SMJ // Obstetrics and Gynecology

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 Gynecology78

SMJ Article | Review Article

Restless Leg Syndrome and Pregnancy

Objective: The purpose of this assessment of the literature was to evaluate the etiology, incidence, risk factors, diagnosis, management, and recurrent risk in a subsequent pregnancy of restless leg syndrome (RLS) in pregnancy. Methods: Electronic databases (PubMed, Embase, and Web of Science) were searched from January 1980–February 2024. The only...

Posted in: Pregnancy34

SMJ Article | Original Article

Role of Race, Rurality, and Age in Human Papillomavirus Vaccine Initiation among US Women

Objectives: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with a lifetime prevalence of more than 80%. HPV is associated with cervical cancer, which affects thousands of US women each year. A vaccine was introduced in 2006 to mitigate the prevalence and mortality of...

Posted in: Sexually Transmitted Diseases & Infections of Reproductive Organs1

SMJ Article | Original Article

Exploration of the Intersection between Infant Feeding and Postpartum Contraception in Western North Carolina: Perspectives of Postpartum Individuals and Providers

Objectives: Short interpregnancy intervals are associated with preterm births. Increasing access to postpartum contraception is a preventive intervention. Best practice recommendations suggest that postpartum individuals exclusively breastfeed for up to 6 months. Conversations about these two topics tend to occur simultaneously throughout the perinatal period. This study explores the intersection...

Posted in: Obstetrics and Gynecology78

SMJ Article | Original Article

Efficacy of Prophylactic Policy–Driven Tranexamic Acid Administration during Cesarean Delivery in a Rural Healthcare Setting

Objectives: Postpartum hemorrhage (PPH) is a major contributor to maternal mortality worldwide and is a leading cause of pregnancy-related mortality in the United States. The American College of Obstetricians and Gynecologists, the Royal College of Obstetricians and Gynecologists, and the World Health Organization advocate for the early use of tranexamic...

Posted in: Pregnancy34

SMJ Article | Original Article

Maternal and Infant Outcomes in a Subset of Patients with Sickle Cell Disease in South Carolina

Objectives: Sickle cell disease (SCD), which disproportionately affects minorities, increases complications during pregnancy. Severe maternal mortality is increased in women with SCD, including morbidity related to the disease and other nondisease-related complications. It also can have devastating complications for fetuses, with increases in premature birth and low birth weight. This...

Posted in: Pregnancy34

SMJ Article | Original Article

Performance of Chat Generative Pre-Trained Transformer on Personal Review of Learning in Obstetrics and Gynecology

Objectives: Chat Generative Pre-Trained Transformer (ChatGPT) is a popular natural-language processor that is able to analyze and respond to a variety of prompts, providing eloquent answers based on a collection of Internet data. ChatGPT has been considered an avenue for the education of resident physicians in the form of board...

Posted in: Obstetrics and Gynecology78

SMJ Article | Original Article

Increased Prevalence of Skeletal Anomalies on Ultrasound Evaluation of Buprenorphine-Exposed Human Fetuses

Objectives: In this study, buprenorphine was the primary source of maternal opioid exposure at the time of initial prenatal evaluation. Current recommendations advise that level II ultrasounds be performed in patients with substance use disorders. For some patients, distance, transportation, and costs associated with obtaining ultrasounds from a specialist pose...

Posted in: Pregnancy34

SMJ Article | Original Article

Trends in Medical Students’ Legal Concerns Regarding Abortion Care in the Wake of the 2022 Dobbs v Jackson Women’s Health Organization Decision

Objectives: The 2022 Dobbs v Jackson Women’s Health Organization US Supreme Court decision dramatically shifted the legal landscape in health care, leaving state legislatures to redefine the ethics of medical practice. As gold-standard medical procedures become banned and criminalized, physicians are facing heightened legal uncertainty and grappling with moral dilemmas...

Posted in: Family Planning & Reproductive Health16

SMJ Article | Original Article

Qualitative Exploration of Contraceptive Knowledge in Men and Women

Objectives: The level of knowledge about contraceptives overall is low in the United States. This qualitative study adds to the literature that explores gendered differences in contraceptive knowledge. Specifically, we examined knowledge regarding different contraceptive methods, directions on use, mechanism of action, efficacy, and adverse effects. We also looked at...

Posted in: Family Planning & Reproductive Health16

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