SMJ // Obstetrics and Gynecology

SMJ Article | Original Article

Perspectives on Contraceptive Research for Individuals with Increased Thrombosis Risk: A Qualitative Exploration of Patients and Clinicians

Objectives: Although most progestin-only contraceptives are generally considered safe for most patients at increased risk of arterial and venous thrombosis, patients and clinicians may be wary of their use based on limited studies. Large prospective contraceptive studies with primary data collection would improve the evidence base for people at increased...

Posted in: Family Planning & Reproductive Health17

SMJ Article | Acknowledgment

Joint Effect of Paternal and Maternal Age on the Prevalence of Low Birth Weight in the United States

Objective: Prior studies of the effect of father's age on the risk of low birth weight (LBW, infant weight < 2500 g) have been inconclusive. In addition, previous investigators have not conducted a detailed analysis to determine whether paternal age (PA) interacts with maternal age (MA) on the outcome of...

Posted in: Obstetrics and Gynecology87 Pregnancy35

SMJ Article | Original Article

Linking Breastfeeding Support Training and Certification to Knowledge, Self-Efficacy, and Attitudes among Alabama Healthcare Professionals

Objectives: This study aimed to determine whether healthcare professionals' breastfeeding-related training and certification are associated with breastfeeding support knowledge, self-efficacy, and attitudes. Methods: An online survey was created by modifying existing in­struments. Items assessed Alabama healthcare professionals' certification in breastfeeding support, breastfeeding support-related training experience, knowledge, self-efficacy, and attitudes. Participants...

Posted in: Obstetrics and Gynecology87

SMJ Article | Original Article

Surgical Outcomes of Total Laparoscopic Hysterectomies Based on Uterine Cancer Staging

Objectives: Minimally invasive surgery is effective for early-stage uterine cancer due to its confinement to the corpus uteri. Stage 1 endometrial cancer has two subgroups: stage 1A (

Posted in: Obstetrics and Gynecology87 Uterine Disorders3

SMJ Article | Original Article

Increased Rate of Vaginal Adhesion in Hematologic Cancer Survivors after Vaginal Prolapse Surgery

Objective: We sought to determine whether there is an increased rate of vaginal adhesion complications between a hematologic cancer survivor population and a benign population after vaginal prolapse surgery. Methods: A retrospective chart review was performed on patients with a history of hematologic cancer undergoing vaginal prolapse surgery at our...

Posted in: Obstetrics and Gynecology87

SMJ Article | Original Article

Primary Care Clinicians’ Knowledge and Perspectives about Sexual Dysfunction

Objectives: Female sexual dysfunction (FSD) refers to problems with desire, arousal, orgasm, or pain, affecting approximately 12% of US women. Although FSD can be managed in primary care, most primary care clinicians do not regularly treat it. This survey of primary care clinicians practicing at a large US health system...

Posted in: Menopause: Management, Risks, & Benefits of Therapy2 Sexual Disorders And Gender Dysphoria1

SMJ Article | Original Article

Statewide Analysis of Anesthesia-Related Complications in Labor and Delivery: North Carolina, 2015–2020

Objectives: We aimed to evaluate the incidence, hospital resource utilization, and risk factors associated with anesthesia-related complications during labor and delivery in North Carolina. Methods: Using data from the 2015–2020 State Inpatient Database, we conducted a retrospective cross-sectional analysis of a representative sample of hospital deliveries involving anesthesia-related complications. The...

Posted in: Obstetrics and Gynecology87

SMJ Article | Original Article

Minimally Invasive Burch Colposuspension to Reduce De Novo Stress Incontinence: The MICRO Randomized Trial

Objective: The objective was to determine whether the addition of prophylactic retropubic colposuspension is superior to no anti-incontinence procedure during minimally invasive surgical sacrocolpopexy for stress-continent patients in decreasing rates of postoperative de novo stress urinary incontinence (SUI). Methods: In this randomized superiority trial, we recruited stress-continent prolapse patients undergoing...

Posted in: Obstetrics and Gynecology87

SMJ Article | Original Article

Evaluation of a Puberty Education Program for Girls and Their Caregivers in Arkansas

Objective: In the United States, few elementary schools offer puberty education, leaving teaching girls about puberty-related body changes and hygiene practices to other sources. When school-based puberty education programs are taught, they often are inconsistently implemented and occur too late to help prepare girls before menarche. Rigorous evaluation of puberty...

Posted in: Obstetrics and Gynecology87

SMJ Article | Original Article

Over-the-Counter Therapies for Urinary Incontinence before Presentation at a Specialty Clinic: Patient Perspective and Use

Objectives: The estimated prevalence of female urinary incontinence (UI) is 60% in the United States, and several over-the-counter (OTC) therapies for bladder health and UI exist on the market. Safety, efficacy, and patient use profiles of OTC treatment for medical issues such as constipation and headache are well established; however,...

Posted in: Obstetrics and Gynecology87

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