Articles related toObstetrics/Gynecology

Reduction in deep organ-space infection in gynecologic oncology surgery with use of oral antibiotic bowel preparation: a retrospective cohort analysis

Kathryn Kennedy, MD; Jennifer Gaertner-Otto, DO; and Eav Lim, DO, FACOOG
The primary aim of this study was to compare the rate of deep organ-space surgical site infection in gynecologic surgery before and after institution of an oral antibiotic bowel preparation, thus assessing whether the preparation is associated with decreased infection rate.
Advance Article

Prevalence of pelvic examinations on anesthetized patients without informed consent

Rachel Cutting, DO; Varsha Reddy, BS; Sneha Polam, BS; Nicole Neiman, BS, MPH; and David Manna, PhD
The objective of this study is to evaluate the prevalence of pelvic examinations performed by osteopathic medical students on anesthetized patients without consent while fulfilling their third-year OB-GYN clerkship requirements.
Advance Article

Uncovering gaps in management of vasomotor symptoms: findings from a national need assessment

Teresa A. Hubka, DO; Andrew Crim, MEd; Ju Yong Koh, DO; Chris Larrison, BA; Tom McKeithen, MBA; Matthew Fleming, BA; Jennifer Caruso, DO; and Martha Prud’homme, BS
This national needs assessment study aimed to uncover the structures underlying known gaps in knowledge, attitude, beliefs, and practices related to vasomotor symptoms and to identify and propose optimal educational strategies to overcome these barriers.
Advance Article

The impact of prepregnancy body mass index on pregnancy and neonatal outcomes

A. Dhanya Mackeen, MPH, MD; Victoria E. Boyd, DO; Meike Schuster, DO; Amanda J. Young, MS; Celia Gray, BS; and Kajal Angras, DO
This study aims to investigate the prepregnancy body mass index (BMI) class-specific risks for pregnancy and neonatal complications based on a prepregnancy BMI class.
J Osteopath Med; 124(10): 447-453

Implementation of an enhanced recovery after surgery (ERAS) protocol for total abdominal hysterectomies in the division of gynecologic oncology: a network-wide quality improvement initiative

Kathleen E. Ackert, DO; Wayne Bauerle, MD; Anna Ng Pellegrino, MD; Jill Stoltzfus, PhD; Shaun Pateman, BS; Dan Graves, CRNA; Ashley Graul, MD; Nicholas Taylor, MD; and Israel Zighelboim, MD
An ERAS protocol for gynecologic oncology surgeries performed in a community hospital was instituted with the goal to optimize patient outcomes preoperatively. The primary outcome of interest was to reduce patient opioid usage.
J Osteopath Med; 123(10): 493-498

Effect of visceral manipulation on menstrual complaints in women with polycystic ovarian syndrome

Mahitab M. Yosri, PT, PhD; Hamada A. Hamada, PT, PhD; and Amel M. Yousef, PT, PhD
This study analyzed the effect of visceral manipulation on dysmenorrhea, irregular, delayed, and/or absent menses, and premenstrual symptoms in patients with polycystic ovary syndrome.
J Osteopath Med; 122(8): 411-422

Cervical cancer screening among women with comorbidities: a cross-sectional examination of disparities from the Behavioral Risk Factor Surveillance System

Jordyn Austin, BS; Paul Delgado, ScM; Ashton Gatewood, MPH; Mackenzie Enmeier, BS; Brooke Frantz, MD; Benjamin Greiner, DO, MPH; and Micah Hartwell, PhD
This study aims to analyze whether cervical cancer screening rates differ among women with comorbidities—body mass index (BMI) ≥30 kg/m2, diabetes mellitus, hypertension, cardiovascular disease, chronic obstructive pulmonary disease, arthritis, kidney disease, depression, or skin cancer—compared to women without these comorbidities.
J Osteopath Med; 122(7): 359-365

Impact of timing of preoperative gabapentin administration on postoperative somnolence

Summer Ghaith, BS; Jaxon K. Quillen, MS; Carolyn Mead-Harvey, MS; Matthew R. Buras, MS; and Megan N. Wasson, DO
Preoperative gabapentin decreases postoperative pain but can be associated with prolonged postoperative somnolence and respiratory depression risk. Although it is known that gabapentin affects the postoperative course, it is unclear if the timing of preoperative administration affects this finding. This study aims to assess the optimal preoperative timing for gabapentin administration in patients undergoing gynecologic surgery to minimize postoperative somnolence risk.
J Osteopath Med; 122(6): 303-311

Upgrade rate of percutaneously diagnosed pure flat epithelial atypia: systematic review and meta-analysis of 1,924 lesions

Romuald Ferre, MD, FRCR, MsC; and Cherie M. Kuzmiak, DO, FACR, FSBI
Management remains controversial due to the risk of upgrade for malignancy from flat epithelial atypia (FEA). Data about the frequency and malignancy upgrade rates are scant. Namely, observational follow-up is advised by many studies in cases of pure FEA on core biopsy and in the absence of an additional surgical excision. For cases of pure FEA, the American College of Surgeons no longer recommends surgical excision but rather recommends observation with clinical and imaging follow-up. The aim of this study is to perform a systematic review and meta-analysis to calculate the pooled upgrade of pure FEA following core needle biopsies.
J Osteopath Med; 122(5): 253-262

Nonobstetric Lacerations of the Vagina

Marvin M. Sloin, DO; Mersedeh Karimian, DO; and Pedram Ilbeigi, DO
J Osteopath Med; 106(5): 271-273