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Evaluation and Management of Congenital Cytomegalovirus Infection.
Obstet Gynecol
January 2025
Medical Practice Evaluation Center, the Division of Infectious Disease, and the Division of Maternal Fetal Medicine, Massachusetts General Hospital, Boston, Massachusetts; the Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Quebec, Canada; and the Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, New York.
The purpose of this review is to serve as an update on congenital cytomegalovirus (CMV) evaluation and management for obstetrician-gynecologists and to provide a framework for counseling birthing people at risk for or diagnosed with a primary CMV infection or reactivation or reinfection during pregnancy. A DNA virus, CMV is the most common congenital viral infection and the most common cause of nongenetic childhood hearing loss in the United States. The risk of congenital CMV infection from transplacental viral transfer depends on the gestational age at the time of maternal infection and whether the infection is primary or nonprimary.
View Article and Find Full Text PDFSelf-managed abortion (SMA) refers to actions people take to end a pregnancy outside the formal health care system. There are a variety of reasons people choose to self-manage their abortions, and these reasons may vary based on regional contexts. For some people, medically delivered abortion care is no longer, or has never been, available in their community.
View Article and Find Full Text PDFMaternal mortality in Panama from 1998 to 2022.
Rev Panam Salud Publica
November 2024
Sistema Nacional de Investigación, SENACYT/Hospital Pacífica Salud Panama City Panama Sistema Nacional de Investigación, SENACYT/Hospital Pacífica Salud, Panama City, Panama.
Article Synopsis
- A cohort study analyzed maternal mortality in Panama from 1998 to 2022, identifying causes of death and calculating the maternal mortality ratio (MMR).
- Out of 1,026 maternal deaths, 61.2% were due to direct obstetric causes, with postpartum hemorrhage being the leading cause, while a smaller percentage were attributed to indirect causes and contributory conditions.
- Despite not meeting statistical significance, trends in maternal mortality data suggest that larger improvements are needed to align with the 2030 Sustainable Development Goals, highlighting the preventable nature of many causes.
Genetic Predisposition for Gynecologic Cancers.
Clin Obstet Gynecol
December 2024
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Comprehensive Cancer Center, University of Virginia Health, Charlottesville, Virginia.
Article Synopsis
- Hereditary cancer syndromes account for up to 10% of all cancers and are often detected after a cancer diagnosis, indicating a need for earlier testing.
- Primary care providers, especially obstetrician-gynecologists, can play a crucial role in assessing hereditary cancer risks through family history and genetic testing.
- Identifying hereditary cancer genes can lead to proactive prevention strategies, including better screenings and personalized care plans, particularly for common gynecologic hereditary cancer syndromes.
The Impact of Minimally Invasive Gynecologic Surgery Subspecialty Training on Outcomes of Benign Laparoscopic Hysterectomy: A Retrospective Cohort Study.
J Minim Invasive Gynecol
September 2024
Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California (Drs. Meyer, Schneyer, Hamilton, Truong, Siedhoff, and Wright).
Article Synopsis
- The study aimed to compare surgical outcomes, specifically the incidence of complications, among patients undergoing minimally invasive hysterectomy performed by different types of surgeons: MIGS subspecialists, gynecologic oncologists, and general OB/GYNs.
- Results showed that MIGS surgeons had significantly lower rates of intra- and postoperative complications (11.7%) compared to gynecologic oncologists (22.9%) and OB/GYNs (25.9%).
- Additionally, MIGS surgeons experienced fewer conversions to laparotomy and had lower estimated blood loss and surgery times compared to their counterparts, indicating they may provide safer surgical outcomes for patients.
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