Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for October 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Quarter of Fetal Abnormalities ID’d in Late Third-Trimester US

THURSDAY, Oct. 31, 2019 (HealthDay News) — A high proportion of fetal abnormalities are detected for the first time during a routine ultrasound examination at 35 to 37 weeks of gestation, according to a study published online Oct. 8 in Ultrasound in Obstetrics & Gynecology.

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Small Drop in Calories Purchased With Labeling in Restaurants

THURSDAY, Oct. 31, 2019 (HealthDay News) — Implementation of calorie labeling in a large franchise of fast food restaurants was associated with a small decrease in mean calories per transaction, according to a study published online Oct. 30 in The BMJ.

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No Benefit Seen for SLNB in BCS for DCIS in Older Women

THURSDAY, Oct. 31, 2019 (HealthDay News) — For older patients with ductal carcinoma in situ (DCIS) who undergo breast-conserving surgery (BCS), sentinel lymph node biopsy (SLNB) is not associated with improvements in long-term outcomes, according to a study published in the December issue of JNCI Cancer Spectrum.

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J&J Says No Asbestos Detected in New Tests of Baby Powder

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — No asbestos was detected in 15 new tests of the same bottle of Johnson & Johnson’s Baby Powder previously found to contain asbestos by the U.S. Food and Drug Administration, the company said Tuesday.

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White House Launches Website to Help Those Battling Substance Abuse

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — A new website to help Americans with substance abuse problems find treatment was activated Wednesday by the Trump administration.

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Survey Reveals Many Americans Lack Cancer Prevention Knowledge

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Only one in four U.S. adults report incorporating cancer prevention into their daily lives, according to the results of the American Society of Clinical Oncology 2019 National Cancer Opinion Survey.

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Fetal Exposure to Acetaminophen May Increase Risk for ADHD, ASD

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Cord biomarkers of fetal exposure to acetaminophen are associated with an increased risk for childhood attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), according to a study published online Oct. 30 in JAMA Psychiatry.

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High Fiber, Yogurt Intake Linked to Reduced Risk for Lung Cancer

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Dietary fiber and yogurt consumption are associated with a reduced risk for lung cancer, according to a pooled analysis published online Oct. 24 in JAMA Oncology.

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Maltreatment in Childhood Ups Risk for Physical Pain in Young Women

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Young adult women who experienced child maltreatment are at higher risk for pain, according to a study published online Oct. 5 in PAIN.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Syringe Exchange Program Has Positive Impact on HIV Diagnoses

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — A syringe exchange program (SEP) has averted thousands of injection drug use (IDU)-associated HIV diagnoses over 10 years in Philadelphia and Baltimore, according to a study published in the Dec. 1 issue of the Journal of Acquired Immune Deficiency Syndrome.

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Factors Tied to Pregnancy Rates in Women on Dialysis Explored

WEDNESDAY, Oct. 30, 2019 (HealthDay News) — Due to impaired fertility, pregnancy is not common in women on dialysis, but the pregnancy rate is higher than previously thought, and several factors are associated with the likelihood of pregnancy, according to a study published online Oct. 8 in the Journal of the American Society of Nephrology.

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Cancer Screening Rates Lower Among Women With Diabetes

TUESDAY, Oct. 29, 2019 (HealthDay News) — Women with diabetes have lower rates of breast, cervical, and colorectal cancer screening compared with women without diabetes, according to a review published online Oct. 24 in Diabetologia.

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Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) — A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

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Medicaid Expansion Has Positive Effect on Diabetes Management

TUESDAY, Oct. 29, 2019 (HealthDay News) — Medicaid expansion has significant positive effects on self-reported diabetes management, with substantial improvements seen in states with large diabetes populations, according to a study published online Oct. 24 in Diabetes Care.

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Childhood Cancer Treatment Increases Risk for Breast Cancer Later

TUESDAY, Oct. 29, 2019 (HealthDay News) — The combination of anthracyclines and radiotherapy doses to treat childhood cancer is associated with an increased risk for subsequent breast cancer, according to a study published online Oct. 28 in JAMA Pediatrics.

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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) — Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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Physical Activity May Lower Postmenopausal Fracture Risk

MONDAY, Oct. 28, 2019 (HealthDay News) — For postmenopausal women, physical activity is associated with reduced risks for total fracture and hip fracture, according to a study published online Oct. 25 in JAMA Network Open.

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Doctors Mostly Dissatisfied With Electronic Health Record Systems

MONDAY, Oct. 28, 2019 (HealthDay News) — The majority of physicians are dissatisfied with their current electronic health record (EHR) systems, according to survey results released Oct. 16 by Medical Economics.

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HPV DNA Identified in Oral Cavity of 6.2 Percent of Teen Girls

FRIDAY, Oct. 25, 2019 (HealthDay News) — Human papillomavirus (HPV) DNA is detected in the oral cavities of about 6.2 percent of sexually active female adolescents, according to a study published online Oct. 25 in JAMA Network Open.

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Delay of Surgery for DCIS Ups Risk for Invasive Breast Cancer

FRIDAY, Oct. 25, 2019 (HealthDay News) — For each month of delay between diagnosis and surgery for ductal carcinoma in situ (DCIS), there is slightly worse survival and an increase in risk for invasive disease, according to a study published online Sept. 27 in the Annals of Surgical Oncology.

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Google Searches for CBD Up Substantially

THURSDAY, Oct. 24, 2019 (HealthDay News) — Interest in cannabidiol (CBD) across the United States has increased considerably and is accelerating, according to a research letter published online Oct. 23 in JAMA Network Open.

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Fewer Women Than Men Receive Kidney Replacement Therapy

THURSDAY, Oct. 24, 2019 (HealthDay News) — Fewer women than men receive kidney replacement therapy (KRT), according to a large European study published online Oct. 24 in the Clinical Journal of the American Society of Nephrology.

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Prediagnosis Exercise May Reduce CV Risk in Breast Cancer

THURSDAY, Oct. 24, 2019 (HealthDay News) — For women with primary breast cancer, prediagnosis exercise exposure is associated with a graded reduction in subsequent cardiovascular event (CVE) risk, according to a study published in the September issue of JACC: CardioOncology.

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FDA May Put Strong Warning on Breast Implants

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Before receiving breast implants, women should be told of the possible risks, the U.S. Food and Drug Administration says in a draft proposal.

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Poor Health Literacy Tied to More Hardships Among Cancer Survivors

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Health insurance literacy may be an important intervention for addressing financial problems associated with cancer, according to a study published online Oct. 21 in JNCI Cancer Spectrum.

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Pregnancy Complications Tied to Higher Risk for Later Hypertension

WEDNESDAY, Oct. 23, 2019 (HealthDay News) — Several first-time pregnancy complications are associated with development of hypertension (HTN) two to seven years later, according to a study published in the Oct. 1 issue of the Journal of the American Heart Association.

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More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) — There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

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Most Physicians Treating STIs Do Not Have Meds on Hand

FRIDAY, Oct. 18, 2019 (HealthDay News) — Most office-based physicians who provide sexually transmitted infections (STIs) services report not having on-site access to the recommended injectable medications for same-day treatment of gonorrhea and syphilis, according to a research letter published in the November issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Johnson & Johnson Recalls Baby Powder Due to Presence of Asbestos

FRIDAY, Oct. 18, 2019 (HealthDay News) — A shipment of baby powder has been recalled by Johnson & Johnson after U.S. authorities found asbestos in it.

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Extended Estrogen Therapy Aids Late-Life Cognition

FRIDAY, Oct. 18, 2019 (HealthDay News) — Longer use of estrogen hormone therapy is associated with higher cognitive status in late life, according to a study published online Oct. 14 in Menopause.

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Patient Cost Responsibility Up for Guideline-Discordant Care

FRIDAY, Oct. 18, 2019 (HealthDay News) — For patients with metastatic breast cancer (MBC), receipt of National Comprehensive Cancer Network Guideline-discordant care is associated with higher patient cost responsibility, according to a study published in the October issue of the Journal of the National Comprehensive Cancer Network.

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Outcomes Poorer for Extreme Preemies Transferred After Birth

THURSDAY, Oct. 17, 2019 (HealthDay News) — Birth in a nontertiary hospital and transfer within 48 hours is associated with poorer outcomes compared with birth in a tertiary hospital for extremely preterm infants, according to a study published online Oct. 16 in The BMJ.

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Insurance Plans Vary in Policies for Gender-Affirming Surgeries

THURSDAY, Oct. 17, 2019 (HealthDay News) — There is great variability in coverage and medical necessity criteria for gender-affirming top surgery across insurance companies, according to a study published in the October issue of Plastic and Reconstructive Surgery.

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Maternal Lead Exposure Tied to Obesity Risk in Offspring

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — Maternal elevated lead exposure is associated with an increased risk for intergenerational overweight or obesity (OWO), independent of postnatal blood lead levels, according to a study published online Oct. 2 in JAMA Network Open.

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Boosting Testosterone Ups Women’s Athletic Performance

WEDNESDAY, Oct. 15, 2019 (HealthDay News) — Topical supplemental testosterone increases running performance and lean body mass in young, physically active women, according to a study published online Oct. 15 in the British Journal of Sports Medicine.

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Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

WEDNESDAY, Oct. 16, 2019 (HealthDay News) — Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden, according to a study published online Sept. 4 in JAMA Network Open.

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Meat Study Authors Have Financial Ties to Beef Industry

TUESDAY, Oct. 15, 2019 (HealthDay News) — The authors of a recent study downplaying the health risks of red meat have financial ties with meat producers. The international group of researchers has received funding from a university program partially backed by the beef industry, the Washington Post reported Monday.

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Gastric Bypass Linked to Lower Risk for Major Birth Defects

TUESDAY, Oct. 15, 2019 (HealthDay News) — Infants born to women who have undergone Roux-en-Y gastric bypass surgery have a lower risk for major birth defects than those born to matched control women, according to a study published in the Oct. 15 issue of the Journal of the American Medical Association.

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2009-2015 Saw Breastfeeding Up for Most Races/Ethnicities

TUESDAY, Oct. 15, 2019 (HealthDay News) — From 2009 to 2015, there was improvement in breastfeeding rates in most race/ethnicity groups, although disparities between black and white infants widened, according to a study published online Oct. 14 in JAMA Pediatrics.

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Pulmonary Embolism Risk Elevated for More Than Six Weeks Postop

TUESDAY, Oct. 15, 2019 (HealthDay News) — The postoperative risk for pulmonary embolism extends more than six weeks for six types of surgery, according to a study published online Oct. 9 in JAMA Surgery.

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Too Much, Too Little Weight Gain May Harm Twin Pregnancies

FRIDAY, Oct. 11, 2019 (HealthDay News) — Very low or very high weight gains during twin pregnancies are associated with adverse birth outcomes, according to a study published online Oct. 8 in Obstetrics & Gynecology.

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Recommendations Developed for Preventing Secondary Fractures

FRIDAY, Oct. 11, 2019 (HealthDay News) — Clinical recommendations for the prevention of secondary fractures among older adults with hip or vertebral fracture have been issued by a multi-stakeholder coalition assembled by the American Society for Bone and Mineral Research and published online Sept. 20 in the Journal of Bone and Mineral Research.

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Patient Portal Use Has Positive Impact on Preventive Health Behaviors

FRIDAY, Oct. 11, 2019 (HealthDay News) — Patient portal use has a positive impact on preventive health behaviors, but not on chronic health outcomes, according to a study published in the October issue of the Journal of Medical Internet Research.

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CDC: Seasonal Influenza Viruses Circulating in Southern Hemisphere

THURSDAY, Oct. 10, 2019 (HealthDay News) — Seasonal influenza viruses are circulating widely in the Southern Hemisphere, but influenza activity is currently low in the United States, according to research published in the Oct. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Fractionated CO2 Laser Tx, Estrogen Similar for Menopause

THURSDAY, Oct. 10, 2019 (HealthDay News) — For menopausal women with significant vaginal atrophy symptoms, fractionated carbon dioxide (CO2) vaginal laser therapy results in similar improvement to that seen with vaginal estrogen treatment, according to a study published online Sept. 30 in Menopause.

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Racial, Ethnic Minorities Want to See Doctor Who Shares Their Culture

THURSDAY, Oct. 10, 2019 (HealthDay News) — Minority racial and ethnic groups are more likely to perceive the importance of seeing a health care provider who shares or understands their culture, according to a study published online Oct. 8 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Multigene Testing for All Breast Cancer Patients Cost-Effective

THURSDAY, Oct. 10, 2019 (HealthDay News) — Unselected, multigene testing for all patients with breast cancer would be cost-effective in the United Kingdom and the United States, according to a study published online Oct. 3 in JAMA Oncology.

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Screening for Bacterial Vaginosis in Pregnancy Not Advised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends against screening for bacterial vaginosis in pregnant women who are not at increased risk for preterm delivery; for pregnant women at increased risk for preterm delivery, the balance of benefits and harms cannot be determined. These findings form the basis of a draft recommendation statement published online Oct. 8 by the USPSTF.

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Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

AP News Article

Foreign-Born Women in U.S. Less Likely to Have Mammograms

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Regardless of the percentage of lifetime spent in the United States, foreign-born women are less likely to ever have received a mammogram compared with U.S.-born women, according to the Oct. 9 National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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Pregnancy-Related Hypertension Increases Later Heart Disease Risk

WEDNESDAY, Oct. 9, 2019 (HealthDay News) — Hypertensive disorders of pregnancy, including preeclampsia, increase the risk for 12 cardiovascular disorders and chronic hypertension, according to a study published in the Sept. 24 issue of Circulation.

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Only Half of Pregnant Women Receive Recommended Vaccines

TUESDAY, Oct. 8, 2019 (HealthDay News) — Many pregnant women do not receive the recommended flu and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines to protect themselves and their infants, according to a Vital Signs report published in the Oct. 8 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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California Pharmacists Can Dispense HIV Prevention Meds Without Rx

TUESDAY, Oct. 8, 2019 (HealthDay News) — California is the first state to allow pharmacists to dispense HIV prevention pills to patients without a doctor’s prescription.

AP News Article

2017 to 2018 Saw Increases in Chlamydia, Gonorrhea, Syphilis

TUESDAY, Oct. 8, 2019 (HealthDay News) — During 2017 to 2018, there were increases in the rates of chlamydia, gonorrhea, and syphilis, according to a report published online Oct. 8 by the U.S. Centers for Disease Control and Prevention.

Sexually Transmitted Disease Surveillance 2018

Testosterone, Estradiol Levels May Play Role in Sex Differences in Asthma

TUESDAY, Oct. 8, 2019 (HealthDay News) — Sex hormones seem to play a role in known sex differences in asthma in adults, with the effects modified by obesity, according to a study published online Sept. 16 in the American Journal of Respiratory and Critical Care Medicine.

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PARP Inhibitor Slows Progression of Advanced Ovarian Cancer

TUESDAY, Oct. 8, 2019 (HealthDay News) — The poly(adenosine diphosphate-ribose) polymerase (PARP) inhibitor veliparib plus platinum-based chemotherapy for induction therapy, followed by maintenance therapy with veliparib, improves progression-free survival (PFS) in the initial treatment of high-grade serous ovarian carcinoma, according to a study published online Sept. 28 in the New England Journal of Medicine. The research was published to coincide with the European Society of Medical Oncology Congress 2019, held from Sept. 27 to Oct. 1 in Barcelona, Spain.

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Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) — In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) — The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Hysterectomy Technique Tied to Poorer Uterine Cancer Outcomes

MONDAY, Oct. 7, 2019 (HealthDay News) — Uncontained power morcellation is associated with a higher mortality risk in women with occult uterine sarcoma, especially in those with occult leiomyosarcoma, according to a study published online Sept. 16 in the Journal of Clinical Oncology.

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Indoor Tanning May Up Risk for Squamous Cell Carcinoma

MONDAY, Oct. 7, 2019 (HealthDay News) — There is a dose-response association between indoor tanning and risk for cutaneous squamous cell carcinoma in women, according to a study published online Oct. 2 in JAMA Dermatology.

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Back Sleeping in Late Pregnancy Linked to Lower Birth Weight

MONDAY, Oct. 7, 2019 (HealthDay News) — Back sleeping in late pregnancy is independently associated with lower birth weight, according to a study published online Oct. 2 in JAMA Network Open.

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Teens Using Oral Contraceptives Report More Depressive Symptoms

MONDAY, Oct. 7, 2019 (HealthDay News) — Sixteen-year-old girls report more depressive symptoms when using oral contraceptives compared with nonusers, according to a study published online Oct. 2 in JAMA Psychiatry.

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Food Insecurity Linked to Chronic Disease in Young Adults

FRIDAY, Oct. 4, 2019 (HealthDay News) — For young adults, food insecurity is associated with chronic disease and with mental health problems, according to two studies published online Oct. 1 in the Journal of General Internal Medicine and the Journal of Adolescent Health.

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Hepatitis C Virus Infection Rates Up for Women Giving Birth

FRIDAY, Oct. 4, 2019 (HealthDay News) — Among women giving birth, the rates of hepatitis C virus (HCV) infection increased more than 400 percent from 2000 to 2015, with rates much higher among those with opioid use disorder, according to research published in the Oct. 4 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Survey: Many U.S. Adults Not Planning to Get Flu Vaccine

FRIDAY, Oct. 4, 2019 (HealthDay News) — Many U.S. adults, including some at the highest risk for the flu and pneumonia, do not plan to get preventive vaccines, according to a survey conducted by NORC at the University of Chicago on behalf of the National Foundation for Infectious Diseases.

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Hyperemesis Gravidarum Linked to Autism Spectrum Disorder

THURSDAY, Oct. 3, 2019 (HealthDay News) — Hyperemesis gravidarum (HG) is associated with a higher risk for autism spectrum disorder (ASD), according to a study published online Oct. 3 in the American Journal of Perinatology.

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PTSD Symptoms Tied to Higher Risk for Ovarian Cancer

THURSDAY, Oct. 3, 2019 (HealthDay News) — Posttraumatic stress disorder (PTSD) symptoms are associated with an increased risk for ovarian cancer, especially among premenopausal women, according to a study published online Sept. 5 in Cancer Research.

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Risk Calculator Can Help Predict Postmenopausal Morbidity

THURSDAY, Oct. 3, 2019 (HealthDay News) — A new risk prediction calculator can make health risk predictions for several outcomes simultaneously in postmenopausal women, according to a study published online Sept. 16 in Menopause.

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2014 to 2018 Saw Decrease in Twin Birth Rate in U.S.

THURSDAY, Oct. 3, 2019 (HealthDay News) — From 2014 to 2018, there was a decrease in the twin birth rate, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Changes in Air Pollution Levels May Affect Risk for Preterm Birth

THURSDAY, Oct. 3, 2019 (HealthDay News) — Persistent or increased exposure to high levels of air pollutants may increase the risk for preterm birth (PTB), particularly among women without a prior preterm birth, according to a study published online Sept. 12 in the International Journal of Environmental Research and Public Health.

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Isoniazid Tx to Prevent TB Ups Risks During HIV+ Pregnancy

WEDNESDAY, Oct. 2, 2019 (HealthDay News) — Initiation of isoniazid preventive therapy during pregnancy is associated with increased risks versus initiation during the postpartum period, according to a study published in the Oct. 3 issue of the New England Journal of Medicine.

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Breast Cancer Mortality Rate Continues to Decline in the U.S.

WEDNESDAY, Oct. 2, 2019 (HealthDay News) — The breast cancer death rate is continuing to decline, although the decline has slowed in recent years, according to a report published online Oct. 2 in CA: A Cancer Journal for Clinicians.

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Glycemic Control Worse Than Thought in Adults With T1DM

TUESDAY, Oct. 1, 2019 (HealthDay News) — For adults with type 1 diabetes, glycemic control may be worse than previously thought, and rates of all complications increase with increasing hemoglobin A1c (HbA1c), according to a study published online Sept. 23 in Diabetes Care.

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