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Methotrexate: Use in the Post Dobbs v. Jackson Era.
J Clin Rheumatol
October 2024
From the Division of Clinical Immunology and Rheumatology, University of Alabama Birmingham, Birmingham, Alabama.
Article Synopsis
- Methotrexate is a commonly prescribed medication for various rheumatic diseases like rheumatoid arthritis and systemic lupus erythematosus, originally developed for cancer treatment in the 1960s and approved for RA in 1988.
- It has been used for medical abortions and can cause serious birth defects, affecting 6%-10% of pregnant women taking it, making its use complex in light of current abortion policies in the U.S. after the Dobbs ruling.
- The Dobbs decision has influenced healthcare providers' and patients' views on methotrexate, suggesting an expanded role for rheumatologists in addressing patients' reproductive health concerns.
First-trimester cesarean scar pregnancy: a comparative analysis of treatment options from the international registry.
Am J Obstet Gynecol
June 2024
Division of Gynecologic and Prenatal Ultrasound, Department of Obstetrics and Gynecology, University of Basel, Basel, Switzerland. Electronic address:
Article Synopsis
- A cesarean scar pregnancy occurs when a gestational sac implants in the scar from a previous cesarean delivery, leading to significant risks for the mother.
- The study aimed to analyze ultrasound findings and management strategies for cesarean scar pregnancies, utilizing an international registry that collected data from various healthcare centers.
- Out of 460 patients analyzed, 58.7% received surgical treatment, 26.7% were managed medically, and the effectiveness of these interventions was evaluated based on successful resolution of the pregnancy.
A national analysis of ED presentations for early pregnancy and complications: Implications for post-Roe America.
Am J Emerg Med
August 2023
Department of Emergency Medicine, MedStar Washington Hospital Center, Georgetown University School of Medicine, United States of America.
Background: Most obstetric emergencies are initially managed in the emergency department (ED). The Supreme Court decision of Dobbs v. Jackson Women's Health Organization, overturning Roe v.
View Article and Find Full Text PDFFetal methotrexate syndrome following an unsuccessful medication abortion - a rare syndrome posed to become more common.
Clin Dysmorphol
July 2023
Department of Pediatrics, Division of Neonatology.
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