Women's Health Vitals for February 2017

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We screened more than 1538 studies on Women's Health this month. These are the most important.


ACOG Committee Opinion: strategies for limiting labor interventions

Source: Obstet Gynecol


  • Patient-centered care involves the input of the patient; many patients seek to reduce medical interventions during labor and delivery.
  • ACOG supports the trend of patient-centered care; this may represent a paradigm shift for some obstetric care providers.
  • There are limited studies on many basic and common obstetrics practices; continuing research and review is needed.

 

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Risk for pregnancy low with any cycle day start of subdermal contraceptive implants

Source: Contraception


  • Traditionally, hormonal contraception has been started with the menstrual period to ensure effectiveness and lack of pregnancy. However, adolescents face barriers to returning for contraception; same-day insertion is safe and effective and can increase compliance.
  • Long-acting reversible contraception (LARC) should be the first-line recommendation for all women and adolescents.
  • LARC is partially responsible for declining adolescent pregnancy rates in the United States.

 

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SMFM: acetaminophen use during pregnancy is safe

Source: Am J Obstet Gynecol


  • Acetaminophen (APAP) is the most widely used medication during pregnancy.
  • Women are counseled that the use of acetaminophen during pregnancy is safe.
  • The Society for Maternal-Fetal Medicine's opinion is that these recommendations should not be changed, but the risks and benefits of medications always need to be discussed.

 

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Previous Vitals on Women's Health:  January '17

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