The Latest Reproductive Medicine Journal Articles
Keep up to date with the latest in reproductive medicine. Check out the latest reproductive medicine articles from leading medical journals in a single view, helping you discover relevant articles quickly and easily
- Bacterial Vaginosis and Its Association with Infertility, Endometritis, and Pelvic Inflammatory Disease.Bacterial vaginosis (BV), pelvic inflammatory disease (PID), and endometritis are infections of the genital tract that can lead to many adverse health outcomes, including infertility. BV is characterized by a lower prevalence of lactobacilli and a higher prevalence of anaerobic bacteria, including Gardnerella vaginalis, Megasphaera spp., and Atopobium vaginae. Endometritis and PID are caused by […]
- Polycystic ovary syndrome and assisted reproduction: splitters versus lumpers.In 2003, the Rotterdam ESHRE/ASRM consensus updated the criteria for diagnosing polycystic ovary syndrome (PCOS), requiring, after the exclusion of other etiologies, at least two of the following: oligo-anovulation, hyperandrogenism, and polycystic ovaries. This change was driven by the awareness that PCOS is a syndrome with a broad spectrum of signs and symptoms of ovarian […]
- The effect of donor and recipient race on outcomes of assisted reproduction.A growing literature suggest that minority races, particularly Black women, have lower probability of live birth and higher risk of perinatal complications after autologous ART. However, questions still remain as to whether these racial disparities have arisen due to associations between race and oocyte/embryo quality, the uterine environment, or a combination of the two. Oocyte […]
- Lesbian Women Undergoing Assisted Reproduction: Diverse, But Not Different.The use of assisted reproduction among women in relationships with other women has increased in the United States over the past decade as a result of increased legal access and social acceptance. Despite this shift, limited studies currently exist to guide optimal fertility care for this growing patient population of women seeking assisted reproduction. In […]
- Uterine-Artery Embolization or Myomectomy for Uterine Fibroids.Uterine fibroids, the most common type of tumor among women of reproductive age, are associated with heavy menstrual bleeding, abdominal discomfort, subfertility, and a reduced quality of life. For women who wish to preserve their uterus and who have not had a response to medical treatment, myomectomy and uterine-artery embolization are therapeutic options.We conducted a […]
- A systematic review on the use of Misoprostol at the time of open myomectomy.Leiomyomata are common benign pelvic masses that occur in up to 77% of reproductive aged women (Flyckt et al Clin Obstet Gynecol 2017;60(2):252-272). Myomectomies are frequently performed for symptomatic leiomyoma unresponsive to non-surgical treatments and can be performed via laparotomy (open) or minimally invasive approaches. Open myomectomies are often performed because of lack of access […]
- Low-Grade Endometrial Stromal Sarcoma Diagnosed 8 Years After Hysterectomy With Morcellation.Morcellation at the time of minimally invasive hysterectomy or myomectomy for presumed benign indications carries a risk of disseminating undiagnosed uterine malignancies.A 57-year-old woman with a remote history of laparoscopic hysterectomy with morcellation of a cellular leiomyoma presented with a newly diagnosed complex pelvic mass. Owing to adherence of the mass to the rectum and […]
- Misoprostol for open myomectomy: a systematic review and meta-analysis of randomised control trials.Excessive blood loss is a significant risk of myomectomy with the potential need for hysterectomy.To study the effectiveness of preoperative misoprostol compared to placebo at open myomectomy on intra- and postoperative outcomes.Pubmed, Cochrane, Scopus, Medline, and EMBASE.Randomised control studies of women undergoing open myomectomy for symptomatic fibroids who were given either misoprostol or placebo preoperatively.The […]
- Post-operative Hormonal Treatment for Prevention of Endometrioma Recurrence after Ovarian Cystectomy: A Systematic Review and Network Meta-Analysis.The efficacy of hormonal regimens for the prevention of endometrioma recurrence in women who have undergone conservative surgery is still controversial.To compare the efficacy of different hormonal regimens in this context and to rank them.MEDLINE and Scopus databases were searched through January 2020.RCTs or cohorts, comparing the effect of any pair of interventions (i.e., cyclicOC, […]
- Essentials in Minimally Invasive Gynecology Manual Skills Construct Validation Trial.To establish validity evidence for the Essentials in Minimally Invasive Gynecology laparoscopic and hysteroscopic simulation systems.A prospective cohort study was IRB approved and conducted at 15 sites in the United States and Canada. The four participant cohorts based on training status were: 1) novice (postgraduate year [PGY]-1) residents, 2) mid-level (PGY-3) residents, 3) proficient (American […]
- Platelet activation and placenta-mediated adverse pregnancy outcomes: an ancillary study to the EAGeR trial.Platelet activation may play a role in the pathophysiology of placenta-mediated obstetric complications, as evidenced by the efficacy of aspirin for preventing preeclampsia, but published data regarding the relationship between biomarkers for platelet activation and adverse obstetric outcomes are sparse. Specifically, it is unknown whether pre-pregnancy biomarkers of platelet activation are associated with adverse pregnancy […]
- What do we do when new fibroids form following myomectomy?Evidence reports have detailed the shocking lack of high quality data regarding treatment outcomes for uterine fibroids. Moreover, despite the high risk of having new fibroid symptoms following an initial fibroid surgery, we have even less information on outcomes for secondary procedures. Click here to read the full article @ BJOG : an international journal […]
- Comparison of high-intensity focused ultrasound ablation and secondary myomectomy for recurrent symptomatic uterine fibroids following myomectomy: A retrospective study.To compare the long-term symptoms alleviation and re-intervention of high-intensity focused ultrasound (HIFU) ablation and secondary myomectomy for women with recurrent symptomatic uterine fibroids following myomectomy.A retrospective analysis.A general hospital in China.188 women with recurrent symptomatic uterine fibroids following myomectomy.Women underwent HIFU ablation (n=101) and secondary myomectomy (n=87) at Chinese PLA General Hospital from January […]
- Connecting reproductive health to women’s health with longitudinal research.Epidemiologists and social scientists have long utilised longitudinal study designs to examine the associations between exposures, behaviours, health conditions/diagnoses and longer term outcomes. Attention increasingly focuses on pregnancy-related conditions and women’s health in later life (e.g. Hass DM et al. Am J Epidemiol. 2016;183(6):519-530. Cain MA et al. Am J Obstet Gynecol 2016;215(4):484.e1-e14). While some […]
- Reproductive services for women at high risk for maternal mortality: a report of the workshop of the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, the Fellowship in Family Planning, and the Society of Family Planning.Click here to read the full article @ American Journal of Obstetrics and Gynecology
- Intraoperative Tranexamic Acid to Decrease Blood Loss During Myomectomy: A Randomized Double-Blind Placebo Controlled Trial.Myomectomy is associated with a significant risk of hemorrhage. Tranexamic acid is a synthetic lysine derivative with antifibrinolytic activity used in other surgical disciplines to reduce blood loss during surgery. However, its utility in gynecologic surgery is not well understood.To determine the effect of the early administration of intravenous tranexamic acid on perioperative bleeding and […]
- Maternal risk factors and adverse birth outcomes associated with HELLP syndrome: a population-based study.We assessed the incidence, risk factors and adverse birth outcomes associated with elevated liver enzymes and low platelets (HELLP) syndrome.A retrospective population-based cohort study.Canada (excluding Quebec), 2012/13-2015/16.Mothers with a singleton hospital live birth or stillbirth at ≥24 weeks gestation (N=1,078,323).HELLP syndrome was identified using ICD-10-CA diagnostic code from delivery hospitalization data. We used logistic regression to […]
- Atypical endometrial polyps and the incidence of endometrial cancer: a retrospective cohort study.The aim of this study is to evaluate the incidence of endometrial carcinoma, proven after hysterectomy, in patients diagnosed with atypical endometrial hyperplasia confined to a polyp. A secondary aim is to establish factors associated with (pre-) malignant alterations in a polyp.A retrospective cohort study SETTING: Maastricht University Medical Centre (MUMC+) and Máxima Medical Centre […]
- Breakdown in the Expedited Partner Therapy Treatment Cascade: From Reproductive Healthcare Provider to the Pharmacist.The rising incidence rates of sexually transmitted infections (STI) in the U.S. highlight the need for concurrent treatment of patients and their sexual partners. Expedited partner therapy (EPT) allows healthcare providers to offer antibiotic prescriptions or medications to an index patient for distribution to their sexual partner(s) without evaluating the partner. We hypothesized that there […]
- Reproductive and hormonal factors and risk of cognitive impairment among Singapore Chinese women.Epidemiologic studies suggest that declining estrogen level in menopause may play an important role in the pathogenesis of dementia and contribute to increased risk of cognitive impairment in women. Most previous studies have been conducted in Western population to investigate the relations of the length of reproductive periods and use of HRT with risk of […]
- Time trends in placenta-mediated pregnancy complications after assisted reproductive technology in the Nordic countries.The use of assisted reproductive technology (ART) is increasing worldwide and conception after assisted reproduction currently comprises 3-6% of birth cohorts in the Nordic countries. The risk of placenta-mediated pregnancy complications is higher after ART compared to spontaneously conceived pregnancies. Whether the excess risk of placenta-mediated pregnancy complications in pregnancies following assisted reproduction has changed […]
- Prediction of pregnancy loss by early first trimester ultrasound characteristics.Pregnancy loss prediction based on routinely measured ultrasound characteristics is generally aimed towards distinguishing nonviability. Physicians also use ultrasound indicators for patient counseling, and in some cases to decide upon the frequency of follow-up sonograms. To improve clinical utility, allocation of cut-points should be based on clinical data for multiple sonographic characteristics, be specific to […]
- The Use of Hysteroscopy for the Diagnosis and Treatment of Intrauterine Pathology: ACOG Committee Opinion, Number 800.This Committee Opinion provides guidance on the current uses of hysteroscopy in the office and the operating room for the diagnosis and treatment of intrauterine pathology and the potential associated complications. General considerations for the use of diagnostic and operative hysteroscopy include managing distending media, timing for optimal visualization, and cervical preparations. In premenopausal women […]
- The Use of Hysteroscopy for the Diagnosis and Treatment of Intrauterine Pathology: ACOG Committee Opinion Summary, Number 800.This Committee Opinion provides guidance on the current uses of hysteroscopy in the office and the operating room for the diagnosis and treatment of intrauterine pathology and the potential associated complications. General considerations for the use of diagnostic and operative hysteroscopy include managing distending media, timing for optimal visualization, and cervical preparations. In premenopausal women […]
- Cardio-metabolic risk factors among young infertile women: a systematic review and meta-analysis.There is currently no concise systematic review or meta-analysis addressing cardio-metabolic risk factors in women experiencing infertility.To determine whether infertile women have higher levels of cardiovascular risk factors compared to fertile women.We performed a systematic literature search using Pubmed, EMBASE and CINAHL, Scopus and additional manual and bibliographic searches for relevant articles (end search date […]
- Surrogacy Laws in the United States: What Obstetrician-Gynecologists Need to Know.The first child carried by a surrogate after in vitro fertilization in the United States was born in 1985. Since then, the number of such births has steadily grown. According to the Centers for Disease Control and Prevention, the number of gestational carrier cycles increased from 727 in 1999 to 3,432 in 2013, encompassing more […]
- Quality of periconceptional dietary intake and maternal and neonatal outcomes.Periconceptional diet quality is commonly suboptimal and sociodemographic disparities in diet quality exist. However, it is unknown whether individual periconceptional diet quality is associated with obstetric outcomes.Our objective was to assess differences in maternal and neonatal outcomes according to maternal periconceptional diet quality.This is a secondary analysis of a large, multicenter prospective cohort study of […]
- Endometriosis Fertility Index for Predicting Non-assisted Reproductive Technology Pregnancy after Endometriosis Surgery: A Systematic Review and Meta-analysis.Results of studies that have assessed the accuracy of the Endometriosis Fertility Index (EFI) for predicting non-assisted reproductive technology (ART) pregnancy are inconsistent.We intended to evaluate the accuracy of EFI for the prediction of non-ART pregnancy.Embase, Medline, Scopus, and Web of Science were searched up to 5 Oct 2019.We included studies that used EFI to […]
- Metformin plus Megestrol Acetate (MA) compared with MA alone as fertility-sparing treatment in patients with atypical endometrial hyperplasia and well differentiated endometrial cancer: a randomised controlled trial.To assess the efficacy of metformin in megestrol acetate (MA)-based fertility-sparing treatment for patients with atypical endometrial hyperplasia (AEH) and endometrioid endometrial cancer (EEC).A randomized, single-center, open-label and controlled trial conducted between October 2013 and December 2017.Shanghai OBGYN hospital of Fudan university, China.Totally 150 patients (18-45 years old) with primary AEH or well-differentiated EEC were […]
- FERTILITY INTENTIONS AND LONG-ACTING REVERSIBLE CONTRACEPTIVE USE AMONG HIV-NEGATIVE SINGLE MOTHERS IN ZAMBIA: Fertility intent and LARC use in Zambia.Integrating family planning interventions with HIV studies in developing countries has been shown to prevent mother-to-child HIV transmission and simultaneously reduce HIV and unintended pregnancy in high-risk populations. As part of a prospective cohort study on HIV incidence and risk factors in Zambian women having unprotected sex, we also offered family planning counseling and immediate […]
- An economic analysis of preimplantation genetic testing for aneuploidy (PGT-A) by polar body biopsy in advanced maternal age.What are the cost per live birth and the incremental cost of preventing a miscarriage with preimplantation genetic testing for aneuploidy (PGT-A) by polar body biopsy and array-based comprehensive genome hybridization (aCGH) versus regular IVF/ICSI without PGT-A for infertility treatment in women 36-40 years of age?Decision tree model.A randomized clinical trial on PGT-A (ESTEEM study).Two […]
- Sexual and Reproductive Health Characteristics of Women in Substance Use Treatment in Michigan.To evaluate the sexual and reproductive health characteristics of women in treatment for opioid use disorder in Michigan and explore services provided and desired.We conducted a cross-sectional study of female patients aged 18-50 years who accessed opioid use disorder treatment at 22 randomly selected facilities in Michigan from December 2015 to May 2017. Computer-assisted self-interviews […]
- Effect of Folic Acid and Zinc Supplementation in Men on Semen Quality and Live Birth Among Couples Undergoing Infertility Treatment: A Randomized Clinical Trial.Dietary supplements marketed for male fertility commonly contain folic acid and zinc based on limited prior evidence for improving semen quality. However, no large-scale trial has examined the efficacy of this therapy for improving semen quality or live birth.To determine the effect of daily folic acid and zinc supplementation on semen quality and live birth.The […]
- From 2646 to 15: differentially regulated miRNAs between progenitors from normal myometrium and leiomyoma.Uterine leiomyomas (fibroids) are smooth muscle neoplasms of the myometrial layer of the uterus and the most common benign tumors in women. Although their etiology is still unclear, progenitor cells (PCs) seem to be implicated.To identify the dysregulated pathways involved in leiomyoma onset by microRNA (miRNA) profiling of PCs isolated from normal myometrium and leiomyoma […]
- Reproductive justice for those affected by childhood abuse.Pregnancy and childbirth are part of people’s sexual lives and their intimate relationships. When one or both of these have been characterised by violence and/or unpredictability in a person’s childhood, a subsequent effect on the individual’s approach to pregnancy and childbirth seems very likely. Health professionals caring for those affected by childhood abuse must take […]
- Stage-based implementation of Immediate Postpartum Long Acting Reversible Contraception Using a Reproductive Justice Framework.The immediate postpartum period (IPP) is a favorable, safe and effective time to provide long acting reversible contraceptives (LARC), yet it is not widely available. We describe an innovative hospital-based approach to IPP LARC that includes: 1) an emphasis on multidisciplinary teambuilding and identification of champions; 2) focus on using implementation science at every stage […]
- Reproductive Implications and Management of Congenital Uterine Anomalies: Scientific Impact Paper No. 62November 2019.Congenital uterine anomalies (CUAs) are malformations of the womb that develop during fetal life. When a baby girl is in her mother’s womb, her womb develops as two separate halves from two tubular structures called ‘müllerian ducts’, which fuse together before she is born. Abnormalities that occur during the baby’s development can be variable from […]
- Analgesic use at ovulation and implantation and human fertility.Studies investigating the effects of pain-relieving medication use on conceiving a pregnancy have shown conflicting results. Furthermore, no previous study has examined medication use around ovulation or implantation, and the associations with the probability of conception, fecundability.To explore the association between fecundability and analgesic use in three different menstrual cycle windows – pre-ovulation, peri-ovulation and […]
- Expedited Scheduling of Interval Tubal Ligation: A Randomized Controlled Trial.To assess whether expedited scheduling for permanent contraception increases the proportion of patients completing interval tubal ligation within 6 months of delivery.We randomly assigned patients with unfulfilled immediate postpartum tubal ligation requests to standard scheduling after a postpartum office visit or an expedited process in which we scheduled the interval tubal ligation surgery before discharge […]
- Short-term Quality of Life after Myomectomy for Uterine Fibroids from the Compare-UF Fibroid Registry.Uterine fibroids may decrease quality of life in a significant proportion of affected women. Myomectomy offers a uterine-sparing treatment option for patients with uterine fibroids that can be performed abdominally, laparoscopically (with or without robotic assistance), and by hysteroscopy. Quality of life using validated measures for different myomectomy routes, especially hysteroscopic myomectomy, is limited.To compare […]
- Associations between the vaginal microbiome and Candida colonization in women of reproductive age.The composition of bacteria within the vaginal microbiome has garnered a lot of recent attention and has been associated with reproductive health and disease. Despite the common occurrence of yeast (primarily Candida) within the vaginal microbiome, there is still an incomplete picture of relationships between yeast and bacteria (especially lactobacilli), as well as how such […]
- Preimplantation genetic screening should be used in all in vitro fertilisation cycles in women over the age of 35 years: FOR: Preimplantation genetic testing for aneuploidies should be used in all in vitro fertilisation cycles in women over the age of 35 years for optimising reproductive outcomes and minimising adverse sequelae.Abstract: Abstract empty Click here to read the full article @ BJOG : an international journal of obstetrics and gynaecology
- Menstrual bleeding and spotting with the Levonorgestrel Intrauterine System (52 mg) during the first-year post-insertion: a systematic review and meta-analysis.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 over time; however, estimates derived from a variety of existing clinical data are currently unavailable.To systematically calculate the mean days of bleeding-only, spotting-only and bleeding […]
- Placental pathology in live births conceived with in vitro fertilization after fresh and frozen embryo transfer.Abstract: The availability and use of frozen embryos after ovarian hyperstimulation for assisted reproduction has increased with improvement in vitrification techniques and the rise of pre-implantation genetic testing. However, there is conflicting data regarding whether obstetric outcomes differ between fresh and frozen embryo transfer cycles.To compare placental pathology from live births arising from fresh and […]
- Lower Anti-Mullerian Hormone is Associated with Lower Oocyte Yield but not Live-Birth Rate among Women with Obesity.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 hormone in women with obesity reflects lower ovarian reserve.To determine whether lower Anti-Mullerian hormone in women with obesity undergoing in vitro fertilization is associated with […]
- Re-assessing microbiomes in the low-biomass reproductive niche.Abstract: The female reproductive tract represents a continuum between the vagina and the upper genital tract. New evidence from cultivation-independent studies suggests that the female upper genital tract is not sterile, however the significance of this for reproductive health and disease remains to be fully elucidated. Further, diagnosis and treatment of infectious reproductive tract pathologies […]
- MAVRIC: A Multicentre Randomised Controlled Trial of Transabdominal Versus Transvaginal Cervical Cerclage.Abstract: Vaginal cerclage (a suture around the cervix) is commonly placed in women with recurrent pregnancy loss. These women may experience late miscarriage or extreme preterm delivery, despite being managed with cerclage. Transabdominal cerclage has been advocated following failed cerclage, although its efficacy is unproven by randomised controlled trial.The objective of this study was to […]
- Gaining insights into reproductive health from historical events.Abstract: Maternal exposures may affect offspring reproductive health, but these effects are likely small, requiring large samples, or large changes in the exposure to detect. Also, enough time must pass to allow the offspring to reach an age at which the health endpoints of interest are observable. Drastic historical events that affect large numbers of […]
- Dairy consumption during adolescence and endometriosis risk.Abstract: Modifiable risk factors such as diet may be important in both the etiology and progression of endometriosis as well as the prevalence of pain symptoms and infertility associated with this condition. In adults, higher intake of dairy has been associated with lower risk of endometriosis diagnosis. There is currently no literature on whether dairy […]
- Family planning training at Catholic and other religious hospitals: a national survey.Abstract: Catholic and other faith-based hospitals often restrict family planning service provision based on institutional doctrine. Approximately 11% of U.S. accredited obstetrics and gynecology residency programs occur at such hospitals, creating a challenge to educational leaders who must ensure comprehensive family planning training.To evaluate and summarize family planning training at obstetrics and gynecology residency programs […]
- Association of the Eukaryotic Vaginal Virome with Prophylactic Antibiotic Exposure and Reproductive Outcomes in a Subfertile Population Undergoing In Vitro Fertilization: A Prospective Exploratory Study.Abstract: The objective of this study was to use high-throughput sequencing to describe the vaginal eukaryotic DNA virome in patients undergoing in vitro fertilization (IVF) to examine associations between the vaginal virome, antibiotic exposure, and IVF outcomes.Prospective exploratory study SETTING: Single Academic Fertility Center POPULATION: Subfertile women age 18-43 undergoing their first IVF cycle with […]
- Undetectable Equals Untransmittable (U=U): Implications for Preconception Counseling for Human Immunodeficiency Virus Serodiscordant Couples.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 desired future childbearing were referred to Reproductive Endocrinology and Infertility specialists for in vitro fertilization. The access to and cost of assisted reproductive technology created […]
- Racial diversity in abortion education and intention to provide abortion in post-residency practice: Data from the Ryan Program.Abstract: In 2011, 38% of US reproductive-aged women lived in the 89% of counties with no abortion provider. Physicians from racial and ethnic minority backgrounds (Black, Latino, Native American, and Asian American) are more likely than White physicians to practice in underserved areas and serve patients who are poor or minorities. Abortion patients are racially […]
- Infertility and Mortality.Abstract: Infertility affects 1 in 10 American reproductive-age women. The impact of this disease beyond the reproductive years is largely unknown.To determine the association of infertility history with all-cause and cause-specific mortality.This secondary analysis of a multicenter randomized clinical trial included 75,784 women (age 55-74) prospectively enrolled in the Prostate, Lung, Colorectal, and Ovarian (PLCO) […]
- Reproductive Health in Xeroderma Pigmentosum: Features of Premature Aging.Abstract: To assess the age at menarche and menopause of women with xeroderma pigmentosum, a DNA repair disease with premature aging, in a longitudinal natural history study.We conducted a natural history study that reviewed medical records for gynecologic and reproductive health of all female patients with xeroderma pigmentosum aged older than 9 years examined at […]
- Optimal Management of Endometriosis and Pain.Abstract: The pathophysiology of endometriosis-associated pain involves inflammatory and hormonal alterations and changes in brain signaling pathways. Although medical treatment can provide temporary relief, most patients can achieve long-term sustained pain relief when it is combined with surgical intervention. Owing to its complexity, there is an ongoing debate about how to optimally manage endometriosis-associated pain. […]
- Relationship Between Etonogestrel Concentrations and Bleeding Patterns in Contraceptive Implant Users.Abstract: To estimate whether serum etonogestrel concentrations influence bleeding patterns and related side effects in contraceptive implant users.We conducted a prospective cross-sectional study with healthy, reproductive-aged women using etonogestrel implants for 12-36 months. Participants completed a brief questionnaire to assess their current bleeding pattern and any experience of abnormal bleeding with the implant. We then […]
- Prepregnancy Genetic Carrier Screening in Recipients of Hematopoietic Stem Cell Transplants.Abstract: Genetic carrier screening of individuals with a history of hematopoietic stem cell (HSC) transplant is not always straightforward.We present the case of a couple who underwent prepregnancy genetic screening before fertility treatment. The genetics laboratory flagged the male partner’s blood sample because there was a discrepancy between the sex of the patient and the […]
- Effectiveness, safety, and acceptability of self-assessment of the outcome of first trimester medical abortion: A systematic review and meta-analysis.Abstract: For many women, the need for multiple clinical visits is a barrier to medical abortion.We assessed the effectiveness, safety, and acceptability of self-assessment of the outcome of medical abortion completed at home versus routine clinic follow-up after medical abortion.We searched databases such as Medline, Embase, and CENTRAL to find studies published 1991-2018.Eligible studies included […]
- Marijuana use among young pregnant women: more common and more harmful than we think.Abstract: In this issue of BJOG, Rodriguez et al. (BJOG xxxx) report results of a retrospective cohort study examining the impact of marijuana use on perinatal outcomes among 1206 young (age 13-22) pregnant women. The study was set in Colorado, a state which legalized medicinal marijuana use in 2000 and recreational use in 2014. Over the […]