Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for September 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.
Panel Votes Yes to Current Level of Red, Processed Meat Intake
MONDAY, Sept. 30, 2019 (HealthDay News) — An international panel suggests that adults continue their current levels of consumption of red or processed meat based on evidence from five systematic reviews published online Oct. 1 in the Annals of Internal Medicine.
Clinical Guideline
Review 1
Review 2
Review 3
Review 4
Review 5
Editorial
Crude Incidence of Candidemia 8.7 Per 100,000 in 2012 to 2016
MONDAY, Sept. 30, 2019 (HealthDay News) — The crude incidence of candidemia was 8.7 per 100,000 population across four states in 2012 to 2016, according to a surveillance summary published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Adverse Outcomes Up for Vaginal Birth After Previous C-Section
MONDAY, Sept. 30, 2019 (HealthDay News) — Women undergoing vaginal birth after cesarean (VBAC) are more likely to have adverse maternal birth-related complications and perinatal outcomes, according to a study published online Sept. 24 in PLOS Medicine.
ASCO: More Than One in Five Millennials Use E-Cigarettes
FRIDAY, Sept. 27, 2019 (HealthDay News) — One in eight U.S. adults report using electronic cigarettes regularly, according to the American Society of Clinical Oncology’s 2019 Cancer Opinions Survey.
Average Annual Premium for Workers Increased in 2019
THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.
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Serum IL-35 Levels Tied to Bone Loss With Rheumatoid Arthritis
THURSDAY, Sept. 26, 2019 (HealthDay News) — Serum interleukin (IL)-35 levels are associated with bone loss and may represent a novel therapeutic target for postmenopausal women with rheumatoid arthritis (RA), according to a study published online Aug. 26 in Mediators of Inflammation.
Telecontraception Seems a Promising Option for Patients
THURSDAY, Sept. 26, 2019 (HealthDay News) — Telecontraception — the provision of contraception through a website or smartphone app — is feasible and seems safe for patients, according to a research letter published in the Sept. 26 issue of the New England Journal of Medicine.
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Deep Learning Models Classify Disease From Medical Imaging
THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.
ACOG Updates Guidance on OTC Contraception Access
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — In a Committee Opinion published in the October issue of Obstetrics and Gynecology, the American College of Obstetricians and Gynecologists (ACOG) presents recommendations for expanding over-the-counter access to hormonal contraception.
ACA Provided Care to 1.9 Million People With Diabetes
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — The Affordable Care Act (ACA) provided care to an estimated 1.9 million people with diabetes, according to a research letter published online Sept. 23 in Diabetes Care.
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CDC: Infant Outcomes Worst for Those Born in the Delta
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — Infants born in the Delta have the worst outcomes, according to the Sept. 25 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.
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Racial/Ethnic Disparities in Mortality Persist in the U.S.
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
USPSTF Urges Asymptomatic Bacteriuria Screening in Pregnancy
TUESDAY, Sept. 24, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends using a urine culture to screen pregnant persons for asymptomatic bacteriuria (Grade B recommendation) but does not recommend screening nonpregnant adults. These findings form the basis of a final recommendation statement published in the Sept. 24 issue of the Journal of the American Medical Association.
Evidence Report
Final Recommendation Statement
Editorial 1
Editorial 2
Editorial 3
Editorial 4 (subscription or payment may be required)
Protected Health Info Breaches Compromise Sensitive Data
MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.
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Higher Mortality Seen for Male Breast Cancer Patients
MONDAY, Sept. 23, 2019 (HealthDay News) — Male breast cancer patients have higher mortality after cancer diagnosis than female patients, according to a study published online Sept. 19 in JAMA Oncology.
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Emergency Departments Need to Up HIV Testing, Linkage to Care
MONDAY, Sept. 23, 2019 (HealthDay News) — HIV testing in South African emergency departments shows a high prevalence and incidence of HIV, as well as significant attrition along the HIV care cascade for HIV-positive individuals, according to a study published online Aug. 18 in EClinicalMedicine.
Rates of Diabetes Higher at Lower BMIs Among Minorities
THURSDAY, Sept. 19, 2019 (HealthDay News) — Even at lower body weights, members of certain racial and ethnic-minority groups have a higher prevalence of diabetes or prediabetes than whites, according to a study published online Sept. 19 in Diabetes Care.
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Medical Students Not Ready to Provide Nutritional Care
THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.
Skipping Cancer Referral Appointments Linked to Earlier Death
THURSDAY, Sept. 19, 2019 (HealthDay News) — Cancer diagnosis is less likely in patients not attending referral appointments for suspected cancer, but these patients have worse early mortality outcomes than attending patients, according to a study published online Sept. 11 in Cancer Epidemiology.
Vaginal Mesh Hysteropexy No Better for Uterovaginal Prolapse
THURSDAY, Sept. 19, 2019 (HealthDay News) — Among women with symptomatic uterovaginal prolapse, prolapse outcomes are similar after three years for vaginal mesh hysteropexy compared with vaginal hysterectomy with uterosacral ligament suspension, according to a study published online Sept. 17 in the Journal of the American Medical Association.
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Editorial (subscription or payment may be required)
Anemia in Early Pregnancy May Harm Child Neurodevelopment
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Anemia diagnosed during the first 30 weeks of pregnancy is associated with an increased risk for autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disability (ID), according to a study published online Sept. 18 in JAMA Psychiatry.
Physical Therapy and Surgery Reduce Mixed Urinary Incontinence Symptoms
TUESDAY, Sept. 17, 2019 (HealthDay News) — In women with mixed urinary incontinence, symptom reduction is significantly greater when behavioral and pelvic floor muscle therapy is combined with midurethral sling surgery compared with surgery alone, but the difference may not be clinically important, according to a study published in the Sept. 17 issue of the Journal of the American Medical Association.
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Editorial (subscription or payment may be required)
Hysterectomy Tied to Long-Term Risk for Depression, Anxiety
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Hysterectomy, even with ovarian conservation, is associated with an increased long-term risk for de novo depression, according to a study published online Aug. 30 in Menopause.
Abstract/Full Text (subscription or payment may be required)
Nonphysician Providers Rarely Interpret Diagnostic Images
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.
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Men Less Knowledgeable About HPV, HPV Vaccination
TUESDAY, Sept. 17, 2019 (HealthDay News) — Men are less knowledgeable than women about human papillomavirus (HPV), HPV vaccination, and the correlation between HPV and cancer, according to a research letter published online Sept. 16 in JAMA Pediatrics.
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Gaps in Physician Knowledge, Management of Prediabetes ID’d
TUESDAY, Sept. 17, 2019 (HealthDay News) — There are considerable gaps in primary care physician (PCP) knowledge regarding risk factors that prompt screening for prediabetes and management recommendations for patients with prediabetes, according to a study published online Sept. 9 in the Journal of General Internal Medicine.
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Headache From Epidural for Labor May Up Subdural Hematoma Risk
TUESDAY, Sept. 17, 2019 (HealthDay News) — The presence of presumed postdural puncture headache after neuraxial anesthesia (epidural or spinal) in childbirth is associated with an increased risk for being diagnosed with an intracranial subdural hematoma, according to a study published online Sept. 16 in JAMA Neurology.
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Prenatal, Postnatal Exposures Tied to Blood Pressure in Children
TUESDAY, Sept. 17, 2019 (HealthDay News) — Prenatal and postnatal exposure to chemicals, environment, and meteorological factors may impact blood pressure (BP) in children, according to a study published in the Sept. 10 issue of the Journal of the American College of Cardiology.
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Editorial (subscription or payment may be required)
Remote, Postpartum BP Checks Feasible in Women With HTN
MONDAY, Sept. 16, 2019 (HealthDay News) — A remote blood pressure monitoring program is feasible and acceptable to postpartum women with hypertension, according to a study published online Sept. 10 in Obstetrics & Gynecology.
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Acetaminophen in Pregnancy May Affect Childhood Behavior
MONDAY, Sept. 16, 2019 (HealthDay News) — Acetaminophen use in mid-to-late pregnancy may have an adverse effect on early childhood neurocognitive outcome, according to a study published online Sept. 15 in Paediatric and Perinatal Epidemiology.
2011 FDA Safety Message Tied to Drop in Transvaginal Mesh Use
FRIDAY, Sept. 13, 2019 (HealthDay News) — A 2011 U.S. Food and Drug Administration safety communication correlated with a significant decline in transvaginal mesh use for treatment of apical prolapse, according to a study published online Sept. 10 in Obstetrics & Gynecology.
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Women With Heart Attack Do Present With Typical Symptoms
FRIDAY, Sept. 13, 2019 (HealthDay News) — Typical symptoms of myocardial infarction are more common and have greater predictive value in women than in men, according to a study published in the Sept. 3 issue of the Journal of the American Heart Association.
Nine States Now Have an Obesity Rate Above 35 Percent
THURSDAY, Sept. 12, 2019 (HealthDay News) — The number of U.S. states with adult obesity rates above 35 percent reached an all-time high of nine in 2018, according to the Trust for America’s Health, the nonprofit group behind the 16th annual “State of Obesity: Better Policies for a Healthier America” report.
n-3 PUFAs Do Not Lower Risk for Early Preterm Delivery
THURSDAY, Sept. 12, 2019 (HealthDay News) — Supplementation with n-3 long-chain polyunsaturated fatty acids during pregnancy does not result in a lower incidence of early preterm delivery, according to a study published in the Sept. 12 issue of the New England Journal of Medicine.
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Cancer Survival Increasing in High-Income Countries
THURSDAY, Sept. 12, 2019 (HealthDay News) — Cancer survival is continuing to increase across high-income countries, although there are international disparities, according to a study published online Sept. 11 in The Lancet Oncology.
Intrauterine Device Use May Reduce Incidence of Ovarian Cancer
THURSDAY, Sept. 12, 2019 (HealthDay News) — Intrauterine device (IUD) use among reproductive women is associated with a decreased incidence of ovarian cancer, according to a review published online Sept. 10 in Obstetrics & Gynecology.
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Incidence of T2DM Rising in Fewer Populations Since 2006
THURSDAY, Sept. 12, 2019 (HealthDay News) — Since 2006, the incidence of type 2 diabetes has continued to rise in a minority of populations, with decreasing incidence in more than one-third of populations, according to a review published online Sept. 11 in The BMJ.
EPA to Phase Out Chemical Testing on Mammals
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.
The New York Times Article
More Information: EPA
Psychiatric Disorders May Up Risk for Bilateral Oophorectomy
FRIDAY, Sept. 6, 2019 (HealthDay News) — Certain mental health conditions are associated with an increased risk for unnecessary bilateral oophorectomy for nonmalignant indications, according to a study published online Aug. 30 in Menopause.
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Supine, Non-Left-Sided Sleep Not Linked to Pregnancy Outcomes
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Supine or non-left-sided sleep through 30 weeks of gestation is not associated with adverse pregnancy outcomes, according to a study published online Sept. 10 in Obstetrics & Gynecology.
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Editorial (subscription or payment may be required)
Spending Up With Treatment in Hospital-Owned Practices
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.
Insulin Pump Therapy Use Has Increased Since 1995
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Insulin pump usage has increased since 1995, especially among patients aged younger than 15 years, according to a study published online Sept. 5 in Diabetes Care.
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Full Chemo Doses May Improve Survival in Breast Cancer
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Maintaining full doses of chemotherapy, especially early in the treatment course, is important for survival of intermediate or high-risk breast cancer patients, according to a study published in the August issue of the Journal of the National Comprehensive Cancer Network.
Poverty Rate Drops, but Fewer Americans Have Health Insurance
TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.
The New York Times Article
More Information
Age Modifies Effects of Estrogen Therapy in Women Without Ovaries
TUESDAY, Sept. 10, 2019 (HealthDay News) — For women aged 50 to 79 years, the effects of conjugated equine estrogens (CEE) do not differ according to bilateral salpingo-oophorectomy (BSO) status; however, age modifies the effect of CEE in women with prior BSO, according to a study published online Sept. 10 in the Annals of Internal Medicine.
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Quality-Improvement Tool Improves Iron Outcomes in Pregnancy
TUESDAY, Sept. 10, 2019 (HealthDay News) — A standardized iron deficiency (ID) toolkit increases detection and management of anemia during pregnancy, according to a study published Aug. 20 in PLOS Medicine.
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1970 to 2010 Saw Large Jump in Hypertension During Pregnancy
MONDAY, Sept. 9, 2019 (HealthDay News) — Overall, 0.63 percent of women experience chronic hypertension during pregnancy, with the rate increasing with maternal age and year of delivery, according to a study published online Sept. 9 in Hypertension.
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Editorial (subscription or payment may be required)
Mammos May Not Benefit Elderly Women With Chronic Illness
FRIDAY, Sept. 6, 2019 (HealthDay News) — For older women, the cumulative incidence of death from other causes is many times higher than breast cancer incidence and death, according to a study published online Sept. 6 in the Journal of the National Cancer Institute.
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Racial, Ethnic Underrepresentation Found in Med School Matriculants
FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.
Majority of U.S. Doctors Believe ACA Has Improved Access to Care
THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.
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CDC: Racial/Ethnic Disparities Reported in Pregnancy-Related Mortality Ratios
THURSDAY, Sept. 5, 2019 (HealthDay News) — Black and American Indian/Alaska Native (AI/AN) women have significantly higher pregnancy-related mortality ratios (PRMRs) than whites, according to research published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Menstrual Cycles More Varied Than Previously Thought
THURSDAY, Sept. 5, 2019 (HealthDay News) — Menstrual cycle length per woman is varied, and tracking physiological parameters such as basal body temperature is key to identifying fertility windows when planning pregnancy, according to a study published online Aug. 27 in npj Digital Medicine.
New Facebook, Instagram Pop-Ups Counter Vaccine Misinformation
THURSDAY, Sept. 5, 2019 (HealthDay News) — Educational pop-up windows will now appear on Facebook and Instagram when people search for vaccine-related content.
Position Statement Clarifies Benefits of Testosterone Therapy for Women
THURSDAY, Sept. 5, 2019 (HealthDay News) — Testosterone can be used for postmenopausal women with hypoactive sexual desire dysfunction (HSDD) but is not recommended for other symptoms or medical conditions, according to a position statement published online Sept. 2 in the Journal of Clinical Endocrinology & Metabolism.
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Proximity to Outbreak May Affect Attitudes in Vaccine Doubters
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Individuals with low trust in government health institutions who live close to recent measles outbreaks are likely to have more positive attitudes toward vaccination than those living farther away, according to a study published online Aug. 28 in PLOS ONE.
Cesarean Section Quality Initiative Cuts Opioid Use
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — The enhanced recovery after surgery (ERAS) program, a quality improvement initiative that made changes to preoperative and postoperative processes, leads to reductions in opioid use without increased pain and with faster recovery, according to a study published in the September issue of Obstetrics & Gynecology.
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Low-Fat Dietary Pattern Offers Long-Term Health Benefits
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — A low-fat dietary pattern provides lasting health benefits, according to a study published in the September issue of The Journal of Nutrition.
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Drinking Soft Drinks Tied to Higher Risk for Early Death
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Greater consumption of soft drinks, both sugar-sweetened and artificially sweetened, is associated with a higher risk for all-cause mortality, according to a European study published online Sept. 3 in JAMA Internal Medicine.
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USPSTF Advises Meds to Reduce Risk for Primary Breast Cancer
TUESDAY, Sept. 3, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians offer risk-reducing medications to women at increased risk for breast cancer and at low risk for adverse medication effects. These recommendations form the basis of a final recommendation statement published in the Sept. 3 issue of the Journal of the American Medical Association.
Final Recommendation Statement
Evidence Report
Editorial 1 (subscription or payment may be required)
Editorial 2 (subscription or payment may be required)
Adolescent Oral Contraceptive Use Tied to Later Depression Risk
TUESDAY, Sept. 3, 2019 (HealthDay News) — There is a long-term association between adolescent oral contraceptive (OC) use and depression risk in adulthood, according to a study published online Aug. 28 in the Journal of Child Psychology and Psychiatry.
Ultrasonography Helps Differentiate Arthritis Types
TUESDAY, Sept. 3, 2019 (HealthDay News) — Ultrasound is effective for differentiating between the major types of arthritis when combined with a physical exam and patient history, according to a review recently published in The Open Medical Imaging Journal.
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