Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for January 2013. 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.
United States' Premature Birth Rate Continues to Decline
THURSDAY, Jan. 31 (HealthDay News) -- The rate of premature births has declined to 11.7 percent, the lowest rate in a decade, according to the March of Dimes 2012 Premature Birth Report Card.
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CDC: Non-Flu Adult Vaccination Rates Largely Unchanged
THURSDAY, Jan. 31 (HealthDay News) -- In 2011, non-influenza vaccination coverage among adults was similar to that of 2010, except for modest increases in human papillomavirus (HPV) among women and in tetanus-diphtheria-acellular pertussis (Tdap) overall and among household contacts of children, according to a report published in the Jan. 29 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
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Fibroid Tumors Not Risk Factor in Twin Pregnancies
TUESDAY, Jan. 29 (HealthDay News) -- There does not appear to be an increased risk for complications in twin pregnancies with fibroid tumors compared with those without fibroid tumors, according to research published in the January issue of the American Journal of Obstetrics & Gynecology.
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Physicians Commonly Report Unsafe Hospital Workloads
TUESDAY, Jan. 29 (HealthDay News) -- Physicians say they often face unsafe hospital workloads, according to a study published online Jan. 28 in JAMA Internal Medicine.
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Brain Scans Show Doctors Empathize With Patients
TUESDAY, Jan. 29 (HealthDay News) -- Physicians who empathize with a patient in pain and feel relief when the patient receives effective treatment show activity in brain regions associated with pain relief and reward, according to a study published online Jan. 29 in Molecular Psychiatry.
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Weight Counseling Declining Among Primary Care Doctors
MONDAY, Jan. 28 (HealthDay News) -- From 1995-1996 to 2007-2008, the rate of weight counseling provided by primary care physicians (PCPs) decreased significantly, even for those patients with obesity and weight-related comorbidities such as diabetes and hypertension, according to research published in the February issue of Medical Care.
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Human Breast Milk Microbiome Changes Over Time
MONDAY, Jan. 28 (HealthDay News) -- The microbiome of breast milk is influenced by many factors, including maternal weight and how the baby was delivered, according to research published in the American Journal of Clinical Nutrition.
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Breast-Conserving Therapy Beats Mastectomy in Early Breast CA
MONDAY, Jan. 28 (HealthDay News) -- Women with early-stage breast cancer who undergo lumpectomy plus radiation have better survival than women who undergo mastectomy, according to a study published online Jan. 28 in Cancer.
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FDA Approves 1st OTC Drug for Women With Overactive Bladder
FRIDAY, Jan. 25 (HealthDay News) -- The drug Oxytrol has been approved by the U.S. Food and Drug Administration as the first over-the-counter treatment for women 18 and older with overactive bladder.
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FDA Panel Votes for Tougher Restrictions on Hydrocodone
FRIDAY, Jan. 25 (HealthDay News) -- A U.S. Food and Drug Administration advisory panel met Thursday and Friday to discuss the fate of certain painkillers that contain the opioid known as hydrocodone, concluding in a vote in favor of moving hydrocodone combination products into the more restrictive Schedule II category of controlled substances.
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CDC: Bisexual Women at Higher Risk of Intimate Partner Violence
FRIDAY, Jan. 25 (HealthDay News) -- Lesbians and gay men report lifetime levels of intimate partner violence (IPV) and sexual violence (SV) equivalent to or higher than those reported by heterosexuals, according to data released Jan. 25 by the U.S. Centers for Disease Control and Prevention.
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Folic Acid Supplementation Has No Effect on Cancer Incidence
FRIDAY, Jan. 25 (HealthDay News) -- Folic acid supplementation has no effect on the risk of cancer in the first five years of treatment, according to a meta-analysis published online Jan. 25 in The Lancet.
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ACPE Survey Finds Skepticism Relating to Online Doc Ratings
THURSDAY, Jan. 24 (HealthDay News) -- Physicians are skeptical of online ratings, and believe that few patients use them, according to a survey published by the American College of Physician Executives (ACPE).
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Physician Education Ups Communication for New Meds
THURSDAY, Jan. 24 (HealthDay News) -- A physician-targeted education session improves physician communication about newly-prescribed medications, according to a study published in the January/February issue of the Annals of Family Medicine.
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Ob-Gyns Urged to Offer Counsel to Victims of Sexual Coercion
THURSDAY, Jan. 24 (HealthDay News) -- Obstetrician-gynecologists can improve the health of women and adolescent girls experiencing reproductive and sexual coercion by providing interventions ranging from patient education to discreet contraception, according to a Committee Opinion published in the February issue of Obstetrics & Gynecology.
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Study Discusses Ethics of Multifetal Pregnancy Reduction
THURSDAY, Jan. 24 (HealthDay News) -- Given the risks of multifetal pregnancies, especially high-order multifetal pregnancies, physicians should be aware of the relevant ethical issues in order to support their patients as they make decisions regarding multifetal pregnancy reduction, according to a Committee Opinion published in the February issue of Obstetrics & Gynecology.
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Lung Cancer Death Risk in Female Smokers Has Risen
WEDNESDAY, Jan. 23 (HealthDay News) -- Although female smokers had a lower risk of dying of lung cancer than male smokers through the 1980s, male and female smokers now have similar risks of dying from lung cancer and other causes, according to a study published in the Jan. 24 issue of the New England Journal of Medicine.
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Large Teaching Hospitals Face More Readmission Penalties
WEDNESDAY, Jan. 23 (HealthDay News) -- Large hospitals, teaching hospitals, and safety-net hospitals (SNHs) are more likely than other hospitals to be penalized under the Centers for Medicare & Medicaid Services' Hospital Readmissions Reduction Program (HRRP), according to a research letter published in the Jan. 23/30 issue of the Journal of the American Medical Association.
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Fetal Exposure to Valproate Linked to Lower IQ at Age 6
WEDNESDAY, Jan. 23 (HealthDay News) -- Fetal exposure to valproate is associated with lower IQ compared with exposure to other antiepileptic drugs, according to a study published online Jan. 23 in The Lancet Neurology.
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Physical Activity Cuts Mortality in Colorectal Cancer Survivors
WEDNESDAY, Jan. 23 (HealthDay News) -- For patients with invasive, non-metastatic colorectal cancer, increased recreational physical activity is associated with reduced all-cause mortality, while prolonged sedentary time correlates with increased all-cause mortality, according to a study published online Jan. 22 in the Journal of Clinical Oncology.
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Care Transition Initiative Decreases Rehospitalizations
WEDNESDAY, Jan. 23 (HealthDay News) -- Communities instituting quality improvement initiatives for care transitions see significant declines in the rate of 30-day rehospitalizations and hospitalizations, according to a study published in the Jan. 23/30 issue of the Journal of the American Medical Association.
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FDA Approves Botox for Overactive Bladder
TUESDAY, Jan. 22 (HealthDay News) -- U.S. Food and Drug Administration approval of Botox (onabotulinumtoxinA) has been expanded to include adults with overactive bladder who don't respond to anticholinergics.
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Perceived Weight Gain Accurate for New Contraceptive Users
TUESDAY, Jan. 22 (HealthDay News) -- For new contraceptive users, perceived weight gain, reported by about one-third of users, often represents actual weight gain, according to a study published in the January issue of the American Journal of Obstetrics & Gynecology.
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USPSTF: Younger Women Should Be Screened for Partner Violence
MONDAY, Jan. 21 (HealthDay News) -- Women of childbearing age should be screened for intimate partner violence (IPV) and referred for intervention services if necessary, according to recommendations from the U.S. Preventive Services Task Force (USPSTF), published online Jan. 21 in the Annals of Internal Medicine.
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Gestational Diabetes Ups Costs of Maternity Care by One-Third
MONDAY, Jan. 21 (HealthDay News) -- Women with gestational diabetes mellitus (GDM) are significantly more likely to receive an emergency cesarean section, have their infant admitted to a neonatal care unit, and incur significantly higher maternity care costs, compared to women without GDM, according to research published online Dec. 28 in Diabetes Care.
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Pregnancy Advised 12 to 18 Months After Bariatric Surgery
MONDAY, Jan. 21 (HealthDay News) -- To minimize risk, women should ideally wait 12 to 18 months after bariatric surgery before becoming pregnant and, for optimal management, should receive counseling from a multidisciplinary team, according to research published in the January issue of The Obstetrician & Gynaecologist.
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Interactive Decision Support System Ups Breast CA Detection
MONDAY, Jan. 21 (HealthDay News) -- Compared with currently used computer-aided detection (CAD) prompts, use of an interactive CAD system, in which CAD marks and their associated suspiciousness scores remain hidden unless queried by a reader, improves the detection of malignant masses using digital mammography, according to research published in the January issue of Radiology.
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Specificity Up With Stereoscopic Mammography for CA Detection
FRIDAY, Jan. 18 (HealthDay News) -- Three-dimensional stereoscopic digital mammography (DM) significantly improves the specificity and accuracy of breast cancer detection, with a lower patient recall rate and a sensitivity comparable to that of standard DM in a high-risk population, according to research published in the January issue of Radiology.
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Physical Activity Requirement in <40 Percent of College Programs
FRIDAY, Jan. 18 (HealthDay News) -- Compared with historic levels, as of 2010, less than 40 percent of four-year universities and colleges in the United States have a physical education requirement for graduation with a baccalaureate degree, according to research published in the December issue of Research Quarterly for Exercise and Sport.
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Efforts Failed to Up Primary Care, Rural Resident Training
FRIDAY, Jan. 18 (HealthDay News) -- The 2005 redistribution of graduate medical education (GME) funds did little to train more residents in primary care and in rural areas, according to a study published in the January issue of Health Affairs.
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Differences in Care for E-Visits, Office Visits for Sinusitis, UTI
THURSDAY, Jan. 17 (HealthDay News) -- For patients with sinusitis or urinary tract infection (UTI), follow-up is similar following office visits or e-visits, but antibiotics are more likely to be prescribed and preventive care is less likely with e-visits, according to a research letter published in the Jan. 14 issue of JAMA Internal Medicine.
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Venous Thromboembolism, PE Risk Up in IVF Pregnancies
THURSDAY, Jan. 17 (HealthDay News) -- Pregnant women have an increased risk of venous thromboembolism and pulmonary embolism after in vitro fertilization (IVF), especially during the first trimester, according to a study published online Jan. 15 in BMJ.
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Influenza Vaccine in Pregnancy May Reduce Fetal Deaths
WEDNESDAY, Jan. 16 (HealthDay News) -- Pandemic influenza A (H1N1) infection in pregnancy is associated with an increased risk of fetal death, and vaccination is associated with a non-significant reduction in the risk of fetal death, according to a study published online Jan. 16 in the New England Journal of Medicine.
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Family Docs Are Early Adopters of Electronic Health Records
WEDNESDAY, Jan. 16 (HealthDay News) -- Family practice physicians are adopting electronic health record (EHR) systems at a fast pace, with 68 percent using an EHR system by 2011, and 80 percent expected to be users by 2013, according to research published in the January/February issue of the Annals of Family Medicine.
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Older Individuals Have Atypical Stone Presentation
WEDNESDAY, Jan. 16 (HealthDay News) -- Older individuals are more likely to have atypical presentation with urolithiasis, according to a study published in the January issue of The Journal of Urology.
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Depressive Symptoms Tied to Doubled Risk for Crohn's
WEDNESDAY, Jan. 16 (HealthDay News) -- Depressive symptoms are associated with a two-fold increase in risk of Crohn's disease (CD) but not ulcerative colitis (UC), according to research published in the January issue of Clinical Gastroenterology and Hepatology.
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Even Brief Interruptions Dramatically Increase Errors
WEDNESDAY, Jan. 16 (HealthDay News) -- Even momentary interruptions of two to four seconds can significantly affect a person's ability to accurately complete a task requiring considerable thought, according to research published online Jan. 7 in the Journal of Experimental Psychology: General.
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High In Utero Pollen Exposure Linked to Asthma in First Year
TUESDAY, Jan. 15 (HealthDay News) -- High pollen exposure in utero late in pregnancy is associated with an increased risk of asthma hospitalization during the first year of life, according to a study published online Nov. 7 in Allergy, Asthma & Clinical Immunology.
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CPAP Restores Some Fetal Movement in Preeclampsia
MONDAY, Jan. 14 (HealthDay News) -- For women with preeclampsia, sleep disordered breathing (SDB) is linked to reduced fetal activity, and treatment with continuous positive airway pressure (CPAP) increases the number of fetal movements, according to research published in the January issue of SLEEP.
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High Anthocyanin Intake Tied to Lower MI Risk in Younger Women
MONDAY, Jan. 14 (HealthDay News) -- High intake of a specific sub-class of flavonoids, called anthocyanins, is associated with a reduced risk of myocardial infarction (MI) in young and middle-aged women, according to a study published in the Jan. 15 issue of Circulation.
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Certain Online Behaviors of Docs Warrant Investigation
MONDAY, Jan. 14 (HealthDay News) -- There is high consensus among state medical boards regarding the likelihood of probable investigations for certain online behaviors, according to a study published in the Jan. 15 issue of the Annals of Internal Medicine.
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Top Five Issues for Docs and Patients Identified for 2013
MONDAY, Jan. 14 (HealthDay News) -- The top five issues that will impact physicians and patients in 2013 have been identified, according to a report published Dec. 10 by The Physicians Foundation.
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Concurrent Breast Augmentation + Mastopexy Deemed Safe
MONDAY, Jan. 14 (HealthDay News) -- The overall complication and reoperation rate for a one-stage simultaneous breast augmentation/mastopexy procedure is about 23 percent, according to research published in the January issue of Plastic and Reconstructive Surgery.
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National U.S. Health Care Spending Relatively Stable
FRIDAY, Jan. 11 (HealthDay News) -- The growth in national U.S. health care spending was relatively stable in 2011, but growth in personal health care spending accelerated, according to a study published in the January issue of Health Affairs.
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Pap Smear DNA Shows Promise in ID'ing Endometrial, Ovarian CA
FRIDAY, Jan. 11 (HealthDay News) -- DNA from Papanicolaou (Pap) smears could potentially be used for detecting endometrial and ovarian cancer, according to a study published in the Jan. 9 issue of Science Translational Medicine.
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Bayer Receives FDA Approval for Long-Term Contraceptive
THURSDAY, Jan. 10 (HealthDay News) -- Bayer HealthCare has received approval from the U.S. Food and Drug Administration for its new low-dose levonorgestrel-releasing intrauterine system (IUS) called Skyla, according a Jan. 10 news release issued by the company.
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10-Year Lag in Survival Benefit After Cancer Screening
THURSDAY, Jan. 10 (HealthDay News) -- Breast and colorectal cancer screening have, on average, a 10-year time lag to survival benefit, according to a meta-analysis published online Jan. 8 in BMJ.
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SPIRIT 2013 Clinical Trial Protocol Guidelines Issued
THURSDAY, Jan. 10 (HealthDay News) -- A panel of experts, including trial investigators, trial coordinators, and representatives from ethics and regulatory agencies, has developed the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 guidelines for the minimum content of a clinical trial, according to a statement published online Jan. 8 in the Annals of Internal Medicine.
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Americans Sicker, Die Younger Than Other Developed Nations
WEDNESDAY, Jan. 9 (HealthDay News) -- Americans have worse health than their peers in high-income countries, according to a report published Jan. 9 by the National Research Council and Institute of Medicine.
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Levonorgestrel-IUS Beats Usual Care for Menorrhagia
WEDNESDAY, Jan. 9 (HealthDay News) -- Compared with standard medical therapy, women with menorrhagia experience more effective, sustained physical and quality-of-life benefits from treatment with a levonorgestrel-releasing intrauterine system (IUS), according to a study published in the Jan. 10 issue of the New England Journal of Medicine.
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Multiple Stressors Contribute to Readmission Within 30 Days
WEDNESDAY, Jan. 9 (HealthDay News) -- Nearly one-fifth of Medicare patients discharged from the hospital are readmitted within 30 days, which seems to arise from a combination of factors contributing to patient vulnerability, according to research published in the Jan. 9 issue of the New England Journal of Medicine.
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Breast Cancer Screening Costs Medicare >$1 Billion Yearly
WEDNESDAY, Jan. 9 (HealthDay News) -- Breast cancer screening costs the Medicare fee-for-service program more than $1 billion annually, according to a study published online Jan. 7 in JAMA Internal Medicine.
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Pain Starting at Delivery Is Rare Six, 12 Months Later
WEDNESDAY, Jan. 9 (HealthDay News) -- Pain beginning at delivery is rarely reported six to 12 months after delivery; and the postpartum period seems to protect from chronic hypersensitivity to peripheral nerve injury in rats, according to two studies published in the January issue of Anesthesiology.
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CDC: One in Eight U.S. Women Report Binge Drinking
TUESDAY, Jan. 8 (HealthDay News) -- Binge drinking, a risk factor for many health and social issues, is relatively common among women and girls in the United States, and those who binge drink tend to do so often, according to research published in the Jan. 8 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
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Failure Rate of Cefixime for N. gonorrhoeae Infection Explored
TUESDAY, Jan. 8 (HealthDay News) -- For Neisseria gonorrhoeae (N. gonorrhoeae) infections, the rate of clinical treatment failure with cefixime is 6.77 percent, and is associated with minimum inhibitory concentrations (MICs) of 0.12 µg/mL or more, according to a study published in the Jan. 9 issue of the Journal of the American Medical Association.
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Ovarian Cancer Rates Declining in Breast Cancer Survivors
TUESDAY, Jan. 8 (HealthDay News) -- Primary ovarian cancer incidence is declining in the United States, both among the general population and among breast cancer survivors, according to research published online Jan. 2 in the Journal of Clinical Oncology.
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Maternal Vitamin D Levels Tied to Growth in Term Infants
TUESDAY, Jan. 8 (HealthDay News) -- Higher first-trimester maternal 25-hydroxyvitamin D (25[OH]D) levels are significantly linked to markers of growth in term infants, according to a study published in the Jan. 1 issue of the Journal of Clinical Endocrinology & Metabolism.
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Health Care Use Dropped Among All During Recession
TUESDAY, Jan. 8 (HealthDay News) -- Health care use declined significantly among all races and ethnicities during the recession from 2007 to 2009, with the only ethnic disparity being fewer physician visits by Hispanics compared with whites, according to a study published online Jan. 7 in JAMA Internal Medicine.
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Exposure to Traffic-Related Air Pollution Linked to Autism
TUESDAY, Jan. 8 (HealthDay News) -- Exposure to traffic-related air pollution, including nitrogen dioxide and particulate matter less than 2.5 and 10 micrometers in diameter (PM2.5 and PM10), during gestation and the first year of life is associated with a significantly increased risk of autism, according to research published in the January issue of JAMA Psychiatry.
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Fewer Than One-Third of U.S. Teen Girls Vaccinated for HPV
MONDAY, Jan. 7 (HealthDay News) -- The national prevalence of three doses of human papillomavirus (HPV) vaccination among adolescent girls is about 32.0 percent, and incidence rates for some HPV-associated cancers are increasing, according to a report published online Jan. 7 in the Journal of the National Cancer Institute.
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Shared Savings May Promote Care Coordination Entity Use
MONDAY, Jan. 7 (HealthDay News) -- Use of shared savings could encourage individuals who are dually eligible for Medicare and Medicaid to enroll in state-designed care coordination entities (CCEs), according to a perspective piece published online Jan. 2 in the New England Journal of Medicine.
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Nurse-Led Monitoring Improves Cancer-Related Fatigue
FRIDAY, Jan. 4 (HealthDay News) -- For patients with advanced cancer, nurse-led monitoring and optimized treatment of physical symptoms significantly improves cancer-related fatigue, according to research published online Jan. 2 in the Journal of Clinical Oncology.
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Tomosynthesis Ups Accuracy of Digital Mammography
FRIDAY, Jan. 4 (HealthDay News) -- Using a combination of tomosynthesis, which produces a three-dimensional reconstruction of the breast, with digital mammography increases radiologists' diagnostic accuracy and significantly lowers the number of recalls for non-cancer cases, according to research published in the January issue of Radiology.
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Nifedipine-Maintained Tocolysis No Benefit in Perinatal Outcomes
FRIDAY, Jan. 4 (HealthDay News) -- For women threatened with preterm labor, maintenance tocolysis with nifedipine is not associated with a significant reduction in adverse perinatal outcomes, according to a study published in the Jan. 1 issue of the Journal of the American Medical Association.
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Pap Testing Moving Towards Alignment With Guidelines
FRIDAY, Jan. 4 (HealthDay News) -- Increasing numbers of women are receiving Papanicolau (Pap) screening for cervical cancer at an age and with a frequency consistent with the latest guidelines, according to two studies published in the Jan. 4 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
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Association Between Health Care Cost, Quality Inconsistent
THURSDAY, Jan. 3 (HealthDay News) -- The direction of the association between health care cost and quality is unclear, with inconsistent evidence indicating positive, negative, mixed, and indeterminate associations, according to a review published in the Jan. 1 issue of the Annals of Internal Medicine.
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Urodynamic Studies Affect Diagnoses, but Not Treatment
THURSDAY, Jan. 3 (HealthDay News) -- Although preoperative urodynamic studies frequently change clinical diagnoses, they rarely lead to changes in the surgical or global treatment plans for women with stress urinary incontinence (UI), according to research published in the January issue of The Journal of Urology.
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No Significant Link for Stillbirth, Maternal Antidepressant Use
WEDNESDAY, Jan. 2 (HealthDay News) -- Use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy is not associated with an increased risk of stillbirths, neonatal deaths, or post-neonatal deaths after taking certain maternal characteristics into account, according to a study published in the Jan. 2 issue of the Journal of the American Medical Association.
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Review: All-Cause Mortality Down for Mildly Overweight
WEDNESDAY, Jan. 2 (HealthDay News) -- Obesity (all grades combined) and grades 2 and 3 obesity, based on standard body mass index (BMI) categories, correlate with increased risk of all-cause mortality, while overweight is associated with decreased risk compared with normal weight, according to a review published in the Jan. 2 issue of the Journal of the American Medical Association.
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Primary Care Docs Support Added Training in Obesity Care
WEDNESDAY, Jan. 2 (HealthDay News) -- Primary care physicians overwhelmingly support additional training and practice-based changes to improve obesity care in their practice, according to a study published online Dec. 20 in BMJ Open.
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House Joins Senate to Avert Medicare Cuts
WEDNESDAY, Jan. 2 (HealthDay News) -- The House of Representatives settled on an 11th-hour agreement late Tuesday night that has averted the widespread tax increases and spending cuts that would have gone into effect January 1. This agreement occurred 21 hours after the U.S. Senate did its part to steer the country clear of the "fiscal cliff."
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