Reassurance About Primary Ovarian Insufficiency after Well-Adolescent Vaccination

This article by Catherine M. Gordon, MD, MSc in the New England Journal of medicine – Journal Watch addresses an important issue. In contrast to case series, this population-based epidemiologic, cohort study found no significant elevated risk of POI after receipt of common vaccines.

You can access the article by clicking HERE.

Transfer of Inhaled Cannabis Into Human Breastmilk

This article appears in the May 2018 Issue of Obstetrics & Gynecology. You can access the article by clicking HERE.

The objective of the study was to evaluate the transfer of delta-9-tetrahydrocannabinol and its metabolites into human breast milk after maternal inhalation of 0.1 g cannabis containing 23.18% delta-9-tetrahydrocannabinol. (In clear language – what’s the effect of smoking pot on your breast milk?)

This study documents inhaled delta-9-tetrahydrocannabinol transfer into the mother’s breast milk. Low concentrations of delta-9-tetrahydrocannabinol were detected. The long-term neurobehavioral effect of exposure to delta-9-tetrahydrocannabinol on the developing brain is unclear. Mothers should be cautious using cannabis during pregnancy and breastfeeding.

In short – if you smoke pot, this study indicates it will get into your breast milk.

Effect of a Behavioral Intervention for Underserved Preschool-Age Children on Change in Body Mass Index – – A Randomized Clinical Trial

Question: What is the effect of a 36-month multicomponent behavioral intervention for obesity prevention on body mass index (BMI) trajectories in underserved preschool-age children at risk for obesity but not yet obese?
Findings: In this randomized clinical trial that included 610 parent-child pairs from underserved communities, the mean BMI in both the intervention and control groups was 17.8 at 36 months, with no significant difference in BMI trajectories.
Meaning: The behavioral intervention was not effective in this low-income minority population.

You can access the article by clicking HERE.

The Importance of Weight Management and Exercise – Some Practical Advice

Over the past 3 decades, the prevalence of overweight and obesity has increased dramatically in the United States. A study published in 2016 showed the age-adjusted prevalence of obesity in 2013–2014 was 35% among men and 40.4% among women.

It comes as no surprise that increased reliance on inexpensive fast foods coupled with progressively more sedentary lifestyles have been implicated as causative factors.

You can access the article by clicking HERE.

The Evolving Mystery of BV – An Innovative Oral Treatment Emerges

Our understanding of bacterial vaginosis (BV) has evolved over many years, yet the condition remains mysterious. BV has been described as a complex microbial imbalance, with the native vaginal Lactobacillus species and increased anaerobic bacteria playing significantroles. Today, BV is understood as dysbiosis of the vaginal microbiome, whether symptomatic or asymptomatic. The condition is common, but despite years of study, the lack of an exact cause—and why some women get it and others do not—adds to its mystery. In 2017, however, an innovative single oral dose treatment emerged that may reduce incidence.

You can read the article by clicking HERE.

Factors Influencing Repeated Teenage Pregnancy

Factors influencing repeated teenage pregnancy: a review and meta-analysis

Existing evidence of predictors of repeated teenage pregnancy has not been assessed rigorously. This systematic review provides a comprehensive evaluation of protective and risk factors that are associated with repeated teenage pregnancy through a metaanalytical consensus

Presented at the 15th World Congress on Public Health, Melbourne, Australia, April 3-7, 2017 by

Joemer C. Maravilla, RN, James C. Maravilla, RN, Kim S. Betts, PhD, Rosa Alati, Phd, and Camila Couto e Crus

You can access the article by clicking HERE.

First U.S. Birth From Uterine Transplant Recipient

Kari Oakes reports in Ob.Gyn.News that a woman with a transplanted uterus gave birth to a live baby boy in Dallas, the first birth from a transplanted uterus in the United States. It is also the first birth resulting from uterine transplantation to be performed outside of Sweden, where a total of eight births have occurred.

You can read the entire article by clicking HERE.