Obstetrics and Gynecology

SMJ Article | Original Article

Validity of Endometrial Cavity Length on 3D Pelvic Ultrasound before Endometrial Ablation

Objectives: This study aimed to compare endometrial cavity length measurements obtained by preoperative three-dimensional (3D) reconstruction of coronal images on pelvic ultrasound with intraoperative endometrial cavity measurements obtained in advance of Minerva endometrial ablation. Methods: This was a retrospective cohort study of 41 individuals who underwent a Minerva endometrial ablation...

Posted in: Obstetrics and Gynecology66

SMJ Article | Original Article

Association of Socioeconomic Variables with Primary Cesarean Section

Objectives: Socioeconomic characteristics may be associated with cesarean section (CS) rates. We probe the relationship between socioeconomic variables and primary cesarean section (PCS) by studying indicators of socioeconomic status (SES) in a population-based study in New York City. Methods: This was a retrospective study of all 80,506 women in New...

Posted in: Obstetrics and Gynecology66

SMJ Article | Original Article

Videolaryngoscopy during Urgent Cesarean Delivery: Association with Neonatal Intensive Care Unit Admission

Objectives: Parturients are at increased risk for difficult airway management with subsequent fetal complications. Videolaryngoscopy was opined to be the new standard of airway care to facilitate orotracheal intubation under urgent care conditions. We examined in parturients requiring general anesthesia for urgent cesarean delivery the association of the type of...

Posted in: Pregnancy29

SMJ Article | Original Article

Contraception Initiation after Early Abortion in a Family Medicine Setting: A Retrospective Chart Review

Key Points The primary care setting is uniquely equipped for providing early abortion and postabortion contraception. We aimed to describe postabortion contraception provision in a family medicine office. Although the providers offered all contraceptive options to eligible patients, continuity patients were more likely to receive more effective contraception in their...

Posted in: Family Planning & Reproductive Health13

SMJ Article | Original Article

Exploring Infant Feeding Experiences and Maternity Care Practices in Appalachia

Objectives: Our aim was to explore postpartum individuals’ experiences and perceptions of breastfeeding and International Board Certified Lactation Consultants’ (IBCLC) knowledge and perceptions of maternity care practices and perceived barriers to breastfeeding among their patient populations in Appalachia. Methods: Semistructured interviews were conducted with seven IBCLCs and seven postpartum individuals....

Posted in: Pregnancy29

SMJ Article | Original Article

Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States

Objectives: This study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence. Methods: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results. Results: Forty-seven...

Posted in: Obstetrics and Gynecology66 Pregnancy29

SMJ Article | Original Article

Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy

Objectives: The aims of this study were to describe the baseline estimated blood loss (EBL) in surgery and transfusion rate in patients undergoing cytoreductive surgeries for ovarian malignancy, and identify perioperative variables associated with blood loss and transfusion. Methods: A retrospective cohort study at a single institution was performed that...

Posted in: Ovarian Disorders And Female Reproductive Health3 Ovarian Disorders3

Podcast | Practice of Medicine | January 16, 2024

A Discussion: Rising NAS Rates are Associated with Rising Buprenorphine Prescription Numbers

In this podcast, Southern Medical Journal (SMJ) Editor-in-Chief Dr. Steven Baldwin is joined by Dr. Martin Olsen to discuss the topic of “Rise in Rate of Neonatal Abstinence Syndrome is Associated with Rise in Buprenorphine Prescription Numbers”.

Posted in: Obstetrics and Gynecology1

SMJ Article | Original Article

CME Article: Rise in Neonatal Abstinence Syndrome Rate Is Associated with Increase in Buprenorphine Prescription Numbers

Objectives: Southern Appalachia is a region of the United States that is disproportionately affected by the opioid epidemic and by increasing rates of neonatal abstinence syndrome (NAS). NAS rates increased approximately 400% between 1999 and 2012. Buprenorphine prescriptions written to treat opioid use disorder also increased dramatically. The present study...

Posted in: Pregnancy29

SMJ Article | Original Article

CME Article: Current Clinical Practice Patterns in Total Vaginal Hysterectomy

Objectives: There are no data on current surgical practice patterns for benign total vaginal hysterectomy (TVH) despite recently published guidelines. The objective was to determine gynecologic surgeon practice patterns regarding TVH perioperative interventions and to assess adherence to clinical practice guidelines. Methods: A survey to assess TVH practice patterns was...

Posted in: Obstetrics and Gynecology66

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