Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for June 2011. 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.
Pain Is a Public Health Issue and Economic Burden in U.S.
THURSDAY, June 30 (HealthDay News) -- An integrated approach that responds to all the factors influencing pain can successfully treat, manage, and prevent chronic pain, according to a report published in June by the Institute of Medicine (IOM), on behalf of the National Institutes of Health (NIH).
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Uncertainty of Diagnosis Tied to Increased Patient Anxiety
THURSDAY, June 30 (HealthDay News) -- Women awaiting diagnostic breast biopsy or invasive treatment experience increased stress levels, but only those awaiting biopsy have increased anxiety, according to a study published in the July issue of Radiology.
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Incentives Negatively Impact Non-Incentivized Activities
WEDNESDAY, June 29 (HealthDay News) -- Incentives may have a detrimental impact on non-incentivized activities of quality of care in the long-term, according to a study published online June 28 in BMJ.
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Higher Mortality in Obese, Low Occupational-Class Women
WEDNESDAY, June 29 (HealthDay News) -- For women who have never smoked, low socioeconomic status is linked to a higher prevalence of obesity and higher mortality rates from cardiovascular disease, according to a study published online June 28 in BMJ.
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Mammography Invites Linked to Fewer Breast Cancer Deaths
TUESDAY, June 28 (HealthDay News) -- Invitation to mammographic screening is correlated with a significant reduction in mortality from breast cancer in the long term, according to a study published online June 28 in Radiology.
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New Model Estimates Impact of Breast-Cancer Risk Factors
TUESDAY, June 28 (HealthDay News) -- A new breast cancer risk model predicts that changes in the modifiable risk factors in a woman's lifestyle may reduce the absolute risk of developing breast cancer, according to a study published online June 24 in the Journal of the National Cancer Institute.
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Many With High-Risk Breast Cancer Don't Undergo Radiation
MONDAY, June 27 (HealthDay News) -- In response to the publication of clinical trials there was an increase in the number of women with high-risk breast cancer receiving postmastectomy radiation therapy (PMRT), but no further increase has been seen following publication of evidence-based guidelines, according to a study published online June 27 in Cancer.
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Prophylactic Heparin May Not Prevent Placental Insufficiency
MONDAY, June 27 (HealthDay News) -- Women at risk of placental insufficiency who are treated with unfractionated heparin (UFH) during pregnancy may not have significantly better outcomes than those undergoing standard care, according to a study published online June 20 in the Journal of Thrombosis and Haemostasis.
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Induction of Labor May Not Raise Emergency Cesarean Risk
MONDAY, June 27 (HealthDay News) -- Induction of labor does not increase the risk of emergency cesarean section (CS), when comparing gestational weeks 39, 40, or 41 with a later induced or spontaneous labor, according to a study published online June 16 in the Acta Obstetricia et Gynecologica Scandinavica.
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Most Young Adults Receive Routine Health Care
FRIDAY, June 24 (HealthDay News) -- The majority of young American adults regularly seek health care and have access to insurance, according to a survey published online June 14 by the American Academy of Family Physicians (AAFP).
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Obese Teen Girls Have Higher Nicotine Addiction Risk
FRIDAY, June 24 (HealthDay News) -- Obese adolescent females have a significantly increased risk of nicotine addiction in young adulthood, which is strongly predicted by family smoking, according to a study published online June 21 in the Journal of Adolescent Health.
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Maternal Smoking May Lower Children's HDL Cholesterol
THURSDAY, June 23 (HealthDay News) -- Healthy 8-year-olds whose mothers smoked during pregnancy may have reduced levels of high-density lipoprotein (HDL) cholesterol, according to a study published online June 21 in the European Heart Journal.
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Perinatal Depression Care Influenced by Care Providers
THURSDAY, June 23 (HealthDay News) -- Prenatal care providers are largely influenced by internal factors while making decisions regarding perinatal depression care, according to a study published in the May issue of General Hospital Psychiatry.
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FDA Updates Silicone Gel-Filled Breast Implant Data
WEDNESDAY, June 22 (HealthDay News) -- The U.S. Food and Drug Administration has released a report that updates clinical and scientific information on silicone gel-filled breast implants.
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Variability Seen in Primary Care High-Risk Prescribing
WEDNESDAY, June 22 (HealthDay News) -- High-risk prescribing or potentially inappropriate prescribing of drugs in primary care patients shows considerable unexplained variation between practices, and it is more likely in patients prescribed long-term drugs, according to a study published online June 21 in BMJ.
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Syndrome Caused by E. coli Mostly in Adults, Women
WEDNESDAY, June 22 (HealthDay News) -- A large, ongoing outbreak of the hemolytic-uremic syndrome caused by Shiga-toxin-producing Escherichia coli (E. coli) in Germany is occurring mostly in adults, primarily women, according to a study published online June 22 in the New England Journal of Medicine.
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Perinatal Exposures May Impact Breast Development
WEDNESDAY, June 22 (HealthDay News) -- Gestational or perinatal exposure to certain endocrine-disrupting chemicals (EDCs) can alter mammary gland (MG) development, disrupt lactation, and increase susceptibility to breast cancer, according to a review published online June 22 in Environmental Health Perspectives.
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Obesity Linked to Lower IVF Pregnancy, Live Birth Rates
WEDNESDAY, June 22 (HealthDay News) -- Women with a body mass index (BMI) of 40 kg/m² or more who undergo in vitro fertilization (IVF) have a significantly reduced likelihood of clinical pregnancy and live birth than women with normal BMI, according to a study published in the July issue of Obstetrics & Gynecology.
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Long-Acting Reversible Contraceptives Safe for Most
TUESDAY, June 21 (HealthDay News) -- Long-acting reversible contraceptives (LARC) are safe and effective for almost all women of reproductive age, according to an American College of Obstetricians and Gynecologists (ACOG) practice bulletin published in the July issue of Obstetrics & Gynecology.
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Guideline-Concordance High for Surgical Cancer Patients
TUESDAY, June 21 (HealthDay News) -- The guideline-concordance levels are mainly high in surgical oncology care, but are lower in certain areas, including nodal management, according to a study published online June 20 in the Archives of Surgery.
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Anonymized Information May Decrease Violence Injuries
FRIDAY, June 17 (HealthDay News) -- Combining police intelligence with anonymized information from patients injured in violence can be used to prevent violence causing wounding, but not for more minor violence, according to a study published online June 16 in BMJ.
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Many Primary Care Physicians Not Addressing Weight Issues
FRIDAY, June 17 (HealthDay News) -- A large number of primary care physicians (PCPs) do not offer adequate counseling for weight status for adults or children, according to two studies published in the July issue of the American Journal of Preventive Medicine.
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Low Use of Screenings by Sexual Minority Young Women
FRIDAY, June 17 (HealthDay News) -- Routine reproductive health screenings, including Papanicolaou (Pap) smears and sexually transmitted infection (STI) tests, are underutilized by sexual minority adolescent and young adult women, according to a study published online June 7 in the Journal of Adolescent Health.
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HPV Vaccination Program Tied to Fewer Cervical Abnormalities
FRIDAY, June 17 (HealthDay News) -- The incidence of high-grade cervical abnormalities (HGAs) has decreased in girls younger than 18 years, within three years of the implementation of a population-wide human papillomavirus (HPV) vaccination program in Australia, according to a review published in the June 18 issue of The Lancet.
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Syphilis Screening May Reduce Adverse Pregnancy Outcomes
THURSDAY, June 16 (HealthDay News) -- Screening interventions may reduce the incidence of perinatal death and stillbirth attributed to syphilis, according to a review published online June 16 in The Lancet Infectious Diseases.
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Vitamin D Supplementation Widely Recommended
THURSDAY, June 16 (HealthDay News) -- Depending on age and clinic circumstances, vitamin D supplementation at suggested daily-intake and tolerable upper-limit levels is widely recommended, particularly for those individuals at risk of deficiency, according to the Endocrine Society's guidelines published online June 6 in The Journal of Clinical Endocrinology & Metabolism.
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Sleep Positions and Practices May Influence Late Stillbirth
WEDNESDAY, June 15 (HealthDay News) -- Maternal sleep positions and practices may be associated with late stillbirth risk, according to a study published online June 14 in BMJ.
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Life Expectancy in U.S. Counties Below Many Nations
WEDNESDAY, June 15 (HealthDay News) -- Most counties within the United States fall behind the international frontier with the best life expectancies in the world, according to a study published online June 15 in Population Health Metrics.
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FDA OKs Test to Spot HER2-Positive Breast Cancer
TUESDAY, June 14 (HealthDay News) -- The U.S. Food and Drug Administration has approved the Inform Dual ISH test, a genetic test to determine whether women with breast cancer are human epidermal growth factor receptor (HER)2-positive and therefore candidates for trastuzumab (Herceptin).
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Similar Number for Outpatient, Inpatient Malpractice Claims
TUESDAY, June 14 (HealthDay News) -- The number of paid malpractice claims is similar in both inpatient and outpatient settings, according to a study published in the June 15 issue of the Journal of the American Medical Association.
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Rheumatoid Arthritis May Delay Time to Pregnancy
TUESDAY, June 14 (HealthDay News) -- Women with rheumatoid arthritis (RA) prior to conceiving may have a longer time to pregnancy (TTP), according to a study published in the June issue of Arthritis & Rheumatism.
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Women Soldiers As Resilient As Men to Combat Stress
MONDAY, June 13 (HealthDay News) -- Women may have levels of resilience to combat-related stressors that are comparable to that of men, according to a study published online May 30 in the Journal of Abnormal Psychology.
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Breast-Feeding for Any Duration May Lower SIDS Risk
MONDAY, June 13 (HealthDay News) -- Breast-feeding has a protective effect against sudden infant death syndrome (SIDS), particularly when breast-feeding is exclusive, according to a meta-analysis published online June 13 in Pediatrics.
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Cancer Survival Rates Lower in U.K. Than Other Countries
FRIDAY, June 10 (HealthDay News) -- Lower cancer survival rates found in the United Kingdom are not misleading, according to a study published June 9 in BMJ.
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Urinary Urgency Tied to Nocturia in Interstitial Cystitis
FRIDAY, June 10 (HealthDay News) -- In patients with interstitial cystitis/painful bladder syndrome (IC/PBS), urinary urgency is correlated with the presence and severity of nocturia, and bladder pain is correlated with the severity of nocturia, according to a study published in the June issue of Urology.
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Mindfulness Program Helps Reduce Bother of Hot Flashes
FRIDAY, June 10 (HealthDay News) -- A mindfulness-based stress reduction (MBSR) program may help reduce the bother caused by hot flashes in peri- and early postmenopausal women, according to a study published in the June issue of Menopause.
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IMS: New Recommendations on HRT Use Released
FRIDAY, June 10 (HealthDay News) -- Hormone replacement therapy (HRT) should be given according to the needs of individual menopausal women, after assessing the benefits and risks, severity of symptoms, age, and family history; this is according to the recommendations of the International Menopause Society (IMS), published online June 10 in Climacteric to coincide with presentation at the 13th World Congress on Menopause, held from June 8 to 11 in Rome.
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Transvaginal Mesh Surgery Restores Pelvic Organ Prolapse
THURSDAY, June 9 (HealthDay News) -- Transvaginal mesh (TVM) surgery is effective in treating pelvic organ prolapse (POP) in both pre- and postmenopausal women but dyspareunia may worsen in premenopausal women, according to a study published online May 23 in the Journal of Sexual Medicine.
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Immediate IUD Insertion Not Inferior to Delayed Insertion
WEDNESDAY, June 8 (HealthDay News) -- Immediate insertion of intrauterine devices (IUDs) after uterine aspiration is associated with a slightly higher, but not inferior, risk of expulsion and a higher rate of IUD use at six months compared to delayed insertion, according to a study published online June 9 in the New England Journal of Medicine.
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Lipofilling May Be Safe for Breast Reconstruction
WEDNESDAY, June 8 (HealthDay News) -- Lipofilling may be a safe procedure for breast reconstruction in most patients who undergo surgery for primary breast cancer, according to a study published online May 24 in the Annals of Oncology.
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Gynecologic Cancer Recurrence Surveillance Lacking
WEDNESDAY, June 8 (HealthDay News) -- There is no evidence-based surveillance technique to detect recurrence of gynecologic cancer, but a combination of taking a detailed history, completing a physical examination, and educating patients about symptoms is the most effective current method, according to the Society of Gynecologic Oncologists recommendations published in the June issue of the American Journal of Obstetrics & Gynecology.
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Smoking Linked to Peripheral Artery Disease in Women
TUESDAY, June 7 (HealthDay News) -- Smoking increases the risk of symptomatic peripheral artery disease (PAD) in women with no cardiovascular disease, according to a study published in the June 7 issue of the Annals of Internal Medicine.
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Youth Bear Large Burden of Global Death, Disease
TUESDAY, June 7 (HealthDay News) -- Youths between the ages of 10 and 24 years carry 15.5 percent of the global burden of disability-adjusted life-years (DALYs), according to a study published online June 7 in The Lancet.
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Antiepileptic Drugs Have Dose-Dependent Tie to Birth Defects
TUESDAY, June 7 (HealthDay News) -- Four commonly used antiepileptic drugs are associated with a dose-dependent increased risk of major birth defects when used at the beginning of pregnancy, according to a study published online June 6 in The Lancet Neurology.
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Adding Zoledronic Acid Improves Breast CA Survival
MONDAY, June 6 (HealthDay News) -- Adding zoledronic acid to either anastrozole or tamoxifen improves disease-free survival in women with endocrine-receptor-positive breast cancer who are receiving adjuvant endocrine therapy, according to a study published online June 4 in The Lancet Oncology.
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CDC: More Risky Behaviors Seen in Gay, Bisexual Teens
MONDAY, June 6 (HealthDay News) -- Gay, lesbian, or bisexual students are more likely to engage in health-risk behaviors than heterosexual students, according to a report published in the June 6 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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CDC: More Than One Million Living With HIV in U.S. in 2008
FRIDAY, June 3 (HealthDay News) -- Despite declines in AIDS diagnoses and deaths with the advent of antiretroviral therapy, more than one million people in the United States were living with HIV in 2008, according to a report in the June 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
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Interpregnancy BMI Increase Tied to Gestational Diabetes
FRIDAY, June 3 (HealthDay News) -- Women who gain body mass index (BMI) units between their first and second pregnancies are at an increased risk of developing gestational diabetes mellitus (GDM) in the second pregnancy, according to a study published in the June issue of Obstetrics & Gynecology.
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Maternal and Placental Size Linked to Men's Heart Disease
THURSDAY, June 2 (HealthDay News) -- Three combinations of maternal body size and placental size can predict coronary heart disease in men, according to a study published online June 1 in the European Heart Journal.
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Iodine Deficiency Prevalent in U.K. Female Teens
THURSDAY, June 2 (HealthDay News) -- Iodine deficiency is prevalent in adolescent girls in the United Kingdom, according to a study published online June 2 in The Lancet.
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Maternal Influenza Vaccination Tied to Reduced Prematurity
WEDNESDAY, June 1 (HealthDay News) -- Receipt of vaccination against influenza during any trimester of pregnancy reduces the likelihood of prematurity and of small-for-gestational-age (SGA) births during local and widespread influenza activity periods, according to a study published online May 31 in PloS Medicine.
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Omental Adipocyte Hypertrophy Tied to Lipid Profile
WEDNESDAY, June 1 (HealthDay News) -- In women, omental, but not subcutaneous, adipocyte hypertrophy is correlated with an altered lipid profile, including hypertriglyceridemia, according to a study published in the May issue of Diabetes.
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Beta Blockers May Benefit Breast Cancer Patients
WEDNESDAY, June 1 (HealthDay News) -- In patients with breast cancer, beta-blockers may reduce disease progression and mortality as well as improve relapse-free survival, according to two studies published online May 31 in the Journal of Clinical Oncology.
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