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Ovary Removal Doesn't Cut CVD Risk in Women With Diabetes

A study suggests that hyperandrogenemia doesn't explain why women with type 2 diabetes are at greater cardiovascular disease risk than women without diabetes or men.  
medscape.com
almost 4 years ago
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The ZedScan as an adjunct to colposcopy in women with suspected cervical intra‑epithelial neoplasia | Advice | NICE

NICE has developed a Medtech Innovation Briefing (MIB) on ZedScan as an adjunct to colposcopy in women with suspected cervical intra epithelial neoplasia.  
nice.org.uk
almost 4 years ago
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Caesarean section | Guidance and guidelines | NICE

This guideline will shortly be checked to see if it needs updating, please register as a stakeholder to be informed about the decision.  
nice.org.uk
almost 4 years ago
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Ectopic pregnancy and miscarriage: diagnosis and initial management | Guidance and guidelines | NICE

We checked this guideline and decided that it should not be updated at this time. For details, see the update decision and the process for deciding if an update is needed.  
nice.org.uk
almost 4 years ago
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Fear of Childbirth and Elective Cesarean Section

Does fear of childbirth exert a strong impact on the preference for elective cesarean section?  
medscape.com
almost 4 years ago
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Histerectomia Vaginal, a música - Caroline Reis

Olá, pessoal! Esta é uma música baseada no glorioso castelo Rá-Tim-Bum. Tema - Técnica operatória da Histerectomia Vaginal Pra quem ficou curioso, Paola é mi...  
youtu.be
almost 4 years ago
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Belly Fat Linked to Gestational Diabetes Risk

Women in their first trimester who have high levels of abdominal fat are at increased risk for diabetes later in pregnancy, a new study suggests.  
medscape.com
almost 4 years ago
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Ethanol (alcohol) for preventing preterm birth | Cochrane

Preterm birth is when a baby is born at less than 37 weeks' gestation. These babies are generally more ill and are less likely to survive than babies born at term. Preterm babies are also more likely to have some disability, and the earlier the baby is born the more likely they are to have problems. Even short-term postponement of preterm birth can improve outcomes for babies, as this gives time for the mother to be given a steroid injection to help develop the baby's lungs prior to birth. Short-term postponement of preterm birth may also give the chance to transfer the mother, if required, to somewhere where there is more expert care for the baby available.  
cochrane.org
almost 4 years ago
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Genetic Variations Linked to Chemotherapy Damage for Ovaries

Genetic variations are associated with post-treatment ovarian function in young breast cancer patients receiving cyclophosphamide, new data suggest.  
medscape.com
almost 4 years ago
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Anti-adhesion treatment after hysteroscopy for women having difficulty becoming pregnant | Cochrane

To assess the effects of treatments for prevention of scar tissue after surgical treatment for lesions of the womb in women having difficulty becoming pregnant.  
cochrane.org
almost 4 years ago
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Cervical ripening before first trimester surgical evacuation for non-viable pregnancy | Cochrane

Using medications or devices to soften and dilate the cervix can reduce the amount of manual dilation required before the uterus is surgically emptied of a non-viable pregnancy, or miscarriage. The purpose of this cervical ripening is to reduce the possibility of injury to the uterus and cervix and make the procedure easier to perform, although the ripening agents can have side effects.  
cochrane.org
almost 4 years ago
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Elective Labor Induction With Unfavorable Cervix Appears Safe

Elective labor induction in first-time mothers with an unfavorable cervix led to a small but statistically insignificant increase in cesarean deliveries, but not everyone is comfortable with the practice.  
medscape.com
almost 4 years ago
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Maternal deaths fell 44% since 1990 – UN

Maternal mortality has fallen by 44% since 1990, United Nations agencies and the World Bank Group reported today.  
who.int
almost 4 years ago
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Maternal deaths have nearly halved in past 25 years

The risk of a woman dying through pregnancy and childbirth has fallen by 44% over the past 25 years, but the world has missed the millennium development goal to cut maternal deaths by 75%, a report from United Nations agencies and the World Bank Group has shown.1  
feeds.bmj.com
almost 4 years ago
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Use of nitroglycerin to deliver a retained placenta | Cochrane

Failure to deliver the placenta after a vaginal birth is an uncommon event that can be associated with significant bleeding and even death if left untreated. The retained placenta may be detached from the uterine wall but is trapped so that it is not expelled through the cervix or non-detached as the placenta fails to separate because of placental inhibition of uterine contractions. Conventional management involves spinal or general anaesthesia to enable introducing a hand inside the uterus to manually remove the placenta, which carries risks of infection and from the anaesthetic, and also requires special facilities. The use of uterine relaxing drugs (tocolytics), either alone or with other drugs to stimulate contractions of the uterus (uterotonics), may bring on the delivery of the placenta and avoid the need for this invasive procedure. This review included three trials that randomly assigned 175 women with the placenta remaining undelivered more than 15 minutes after delivery to either a placebo or the tocolytic nitroglycerin. Both groups received oxytocin to stimulate contractions of the uterus. Combined administration of nitroglycerin and oxytocin did not reduce the need for manual removal of placenta, blood loss, nor the incidence of severe postpartum haemorrhage. Nitroglycerin administration did not cause headache but resulted in a mild drop in blood pressure and a related increase in heart rate. Two out of the three trials had low risk of bias but this result needs confirmation in larger trials with adequate sample sizes to verify the role of nitroglycerin and other tocolytic drugs in managing different subtypes of retained placenta. The trials in this review did not specify the type of retained placenta. We have included an explanation of some of the scientific terms that are used in this review in a glossary (see Appendix 1).  
cochrane.org
almost 4 years ago
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hCG After Methotrexate and Surgery for Ectopic Pregnancy

This case illustrates the challenges that may arise with serum hCG measurements in management of ectopic pregnancies.  
medscape.com
almost 4 years ago
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Hunt announces £4m drive to reduce stillbirths and neonatal and maternal deaths in England

A new drive to halve the rate of stillbirths and neonatal and maternal deaths in England by 2030 has been announced by the health secretary, Jeremy Hunt.  
feeds.bmj.com
almost 4 years ago
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Uterus Transplant: First US Clinical Trial Begins

The first clinical trial of uterus transplantation in the United States has begun at Cleveland Clinic in Ohio.  
medscape.com
almost 4 years ago
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Sixty seconds on . . . maternal deaths

Not quite. The risk of a woman dying in pregnancy or childbirth is now 44% lower than it was in 1990, which is great news, but not as good as was hoped for.  
feeds.bmj.com
almost 4 years ago
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A Guide to Progestogens: Progesterone and Progestin in Preventing Preterm Birth CME/CE

: Differentiating between progestogens can be tricky. Obstetric experts provide a concise précis.  
medscape.org
almost 4 years ago