American College of Obstetricians and Gynecologists, May 5-9, 2012

The 60th Annual Clinical Meeting of the American College of Obstetricians and Gynecologists

The annual meeting of the American College of Obstetricians and Gynecologists was held from May 5 to 9 in San Diego and attracted approximately 3,200 participants from around the world, including clinicians, academicians, allied health professionals, and others interested in obstetrics and gynecology. The conference highlighted recent advances in the prevention, detection, and treatment of conditions impacting women, with presentations focusing on contraceptives, pregnancy, pelvic pain, breast and ovarian cancers, hormone imbalances, and overall female health and well-being.

In one study, Holly M. Langmuir, M.D., of the University of Pennsylvania in Philadelphia, and colleagues found that women who received an intrauterine device (IUD) immediately after giving birth were less likely to have an unintended pregnancy one year later than women who had an IUD inserted six to eight weeks postpartum.

"Our model demonstrates a clear benefit to immediate insertion of IUDs. While expulsion rates are higher, this is outweighed by low rates of postpartum follow-up, which is typical in urban tertiary care centers and academic teaching institutions," Langmuir said. "We hope that our study will encourage practitioners to consider this option for patients who are at risk for short interval pregnancy or loss to follow-up."

One author disclosed a financial relationship with Berlex Pharmaceuticals.

Poster No. 7

In another study, Martin A. Martino, M.D., of the Lehigh Valley Health Network in Allentown, Pa., and colleagues found that women who underwent robotic hysterectomy had shorter hospital stays, reduced blood loss, and shorter operating times compared to those who underwent vaginal, laparoscopic, and open hysterectomies.

"In this study evaluating five years of hysterectomy for benign disease, we found that patients who have robotic assisted laparoscopic hysterectomy have better clinical outcomes when compared to patients who have vaginal, laparoscopic, and open routes," Martino said. "Much of the benefit is due to the availability of three-dimensional vision with improved dexterity."

"Our data indicate that the rates of readmission [within] 30 days of surgery are significantly lower for patients who have robotic surgery, which is very important as this may be a quality metric and a measure of surgical quality," Martino added. "In addition, we have identified that robotic surgery may have improved outcomes when compared to vaginal surgery. While this may be due to selection bias, we believe that both routes offer patients an excellent surgical outcome when performed by experienced hands in the right setting."

Poster No. 30

ACOG: Perinatal Mortality Higher in Out-of-Hospital Births

TUESDAY, May 8 (HealthDay News) -- The incidence of perinatal mortality appears to be higher in out-of-hospital births, according to a study conducted in Oregon and presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

Abstract No. 51
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ACOG: Almost Half of U.S. Counties Lack a Single Ob-Gyn

TUESDAY, May 8 (HealthDay News) -- Almost half of U.S. counties lack a single obstetrician-gynecologist (Ob-Gyn), according to a study presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists (ACOG), held from May 5 to 9 in San Diego.

Abstract No. 21
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ACOG: Abdominoplasty Plus Hysterectomy Deemed Safe

TUESDAY, May 8 (HealthDay News) -- Data from a case series of 65 patients indicate that combining abdominoplasty and hysterectomy is safe and effective, according to a study presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

Abstract No. 33
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ACOG: Birth Defect Rates Vary Depending on Fertility Treatment

MONDAY, May 7 (HealthDay News) -- Treatment with assistive reproductive technology is associated with an increased risk of birth defects, but it is not clear whether this risk is due to the infertility treatments or the underlying biology preventing conception, according to a study published online May 5 in the New England Journal of Medicine to coincide with presentation at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

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ACOG: Intrauterine Device Insertion Linked to Weight Loss

MONDAY, May 7 (HealthDay News) -- Women who undergo postpartum or interval insertion of Levonorgestrel-releasing Intrauterine System (LNG-IUS) or Copper T 380A (CU-T) intrauterine devices experience weight loss in the two years following insertion, according to a study presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

Abstract No. 6
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ACOG: Menstrual Dysfunction Improved Post-Bariatric Surgery

MONDAY, May 7 (HealthDay News) -- Following bariatric surgery, there is a noticeable improvement seen in menstrual dysfunction and signs of hyperandrogenism, according to a study presented at the annual clinical meeting of the American College of Obstetricians and Gynecologists, held from May 5 to 9 in San Diego.

Abstract No. 31
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