Articles related toObstetrics/Gynecology

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.
Advance Article

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

Breastfeeding, the Immune Response, and Long-Term Health

Kelly M. Jackson, PhD, and Andrea M. Nazar, DO
J Osteopath Med; 106(4): 203-207

Postpartum Outcomes in Supine Delivery by Physicians vs Nonsupine Delivery by Midwives

Richard R. Terry, DO; Jeanne Westcott, CNM, PhD; Laura O’Shea, RD, CNM, MSN; and Frank Kelly, MD, MPH
J Osteopath Med; 106(4): 199-202

Osteopathic considerations for breastfeeding women

Eileen M. Conaway, DO, IBCLC; and Arlene E. O’Donnell, DO
Extensive benefits of breastfeeding have been identified and although many women initiate breastfeeding, discontinuation is common when problems arise. In this article, the authors review the pertinent anatomy of the breast with osteopathic considerations to help osteopathic physicians identify myofascial, vascular, lymphatic, or innervation somatic dysfunctions to support the breastfeeding mothers’ long term breastfeeding goals, optimize breastmilk supply, and potentially prevent or treat problems that could interfere with lactation.
J Osteopath Med; 121(10): 805-811