Cervicovaginal microbiome in twin vs singleton gestations.

Background: The vaginal microbiome diversity profile varies by race and ethnicity and changes considerably from the nonpregnant state to the pregnant state, specifically with a shift to Lactobacillus predominance in singleton gestations. There is a paucity of data that evaluate the cervicovaginal microbiome in women with twin gestations as a distinct population from those with singleton gestations.

Objective: We sought to characterize the cervicovaginal microbiome diversity profiles among twin gestations in the second trimester of pregnancy.

Women's Perceptions Regarding Obesity and Comorbidities and Provider Interaction.

Objective: To assess women's perceptions of current body mass index (BMI) category, evaluate their knowledge of medical and surgical conditions associated with obesity, and assess their previous exposure to counseling on obesity.

Design: Questionnaire-based survey.

Setting: Gynecology clinics in a large midwestern city.

Stiff person syndrome and pregnancy.

Background: Stiff person syndrome, also known as Moersche-Woltman syndrome, is a debilitating disorder that is rarely seen in the pregnant patient. It is characterized by muscle spasms triggered by startle, voluntary movement, or tactile or emotional stimuli, occurring predominantly in the axial musculature.

Case: A woman diagnosed with stiff person syndrome became pregnant 2 months after her diagnosis.