children":[{"_key":"776a21708910","_type":"span","marks":[],"text":"Given these findings, Rosenberg reccomended heightened vigilance in obstetric care. \"I think given these findings, any patient with a traditional risk factor, or non-traditional risk factors, as we're finding throughout our parent study and this secondary analysis, these patients should probably have earlier screening, possibly at a center that has experience looking and diagnosing placenta accreta spectrum.\""}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"Future research aims to further explore non-traditional risk factors and improve early diagnostic techniques. \"It's important to continue to identify these non-traditional risk factors, to really risk stratify these patients and get them into earlier ultrasounds in the first trimester, possibly transvaginal if possible,\" Rosenberg concluded.","_key":"b39f160f8446"}],"_type":"block","style":"normal","_key":"9b6da2f0aae9","markDefs":[]}],"link":"/view/first-trimester-hemorrhage-and-anemia-new-insights-into-placenta-accreta-spectrum-risk","summary":"A new study links first-trimester hemorrhage and anemia to a higher placenta accreta spectrum risk, emphasizing early screening and non-traditional risk factors.","articleType":"News","taxonomyMapping":[{"identifier":"clinical/obstetrics","cmeType":"per","_createdAt":"2020-04-07T12:02:17Z","_rev":"L7yG3IvIye3EpJsuLNmsUN","parent":{"_ref":"contobgyn_taxonomy_53592_clinical","_type":"reference"},"perKeywordMapping":["Obstetrics \u0026 Gynecology","Women's 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Do you want to introduce yourself?","_key":"e8515d2dfd95"}],"_type":"block","style":"normal","_key":"42fecc0ab7e4"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"20ea7c0da6b4"}],"_type":"block","style":"normal","_key":"1969aabb8db2"},{"_key":"6c3970436923","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Daniel L. Kuhr, MD:","_key":"a3823d91903e"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Hi, yeah, thank you for having me. My name is Dan Kuhr. I am a third-year fellow in maternal fetal medicine at the Icahn School of Medicine at Mount Sinai in New York City.","_key":"3f62f19b8be3"}],"_type":"block","style":"normal","_key":"60dbdb487f8e"},{"style":"normal","_key":"c0e45b9c4c33","markDefs":[],"children":[{"marks":[],"text":"","_key":"707062b5b091","_type":"span"}],"_type":"block"},{"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"36eeac0bc6b8","_type":"span"}],"_type":"block","style":"normal","_key":"5f01101d9fd2","markDefs":[]},{"_key":"a02502ab79cc","markDefs":[],"children":[{"marks":[],"text":"So, to get started, can you go over the limits of using cervical length to predict spontaneous preterm birth?","_key":"cab8952fe26a","_type":"span"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"8496cc88672d","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"955da00c0a69"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kuhr:","_key":"982e6302efb6"}],"_type":"block","style":"normal","_key":"df46e55f7af2"},{"style":"normal","_key":"9625827cddf7","markDefs":[],"children":[{"_key":"64c4bbd73d91","_type":"span","marks":[],"text":"Yeah, you know, we have a complicated relationship with cervical length in obstetrics, because, on one hand, it is one of the best tools we have to predict spontaneous preterm birth, and at the same time, when you actually plot it out at predicting who's going to deliver before 37 weeks, it doesn't actually give us a lot of predictive value. And so, there's a need for more tools that can maybe increase our ability to accurately make that prediction."}],"_type":"block"},{"style":"normal","_key":"f5807425219a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"0f226f3de886"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"597a3e80e484","_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:"}],"_type":"block","style":"normal","_key":"b1cee0c26a1c"},{"_type":"block","style":"normal","_key":"855d42e14777","markDefs":[],"children":[{"_type":"span","marks":[],"text":"And with this in mind, what did your study find about the impact of neighborhood level indices on determining spontaneous preterm birth risk?","_key":"b381a17cb904"}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7bd297b81f54"}],"_type":"block","style":"normal","_key":"e244e7218fc7"},{"children":[{"_type":"span","marks":["strong"],"text":"Kuhr","_key":"26de485d9773"},{"_key":"308a98ecc209","_type":"span","marks":[],"text":":"}],"_type":"block","style":"normal","_key":"0b588fcc32ce","markDefs":[]},{"style":"normal","_key":"02ee4bfa4f62","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yeah, you know, we examined the index of concentration at the extremes, which is a measure of segregation, and the childhood opportunity index, which reflects the neighborhood resources. 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Our study only included 1000 patients with a total of 1038 pregnancies, and so it could be that we're not seeing an effect because we need an even bigger population to study.","_key":"f30efad06caa"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"fd77bc2873d7","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"6b974b8c4b92"},{"style":"normal","_key":"e2d03d999ff1","markDefs":[],"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"c907b39d2044","_type":"span"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"And what advice do you have for clinicians that are attempting to determine spontaneous preterm birth risk in their patients?","_key":"0fdf6010e576"}],"_type":"block","style":"normal","_key":"61775919be82","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"baf16afc6833"}],"_type":"block","style":"normal","_key":"53b86698cc45"},{"_key":"a5ff08f2f883","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Kuhr","_key":"a513ccce273e"},{"_type":"span","marks":[],"text":":","_key":"dcacfd2b5f4d"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The best thing that you can do is take a really good history when you meet a patient at the beginning of pregnancy, and really make sure you can get accurate gestational ages of delivery when possible, because we do know that history of a prior spontaneous preterm birth is also a risk factor, and so that and referring patients to MFMs or your local Sono unit for cervical surveillance when appropriate, can really help risk stratify those patients and those who need interventions can get them in a timely manner.","_key":"83498dc02b1a"}],"_type":"block","style":"normal","_key":"6b8e82825538"}],"_createdAt":"2025-01-31T16:13:23Z","is_visible":true,"seoTag":["neighborhood","data","indices","predicting","spontaneous","preterm birth","limits","SMFM"],"_updatedAt":"2025-01-31T19:03:03Z","link":"/view/study-explores-the-limits-of-neighborhood-data-in-predicting-preterm-birth","contentCategory":{"_createdAt":"2020-03-04T05:44:42Z","_rev":"IlP9l41tH9jB20SbSpveLm","_type":"contentCategory","name":"Videos","_id":"42000fd0-0d05-4832-9f2c-62c21079b76c","_updatedAt":"2020-03-04T05:44:42Z"},"url":{"current":"study-explores-the-limits-of-neighborhood-data-in-predicting-preterm-birth","_type":"slug"},"showSocialShare":true,"authorMapping":[{"lastName":"Krewson","displayName":"Celeste Krewson, Assistant Editor","_type":"author","_id":"ee298dd8-2193-4a3b-9a46-5cbf697c2249","url":{"current":"celeste-krewson","_type":"slug"},"_createdAt":"2022-08-11T17:40:16Z","_rev":"e84NFPEZDE2m9ARZ9doCYO","_updatedAt":"2023-03-20T18:34:04Z","firstName":"Celeste"}],"ExcludeFromPubMedXML":false},{"_type":"article","link":"/view/barbed-suture-reduces-blood-loss-in-hysterectomy","articleType":"News","published":"2025-01-30T22:46:11.295Z","body":[{"videoObject":{"videoDescription":"Reduced blood loss in hysterectomy","_type":"videoDetails","videoTitle":"Barbed suture","thumbnail":{"_type":"image","asset":{"_ref":"image-2dc76537873bda16e2ed53ea749d1adbfe526104-400x400-jpg","_type":"reference"}},"videoDuration":"3 minutes 1 second"},"_type":"video","caption":"Barbed suture reduces blood loss in hysterectomy | Image Credit: linkedin.com","videoID":"6368002446112","disableAutoPlayVideo":false,"source":"brightcove","_key":"787bbe31e622"},{"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"aaa8bb9b4e6b"}],"_type":"block","style":"normal","_key":"93861040d5d9","markDefs":[]},{"_type":"block","style":"normal","_key":"94026c5ef36a","markDefs":[],"children":[{"marks":[],"text":"Hi, I'm Celeste Krewson with Contemporary OB/GYN, and I'm here with Nicola Tavella to discuss the impact of barbed suture on blood loss during hysterotomy. Do you want to introduce yourself?","_key":"0bdbdb5f2b3e","_type":"span"}]},{"_key":"0217658c441b","markDefs":[],"children":[{"marks":[],"text":"","_key":"e311d249f19f","_type":"span"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"e467e7ae021c","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Nicola F. Tavella, MPH:","_key":"699bc3f832eb"}]},{"_type":"block","style":"normal","_key":"f1ff1623e578","markDefs":[],"children":[{"_key":"80ae2277a0dd","_type":"span","marks":[],"text":"Sure, yes. Hi, thank you. My name is Nico Tavella. I'm the clinical research program director for maternal-fetal medicine at the Icahn School of Medicine at Mount Sinai in New York City."}]},{"_key":"10280b9f5191","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"666b65ff2144"}],"_type":"block","style":"normal"},{"_key":"cbfcd72fb3df","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"f8403ff63efe"}],"_type":"block","style":"normal"},{"_key":"dcab0b3cb218","markDefs":[],"children":[{"_type":"span","marks":[],"text":"So, to get started, can you go over some of the benefits of reducing blood loss during hysterotomy?","_key":"dea2414f2c8f"}],"_type":"block","style":"normal"},{"_key":"2b9477c8729a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"9b6842a3964e"}],"_type":"block","style":"normal"},{"children":[{"marks":["strong"],"text":"Tavella:","_key":"3ba4851b1dd8","_type":"span"}],"_type":"block","style":"normal","_key":"1c01fbe43f53","markDefs":[]},{"_type":"block","style":"normal","_key":"a5d6c8407765","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yes, of course. So, you know, when we understand morbidity that's associated with deliveries and with birth, one of the first things we think about is mode of delivery, related to cesarean vs vaginal delivery, and one of the primary contributors to morbidity for both patients and their newborns is the loss of blood during the delivery itself. And so, any way that we can mitigate blood loss during the delivery is an improvement in terms of clinical outcomes. And so, you know, this study really started because we were interested in ways in which we could mitigate that.","_key":"f5d7275e1a29"}]},{"style":"normal","_key":"cf5cb43d638c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"ae3bc8bc29f2"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"7fdb08106eae","_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:"}],"_type":"block","style":"normal","_key":"dc693a7fe566"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"And what did your study showcase for the impact of barbed suture on blood loss during hysterotomy?","_key":"7e063e0a6cc2"}],"_type":"block","style":"normal","_key":"39fd9b2f035c"},{"_key":"472c769e1050","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"14ad1837617c"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":["strong"],"text":"Tavella:","_key":"c32c12f62692"}],"_type":"block","style":"normal","_key":"d6806a950029","markDefs":[]},{"_key":"342a4c339b9f","markDefs":[],"children":[{"text":"So our study was a randomized control trial where we randomized 113 patients in each group to either receiving the barbed suture or the standard, you know, conventional suture that's used in these kinds of procedures, and specifically for the closure of the uterine incision. And what we found was that the use of the barbed suture, when we applied logistic regression modeling including different confounders that are potentially going to affect blood loss in deliveries, we found that the barbed suture did have a significantly reduced average blood loss among the deliveries.","_key":"aa4a8fd173c7","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"b7d2e25463bb"}],"_type":"block","style":"normal","_key":"e123abac7d75"},{"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"555d95b45c5f"}],"_type":"block","style":"normal","_key":"708b4a6d7dc8","markDefs":[]},{"style":"normal","_key":"f1a003ff2644","markDefs":[],"children":[{"_type":"span","marks":[],"text":"And what are some clinical takeaways of this information for clinicians to bring into their practice?","_key":"d4dd66466418"}],"_type":"block"},{"children":[{"_type":"span","marks":[],"text":"","_key":"b7ad4a020cc4"}],"_type":"block","style":"normal","_key":"ed2b2485aabf","markDefs":[]},{"children":[{"marks":["strong"],"text":"Tavella:","_key":"a96db7d935a1","_type":"span"}],"_type":"block","style":"normal","_key":"69d1d4294d8d","markDefs":[]},{"_type":"block","style":"normal","_key":"d5cbe289417f","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yeah, that's a great question. I mean, I think there's certainly a lot more research that needs to be done. This is one of the first RCTs in which this kind of outcome has been examined in this specific, you know, systematic of a way. And so, I think the first step is to make sure that we have more robust research that confirms these kinds of findings. But I also think it begs the question of, you know, considering the materials that are being used in deliveries in such a way that we're maximizing patient outcomes relative to the cost of those materials for the given institution.","_key":"73aa07689a3b"}]},{"_type":"block","style":"normal","_key":"503c9327edc9","markDefs":[],"children":[{"_key":"809f8c918b87","_type":"span","marks":[],"text":""}]},{"children":[{"_key":"c82a2e8178d3","_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:"}],"_type":"block","style":"normal","_key":"0ca9401f5ec1","markDefs":[]},{"_type":"block","style":"normal","_key":"b55b74c02d99","markDefs":[],"children":[{"text":"Those are great points. We're just about ready to wrap up, but is there anything you want to add first?","_key":"82851245e095","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"52cd6abb049e"}],"_type":"block","style":"normal","_key":"df33bd4d5e2f"},{"children":[{"_type":"span","marks":["strong"],"text":"Tavella:","_key":"ac57b71f41ac"}],"_type":"block","style":"normal","_key":"55e921802af7","markDefs":[]},{"_key":"81dd3970c7f5","markDefs":[],"children":[{"_type":"span","marks":[],"text":"No, that's it. Thank you so much for having me and for taking the time to talk about this.","_key":"85df0678532e"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"","_key":"9784e9b9d823"}],"_type":"block","style":"normal","_key":"df25ad8de1ec","markDefs":[]},{"style":"normal","_key":"90ff35ae0b67","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"7fae3db29257"}],"_type":"block"},{"style":"normal","_key":"f3dc65f5fb58","markDefs":[],"children":[{"marks":[],"text":"Well, thank you for speaking with me.","_key":"c7d64362951d","_type":"span"}],"_type":"block"}],"title":"Barbed suture reduces blood loss in 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I'm Celeste Krewson with Contemporary OB/GYN, and I'm here with Dr. Dubuisson to discuss the first hysterectomy performed with the miniRAS device. Do you want to introduce yourself?","_key":"b44773fc72810"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Jean Dubuisson, MD, PhD:","_key":"da80318435fe0"}],"_type":"block","style":"normal","_key":"d07eb7b2ed67"},{"children":[{"_key":"95a40fab8c8b0","_type":"span","marks":[],"text":"Hi, Celeste, it's a pleasure to be with you today. So, my name is Jean Dubuisson. My current position is head of the gynecological surgery unit at Geneva University Hospitals, Switzerland. I'm also affiliated with the University of Geneva as a senior lecturer. I'm an expert in minimally invasive surgery, including laparoscopy, vaginal approach, hysteroscopy, and vNOTES as well."}],"_type":"block","style":"normal","_key":"4ea05d758e0d","markDefs":[]},{"markDefs":[],"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"0b47ee4a89a50","_type":"span"}],"_type":"block","style":"normal","_key":"aa3dad59912a"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"So, to get started, can you discuss how the device improves the performance of doctors performing a hysterectomy?","_key":"2dc657cb53400"}],"_type":"block","style":"normal","_key":"af511d80c569"},{"children":[{"_type":"span","marks":["strong"],"text":"Dubuisson:","_key":"c529b964fc0d0"}],"_type":"block","style":"normal","_key":"ad45876241da","markDefs":[]},{"markDefs":[],"children":[{"marks":[],"text":"Yes, so the MIRA surgical system is the world's first miniaturized robotic-assisted surgical device. We call it minibot as well. It's used to perform soft tissue surgeries through only one single incision through the abdomen, and the main advantage of this mini bot is its unique portability and small design. That's why the mini MIRA device is compact, I think probably less than 1 kilogram, it’s extremely useful, and the framework is portable as well. So, it's a little bit to sum up the benefits of the MIRA robot, and what is new in this field of gynecology.","_key":"9dd76c2081a60","_type":"span"}],"_type":"block","style":"normal","_key":"4a3e1c23c538"},{"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"3ed589a60d310"}],"_type":"block","style":"normal","_key":"e9d9ff398095","markDefs":[]},{"_type":"block","style":"normal","_key":"7601753d3139","markDefs":[],"children":[{"_type":"span","marks":[],"text":"That's great. So, what's the significance of the first successful hysterectomy being performed with this device?","_key":"4d0080b0f89d0"}]},{"_type":"block","style":"normal","_key":"bf85da4a54e9","markDefs":[],"children":[{"text":"Dubuisson:","_key":"2e5a1e391b700","_type":"span","marks":["strong"]}]},{"_type":"block","style":"normal","_key":"1763501b0d47","markDefs":[],"children":[{"_type":"span","marks":[],"text":"So, for us, it's very important, because today, for example, in the United States, hysterectomy is the second most common surgical procedure performed in gynecology, after C-section, of course, accounting for over half a million procedures per year. So, it's huge, even now, and the proportion of laparotomy, invasive surgery, is still very high. That's why I think, and we think with Virtual Incision, there is still significant room for improvement in increasing adoption of the mini procedures, and the mini bot MIRA surgical system will help us to improve this rate, this proportion of minimally invasive surgery. So, we did this first procedure in Geneva. It was an absolute privilege for me to participate to this project, of course, and the hysterectomy went well, so it's important for us to have the first case and to know that it's possible and safe to do it.","_key":"8acc59fe4ff20"}]},{"_type":"block","style":"normal","_key":"4afee2da8e54","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"5959b03806810"}]},{"children":[{"_type":"span","marks":[],"text":"And can you go into a bit more detail about how the procedure was performed?","_key":"f1ebf18199e70"}],"_type":"block","style":"normal","_key":"7829693781bb","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Dubuisson:","_key":"250688c006160"}],"_type":"block","style":"normal","_key":"d4cdec684b67"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yes, so we had the chance, it's a team-up. I used to work with a team and staff members, and we performed the first hysterectomy in the world using the miniaturized robot, on the 12th of July. It was quite a straightforward procedure. I was happy, honestly, with no intraoperative complications during the follow-up as well, we encountered no complications. So, I was very happy. We started a pilot study for the future, and that's a really important step, I think, not only to do 1 procedure but to continue with a lot of data and to be sure that it's a good device to perform the hysterectomies.","_key":"1fdac5fcc7270"}],"_type":"block","style":"normal","_key":"ee9704ed0643"},{"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"320c41c6e6da0","_type":"span"}],"_type":"block","style":"normal","_key":"a04f08f783f1","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"And what are the advantages of minimally invasive surgery versus a more open approach?","_key":"a49a95051dce0"}],"_type":"block","style":"normal","_key":"fdf3bdd9f8b0"},{"style":"normal","_key":"bd2e7fe1117b","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Dubuisson:","_key":"79e34bd72be10"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"bd247fc7302d0","_type":"span","marks":[],"text":"That's a very good question, Celeste. We know since probably 2 decades ago that minimally invasive surgery is associated with shorter hospital stays, less morbidity, and a quicker recovery to normal activities. It has been demonstrated with laparoscopy and standard robotic surgery, but there is still a quite high level of invasive approach called open surgery, or laparotomy. And the goal of introducing and implementing such robotics is to reduce the rate of invasive surgery. It's very important for the patient. We have to think of the patient, and I think the patient outcomes will be improved with the implementation of this robot. I really think so, and if we can reduce this rate of invasive surgery, it's a milestone for the future of a patient in gynecology."}],"_type":"block","style":"normal","_key":"a0f079b669ac"},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"b0b0cf576f630"}],"_type":"block","style":"normal","_key":"af813ed0df04"},{"style":"normal","_key":"dc9a1ccd1af7","markDefs":[],"children":[{"marks":[],"text":"Those are great points. We're just about ready to wrap up. But is there anything you want to add first?","_key":"9c6601556e080","_type":"span"}],"_type":"block"},{"style":"normal","_key":"03e8433c1dcd","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Dubuisson:","_key":"79ed0da59b710"}],"_type":"block"},{"style":"normal","_key":"3e56e2a623ac","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Yes, it's a pleasure for me to share this with all my colleagues. I think it's important we do a lot of innovations with these small robots, and the portability is a very important thing. It means that you have shorter setup times, and we are not so much in the in the area, so you will reduce the number of specialized staff needed compared to other surgical robots, and it's very quick to learn how to manage this robot for my team. Not only the surgeon, the surgeon needs to be trained, but for my team, it's quite easy, and probably easier than the standard robots in the market now.","_key":"f76b174e71130"}],"_type":"block"},{"_type":"block","style":"normal","_key":"08455fd17734","markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN:","_key":"094232cfe06f0"}]},{"children":[{"_key":"a317c9f4e8910","_type":"span","marks":[],"text":"Well, thank you for speaking with me today."}],"_type":"block","style":"normal","_key":"dcd5c8638015","markDefs":[]},{"children":[{"_key":"c69189e984340","_type":"span","marks":["strong"],"text":"Dubuisson:"}],"_type":"block","style":"normal","_key":"d799869e7961","markDefs":[]},{"_key":"c0486d4ab77d","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Thank you so much. Have a nice day. ","_key":"2529ae5ee8440"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"1308ef6d9141"}],"_type":"block","style":"normal","_key":"32cc469e8ffa"},{"children":[{"_type":"span","marks":[],"text":"","_key":"2566f8c53a9c"}],"_type":"block","style":"normal","_key":"b4884f94b500","markDefs":[]},{"_type":"block","style":"normal","_key":"2cd6b5091682","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"ba3615856ff9"}]}],"link":"/view/pap-talk-s4e15-mira-surgical-system-for-hysterectomy-with-jean-dubuisson-md-phd","published":"2024-12-31T19:00:00.000Z","_rev":"U0VUelktZWz2s4lkqu0ZBZ","_createdAt":"2025-01-02T14:47:29Z","_id":"92df2718-0e18-4395-9d3e-2af884930240","authorMapping":[{"_ref":"ee298dd8-2193-4a3b-9a46-5cbf697c2249","_type":"reference","_key":"90a3d73a225a"}],"is_visible":true,"taxonomyMapping":[{"_ref":"contobgyn_taxonomy_4806_surgery","_type":"reference","_key":"67d4d353912c"}],"contentCategory":{"_createdAt":"2020-03-04T05:44:42Z","_rev":"Psvqw0PI36qopiP1Vhp1zF","_type":"contentCategory","name":"Podcasts","disableAds":false,"_id":"93d57b69-2d72-45fe-8b8a-d18e7e7e5f20","_updatedAt":"2021-05-21T18:12:24Z"},"summary":"In this episode of Pap Talk, Jean Dubuisson, MD, PhD, discusses the first successful hysterectomy performed using the MIRA surgical system. 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"}],"_type":"block","style":"normal","_key":"267cfe2662f3"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"25ef5bc34d38"}],"_type":"block","style":"normal","_key":"035d3a0232c6"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Brief recap of reproductive rights restrictions","_key":"165586bae04d0"}],"_type":"block","style":"h3","_key":"c26da3b0bdeb"},{"_key":"d75eca6843f0","markDefs":[],"children":[{"_key":"b685657370f0","_type":"span","marks":[],"text":""}],"_type":"block","style":"h3"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"David Hackney: ","_key":"feed476047870"},{"_type":"span","marks":[],"text":"As folks probably know, the laws in Ohio changed on the very day of Dobbs on June 24. There had been SB 23, which was the quote unquote, \"Heartbeat Bill,\" which had passed back in 2019. But while Roe was the law, the heartbeat bill had been held up in the courts. We all knew that the attorney general in the state was going to ask for SB 23 to be enforced at the time that Dobbs came. And as expected, they did ask for the injunction to be lifted on June 24. Well, what we didn't expect, which probably, in retrospect, we should have been ready for, was for the law to change at that very moment.","_key":"feed476047871"}],"_type":"block","style":"normal","_key":"496932bfb238"},{"children":[{"marks":[],"text":"","_key":"6933804005360","_type":"span"}],"_type":"block","style":"normal","_key":"10ab123aff64","markDefs":[]},{"_key":"92bed900a193","markDefs":[],"children":[{"_type":"span","marks":[],"text":"The judge overturned the injunction right then, and because it had been caught up in injunctions in the court, you didn't have the usual 90-day waiting period. Most of the time, when a law goes into effect, you have 90 days. And the 90 days is very important because you have to review the law and you have to change your policies and protocols. SB 22 was a law in Ohio that very night. And I was on call for MFM that Friday night. I remember people started to text me saying that the law had changed, asking [things] like, \"how long do we have?\" And everyone said, \"No, it's a law right now.\" So I had to go in on Saturday, I had to go in on Sunday, and I wound up having a bleeding patient and I wound up having a patient who was going into heart failure.","_key":"68b7a9db7e0a0"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"2c270a20e5690","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"514cac5cdc81"},{"_type":"block","style":"normal","_key":"8111a3e09f36","markDefs":[],"children":[{"_type":"span","marks":[],"text":"As folks are also probably aware, the law is now back under injunction by state law. My gratitude and kudos towards the legal team who have been fighting SB 23. And specifically, they made the wise decision to move it from the state Supreme Court, which was willing to hear the case but not apply an injunction to a district court in Cincinnati. I should pause here and say that I am neither a lawyer nor a legislator, but that judge placed it under an injunction [inaudible], because we had gone about two and a half months under SB 23. So it is an injunction now, and my understanding is [that] it will remain an injunction until reruled by the Ohio Supreme Court. We did have statewide elections in November, including the Supreme Court. The justices which were elected, you never know how anyone is going to rule, [but] they do historically tend to lean against abortion rights. So there is a high probability, at least at some point, SB 23 may be put put back into law by the Supreme Court. At which point, our next step would be a constitutional amendment, then. And that, of course, is a complicated and potentially long process. We're going to have to see what the legal process is for SB 23 versus getting a constitutional amendment on the ballot. I do believe that if we have a constitutional amendment in the state, it would pass. You know, like most states, the great lion's share of people who live in Ohio do support certainly, at least, fundamental rights, let alone laws that are as extreme as SB 23. SB 23 makes no exception for rape. No exceptions for incest. There's no exception for any sort of fetal condition, including anomalies which are outright lethal.","_key":"3c096ba7074b0"}]},{"children":[{"_type":"span","marks":["strong"],"text":"How has this landmark decision affected access to care in Ohio, and the landscape of maternal health nationwide?","_key":"74dfe0c114c40"}],"_type":"block","style":"h3","_key":"fe7ae346b209","markDefs":[]},{"style":"normal","_key":"97928109730a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"205bdf8d7d860"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"David Hackney: ","_key":"4d88658547cc0"},{"marks":[],"text":"The two and a half months under which we are under SB 23 were just awful. I feel somewhat lucky and grateful to our legal team to have the injunction in place. Now, I hope for the injunction to be in place for as long as we can. My heart absolutely goes out for my colleagues in other states who are not as fortunate as we are at the moment. Especially friends in Georgia [where] the 6-week ban just went back into place. And even under SB 23, our situation in Ohio certainly was not as bad as Texas. For example, SB 23 did explicitly spell out that we could provide abortion services to patients with previable PROM (previable membrane rupture). We did not have to wait for bleeding or infection or fever, which certainly was not the case in Texas and some of the other states.","_key":"4d88658547cc1","_type":"span"}],"_type":"block","style":"normal","_key":"70ccf33b28c5","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"","_key":"73722c402f0f0"}],"_type":"block","style":"normal","_key":"4e1b56d51a5a","markDefs":[]},{"markDefs":[],"children":[{"_key":"276dbb67ecbd0","_type":"span","marks":[],"text":"In terms of how things were during that time period, you can roughly divide it into the fetal cases and the cases for for maternal health. The fetal cases were just sad. When it came to the law, the law for the fetal cases is very straightforward. SB 23 did not allow for termination, even under the most lethal of circumstances. There were patients that we saw who had lethal anomalies who we were not able to provide abortion care to. There are patients in Ohio right now who are having to continue pregnancies from that two-and-a-half-month period because they were not able to get abortion care, which is utterly tragic. So those fetal cases were legally straightforward, though heartbreaking."}],"_type":"block","style":"normal","_key":"217a3c37a928"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"8576cd83a8310"}],"_type":"block","style":"normal","_key":"1a97e03ee6a9"},{"markDefs":[],"children":[{"marks":[],"text":"In many circumstances, the maternal medical cases were much more stressful. The law did spell out some specific conditions, but a lot of these laws--and Ohio was by no means unique in this circumstance--a lot of the language was fairly unclear and it carries criminal penalties. No one wants to face criminal penalties. It was predominantly an affirmative defense where the burden of proof--without myself being a lawyer or necessarily being able to explain this elegantly--but basically, affirmative proof was based on us. Specifically, [with] practicing maternal-fetal medicine, moms with health conditions is what we do and what we see in a very day-in and day-out sort of way and we do have to offer abortion services to cases where mom's health is at risk. We're just not used to thinking about criminal charges in medicine in general, especially in obstetrics and especially in maternal-fetal medicine, you know, civil risks are present all the time. From a psychological standpoint, we get used to facing several risks--not just with practice, but with regards to our emotional expectations and the emotional armor that we wear. We're not used to facing criminal risks. Criminal risks really aren't part of medicine at all. To find yourself having to think about criminal charges--in the context of trying to provide the best patient care that we can--was a terrible circumstance to be in.","_key":"953730418f3e0","_type":"span"}],"_type":"block","style":"normal","_key":"819d67e87830"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"How has this decision altered your practice, including how you counsel patients?","_key":"bd61b716fb820"}],"_type":"block","style":"h3","_key":"30769f4969f5"},{"children":[{"_type":"span","marks":[],"text":"","_key":"bdee186f668b"}],"_type":"block","style":"normal","_key":"0dbf1822733d","markDefs":[]},{"_type":"block","style":"normal","_key":"3cb2fb4a6a20","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"David Hackney: ","_key":"d3f84e2114e50"},{"_type":"span","marks":[],"text":"Diagnosing a birth defect, of course, is difficult. Under even the best of circumstances. We would generally take the approach of trying to keep everything as similar as we could to before Roe. So you obviously have to go through the process of diagnosing and breaking the bad news to the patient, and then discussing the options. And in Ohio, SB 23 didn't limit speech. There are other states where you are not allowed to refer, or where there were constraints on provider speech. We can still counsel patients normally. For the patients who did want to discontinue pregnancies in the context of a fetal anomaly, we can still refer out-of-state. A lot of the work we needed to do at that time was to set up our referral patterns, mostly to/from Cleveland, Michigan, and Pittsburgh. Fortunately, even if things do change again in Ohio, it looks like rights should be clear in those two states for the time being.","_key":"d3f84e2114e51"}]},{"style":"normal","_key":"4ce840792c5c","markDefs":[],"children":[{"marks":[],"text":"","_key":"ed0759279b930","_type":"span"}],"_type":"block"},{"_type":"block","style":"normal","_key":"c13d940258a5","markDefs":[],"children":[{"_type":"span","marks":[],"text":"We were at least able to keep moving forward with everything we could to try to provide out-of-state procedures. Of course, some patients don't have the money to travel, and really, the time. One of the problems is that, in many circumstances, other states have a 24-hour waiting period. Depending upon the exact interpretation of the law, sometimes the 24-hour waiting period cannot start until the patient is physically in the other state. And the 24-hour waiting period usually predates cervical dilators or [inaudible]. So, you would have to have traveled to another state, and then [undergo] the 24-hour waiting period, and then usually 24 hours of cervical agents. It just all equates to, basically, days, and even if a patient has the money, you don't always have patients who can delegate days.","_key":"c6866a7101d60"}]},{"children":[{"_type":"span","marks":[],"text":"","_key":"91f9dd3647d70"}],"_type":"block","style":"normal","_key":"bea3b5ff26b3","markDefs":[]},{"markDefs":[],"children":[{"text":"As chair of the Ohio chapter, is the American College of Obstetricians and Gynecologists (ACOG) taking any legal action to advocate against these restrictions on reproductive health care?","_key":"7846aa84640d0","_type":"span","marks":["strong"]}],"_type":"block","style":"h3","_key":"3c41e1c186f0"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"bc8c4aa7ba620"}],"_type":"block","style":"h3","_key":"e66a7b798c27"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"David Hackney: ","_key":"79609b0cb9dd0"},{"_type":"span","marks":[],"text":"The constitutional amendment is the next step. That's a very complicated process, with the major question being trying to get on the ballot at 2023 versus 2024. There's advantages and disadvantages. Obviously, 2023 would be sooner. If you have these abortion laws in place every day--and every week counts--even the two and a half months that we were under SB 23 was way too long. We had serious harm which occurred under those two and a half months. Part of me will certainly want 2023 and there's people who are leaning towards 2023. On the other hand, 2023 is pretty soon, in terms of getting everything set to get it on the ballot. And then, if you want to be absolutely certain that it passes, you're potentially goint to have more voters going to the polls in 2024. However, it's going to cost a lot more. These are very expensive endeavors. Media ad buys are going to be much more pricey in 2024, especially because we'll have other races going on at that time.","_key":"79609b0cb9dd1"}],"_type":"block","style":"normal","_key":"377200d27d83"},{"_key":"3ce24230127a","markDefs":[],"children":[{"_key":"03c0c739fa44","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal"},{"_key":"f636501f0f53","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Of course, I'm a doctor, not a pollster. I don't work for FiveThirtyEight or things along those lines. I have my own opinions regarding 2023 or 2024, most of which are that I would absolutely want adverse laws to be in effect for as short of a duration as we possibly can, given the human suffering that is at stake. To a large extent, I will defer a lot of these strategy decisions to the people who work in this area. Ultimately, all of the interested parties in the state [are] going to need to be on the same page. There are multiple groups who are going to work on a constitutional amendment, of which ACOG plans to obviously be involved in, among many. At some point, we'll settle on language and exact strategy, and then we will be all in.","_key":"93d2ba1669e70"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"","_key":"4dad99fc4d720"}],"_type":"block","style":"normal","_key":"83c3229d5ae2","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"It's going to be a long haul. It's going to be the long game, but I do believe that abortion rights will be reinstated. The constitutional amendments and ballot measures have passed in every single state, including states like Kentucky and Kansas, and other states which are similar to Ohio with regards to being purple-ish states. I will just refuse to believe that a law as terrible as SB 23, which causes the suffering that [it] causes, [and] that is opposed by such a large percentage of people in Ohio, would be able to remain on the books forever. Of course, if the injunction is lifted--if it does go back into effect--I want that period to be as short as humanly possible. You always are playing the long game. I do believe that abortion rights will be restored at some future point. We are certainly here for the long game to fight the fight in the state as well.","_key":"1150e8c635bf0"}],"_type":"block","style":"normal","_key":"1ff4415cb3f5"}],"documentGroup":null,"is_visible":true,"_updatedAt":"2022-12-22T19:10:07Z","_id":"063aed0a-f042-4f2e-88f1-92d1d11a398a","ExcludeFromPubMedXML":false,"summary":"In this episode of Pap Talk, we spoke with David Hackney, MD, MS, maternal-fetal medicine physician at Case Western Reserve University and chair of ACOG's Ohio chapter for a full recap of where restrictions on reproductive rights have been and where they're going. 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From maternal mortality to preterm birth, Cowan dives into what health conditions will be affecting women most in 2023 and how the specialty is trying to combat these issues.","_key":"6245071b6b85"}],"_type":"block","style":"normal","_key":"b7d38af5e256","markDefs":[]},{"style":"normal","_key":"9723515b163c","markDefs":[{"_type":"link","href":"https://www.contemporaryobgyn.net/view/2023-women-s-health-outlook","_key":"a626e80499fd","nofollow":true,"blank":true}],"children":[{"marks":["a626e80499fd"],"text":"Watch this episode here. 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I'm also a nurse midwife, and my interest in environmental health was really born from a greater recognition of how the environment can impact reproductive health. It's kind of been woven throughout my career as a nurse midwife.","_key":"4bf27a684291","_type":"span"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Q: What are some of the key points providers should know in terms of environmental exposures and women's health?","_key":"554ad7699dcb0"}],"_type":"block","style":"normal","_key":"b83778164794"},{"style":"normal","_key":"dea49ea71532","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"KH:","_key":"bf7e71517d4d0"},{"_type":"span","marks":[],"text":" No matter what area of health care you're in, [or] what your profession is, whether you're a nurse, advanced practice, nurse physician, most of us haven't had very much environmental health education. It's a really underutilized area of health care, where we have such an amazing opportunity to help prevent disease, and to help our patients have much better outcomes. ","_key":"bf7e71517d4d1"}],"_type":"block"},{"_key":"a1b9c001f300","markDefs":[],"children":[{"text":"When we look at environmental exposures and things that our patients can be exposed to, whether it's at home or at work, or just out in the environment, we can have such an amazing impact on their health.","_key":"61d7fc2adfa0","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Q: What are the most prevalent environmental issues right now in terms of women's health?","_key":"b97cf51c780b0"}],"_type":"block","style":"normal","_key":"0c6015ee7e9f"},{"style":"normal","_key":"bfcb810d13a6","markDefs":[],"children":[{"text":"KH:","_key":"242cf8c3ddea0","_type":"span","marks":["strong"]},{"_key":"242cf8c3ddea1","_type":"span","marks":[],"text":" I would say, right now, one of my main areas of interest is around climate change. There's a growing consensus that climate change is the most pressing public health issue that we currently face. But conversely, it's also the greatest opportunity. Because when we address climate change, there's so many different aspects to health that we're able to touch upon. "}],"_type":"block"},{"markDefs":[],"children":[{"_key":"9309b3c72490","_type":"span","marks":[],"text":"Within climate change, things that are associated with that are things like air pollution, extreme heat, greater areas for vector borne diseases, issues around water--like flooding and drought, wildfires--there's just so many different components and depending on the age of your patient, whether it's newborns, elderly people, [or women of] reproductive age, they have different health impacts depending on [not only] their age, but also if they have chronic diseases. "}],"_type":"block","style":"normal","_key":"9cbb571e7ad4"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"For example, with air pollution, we know that when the temperature goes up, the air quality goes down. When we're having more high-heat days, we're having more poor-air-quality days. ","_key":"06c3c7cb6e0c"}],"_type":"block","style":"normal","_key":"22816d9827e2"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"So [for] patients that have respiratory issues or cardiac issues, if they're outside on these poor-air-quality days or don't have access to...good indoor air quality, they can be more likely to end up in the emergency room [with] respiratory issues or cardiac issues.","_key":"845f6fcc01f0"}],"_type":"block","style":"normal","_key":"95adafa69937"},{"children":[{"_key":"3aa2878ebb6e0","_type":"span","marks":[],"text":"As health professionals, I think we have a moral obligation to be talking to our patients about ways to reduce exposures. Using air pollution as an example, there's a tool called "},{"_type":"span","marks":["ca82afacaa1c"],"text":"airnow.gov","_key":"3aa2878ebb6e1"},{"marks":[],"text":", where they can sign up and get alerts on their phone or in their emails so the day before a poor-air-quality day, it'll tell them it's going to be bad air tomorrow, and here's some things that you need to be doing, depending on what type of preexisting condition you have.","_key":"3aa2878ebb6e2","_type":"span"}],"_type":"block","style":"normal","_key":"7e7be591e7d0","markDefs":[{"_type":"link","href":"https://www.airnow.gov/","_key":"ca82afacaa1c"}]},{"children":[{"_type":"span","marks":[],"text":"We also need to be getting involved in advocacy, because climate change is a huge issue. While individual actions are really important, we really need to be talking with our elected officials and with policymakers, and helping them make that connection between health and climate change and [let them know that] when they're taking these climate actions, that they're really improving the health of their constituencies.","_key":"95157a978a430"}],"_type":"block","style":"normal","_key":"24214b16fdf3","markDefs":[]},{"_type":"block","style":"normal","_key":"4b33c81c67b3","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Q: What are some important findings from the benchmark Body Burden studies?","_key":"1ae9d59393e40"}]},{"style":"normal","_key":"4ebe63e45183","markDefs":[{"_type":"link","href":"https://www.ewg.org/research/body-burden-pollution-newborns","_key":"6e2a0ce1cf18"}],"children":[{"_type":"span","marks":["strong"],"text":"KH:","_key":"ee4d2418e5a50"},{"_type":"span","marks":[],"text":" About 15 years ago, ","_key":"ee4d2418e5a51"},{"_type":"span","marks":["6e2a0ce1cf18"],"text":"the first comprehensive body burden studies","_key":"ee4d2418e5a52"},{"text":" started to be formed, where they were testing different body fluids, like blood, urine, breast milk for a wide range of industrial chemicals. The reason that first started around that time was [because] that was when we first had the lab tests that can actually run and be able to evaluate if [those chemicals were] in bodily fluids, and then the human body. So when they first did a pilot test on around 15 adults, they found a variety of different chemicals within them in measurable amounts. Then they partnered with the American Red Cross and did cord blood testing on around 20 infants right after birth, and they found around 285 different chemicals within that the cord blood right at birth. So, this shows that those infants, throughout pregnancy--we don't know exactly what times in pregnancy they may have been exposed to these different chemicals--were being exposed to measurable amounts of chemicals. ","_key":"ee4d2418e5a53","_type":"span","marks":[]}],"_type":"block"},{"style":"normal","_key":"38a82baf0714","markDefs":[],"children":[{"text":"Many of these are associated with health impacts, like neurological issues, such as autism and ADHD, developmental issues, things that we're seeing rising rates of. I don't think it's the whole picture on why some of these different diseases and ailments are arising, but I think it's a component of why we're seeing that.","_key":"5155212ec8fb","_type":"span","marks":[]}],"_type":"block"},{"_type":"block","style":"normal","_key":"f0d3b550d2d2","markDefs":[],"children":[{"text":"Q: How can providers counsel their patients on limiting environmental exposures?","_key":"492f094a37000","_type":"span","marks":["strong"]}]},{"style":"normal","_key":"2c99c0545082","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"KH:","_key":"086dd1b5411d0"},{"text":" One tool that I talked about in my talk is the Safe Baby Products Guide. It's a really awesome resource for new parents and parents-to-be, talking about some of the common, more toxic chemicals that may be found in different baby products--whether it's mattresses, strollers and carriers, or other products that you might be using with babies. ","_key":"086dd1b5411d1","_type":"span","marks":[]}],"_type":"block"},{"_type":"block","style":"normal","_key":"ee95cffec050","markDefs":[],"children":[{"_type":"span","marks":[],"text":"I think it's really great to help them start thinking about what could be in products, so they become more educated consumers. [It also] provides some examples of products that are safer. ","_key":"28aeaf0ff72a"}]},{"children":[{"_type":"span","marks":[],"text":"It also talks about affordability. Because one thing that's been really challenging for a lot of our lower income patients [is that] safer products have been out of reach. This is a real environmental justice issue Because of your income or where you live, you shouldn't have only access to more toxic products. So, as part of that guide, we provide guidance on choosing more inexpensive, safer products, where to look for those and ways that [families with limited funds] can be pulling their nursery together.","_key":"fca4fe7acaec"}],"_type":"block","style":"normal","_key":"323232ed5aad","markDefs":[]},{"markDefs":[{"_type":"link","href":"https://cdn.sanity.io/files/0vv8moc6/contobgyn/4a3083f8834176ceb860fe23aa80cbe7c9f93007.pdf/Safe%20Baby%20Products%20Guide.pdf","_key":"f3de777e4c68"}],"children":[{"_type":"span","marks":["f3de777e4c68"],"text":"Download a PDF of the Safe Baby Products Guide here.","_key":"ca2ad88629ee0"}],"_type":"block","style":"normal","_key":"ec0d0dd50649"}],"is_visible":true,"ExcludeFromPubMedXML":false,"_id":"ae9a3d57-c452-483b-bdd9-b84a2a68514e","summary":"From safe baby products to helping your patients become educated consumers, Huffling's insights are valuable across practices. ","title":"Pap Talk: The impact of environmental exposures on women's health","url":{"current":"pap-talk-the-impact-of-environmental-exposures-on-women-s-health","_type":"slug"},"seoTag":["pap talk","podcast","climate change","air pollution","women's health","pregnancy","baby products","toxic","safe","healthy"],"_createdAt":"2022-10-24T14:27:10Z","_updatedAt":"2022-10-24T14:27:10Z","_rev":"t4xUqvXKkpuQsqIbGyEJsA"},{"ExcludeFromPubMedXML":false,"_type":"article","summary":"Amy Levi, CNM, WHNP-BC, FACNM, FAAN, Albers Endowed Professor of Midwifery at the University of New Mexico College of Nursing, sits down to discuss her presentation at the NPWH 25th Annual Premier Women's Healthcare Conference on medications for early pregnancy loss.","_id":"4abadc7e-1358-4398-935d-7286a6fb001b","taxonomyMapping":[{"_type":"reference","_key":"1f487be300ef","_ref":"538d6e8b-4e2c-46d1-8565-3f1ff47eb7d8"}],"_updatedAt":"2022-11-18T20:43:09Z","published":"2022-10-03T19:40:00.000Z","link":"/view/pap-talk-medications-for-early-pregnancy-loss-with-amy-levi-cnm-whnp-bc-facnm-faan","documentGroup":null,"thumbnail":{"asset":{"_ref":"image-c21947f9434b332222fd901636a4fe2238f3855c-3000x3000-jpg","_type":"reference"},"_type":"mainImage"},"is_visible":true,"body":[{"_type":"audio","audioFilePth":"https://embeds.audioboom.com/posts/8179888/embed/v4","_key":"fffc725580a4"},{"style":"normal","_key":"fea0f2454cd2","markDefs":[],"children":[{"_key":"e05a9129cfc0","_type":"span","marks":[],"text":""}],"_type":"block"}],"_rev":"XuVCmbzD5E43eFBmZvakqh","authorMapping":[{"_ref":"3fbed0c8-6c41-4da2-95b9-18fc46dfd6fb","_type":"reference","_key":"3826a5eec708"}],"title":"Pap Talk: Medications for early pregnancy loss with Amy Levi, CNM, WHNP-BC, FACNM, FAAN","_createdAt":"2022-11-18T20:43:09Z","url":{"current":"pap-talk-medications-for-early-pregnancy-loss-with-amy-levi-cnm-whnp-bc-facnm-faan","_type":"slug"},"contentCategory":{"_type":"contentCategory","name":"Podcasts","disableAds":false,"_id":"93d57b69-2d72-45fe-8b8a-d18e7e7e5f20","_updatedAt":"2021-05-21T18:12:24Z","_createdAt":"2020-03-04T05:44:42Z","_rev":"Psvqw0PI36qopiP1Vhp1zF"}},{"_id":"149e07f2-0a85-44c0-8112-06b71d5b11cf","title":"Pap Talk: Medications for early pregnancy loss","is_visible":true,"ExcludeFromPubMedXML":false,"taxonomyMapping":[{"_ref":"538d6e8b-4e2c-46d1-8565-3f1ff47eb7d8","_type":"reference","_key":"eff90098fef0"}],"authorMapping":[{"_ref":"3fbed0c8-6c41-4da2-95b9-18fc46dfd6fb","_type":"reference","_key":"bf58e8bf0690"}],"summary":"In this episode of Pap Talk, Amy Levi, CNM, WHNP-BC, FACNM, FAAN, Albers Endowed Professor of Midwifery at the University of New Mexico College of Nursing, sits down to discuss her presentation at the NPWH 25th Annual Premier Women's Healthcare Conference on medications for early pregnancy loss.","link":"/view/pap-talk-medications-for-early-pregnancy-loss","_createdAt":"2022-10-24T14:55:56Z","contentCategory":{"name":"Podcasts","disableAds":false,"_id":"93d57b69-2d72-45fe-8b8a-d18e7e7e5f20","_updatedAt":"2021-05-21T18:12:24Z","_createdAt":"2020-03-04T05:44:42Z","_rev":"Psvqw0PI36qopiP1Vhp1zF","_type":"contentCategory"},"_type":"article","_rev":"260U4Wxjnup47RNZD1zRko","published":"2022-09-30T15:00:00.000Z","documentGroup":null,"thumbnail":{"_type":"mainImage","asset":{"_type":"reference","_ref":"image-7f5b8c847fdba78f7f53293e2606862ad1d17e24-1536x768-jpg"}},"url":{"current":"pap-talk-medications-for-early-pregnancy-loss","_type":"slug"},"body":[{"_type":"audio","audioFilePth":"https://embeds.audioboom.com/posts/8179888/embed/v4","_key":"a50c8c15ca53"},{"children":[{"_key":"815de68a67ea","_type":"span","marks":["4304527f38d7"],"text":"Watch the full podcast interview with Levi here. "}],"_type":"block","style":"normal","_key":"9aa340fd9f4e","markDefs":[{"blank":true,"_type":"link","href":"https://www.contemporaryobgyn.net/view/medications-for-early-pregnancy-loss-with-amy-levi-cnm-whnp-bc-facnm-faan","_key":"4304527f38d7","nofollow":true}]}],"_updatedAt":"2022-10-24T14:55:56Z"},{"summary":"Tune into this valuable discussion with host Scott Kober and experts Rachel Pope, MD, MPH, and Sheryl Kingsberg, PhD, as they highlight the overall impact of vaginismus and discuss strategies to combat its effects on women who are diagnosed the condition.","ExcludeFromPubMedXML":false,"_type":"article","ExcludeFromHomePage":false,"_createdAt":"2022-09-28T15:16:23Z","ExcludeFromInfiniteScroll":true,"body":[{"_type":"iframe","_key":"d4a4836af481","url":"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/1352817091\u0026color=%23ff5500\u0026auto_play=false\u0026hide_related=false\u0026show_comments=true\u0026show_user=true\u0026show_reposts=false\u0026show_teaser=true%22%3E%3C/iframe%3E%3Cdiv"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Welcome to the contemporary OB-GYN podcast, Vaginismus - Managing a Misunderstood and Underdiagnosed Condition, brought to you by Materna Medical. Now here is your host for this podcast, Scott Kober. Today, Scott Kober, your podcast host will be talking about the understanding, management, and overall impact of vaginismus on our patient population. Scott Kober will be joined by Dr. Rachel Pope, an obstetrician gynecologist with fellowship training in global women's health and Chief of Female Sexual Health in the Urology Institute at the University Hospital's Cleveland Medical Center, and Dr. Sheryl A. Kingsberg, a licensed clinical psychologist and chief of the Division of Behavioral Medicine at University Hospital's Cleveland Medical Center, and a professor in the departments of Reproductive Biology, Psychiatry, and Urology, Case Western Reserve at the University School of Medicine. And now, here is your host, Scott Kober.","_key":"cc42055c0fc80"}],"_type":"block","style":"normal","_key":"cd4f85cde739"},{"children":[{"_type":"span","marks":[],"text":"","_key":"a2f1600bed980"}],"_type":"block","style":"normal","_key":"159375c1a52d","markDefs":[]},{"children":[{"_key":"90eea0271b9a0","_type":"span","marks":["strong"],"text":"Thank you and welcome to this podcast. My name is Scott Kober with contemporary OB-GYN. Today we'll be talking about the overall prevalence and impact of vaginismus on our patient populations. I'm happy to be joined today by Dr. Sheryl Kingsberg, division chief of OB-GYN Behavioral Medicine and co-director of the Sexual Medicine and Vulvovaginal Health Program at University Hospital, Cleveland Medical Center in Cleveland, Ohio. I'm also joined by Dr. Rachel Pope. An OBGYN in the Department of Urology at University Hospital Cleveland Medical Center. Welcome to the both of you, and thanks so much for joining me today."}],"_type":"block","style":"normal","_key":"dec0699f558a","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"5d4affad434e0"}],"_type":"block","style":"normal","_key":"646e69a807ad"},{"children":[{"_type":"span","marks":[],"text":"Pleasure to be here, Scott. Thanks for having us.","_key":"12ace8937e090"}],"_type":"block","style":"normal","_key":"2e49d5d10e7d","markDefs":[]},{"markDefs":[],"children":[{"_key":"479dce3feca70","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"75279e45ce1e"},{"children":[{"_type":"span","marks":[],"text":"Thanks so much.","_key":"2f29cf89848c0"}],"_type":"block","style":"normal","_key":"a05e29be0787","markDefs":[]},{"_key":"171e3330d7f2","markDefs":[],"children":[{"marks":[],"text":"","_key":"2d970472398e0","_type":"span"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":["strong"],"text":"Dr. Kingsberg. In 2013, the American Psychiatric Association got rid of the term vaginismus in its latest edition of the Diagnostic and Statistical Manual of Mental Disorders. Choosing instead to lump it into a category that they call Genital Pelvic Pain Penetration Disorder or GPPPD. Despite this, many providers continue to use the term vaginismus to describe the specific phenomenon of a spasm that typically causes pain upon attempted vaginal penetration. Why is the nomenclature used to describe this condition important to women?","_key":"fcd0898672940"}],"_type":"block","style":"normal","_key":"b02b05511607","markDefs":[]},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"db0121567e8b0","_type":"span"}],"_type":"block","style":"normal","_key":"1e20a1997350"},{"_key":"6cddbb6703ce","markDefs":[],"children":[{"text":"Well, thanks for asking Scott. First of all, the nomenclature with GPPPD is actually kind of difficult. It's hard. It doesn't roll off the tongue easily. Spelling it out to genital pain and pelvic penetration disorder is also complicated. The American Psychiatric Association, which controls the nomenclature for the Diagnostic and Statistical manual thought, there is such overlap between what is technically vaginismus and what are pain with sex disorders, not sexual pain disorders. That they thought it would make it easier that way you didn't have to differentiate. Unfortunately, all it did was kind of make things more confusing. If we can think of vaginismus as the anxiety response to whatever is underlying the difficulties with penetration, I think that makes things easier. Although in the DSM it no longer is a qualified diagnostic category, it is still a useful term. It is still considered important in the ICD codes, and it still is important clinically. Vaginismus still exists as an entity. It is best understood as the anxiety response, the anticipatory anxiety that causes vaginal tightening and anxiety with wanted penetration that may be reflective of underlying pain and or maybe simply an anxiety response.","_key":"62ae0f43796f0","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"e85690f81cf4","markDefs":[],"children":[{"_key":"a2b11756a3630","_type":"span","marks":[],"text":""}]},{"_type":"block","style":"normal","_key":"868ea3f7540b","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Dr. Pope, why does vaginismus remain an unrecognized and underdiagnosed condition? What can be done to encourage OB-GYNs to ask more questions of their patients about their sexual activity that might properly uncover the condition more frequently?","_key":"3ee21ca959160"}]},{"children":[{"_type":"span","marks":[],"text":"","_key":"ab5efb0d64b60"}],"_type":"block","style":"normal","_key":"db0a6b10515e","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"That's a great question. I think in general, there is a stigma still around women's sexuality, even in the healthcare office and in even in the offices of OB-GYNs, where one might think that would be a very natural place to talk about issues with sex. But oftentimes women just end up talking about any bleeding, any discharge, and don't really talk about what they might consider as more intimate, more personal. If there is other issues coming up, it actually might take up the time of an entire office visit. The provider might not even think to ask about it. There is assumptions that if no one brings it up that it's not a problem, and that's just not true at all. I think normalizing conversation and inquiries around sexual function is really important. As we do that and make that part of a typical office visit with the gynecologist, then the question of are you having any issues with sex? Are you having pain with sex? Then what might lead to a diagnosis of vaginismus would start to come up more frequently.","_key":"af4ca36e29200"}],"_type":"block","style":"normal","_key":"40ddbb0623cf"},{"style":"normal","_key":"d01008480d82","markDefs":[],"children":[{"marks":[],"text":"","_key":"3d557f58cb7a0","_type":"span"}],"_type":"block"},{"_key":"ea12ed2850ed","markDefs":[],"children":[{"_key":"215c636085a90","_type":"span","marks":[],"text":"While they can talk about it smelly discharge and bowel function, still have trouble actually addressing sexual concerns. Anything that has the word sex in it. That starts way back in lack of education in medical school or whatever professional school there is. It leads to residency and then in practice. There is still a stigma, as Dr. Pope said very clearly around sexuality and even addressing sexual concerns in clinical practice."}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c7908f7230e60"}],"_type":"block","style":"normal","_key":"ec54997dbdc8"},{"_key":"9b8271133f43","markDefs":[],"children":[{"marks":["strong"],"text":"Then Dr. Kingsberg, what should prompt suspicion from the OB-GYN that the patient in front of them might be suffering from vaginismus? What specific questions should they be asking, and what should they be looking for on a physical exam to help make the diagnosis?","_key":"44b6d5ac2ffb0","_type":"span"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"aa7a83f10014","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"cb45742f72d50"}]},{"markDefs":[],"children":[{"text":"Well, I'll let Dr. Pope take what they want to look for on a physical exam. But I will tell you some of the things that a clinician can look for is pretty obvious. When you see a woman sitting in front of you who is maybe halfway up the exam table because she's so anxious or looking nervous, or not making eye contact, or having trouble articulating what's going on, you can guess that she's probably very anxious. So many women, even without vaginismus are going to be anxious about a pelvic exam. That may sort of give rise to anxiety about discomfort. But women with vaginismus where there is absolutely no ability to have that pelvic exam, maybe particularly anxious and looking very nervous if they actually even get to your office. That's part of the problem is that they often don't even go in the first place because they know that they'll probably be asked to have a pelvic exam.","_key":"0a3ab643a1710","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"3caac06dd446"},{"_key":"15e10c8d803b","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2ea064381acd0"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_key":"23d4bdfe403d0","_type":"span","marks":[],"text":"That's exactly what I was going to start with. Is it's actually what you are not seeing that would lead you to the diagnosis. That you see a woman who hasn't come to a gynecologist for 10 years, hasn't had a pap smear for 20 years, or has never had a pap smear. That is I would say the first indication that there might be something going on. It's not because she's had a lapse of insurance or she is left town or something like that. That she's just actually avoiding coming to the office."}],"_type":"block","style":"normal","_key":"ab51b5922249"},{"children":[{"_type":"span","marks":[],"text":"","_key":"b5e1969f69bc0"}],"_type":"block","style":"normal","_key":"8deb49f4697b","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Then, Dr. Pope, as we are seeing more and more telehealth visits, how do you assess if the patient has vaginismus when a physical exam can't be performed?","_key":"225b0f80888d0"}],"_type":"block","style":"normal","_key":"608bc5c9c5b7"},{"_key":"2d83022e1a4b","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"3fb5e8b054f80"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"Well, I think telehealth has opened our world in a lot of wonderfully positive ways in that that woman who might have been avoiding coming into the office or might be nervous about her physical exam, could actually meet her physician or provider by telehealth first, and know at that moment that this is just going to be a conversation. That her clothes would stay on. She would not have any physical exam necessarily. That gives a lot of reassurance for a person to build trust, build a relationship with their provider before actually coming in for an exam. There are a lot of telltale signs of vaginismus just from a person's history. A history is what we are trying to gather in our initial interview with a new patient. We are asking about intercourse, maybe she is avoiding intercourse because it's been too painful. Maybe even just she's experiencing pelvic pain in general. There are several different things that would clue someone into vaginismus might be going on just from the initial conversation.","_key":"2cc188ab87200"}],"_type":"block","style":"normal","_key":"26c71da7b609","markDefs":[]},{"style":"normal","_key":"748e0f1aeae7","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"f7cdee81feed0"}],"_type":"block"},{"style":"normal","_key":"dcac2f58188f","markDefs":[],"children":[{"_key":"73515238358f0","_type":"span","marks":[],"text":"Including whether or not they've ever used tampons. We start way back to at what age did you reach menarche, and what have you used for your periods? Many women with primary vaginismus, that is, they've never been able to have wanted penetration, would say they either had difficulty or couldn't do it at all and use a tampon. I just use pads. I just use pads. They kind of slough it off. But oftentimes that's a telltale sign that they can't insert anything."}],"_type":"block"},{"style":"normal","_key":"6f0331864f16","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"0cce1c9bd74f0"}],"_type":"block"},{"_type":"block","style":"normal","_key":"9fe55682b54b","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Dr. Kingsberg, let's kind of step back a little bit and look at some of the nuts and bolts of vaginismus. What are the primary underlying causes of the condition?","_key":"27a7c0765e0b0"}]},{"style":"normal","_key":"58083f5f39b6","markDefs":[],"children":[{"marks":[],"text":"","_key":"3ae0cd1d8db30","_type":"span"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Well, it's important to think of vaginismus from a biopsychosocial model. Remember, vaginismus is the anxiety response to wanted penetration. There are a number of variables that can cause that vaginismus response. You can have medical vulvar conditions like in sclerosis, for example, or you could have genital urinary syndrome of menopause, GSM, which might have led to secondary or acquired vaginismus. You could have sexual trauma. You could have a generalized anxiety disorder that even without any kind of trauma, there's just a belief that penetration may hurt, so that sort of belief builds up. There could be psychological causes. There could be urogenital causes that are either primary causes of pain or secondary causes of pain. There could be underlying other medical conditions. You don't want to lump it into, this is the cause of vaginismus. You want to look at vaginismus as the consequence of a variety of possible causes.","_key":"04acc488c1060"}],"_type":"block","style":"normal","_key":"44d8016f60f5"},{"style":"normal","_key":"c0773d32282b","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"22eb6bfa3f980"}],"_type":"block"},{"_key":"c068825af51c","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Then, Dr. Pope, how do you treat vaginismus differently depending on the underlying cause of the condition?","_key":"ce2a421498eb0"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"","_key":"8eb305cdff8d0"}],"_type":"block","style":"normal","_key":"fef368ffe734","markDefs":[]},{"_type":"block","style":"normal","_key":"2be9a758ddda","markDefs":[],"children":[{"_type":"span","marks":[],"text":"I do typically try to discover what the underlying cause is. I do try to do a physical exam when it's possible if it is possible. Most of the time my patients with vaginismus really just cannot have a pelvic exam. As soon as they are in the stir ups in an office and they even are aware that a hand is approaching or speculum is approaching, they actually involuntarily spasm and sometimes even just close their legs. It's just not possible. But if they are able to tolerate an exam, then I do especially feel their pelvic floor muscles. They can spasm during the exam as well. That's one of the main things I do. Sometimes if I'm concerned that this might not be vaginismus, maybe there is a congenital anomaly here. Maybe the story is not so clear. Then they actually might warrant an exam under anesthesia or some imaging. That's usually kind of how I start things off. But then trying to understand, is there something that's underlined that can be treated here? If it's pelvic floor spasms where we could give pelvic floor injections or Botox. There are a lot of different off-label and on-label treatments that we could try. If there is a dermatological condition, as Dr. Kingsberg mentioned, there is definitely treatment for those after diagnosis is made. I really do try to rule other things out and figure out where this is coming from, where this is all stemming from. If it is involuntary spasming, if it is pain with penetration or pain with anticipation of penetration, then I have my answer.","_key":"c4e0a8575ae20"}]},{"children":[{"text":"","_key":"bf635bb68db20","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"32576aa1c8a6","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Let's talk about the role of some specific therapies that can be used to treat vaginismus. Let's start with dilator therapy. What are some of the pros and cons of its use?","_key":"d23b521442fc0"}],"_type":"block","style":"normal","_key":"2aae2b921b9e"},{"children":[{"_type":"span","marks":[],"text":"","_key":"622841fa74230"}],"_type":"block","style":"normal","_key":"90d6d04514c2","markDefs":[]},{"markDefs":[],"children":[{"_key":"3ebfe3c74e9c0","_type":"span","marks":[],"text":"Well, I'm a big proponent of dilator use because in back to vaginismus as the consequence of whatever the underlying condition, whether it's an anxiety condition or a physiologic condition. The anxiety is that the involuntary tightening. Dilator use is part of a cognitive behavioral approach to systematic desensitization to give women control over their bodies, and to essentially teach them that penetration need not be painful. First and foremost, you need to treat whatever the underlying cause of the pain was if it was a medical condition. Because otherwise, you are not helping her. You need to treat that. But assuming that whatever underlying pain disorder has been managed, you then can work with the systematic desensitization. Taking either a set of static dilators or an expandable dilator which allows you to insert and then expand from the inside. It allows women to gradually learn progressively that they can insert reducing anxiety at the same time with no pain. My rule is no pain. They gradually become more empowered to be able to insert and gradually stretch the vaginal tissues to allow for more wanted penetration without anxiety. We almost anthropomorphize the vagina as being a reflexive protector of the of her owner, if you will. Saying things are trying to come in that might hurt us. We are just going to tighten up and protect you. Sort of like you are hand heading to a hot flame. The reflexive response happens before a conscious decision. The vagina is now reflexively tightening, we're now teaching it."}],"_type":"block","style":"normal","_key":"f14f1e88a764"},{"_key":"74d07ea46ae3","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"7a77577802f00"}],"_type":"block","style":"normal"},{"style":"normal","_key":"394ebdb35b05","markDefs":[],"children":[{"marks":["strong"],"text":"Then what about the role of physical therapy, Dr. Pope?","_key":"937e2637e2e60","_type":"span"}],"_type":"block"},{"style":"normal","_key":"49019f26066c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"c229482193bd0"}],"_type":"block"},{"_type":"block","style":"normal","_key":"9a5f15b55175","markDefs":[],"children":[{"_key":"782078781a880","_type":"span","marks":[],"text":"Physical therapy is wonderful because they can actually help. A trained pelvic floor of physical therapist can help women understand where that pain is coming from, learn their pelvic floor muscles, learn their anatomy. They can learn to engage those pelvic floor muscles, how to relax them, how to engage them when necessary. Help them overcome a lot of pain, overcome some of those underlying causes of vaginismus and really become comfortable with that region of their body. I have a lot of patients who I recommend dilation for. They don't know exactly where to start or they want some assistance. Pelvic floor therapy is useful for that as well."}]},{"markDefs":[],"children":[{"_key":"16b9ac5cf5ea0","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"df1c766567c4"},{"_key":"edb208c2bbdb","markDefs":[],"children":[{"marks":[],"text":"We are now teaching it, it no longer has to. It allows for gradual mastery over wanted penetration.","_key":"347584af42c60","_type":"span"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"","_key":"24d8749d005f0"}],"_type":"block","style":"normal","_key":"f633d696c218","markDefs":[]},{"children":[{"_key":"8f916a9fc2910","_type":"span","marks":["strong"],"text":"Dr. Kingsberg, what about CBT? How can that be used in a patient with vaginismus?"}],"_type":"block","style":"normal","_key":"0f9b02dd1a32","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2d3eb10b30ae0"}],"_type":"block","style":"normal","_key":"a27c86b46e6f"},{"_key":"74131acb4753","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Well, CBT stands for cognitive behavior therapy. Again, regardless of what the underlying condition is that caused the anxiety response of vaginismus, cognitive behavior therapy is both cognitive and behavioral. The cognitive approach to reducing anxiety is to help women address catastrophic fears. There is an anxiety avoidance model that we understand particularly with vaginismus, where women have either had a painful experience or they have a fear of penetration being a painful experience. Therefore that builds up anxiety and creates an avoidance. That is they don't try any kind of penetration, which we see a lot in women who come after years of, for example, being married and they've never had penetration and now they are ready to build their family. They are sort of forced to address the avoidance. But that it's almost like a cycle, a circular cycle where there is anticipation of pain, then avoidance. Then if they try something, everything tightens up and it hurts. The cognition is to break into what their cognitive fears are. This will hurt. This will tear me wide open. I will scream from the rooftops in horrible pain. That kind of catastrophic thinking. We need to challenge and help women learn to mitigate that sort of catastrophic fearful thinking. The behavior therapy in cognitive behavior therapy is back to the systematic desensitization, often using dilators. Dr. Pope gave such an incredible description of how they are used in so many ways. But in this particular case, it is really for empowerment and gradually reducing the anxiety and finding out that penetration need not hurt for whatever the purpose is, whether it's use a tampon, whether it's to have vaginal penile intercourse, or whether it's to use some sort of sex toy or something else. Women should be empowered to have penetration when they want it.","_key":"6d611867bd5d0"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"50f504b7fedb0"}],"_type":"block","style":"normal","_key":"f45e2b7cb543"},{"_key":"eff8523b312b","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"So then Dr. Pope, regardless of what treatment or combination of treatments that you are prescribing for a woman, how do you define treatment success in a patient with vaginismus?","_key":"818ab79413cd0"}],"_type":"block","style":"normal"},{"children":[{"_type":"span","marks":[],"text":"","_key":"011396540bc10"}],"_type":"block","style":"normal","_key":"83a85bf35455","markDefs":[]},{"children":[{"_type":"span","marks":[],"text":"Success is really different for everyone. But I do think that it's the woman herself who needs to define that, and I'm happy to help frame it. Help see how we best get there, whether there is more that I could suggest we get beyond, or really set expectations. But success is slightly different for everyone. I have many women who have come to see me, as Dr. Kingsberg said, who said they'd had issues with intercourse, but now they wanted to start a family. That's a very common reason because they want to have intercourse to reproduce, or to undergo infertility treatment. They can't imagine going through so many transvaginal ultrasounds and the other procedures that are needed with that sort of treatment. For other individuals that success is just having sex without pain. For some it's just not feeling pain at all or not having that fear and anxiety surrounding it. I really do let the woman define what that success means to her. Then if I feel like she's setting the bar low, I try to encourage her that things could be better.","_key":"4dadea206ec00"}],"_type":"block","style":"normal","_key":"44030af1fd23","markDefs":[]},{"_key":"0d4864871592","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"f0f90b83bc900"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"6f811af0f132","markDefs":[],"children":[{"_key":"3153e8f236a30","_type":"span","marks":[],"text":"And Scott, talking about success in my clinical practice, treating vaginismus is one of the most satisfying things, I think for clinicians. Because to give women back their power, to own their own bodies and to have pain free penetration. Truly clinically is one of the most satisfying things. I'm never sort of avoidant of women who come see me. It's interesting, back to term vaginismus, there is so many women who don't know where to turn that they go looking on the internet. For years, women have found me because they put in the symptoms and the term vaginismus will pop up. They'll say, is that what I have? Then they kind of search for clinicians who will treat it. Most of them have come to me and said, they've been to three or four gynecologists and it's been almost traumatic for them because they didn't understand what it was. They tried to do a pelvic exam, and then it was just frustrating and felt like a failure experience. Sometimes a lot of what I do is to help them understand what the condition is, and to help them find clinicians who are familiar with vaginismus so they can treat it. And or if I can't do that, thanks to telehealth and I can reach women in 28 states. I will tell them what they should be looking for and what to say to their clinician to start that conversation so that three or four more gynecologists don't end up having that same problem."}]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"26b9ee8216ba0"}],"_type":"block","style":"normal","_key":"efca3b4fcc6e"},{"style":"normal","_key":"cdd112cbb4ae","markDefs":[],"children":[{"marks":["strong"],"text":"Then Dr. Pope, in a woman who reaches sort of the goals of treatment that either you or she set, what sort of maintenance regimens, if any, do you typically recommend?","_key":"9deaf62a9c080","_type":"span"}],"_type":"block"},{"style":"normal","_key":"172a2d3cacb9","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"2a5329f22a4b0"}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"People go through life, relationships change. If for example, the goal was to have sex without pain and they needed to use dilation to get there. Then I would let them know if they are not in a relationship or they are not sexually active as frequently for any given period of time, then they need to go back to the dilation or the physical therapy or potentially some other interventions. That might be necessary just to maintain their ability to have penetrative intercourse if that's what they're looking for. Usually if their goals have changed, then we might have to readjust or reframe what their new goals are. But there typically is a little bit of maintenance so that we make sure that that pain doesn't return and people don't relapse into what they were experiencing before.","_key":"63dbb5bd24ed0"}],"_type":"block","style":"normal","_key":"6b515f626a77"},{"children":[{"_type":"span","marks":[],"text":"","_key":"6d8f3aa919300"}],"_type":"block","style":"normal","_key":"629ff61ad536","markDefs":[]},{"_key":"508d40892780","markDefs":[],"children":[{"text":"Can I also add to what Dr. Pope said in maintenance and the importance of continuing to use, for example either the expandable dilator or a static dilator of a certain size. Because the whole phrase use it or lose it, with repeated penetration a woman will again feel mastery and feel less anxious. For example, if she's not having regular penetrative sex and she goes for a while without it. Then thinks, I'm going to have penetrative sex. I wonder if it will hurt this time. If she's been using a dilator all along just for two, three minutes, a few times a week, as a reminder to her body, penetration need not hurt. Then she doesn't have to deal with that anxiety when it comes time to have more intermittent penetrate. My takeaways for practicing gynecologist, number one, please don't be fearful of vaginismus. It is not difficult to approach a vaginismus this patient. Number two, think about vaginismus as either primary, which is lifelong or secondary, that is acquired after something that caused have a woman to have some kind of vulvovaginal pain. You approach them quite differently. A woman who has primary or lifelong vaginismus probably has an underlying anxiety component to that. Sending them once they've done a physical exam to make sure there is no underlying medical condition. If it is an anxiety response, sending them for cognitive behavior therapy is probably going to be very helpful to them. If it is acquired, you want to again, make sure you've treated the underlying condition. For example, giving a woman with genital urinary syndrome of menopause local hormone therapy to address the tissue changes. Then helping them with, again, systematic desensitization and using a dilator to help them regain the stretching and the confidence that penetration need not be painful.","_key":"430b272703890","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"style":"normal","_key":"1b40e8a1291e","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"1c3a5d8da20a0"}],"_type":"block"},{"_key":"f79e7c8d3e0d","markDefs":[],"children":[{"_type":"span","marks":[],"text":"I would say normalize the conversations about sex practice. That's the only way to overcome that fear that we talked about in the beginning of our conversation. Just practice asking about it. If you don't feel like you have the resources to address any issues that come up, either get the resources yourself because there are so many training opportunities and educational opportunities out there for us. Or find someone who is specializing in this area so that you could refer the patient to them. You have someone that you are directly handing that woman to for help. Then secondly, consider having some virtual options for your office visits. Because having a virtual new patient visit where women can talk to you from the safety of their home or where they can speak privately, and decide if they feel comfortable enough to come in and see you or start off with some interventions before they see you. That might help to address this for many more women out there.","_key":"77f8cb3d16310"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"653166a813910"}],"_type":"block","style":"normal","_key":"0ac3d63624d3"},{"style":"normal","_key":"288f50f087cd","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Scott, my take homes for the gynecologist out there is number one per Dr. Pope's statement, please don't be afraid to talk about anything related to sexuality. Vaginismus is not necessarily related to sex. It is about wanted penetration. But overarching is the fact that so many clinicians are uncomfortable addressing anything that might even feel like it's sexualized. That's across the board regardless of the condition. All clinicians treating women's health need to be more comfortable addressing sexual health. You can use the plicit model. The P stands for permission. If all you do is ask a woman about sexual concerns, in this case about penetration or even about tampon use, and then you refer them out. You have already done them a service by giving them permission to talk about it and permission to be a sexual being. You can give them some limited information that might be referring them on to using dilators, or looking at websites, or even diagrams about what their anatomy should look like. Dr. Pope was very clear about saying this, too many women don't even know about their vulva. They don't even know the term vulva. They don't know where their vaginal opening is versus where their urethra is. Number three, recognize that vaginismus is the anxiety component to anxiety about penetration. You need to treat the underlying condition. If it's an anxiety condition, please send them for cognitive behavior therapy. If it's a medical condition, treat the underlying medical condition and or send them to pelvic floor physical therapy. Please be reassured that vaginismus can provide you a lot of satisfaction in your clinical practice because women are so appreciative if you address it and treat it.","_key":"aa441b6bc00c0"}],"_type":"block"},{"style":"normal","_key":"0f30760dc625","markDefs":[],"children":[{"marks":[],"text":"","_key":"a174dc7c74fb0","_type":"span"}],"_type":"block"},{"_type":"block","style":"normal","_key":"606c1f88f41a","markDefs":[],"children":[{"_key":"20a88f8983730","_type":"span","marks":["strong"],"text":"Well, great. I think this has really been a terrific discussion about both the overall impact of vaginismus as well as strategies to combat its effects on women. Thank you so much to the both of you for joining me today."}]},{"_type":"block","style":"normal","_key":"77aff740f172","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"fc3df77876180"}]},{"_key":"ab59c89cace7","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Thank you.","_key":"2ad2deb031c50"}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"895503630f95","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"e9a362b8b5d40"}]},{"_type":"block","style":"normal","_key":"20edf572e918","markDefs":[],"children":[{"text":"Thanks for having us.","_key":"04c31ad4ee710","_type":"span","marks":[]}]},{"markDefs":[],"children":[{"marks":[],"text":"","_key":"e34adeaad9910","_type":"span"}],"_type":"block","style":"normal","_key":"3d25746e223c"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"This has been a terrific discussion about the overall understanding, management, and impact of vaginismus on the patient populations. Thank you for joining us today. You been listening to the contemporary OB-GYN podcast, Vaginismus - Managing a Misunderstood and Underdiagnosed Condition. This podcast is brought to you by Materna Medical.","_key":"e9f64b7759d30"}],"_type":"block","style":"normal","_key":"43f7389ac559"}],"url":{"current":"vaginismus-managing-a-misunderstood-and-underdiagnosed-condition","_type":"slug"},"thumbnail":{"asset":{"_ref":"image-da5e038927eec492a93d40c29284541eec60c6a7-950x248-png","_type":"reference"},"_type":"mainImage","alt":"Materna Medical"},"contentCategory":{"_rev":"Psvqw0PI36qopiP1Vhp1zF","_type":"contentCategory","name":"Podcasts","disableAds":false,"_id":"93d57b69-2d72-45fe-8b8a-d18e7e7e5f20","_updatedAt":"2021-05-21T18:12:24Z","_createdAt":"2020-03-04T05:44:42Z"},"_id":"33a26d71-4a32-4ed5-b0f3-ba67d6198e06","title":"Vaginismus: Managing a Misunderstood and Underdiagnosed Condition","_updatedAt":"2022-10-11T20:56:52Z","link":"/view/vaginismus-managing-a-misunderstood-and-underdiagnosed-condition","documentGroup":null,"showSocialShare":true,"is_visible":true,"_rev":"kPnZ5MOF7O1HlcFXMpUcNg","published":"2022-09-28T15:17:21.105Z","taxonomyMapping":[{"_ref":"17ac246c-7cb2-49eb-889f-9518e04fcb37","_type":"reference","_key":"049a6ea7a3f9"}]}],"features":[],"conferences":[{"_rev":"V6OhUjM7sSuvw7qqvfhCb7","published":"2025-02-04T16:00:00.000Z","authors":[{"displayName":"Celeste Krewson, Assistant Editor","url":"celeste-krewson"}],"title":"Mirvie's RNA platform revolutionizes detection of fetal growth restriction","is_visible":true,"_id":"13183786-f7da-4684-b94a-0ebd4616129a","showSocialShare":true,"_updatedAt":"2025-02-06T18:06:01Z","ExcludeFromPubMedXML":false,"taxonomyMapping":[{"_ref":"contobgyn_taxonomy_5143_news","_type":"reference","_key":"08cd32768085"},{"_ref":"contobgyn_taxonomy_4681_obstetrics","_type":"reference","_key":"178a3edd632d"},{"_ref":"contobgyn_taxonomy_4744_pediatrics","_type":"reference","_key":"aa876e439218"},{"_ref":"afb08f93-98a9-47fe-98c1-d91e09d54697","_type":"reference","_key":"8ace54d8ed65"}],"_type":"article","thumbnail":{"_type":"mainImage","alt":"Mirvie's RNA platform revolutionizes detection of fetal growth restriction | Image Credit: wexnermedical.osu.edu","caption":"Mirvie's RNA platform revolutionizes detection of fetal growth restriction | Image Credit: wexnermedical.osu.edu","asset":{"_ref":"image-c99e304cadf11719366588534a614a27f767c10b-400x400-png","_type":"reference"}},"seoTag":["Mirvie","RNA","platform","fetal growth restriction","detection","early","SMFM"],"contentCategory":{"_id":"42000fd0-0d05-4832-9f2c-62c21079b76c","_updatedAt":"2020-03-04T05:44:42Z","_createdAt":"2020-03-04T05:44:42Z","_rev":"IlP9l41tH9jB20SbSpveLm","_type":"contentCategory","name":"Videos"},"articleType":"News","url":"mirvie-s-rna-platform-revolutionizes-detection-of-fetal-growth-restriction","documentGroup":{"identifier":{"current":"conferences/smfm","_type":"slug"},"parent":{"_ref":"contobgyn_documentGroup_53589_conference","_type":"reference"},"_type":"documentGroup","name":"SMFM","_id":"obgyn_documentGroup_616_smfm","_updatedAt":"2022-03-09T12:36:02Z","isShow":true,"_createdAt":"2020-04-07T12:48:52Z","_rev":"Vwdsujjvbn7jMZyMwphlLC"},"documentGroupMapping":[{"_ref":"obgyn_documentGroup_616_smfm","_type":"reference","_key":"be159c528ade"}],"summary":"Discover how Mirvie’s RNA platform uses a simple blood test to detect fetal growth restriction early in pregnancy, allowing for proactive interventions and improved outcomes for mothers and babies.","_createdAt":"2025-02-03T14:39:10Z","authorMapping":[{"_ref":"ee298dd8-2193-4a3b-9a46-5cbf697c2249","_type":"reference","_key":"fc3d0d339eee"}],"body":[{"source":"brightcove","_key":"92f4b2ec214a","videoObject":{"videoDuration":"3 minutes 28 seconds","videoDescription":"Revolutionizing detection of fetal growth restriction","_type":"videoDetails","videoTitle":"Mirvie RNA platform","thumbnail":{"_type":"image","asset":{"_ref":"image-c99e304cadf11719366588534a614a27f767c10b-400x400-png","_type":"reference"}}},"_type":"video","caption":"Mirvie's RNA platform revolutionizes detection of fetal growth restriction | Image Credit: wexnermedical.osu.edu","videoID":"6368202045112","disableAutoPlayVideo":false},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"In a recent interview with ","_key":"43464cb73129"},{"marks":["em"],"text":"Contemporary OB/GYN, ","_key":"1adb53ff5f64","_type":"span"},{"_type":"span","marks":[],"text":"Kara Rood, a maternal-fetal medicine specialist at The Ohio State University, discussed Mirvie’s RNA platform and its potential to detect fetal growth restriction (FGR) early in pregnancy.","_key":"d72f9eafc355"}],"_type":"block","style":"normal","_key":"96a7a4b6f7a0"},{"_type":"block","style":"normal","_key":"c9825a11fea1","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Rood explained that FGR refers to a fetus measuring below the tenth percentile for its gestational age, which can lead to serious complications. If left undetected, FGR increases the risk of adverse pregnancy outcomes, including stillbirth, as well as health issues for the baby after birth. Traditionally, clinicians assess fetal growth by measuring the mother’s abdomen with a measuring tape and using ultrasounds. However, these methods often detect FGR only later in pregnancy, limiting the window for early interventions.","_key":"c892d967af0c"}]},{"_key":"ca671c2e6b4a","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Mirvie’s RNA platform represents a groundbreaking approach by using a simple maternal blood sample to analyze RNA from both the placenta and the fetus. The study discussed in the interview involved blood draws between 17 weeks and 4 days' and 22 weeks' gestation—well before conventional methods would detect FGR. ","_key":"3a277ac1e1d1"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"text":"By identifying specific RNA patterns associated with FGR, this platform enables earlier risk stratification, allowing physicians to implement proactive interventions such as closer ultrasound monitoring, fetal heart rate assessments, and adjustments to delivery timing. These measures can significantly improve pregnancy outcomes and reduce complications.","_key":"2b653dae1fb9","_type":"span","marks":[]}],"_type":"block","style":"normal","_key":"c42a409fa347"},{"markDefs":[],"children":[{"_key":"8da76c61bd41","_type":"span","marks":[],"text":"Rood also highlighted how the platform was featured at the Society for Maternal-Fetal Medicine annual meeting, showcasing its broader applications. Mirvie’s RNA technology has already been used to predict preterm preeclampsia and spontaneous preterm birth. By detecting gene expression differences in maternal blood, it provides a non-invasive and highly effective alternative to traditional diagnostic tools."}],"_type":"block","style":"normal","_key":"9ab67251b69c"},{"_key":"fefb879a3cc6","markDefs":[],"children":[{"marks":[],"text":"From a clinical perspective, Rood sees this technology as a major advancement in personalized maternal-fetal care. As research continues, integrating Mirvie’s RNA platform into clinical practice could help physicians tailor pregnancy management based on individual risks, ultimately improving health outcomes for both mothers and their babies.","_key":"33afb114fbf6","_type":"span"}],"_type":"block","style":"normal"}]},{"thumbnail":{"asset":{"_ref":"image-c22d36ee3f774591197b5ef8080fc4bc0111764a-480x600-jpg","_type":"reference"},"_type":"mainImage","alt":"Nicola F. Tavella, MPH","caption":"Nicola F. Tavella, MPH"},"ExcludeFromPubMedXML":false,"taxonomyMapping":[{"_ref":"contobgyn_taxonomy_4681_obstetrics","_type":"reference","_key":"de002a233896"},{"_type":"reference","_key":"ae7091e03cea","_ref":"c3496b69-daab-4ff1-b459-c1726219048c"},{"_ref":"afb08f93-98a9-47fe-98c1-d91e09d54697","_type":"reference","_key":"823403352b38"},{"_type":"reference","_key":"9ba4f6eb502d","_ref":"contobgyn_taxonomy_5143_news"}],"documentGroupMapping":[{"_ref":"obgyn_documentGroup_616_smfm","_type":"reference","_key":"57bc73041aac"}],"showSocialShare":true,"seoTag":["unplanned cesarean delivery","postpartum depression","PPD","SMFM 2025"],"_id":"38a1d4b0-edd4-4dd3-b6b4-3b98dcd3ab5d","_createdAt":"2025-02-03T16:11:54Z","_type":"article","body":[{"_key":"20fb057d506c","asset":{"_ref":"image-c22d36ee3f774591197b5ef8080fc4bc0111764a-480x600-jpg","_type":"reference"},"widthP":30,"disableLightBox":true,"disableTextWrap":false,"_type":"figure","imgcaption":[{"_type":"block","style":"normal","_key":"67bf7832686c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Nicola F. Tavella, MPH, Research Director for Maternal Fetal Medicine in the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science at the Icahn School of Medicine at Mount Sinai.","_key":"058650e435b3"}]}],"alt":"Nicola F. Tavella, MPH","alignment":"right"},{"children":[{"_type":"span","marks":[],"text":"At the SMFM 2025 Pregnancy Meeting, Nicola F. Tavella, MPH, research director for Maternal Fetal Medicine in the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology, and Reproductive Science at the Icahn School of Medicine at Mount Sinai, presented groundbreaking research on the relationship between postpartum depression and unplanned cesarean delivery. With postpartum depression affecting 10% to 15% of postpartum individuals, understanding its contributing factors is critical to improving maternal mental health outcomes. Tavella’s study analyzed a large national pregnancy dataset to explore how intrapartum experiences influence both postpartum depression development and patient engagement in postpartum care, particularly attendance at the 6-week follow-up visit. In this Q\u0026A, Tavella discusses the study's key findings and their implications for clinical practice.","_key":"ad9c58a6a34e"}],"_type":"block","style":"normal","_key":"a1d4cb91a585","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN","_key":"c5dba026d91e"},{"_type":"span","marks":["strong"],"text":": ","_key":"38e5f37ab219"},{"_type":"span","marks":[],"text":"Can you elaborate on the potential psychosocial and physical stressors of an unplanned cesarean delivery that might contribute to the increased odds of postpartum depression (PPD)?","_key":"f55e2f617453"}],"_type":"block","style":"normal","_key":"8bdad661a6d9"},{"_key":"84ccbabecef4","markDefs":[],"children":[{"marks":["strong"],"text":"Nicola F. Tavella, MPH:","_key":"aa5eaa2ab772","_type":"span"},{"text":" A major source of biopsychosocial stress in obstetrics is the change in delivery planning, due to various clinical factors that may arise to complicate a planned vaginal birth. For those pregnant patients who intend, and desire to give birth vaginally, emergent need for cesarean delivery presents multifactorial stress; aside from undergoing an urgent unplanned surgical procedure, there is also the patient’s real-time adjustment away from their prior delivery plan. We hypothesized that this multifactorial stress puts these patients at greater risk for developing postpartum depression.","_key":"84c40f197534","_type":"span","marks":[]}],"_type":"block","style":"normal"},{"style":"normal","_key":"497ec4ade803","markDefs":[],"children":[{"marks":["strong","em"],"text":"Contemporary OB/GYN","_key":"aafde26966f3","_type":"span"},{"_type":"span","marks":["strong"],"text":": ","_key":"c57aa13f380c"},{"_type":"span","marks":[],"text":"Your study found that individuals who had an unplanned cesarean delivery were more likely to attend their 6-week postpartum visit. What factors do you think might drive this increased health care engagement despite the higher risk of PPD?","_key":"f36ec1712577"}],"_type":"block"},{"style":"normal","_key":"b0559265891f","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Tavella: ","_key":"c1f2f31bbf32"},{"marks":[],"text":"While we cannot infer too much from this finding, since we did not have much detail regarding uptake of postpartum care, this finding may suggest that having an unplanned cesarean delivery confers a greater sense of intrapartum urgency and vulnerability, such that those patients make more concerted effort to attend their 6-week post-partum clinical visit.","_key":"5958e744b938","_type":"span"}],"_type":"block"},{"markDefs":[],"children":[{"_key":"78c128985456","_type":"span","marks":["strong","em"],"text":"Contemporary OB/GYN"},{"_type":"span","marks":["strong"],"text":": ","_key":"21cd4972e64d"},{"marks":[],"text":"Given the significant differences in maternal age, education, and household income among delivery groups, how did you account for these variables in your analysis, and what role do you think socioeconomic factors play in the relationship between method of delivery and PPD?","_key":"cffc02b40317","_type":"span"}],"_type":"block","style":"normal","_key":"a0647a0fa534"},{"markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"Tavella: ","_key":"11ccfb5bbec4"},{"_type":"span","marks":[],"text":"The regression models we used to examine associations between unplanned cesarean delivery and post-partum depression adjusted for the covariates are significantly different between groups, such as maternal age and household income. We did this precisely because these factors likely confound the relationship between mode of delivery and post-partum depression. Specifically, we know that patients of different ages, racial and ethnic identities, and socioeconomic resources have different birthing experiences and face different treatment from their clinical providers. These differences likely predispose certain patients groups to a greater likelihood of unplanned cesarean, as well as post-partum depression.","_key":"99e1f11b0bf3"}],"_type":"block","style":"normal","_key":"8d48dfefc090"},{"markDefs":[],"children":[{"text":"Contemporary OB/GYN","_key":"e7adeee14914","_type":"span","marks":["strong","em"]},{"_type":"span","marks":["strong"],"text":": ","_key":"37b4f7966224"},{"_type":"span","marks":[],"text":"Based on your findings, what recommendations would you make to health care providers to better support patients who undergo unplanned cesarean deliveries in terms of mental health screening and postpartum care?","_key":"04f21eaba3c1"}],"_type":"block","style":"normal","_key":"63c8d7eb5cdd"},{"_type":"block","style":"normal","_key":"1227f2139c86","markDefs":[],"children":[{"_key":"a1685c612ae2","_type":"span","marks":["strong"],"text":"Tavella: "},{"marks":[],"text":"These findings suggest that the birthing process—already incredibly complicated—can expose pregnant people to adverse psychosocial stress via urgent changes in delivery planning, leading to cesarean delivery. These patients’ psychosocial health following such a delivery may improve if they are connected to mental health support in the post-partum period. Obstetric institutions should consider comprehensive policies to link these patients with such support.","_key":"980c043fe10d","_type":"span"}]},{"_type":"block","style":"normal","_key":"8b370f1d869c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"4fdd768250bb"}]},{"markDefs":[],"children":[{"_key":"83173067a60b","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal","_key":"6bbf880447db"}],"articleType":"News","authorMapping":[{"_ref":"80f05b8a-1aa3-4506-b64b-d7bad043d8bb","_type":"reference","_key":"139ef1f0e95d"}],"published":"2025-02-03T19:00:43.349Z","authors":[{"displayName":"Morgan Ebert, Managing Editor","url":"morgan-petronelli"}],"is_visible":true,"title":"Unplanned cesarean delivery linked to higher risk of postpartum depression","summary":"Nicola F. Tavella, MPH, dives into his team's research on postpartum depression and unplanned cesarean delivery, which was presented at SMFM's 2025 Pregnancy Meeting.","documentGroup":{"identifier":{"current":"conferences/smfm","_type":"slug"},"parent":{"_ref":"contobgyn_documentGroup_53589_conference","_type":"reference"},"_type":"documentGroup","name":"SMFM","_id":"obgyn_documentGroup_616_smfm","_updatedAt":"2022-03-09T12:36:02Z","isShow":true,"_createdAt":"2020-04-07T12:48:52Z","_rev":"Vwdsujjvbn7jMZyMwphlLC"},"_updatedAt":"2025-02-03T17:01:40Z","_rev":"sl0dTFPwzMUihljQVMJRTF","contentCategory":{"name":"Articles","_id":"8bdaa7fc-960a-4b57-b076-75fdce3741bb","_updatedAt":"2023-09-13T16:02:30Z","_createdAt":"2020-03-04T05:44:42Z","_rev":"jyITl2R0P6PN5zEcISnuPH","_type":"contentCategory"},"url":"unplanned-cesarean-delivery-linked-to-higher-risk-of-postpartum-depression"},{"_updatedAt":"2025-02-03T20:25:01Z","_id":"b03a85ec-f909-432d-8302-2e83ff001fc5","summary":"Timely diagnosis of gestational diabetes is crucial for optimal maternal and fetal health, but a recent study highlights demographic disparities in screening delays and the need for further research on potential health impacts.","articleType":"News","documentGroupMapping":[{"_ref":"obgyn_documentGroup_616_smfm","_type":"reference","_key":"7211254a1a40"}],"authorMapping":[{"_ref":"ee298dd8-2193-4a3b-9a46-5cbf697c2249","_type":"reference","_key":"06cc0adda064"}],"thumbnail":{"asset":{"_ref":"image-e43eedaed9ee19332d60f816f3b79463b37f5d54-480x600-jpg","_type":"reference"},"_type":"mainImage","alt":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net","caption":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net"},"published":"2025-02-01T01:01:53.587Z","authors":[{"displayName":"Celeste Krewson, Assistant Editor","url":"celeste-krewson"}],"url":"screening-to-diagnosis-interval-vital-for-gestational-diabetes-outcomes","body":[{"asset":{"_ref":"image-e43eedaed9ee19332d60f816f3b79463b37f5d54-480x600-jpg","_type":"reference"},"widthP":50,"_type":"figure","imgcaption":[{"style":"normal","_key":"421e5f8c6377","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net","_key":"b635511ece25"}],"_type":"block"}],"_key":"62b4cea2bbdf","disableTextWrap":false,"alt":"Screening-to-diagnosis interval vital for gestational diabetes outcomes | Image Credit: ultracon2024.eventscribe.net","disableLightBox":true,"alignment":"right"},{"style":"normal","_key":"7b5e54dc054c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Chloe Getrajdman, MD, MSCR, Resident at Mount Sinai, discusses a recent study evaluating the association between the screening-to-diagnosis interval and gestational diabetes outcomes.","_key":"c6dced1d0409"}],"_type":"block"},{"children":[{"marks":["em","strong"],"text":"","_key":"3ff918ed819d","_type":"span"}],"_type":"block","style":"normal","_key":"a0c5e522e1e2","markDefs":[]},{"style":"normal","_key":"7b9ad08250bf","markDefs":[],"children":[{"_key":"285b6166b6ec","_type":"span","marks":["em","strong"],"text":"Contemporary OB/GYN:"}],"_type":"block"},{"_type":"block","style":"normal","_key":"33f6c0f8eedf","markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"What is the importance of having a short interval between screening and diagnosis for gestational diabetes (GDM)?","_key":"e89d8dd44811"}]},{"_key":"0345f6064115","markDefs":[],"children":[{"_key":"6beaa976c4e1","_type":"span","marks":[],"text":""}],"_type":"block","style":"normal"},{"_type":"block","style":"normal","_key":"6ec54fce1ae1","markDefs":[],"children":[{"_key":"334d0ac48041","_type":"span","marks":["strong"],"text":"Chloe Getrajdman, MD, MSCR:"}]},{"_key":"d2cec9b46abc","markDefs":[],"children":[{"_type":"span","marks":[],"text":"Screening for gestational diabetes (GDM) is important in order to identify those individuals with the condition and prevent adverse maternal and fetal outcomes that can come from having this diagnosis in pregnancy. The gold standard method of screening involves a 1-hour screening test, followed by a 3-hour test if the 1-hour test is positive. Since the 3-hour test requires individuals to fast for at least 8 hours, it has to be scheduled on a day when the patient can return to the clinic fasting. This inherently creates delays in diagnosis and, ultimately and more importantly, delays in treatment. We hypothesized that a prolonged interval between screening and diagnosis of GDM would be associated with a higher likelihood of adverse maternal and fetal outcomes.","_key":"733a0030ea75"}],"_type":"block","style":"normal"},{"style":"normal","_key":"4d5802ce70dd","markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"","_key":"8c99401d1a04"}],"_type":"block"},{"_key":"a80258889430","markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"0ee0b27b5660"}],"_type":"block","style":"normal"},{"children":[{"text":"Please provide a brief overview of your study presented at SMFM 2025.","_key":"575396c817bc","_type":"span","marks":["em"]}],"_type":"block","style":"normal","_key":"655994f2bb9c","markDefs":[]},{"style":"normal","_key":"a12fd9e79662","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"53dad2304cef"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"Getrajdman:","_key":"838432d37c0e"}],"_type":"block","style":"normal","_key":"d94da4f1ab67","markDefs":[]},{"style":"normal","_key":"b77f01fddf4e","markDefs":[],"children":[{"_key":"16c04efecea3","_type":"span","marks":[],"text":"The objective of the study was to determine whether the interval between GDM screening via the 1-hour glucose challenge test (GCT) and the 3-hour glucose tolerance test (GTT) is associated with adverse perinatal outcomes. The study was a retrospective cohort study of 389 singleton, non-anomalous pregnancies from 2019 to 2022, diagnosed with GDM with this 2-step test."}],"_type":"block"},{"markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"","_key":"4e4d8a0df936"}],"_type":"block","style":"normal","_key":"8ac8ab8a4d1c"},{"_key":"9e7f578a543b","markDefs":[],"children":[{"_key":"9834686aa5e1","_type":"span","marks":["em","strong"],"text":"Contemporary OB/GYN:"}],"_type":"block","style":"normal"},{"style":"normal","_key":"d4223a2c03a3","markDefs":[],"children":[{"text":"What results did the study find on the association of the interval between GDM screening and diagnosis with perinatal outcomes?","_key":"9fe338fecd83","_type":"span","marks":["em"]}],"_type":"block"},{"style":"normal","_key":"419af3159a99","markDefs":[],"children":[{"_type":"span","marks":["strong"],"text":"","_key":"da97482872a3"}],"_type":"block"},{"children":[{"_type":"span","marks":["strong"],"text":"Getrajdman:","_key":"cff5f39109c9"}],"_type":"block","style":"normal","_key":"6194ea6bd6d1","markDefs":[]},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"The study demonstrated that the majority of patients (66.3%) had an interval of screening less than 10 days, while approximately about a third of patients (33.7%) had an interval of greater than or equal to 10 days. Patients with delayed screening were more likely to be obese (30% vs 43.7%), Black (9.4% vs 12.9%), and have public insurance. The results of the study did not demonstrate any significant difference in a composite outcome of perinatal morbidity that included macrosomia, shoulder dystocia, hypertensive disorders of pregnancy, cesarean delivery for presumed macrosomia, neonatal intensive care unit (NICU) admission, among other adverse neonatal outcomes.","_key":"2832785673e0"}],"_type":"block","style":"normal","_key":"d79180c7aa7d"},{"_key":"92926b0d8e56","markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"","_key":"5889d51e748c"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":["em","strong"],"text":"Contemporary OB/GYN:","_key":"6e2ca3d32b8c"}],"_type":"block","style":"normal","_key":"181f6e211eaa"},{"_key":"07e702e305d2","markDefs":[],"children":[{"_type":"span","marks":["em"],"text":"What are the key clinical takeaways of this information for health care providers?","_key":"b92910462bea"}],"_type":"block","style":"normal"},{"_key":"7ee144227f20","markDefs":[],"children":[{"_type":"span","marks":[],"text":"","_key":"28c2fafe9376"}],"_type":"block","style":"normal"},{"style":"normal","_key":"d36bdfbefdcb","markDefs":[],"children":[{"text":"Getrajdman:","_key":"a57cc31fdb03","_type":"span","marks":["strong"]}],"_type":"block"},{"_key":"07fc0fef8f6c","markDefs":[],"children":[{"_type":"span","marks":[],"text":"While there were no differences in our primary outcome, this study did reveal demographic differences in the population of patients who were able to undergo their 3-hour screening test within 10 days, as compared to those who completed their test greater than 10 days from the screening test. More research is needed to better understand the barriers to returning for the 3-hour test, and whether this delay between screening and diagnosis may result in other adverse outcomes not captured by this study.","_key":"a28e0377789e"}],"_type":"block","style":"normal"}],"title":"Screening-to-diagnosis interval vital for gestational diabetes outcomes","ExcludeFromPubMedXML":false,"is_visible":true,"showSocialShare":true,"_rev":"sl0dTFPwzMUihljQVQpEDz","seoTag":["screening","diagnosis","interval","gestational diabetes","SMFM","outcomes"],"taxonomyMapping":[{"_ref":"contobgyn_taxonomy_5143_news","_type":"reference","_key":"caf1ded40a41"},{"_key":"dae2c6a56449","_ref":"contobgyn_taxonomy_4681_obstetrics","_type":"reference"},{"_ref":"afb08f93-98a9-47fe-98c1-d91e09d54697","_type":"reference","_key":"3cf8113b1dfa"}],"documentGroup":{"identifier":{"current":"conferences/smfm","_type":"slug"},"parent":{"_ref":"contobgyn_documentGroup_53589_conference","_type":"reference"},"_type":"documentGroup","name":"SMFM","_id":"obgyn_documentGroup_616_smfm","_updatedAt":"2022-03-09T12:36:02Z","isShow":true,"_createdAt":"2020-04-07T12:48:52Z","_rev":"Vwdsujjvbn7jMZyMwphlLC"},"_createdAt":"2025-01-31T14:23:07Z","_type":"article","contentCategory":{"_id":"42000fd0-0d05-4832-9f2c-62c21079b76c","_updatedAt":"2020-03-04T05:44:42Z","_createdAt":"2020-03-04T05:44:42Z","_rev":"IlP9l41tH9jB20SbSpveLm","_type":"contentCategory","name":"Videos"}},{"documentGroup":{"isShow":true,"_createdAt":"2020-04-07T12:48:52Z","_rev":"Vwdsujjvbn7jMZyMwphlLC","identifier":{"current":"conferences/smfm","_type":"slug"},"parent":{"_ref":"contobgyn_documentGroup_53589_conference","_type":"reference"},"_type":"documentGroup","name":"SMFM","_id":"obgyn_documentGroup_616_smfm","_updatedAt":"2022-03-09T12:36:02Z"},"_id":"2002553f-9e19-4049-b4d6-e911e6a1b4ec","_createdAt":"2025-01-31T19:24:18Z","seoTag":["PAS","placenta accreta spectrum","SMFM 2025"],"body":[{"videoObject":{"videoDuration":"PT4M18S","videoDescription":"First trimester hemorrhage and anemia: new insights into placenta accreta spectrum risk","_type":"videoDetails","videoTitle":"First trimester hemorrhage and anemia: new insights into placenta accreta spectrum risk","thumbnail":{"_type":"image","asset":{"_ref":"image-692c1d5048ac9a1f5e93c7d2046eb9e390c8d8d8-868x482-png","_type":"reference"}}},"_type":"video","videoID":"6368067549112","disableAutoPlayVideo":false,"source":"brightcove","_key":"22b012a63c18"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"A recent study led by researchers at Mount Sinai sheds light on a potential link between first-trimester hemorrhage, anemia, and placenta accreta spectrum (PAS) development. This research aims to refine risk stratification in obstetric care, potentially leading to earlier and more targeted surveillance for high-risk pregnancies.","_key":"484b18127ea0"}],"_type":"block","style":"normal","_key":"dd289837e093"},{"_type":"block","style":"normal","_key":"f073a8589a10","markDefs":[],"children":[{"_key":"101903de6717","_type":"span","marks":[],"text":"\"The motivation for this study was born out of a parental study that's currently unpublished, ongoing with our main goal of identifying non-traditional risk factors for PAS,\" said Henri M. Rosenberg, MD, a third-year fellow in maternal-fetal medicine at the Icahn School of Medicine at Mount Sinai in New York. \"What the ultimate goal of being able at a preconception visit, or at a first OB, initial OB appointment, is being able to really scrutinize and risk stratify who needs more surveillance in this pregnancy.\""}]},{"children":[{"marks":[],"text":"The study’s findings revealed a significantly higher association between concurrent first-trimester hemorrhage and anemia with PAS. Rosenberg emphasized that while association does not imply causation, biological mechanisms could help explain the connection. \"When we have hemorrhage and when we have anemia at a placental local level, there could be some local hypoxia going on, disruption of the placenta from the decidua. And in those cases, it's possible that at least so pro-inflammatory state, abnormal vascular remodeling of the arterials, and could ultimately lead to an abnormal attachment of the placenta to any prior uterine defect.\"","_key":"dec5ad75839e","_type":"span"}],"_type":"block","style":"normal","_key":"764d8eaca898","markDefs":[]},{"_key":"a97206ec48de","markDefs":[],"children":[{"_type":"span","marks":[],"text":"One of the most significant findings in the study was the strength of this association. \"I don't think we expected to find the degree of association as high as it is, being 16 times higher for the development of PAS or diagnosis of PAS, if you have a concurrent hemorrhage and anemia,\" Rosenberg noted. \"We think of all these traditional risk factors being prior C-sections, with or without prior previa, assisted reproductive technology, myomectomies, anything that can lead to uterine defect. But when we looked at when we compared our risk of association with the concurrent hemorrhage, it was much higher than these traditional risk factors.\"","_key":"7e32ffc5474c"}],"_type":"block","style":"normal"},{"markDefs":[],"children":[{"_type":"span","marks":[],"text":"Given these findings, Rosenberg reccomended heightened vigilance in obstetric care. \"I think given these findings, any patient with a traditional risk factor, or non-traditional risk factors, as we're finding throughout our parent study and this secondary analysis, these patients should probably have earlier screening, possibly at a center that has experience looking and diagnosing placenta accreta spectrum.\"","_key":"776a21708910"}],"_type":"block","style":"normal","_key":"b654cc691621"},{"markDefs":[],"children":[{"_key":"b39f160f8446","_type":"span","marks":[],"text":"Future research aims to further explore non-traditional risk factors and improve early diagnostic techniques. \"It's important to continue to identify these non-traditional risk factors, to really risk stratify these patients and get them into earlier ultrasounds in the first trimester, possibly transvaginal if possible,\" Rosenberg concluded."}],"_type":"block","style":"normal","_key":"9b6da2f0aae9"}],"taxonomyMapping":[{"_ref":"contobgyn_taxonomy_4681_obstetrics","_type":"reference","_key":"a350bf2d69b6"},{"_ref":"contobgyn_taxonomy_329_pregnancyandbirth","_type":"reference","_key":"2e562545d9f8"},{"_type":"reference","_key":"688aa4429487","_ref":"afb08f93-98a9-47fe-98c1-d91e09d54697"},{"_key":"b8340fdc833c","_ref":"contobgyn_taxonomy_5143_news","_type":"reference"}],"_type":"article","title":"First trimester hemorrhage and anemia: New insights into placenta accreta spectrum risk","ExcludeFromPubMedXML":false,"articleType":"News","thumbnail":{"_type":"mainImage","alt":"Henri M. 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