Implementation of a Robotic Gynecologic Surgery Program in a Rural Setting: Impact on Presence of Assistant Surgeon and Route of Hysterectomy.

Background And Objectives: Robotic surgical technology may obviate the need for an assistant surgeon when performing hysterectomy. In rural communities where physician shortages remain a major barrier to healthcare access, reducing the number of surgeons necessary to complete a hysterectomy would be of significant consequence. We sought to investigate the impact of robotic surgery on both the presence of an assistant surgeon and route of hysterectomy following implementation of a robotic surgery program at a single-site community hospital.

Risk Factors for Dyspareunia After First Childbirth.

Objective: To investigate risk factors for dyspareunia among primiparous women.

Methods: This was a planned secondary analysis using data from the 1- and 6-month postpartum interviews of a prospective study of women who delivered their first neonate in Pennsylvania, 2009-2011. Participants who had resumed sexual intercourse by the 6-month interview (N=2,748) constituted the analytic sample.

Addressing the Barriers to Cervical Cancer Prevention Among Hispanic Women.

Objective: Cervical cancer in the USA has transformed from a leading cause of cancer death, to a now largely preventable disease. Despite these advances, however, certain segments of the population, including Hispanic women, continue to be at increased risk.

Methods: A literature review was performed to summarize epidemiologic trends and barriers to care affecting Hispanic women.

Reduced Breastfeeding Rates in Firstborn Late Preterm and Early Term Infants.

Objectives: The primary objective was to determine the rate of breastfeeding by gestational age reported by new mothers 1 month postpartum, with particular focus on early term newborns (37-38(6)/7 weeks).

Materials And Methods: Three thousand six primiparous women aged 18-36 years were interviewed during their third trimester and again 1 month postpartum. Logistic regression analysis was used to model the association between gestational age and breastfeeding 1 month postpartum among those who reported that they planned to breastfeed, controlling for potentially confounding variables.

Breast cancer metastasis to the vulva 20 years remote from initial diagnosis: A case report and literature review.

•This is the 20th documented case of metastatic breast carcinoma to the vulva.•Greater than 21 years have passed from initial diagnosis to vulvar metastasis.•Existing literature supports long term surveillance in women with invasive lobular carcinoma of the breast.