Adverse Perinatal Outcomes Associated with Increasing Maternal Obesity.

Objective: The aim of this study was to determine adverse perinatal outcomes related to maternal preconception body mass index (BMI).

Study Design: This is a retrospective observational cohort study at a single institution of 500 consecutive mothers of normal weight with a preconception BMI of 18.5 to less than 25 and 500 additional obese mothers with a preconception BMI more than or equal to 30.

Diagnostic Value of Bile Acids and Fibroblast Growth Factor 21 in Women with Polycystic Ovary Syndrome.

Objective: Polycystic ovary syndrome (PCOS) is a heterogeneous disorder characterized by a reduction in fertility and metabolic dysfunction. Unfortunately, due to a lack of clear presentation, it is often a long process of diagnosis. In this study, we investigated bile acids as potential biomarkers.

Teaching Pediatric Straddle Injury Repair with Use of a 3D Printed Model.

Study Objective: To determine the utility of a 3D vulvar model for teaching pediatric straddle injury repair.

Design: Prospective study.

Setting: Two academic hospitals.

Acceptability of a Comprehensive Sex Education Self-Study Website for Teaching Reproductive Health: A Pilot Study Among College Students and Obstetrics and Gynecology Resident Physicians.

Introduction: There is a growing interest among adolescents to obtain sexual health information online, which could be helpful in rural areas where adolescents face unique obstacles to contraception access, and medically accurate sex education is not mandated.

Aim: This study piloted a comprehensive sex education self-study website among undergraduate students and resident physicians to assess the accuracy and feasibility for future use in younger adolescents.

Methods: A sex education website developed by a board-certified obstetrician-gynecologist (OBGYN) was piloted among a group of OBGYN resident physicians and undergraduates from West Virginia.

The Impact of an Adolescent Gynecology Provider on Intrauterine Device and Subdermal Contraceptive Implant Use Among Adolescent Patients.

Study Objective: To assess how the addition of a pediatric and adolescent gynecologist (PAG) in an area where one has not previously been available affects the use of long-acting reversible contraception (LARC) among adolescent and adult women 13-24 years of age.

Design: Retrospective chart review.

Setting: Academic practice including 12 general practice obstetric/gynecologists (GP) and 1 PAG, and Title X clinics in 3 neighboring counties in West Virginia.

Clinical research with adolescents: barriers and how to overcome them.

Purpose Of Review: This review aims to emphasize the importance of including adolescents in research, outline current standards and evaluate barriers that prevent adolescent research. We also hope to provide some guidance and call for much needed additional direction in the field.

Recent Findings: The absolute necessity for including adolescents in research has been an area of focus within the community of adolescent providers and care takers.

The Management of an Ectopic Ovary in an Adolescent Patient with Gastroschisis.

Background: Gastroschisis is an abdominal wall defect through which the bowel herniates into the amniotic cavity. Surgical correction of gastroschisis is performed during infancy. Gynecologic concerns have not been described in this population as either an associated anomaly or complication of surgical repair.

The Use of Telehealth to Teach Reproductive Health to Female Rural High School Students.

Study Objective: To evaluate the use of telehealth to teach reproductive health to rural areas with high rates of teen pregnancy.

Design: Prospective cohort study.

Setting: Two high schools in rural West Virginia.

Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States.

Three intrauterine devices (IUDs), one copper and two containing the progestin levonorgestrel, are available for use in the United States. IUDs offer higher rates of contraceptive efficacy than nonlong-acting methods, and several studies have demonstrated higher satisfaction rates and continuation rates of any birth control method. This efficacy is not affected by age or parity.

The effect of an educational approach to pregnancy prevention among high-risk early and late adolescents.

Purpose: To evaluate a novel approach to adolescent pregnancy prevention through scheduled educational clinic visits, focusing to retain patients within the clinic system.

Methods: This is a retrospective chart review conducted at the Center for Adolescent Pregnancy Prevention, a privately funded clinic located in an urban setting serving only adolescents and young adults. Subjects included adolescent patients aged 11-18 years who were seen between January 2007 and December 2010.

A multicenter survey of contraceptive knowledge among adolescents in North America.

Study Objective: To assess knowledge about contraceptive efficacy and side effects in an adolescent population seen in Pediatric and Adolescent Gynecology referral centers.

Design: This is a multisite cross-sectional survey study. A 23-question survey assessing knowledge of contraception and demographic information was administered.

Use of the levonorgestrel intrauterine system in adolescents with endometriosis.

Study Objective: The purpose of this study was to evaluate our adolescent patient population who had received a levonorgestrel intrauterine system (LNG-IUS) at or after the time of endometriosis diagnosis, and determine efficacy of the LNG-IUS in regards to pain and bleeding on follow-up exam.

Design: Retrospective cohort study.

Setting: Pediatric Adolescent Gynecology Clinic and Children's Hospital in a metropolitan area.

Laparoscopy in pregnancy and the pediatric patient.

Minimally invasive surgery is now standard of care for many procedures in pediatric gynecology. Laparoscopy has been well documented to produce faster recovery,decreased postoperative pain, and because of smaller incisions, a better cosmetic result. These are important when considering an active pediatric patient.

Management of the low grade squamous intraepithelial lesion Pap smear in a cross-sectional, observational cohort.

Objective: To evaluate the practice of delaying colposcopy until repeat cytology demonstrates persistent low grade squamous intraepithelial lesion (LSIL).

Study Design: A retrospective cross-sectional analysis was performed on patients diagnosed with LSIL in a high-risk urban population. Primary outcomes were defined as regression, persistence, progression and lost to follow-up.