Father-infant interactions and infant regional brain volumes: A cross-sectional MRI study.

Fathers play a crucial role in their children's socio-emotional and cognitive development. A plausible intermediate phenotype underlying this association is father's impact on infant brain. However, research on the association between paternal caregiving and child brain biology is scarce, particularly during infancy.

Operation PINC: Process Improvement for Non-Delayed Contraception.

Introduction: The Department of Defense is under intense scrutiny for the reported increased unintended pregnancy rate in active duty women. To minimize barriers to contraception and improve access to care for family planning needs, a novel full-service walk-in clinic for contraception was created. The objective of this study is to describe utilization of a walk-in contraceptive clinic including patient demographics, long-acting reversible contraception (LARC) initiation rates, projected cost savings, and patient satisfaction within the first 6 months of operation.

Effect of Pregnancy on Performance of a Standardized Physical Fitness Test.

Introduction: Research has demonstrated the positive effects of exercise during pregnancy on maternal and fetal outcomes, but very little research has evaluated the effect of pregnancy on women's fitness or the length of time needed to recover prepregnancy fitness after delivery. These questions are important in providing anticipatory guidance to women, from elite athletes to women who just want to know how their bodies will change after pregnancy. To women in the military, postpartum fitness is critically important because failing the mandatory biannual physical fitness assessment (PFA) can severely damage or prematurely end a woman's career.

Mother-infant interactions and regional brain volumes in infancy: an MRI study.

It is generally agreed that the human brain is responsive to environmental influences, and that the male brain may be particularly sensitive to early adversity. However, this is largely based on retrospective studies of older children and adolescents exposed to extreme environments in childhood. Less is understood about how normative variations in parent-child interactions are associated with the development of the infant brain in typical settings.

Tension-Free Vaginal Tape Failure After Robotic Sacrocolpopexy and Tension-Free Vaginal Tape for Concomitant Prolapse and Stress Incontinence.

Objective: Evidence of surgical cure with tension free vaginal tape (TVT) is robust for isolated stress urinary incontinence, but rigorous studies investigating combined prolapse and incontinence are lacking. Our study measured cure of stress incontinence in concomitant robotic sacrocolpopexy and retropubic sling (TVT). We hypothesized a higher rate of objective failure as measured by the cough stress test (CST) compared to failures reported in recent randomized trials of TVT in patients without prolapse (aggregate 8% failure).

Does fibromyalgia influence symptom bother from pelvic organ prolapse?

Introduction And Hypothesis: Determine if women with fibromyalgia report increased bother from pelvic organ prolapse compared with women without fibromyalgia.

Methods: We performed a cross-sectional study of women with symptomatic prolapse on consultation with a private urogynecology practice within a 46-month period. After matching for age, women with a diagnosis of fibromyalgia were compared with a reference group of women without fibromyalgia.

Levator myalgia: why bother?

Introduction And Hypothesis: We report the prevalence of levator myalgia (LM) and describe symptom bother and comorbidities associated with this examination finding.

Methods: We performed a cross-sectional study of patients referred to urogynecology practices: a private practice (COMM) and a tertiary university-based practice (UNIV). We identified within our population a subset of patients with LM and a reference group without LM.

Mesh erosion in robotic sacrocolpopexy.

Objective: This study aimed to compare the incidence of mesh erosion after robotic sacrocolpopexy between women undergoing total and those undergoing supracervical hysterectomy (SH).

Methods: This is a retrospective cohort study of women who underwent sacrocolpopexy and concomitant hysterectomy using the DaVinci surgical robot between May 2007 and December 2010 at 2 sites. Baseline data were gathered before surgery.

Bladder pain syndrome: a review.

: Bladder pain syndrome (BPS), including the specific variant interstitial cystitis, is a chronic condition characterized by bladder, urethral, and pelvic pain; urinary urgency; and urinary frequency. Bladder pain syndrome poses many clinical challenges: (1) The diagnosis is one of exclusion and is often inappropriately assigned; (2) a wide-range spectrum of symptoms can be noted in the population from minimally affected to debilitated; and (3) the etiology for the disease is unknown, which has made the development of directed therapies problematic. The objective of this article was to review the current theories of etiology of BPS and the diagnosis of BPS and understand treatment options including surgical, complementary, and pharmaceutical.