Articles related toObstetrics/Gynecology

Associations in fetal outcomes from cesarean sections with maternal comorbidities: a cross-sectional study of the Pregnancy Risk Assessment Monitoring System

Mackenzie Enmeier, DO; Elise Stephenson, DO; Jordyn Prince, DO; Caroline Markey, MD; Binh Phung, DO; and Micah Hartwell, PhD
The primary objective of this study was to determine the prevalence of negative fetal outcomes such as low birth weight, birth defects, prolonged hospital stay, and infant mortality in cesarean section deliveries and their increased risk of occurrence among mothers with comorbidities.
Advance Article

Management of endometriosis: a call to multidisciplinary approach

Jordann-Mishael Duncan, MBS, MD; Ritchie Delara, MD; Gina Ranieri, DO; and Megan Wasson, DO
In this Clinical Practice article, the authors describe their experience of utilizing a multidisciplinary team (composed of a gynecologic surgeon trained in advanced pelvic surgery and endometriosis, a urologist, a colorectal and/or general surgeon, a cardiothoracic surgeon, and a radiologist experienced in gynecologic imaging) to increase the likelihood of providing cost-effective care and delivering adequate, evidence-based treatment of endometriosis.
J Osteopath Med; 125(6): 305-313

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.
J Osteopath Med; 125(5): 269-276

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.
J Osteopath Med; 125(3): 153-159

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.
J Osteopath Med; 125(1): 43-51

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