Impact of the ACOG guideline regarding low dose aspirin for prevention of superimposed preeclampsia in women with chronic hypertension.

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Patients with chronic hypertension are at increased risk for superimposed preeclampsia. The 2016 American College of Obstetricians and Gynecologists (ACOG) guideline recommended initiating 81 mg daily aspirin for all pregnant […]

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Black and Hispanic women are less likely than White women to receive guideline-concordant endometrial cancer treatment.

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Differences in receipt of guideline-concordant treatment might underlie well-established racial disparities in endometrial cancer mortality.Using the National Cancer Database, we assessed the hypothesis that among women with endometrioid endometrial cancer, […]

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Evaluation of guidelines for observational management of cervical intraepithelial neoplasia 2 in young women.

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A high rate of regression in young women with cervical intraepithelial neoplasia grade 2 has been recorded. However, there is little prospective data by which to evaluate management guidelines.This study […]

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A systematic review of clinical practice guidelines on uncomplicated birth.

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Clinical practice guidelines on uncomplicated birth provide clinical practice guidance and help to reduce unnecessary, non-evidence-based and potentially harmful intrapartum care practices. Little is known about the trustworthiness and consistency […]

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Certification Process of Fetal Centers in Texas and Developing National Guidelines.

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In recent years there has been a growing trend for physician groups to develop guidelines to establish levels of hospital care based on health care team expertise and physical resources. […]

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Do obstetricians apply the national guidelines? A vignette-based study assessing practices for prevention of preterm birth.

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To describe spontaneous preterm birth prevention practices self-reported before and after the dissemination of relevant guidelines and to identify personal and organisational factors associated with adherence.A repeated cross-sectional vignette-based survey […]

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Menstrual bleeding and spotting with the Levonorgestrel Intrauterine System (52 mg) during the first-year post-insertion: a systematic review and meta-analysis.

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Abstract: Changes in menstrual bleeding concern many users of the 52 mg Levonorgestrel Intrauterine System (LNG-IUS). Prescribing information for LNG-IUS devices describe an overall decrease in bleeding and spotting days […]

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Lower Anti-Mullerian Hormone is Associated with Lower Oocyte Yield but not Live-Birth Rate among Women with Obesity.

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Abstract: Anti-Mullerian hormone is produced by small antral follicles and reflects ovarian reserve. Obesity is associated with lower serum anti-Mullerian hormone but it is unclear whether lower levels of anti-Mullerian […]

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Clinical Guidelines and Standardization of Practice to Improve Outcomes: ACOG Committee Opinion Summary, Number 792.

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Abstract: Protocols and checklists have been shown to reduce patient harm through improved standardization and communication. Implementation of protocols and guidelines often is delayed because of lack of health care […]

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Screening and Management of the Hyperandrogenic Adolescent: ACOG Committee Opinion Summary, Number 789.

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Abstract: Although androgen excess can manifest in many ways, the most common and recognizable symptoms are hirsutism and acne. Reports of hirsutism and acne should be taken seriously because of […]

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Clinical Guidelines and Standardization of Practice to Improve Outcomes: ACOG Committee Opinion, Number 792.

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Abstract: Protocols and checklists have been shown to reduce patient harm through improved standardization and communication. Implementation of protocols and guidelines often is delayed because of lack of health care […]

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The role of microbial colonisation and infection in pelvic floor mesh complications and implications for management: a commentary.

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Abstract: Microbial colonisation and infection are an important cause of mesh complications and require the treating surgical team to consider a range of interventions including antimicrobial strategies. There are no […]

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Prophylactic antibiotics in caesarean delivery before or after cord clamping – Protecting the mother at the expense of the infant’s microbiota?

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Abstract: To prevent postoperative infections after caesarean deliveries, most obstetric guidelines recommend intravenous antibiotic prophylaxis before skin incision as opposed to after cord clamping (1). However, the clinical reality may […]

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Management of mesh complications following surgery for stress urinary incontinence or pelvic organ prolapse: a systematic review.

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Abstract: Mesh surgery for stress urinary incontinence or pelvic organ prolapse can result in complications such as mesh exposure, mesh extrusion, voiding dysfunction, dyspareunia and pain. There is limited knowledge […]

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Primary surgical management of anterior pelvic organ prolapse: a systematic review, network meta-analysis and cost-effectiveness analysis.

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Abstract: Anterior compartment prolapse is the most common pelvic organ prolapse (POP) with a range of surgical treatment options available.To compare the clinical and cost effectiveness of surgical treatments for […]

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Undetectable Equals Untransmittable (U=U): Implications for Preconception Counseling for Human Immunodeficiency Virus Serodiscordant Couples.

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Abstract: Although limited by society guidelines from the American Society for Reproductive Medicine and the Centers for Disease Control in the past, many human immunodeficiency virus serodiscordant American couples who […]

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Effects of Shared Decision Making on Opioid Prescribing After Hysterectomy.

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Abstract: To evaluate the effects of shared decision making using a simple decision aid for opioid prescribing after hysterectomy.We conducted a prospective quality initiative study including all patients undergoing hysterectomy […]

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Barriers to Evidence-Based Transgender Care: Knowledge Gaps in Gender-Affirming Hysterectomy and Oophorectomy.

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Abstract: Reversal of gender-discriminatory insurance coverage policies has led to a substantial increase in access to gender-affirming surgical care in the United States over the past 20 years. Although the […]

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What if no Rh D prophylaxis is given after CVS and amniocentesis?

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Abstract: Rhesus D alloimmunization in pregnancy decreases in prevalence upon adoption of guidelines for the ante- and postpartum use of anti-D (Moise KJ. et al. Obstet Gynecol. 2008:112:164-76). Any procedure or […]

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Geographic variation in the use of lymphadenectomy and external-beam radiotherapy for endometrial cancer: a cross-sectional analysis of population-based data.

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Abstract: To quantify geographic variation in the use of lymphadenectomy and/ or external beam radiotherapy (EBRT) for endometrial cancer in England.Cross-sectional analysis of population-based data.English cancer registry data, linked to […]

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Gynecologic cancers in pregnancy: guidelines based on a third international consensus meeting.

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Abstract: We aimed to provide comprehensive protocols and promote effective management of pregnant women with gynecological cancers. New insights and more experience have been gained since the previous guidelines were […]

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Strategies for Prescribing Aspirin to Prevent Preeclampsia: A Cost-Effectiveness Analysis.

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Abstract: To evaluate the cost effectiveness of various preeclampsia screening and aspirin prophylaxis strategies, including a strategy based on biomarker and ultrasound measures.We designed a decision analysis to compare preeclampsia-related […]

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Health Care Provider Adherence to Surgical Guidelines for Risk-Reducing Salpingo-Oophorectomy.

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Abstract: To evaluate health care provider adherence to the surgical protocol endorsed by the National Comprehensive Cancer Network and the American College of Obstetricians and Gynecologists at the time of […]

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Women’s Preventive Services Initiative’s Well-Woman Chart: A Summary of Preventive Health Recommendations for Women.

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Abstract: The Well-Woman Chart summarizes current recommendations for preventive health services for women from adolescence and continuing across the lifespan. It was developed by the Women’s Preventive Services Initiative, a […]

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