Articles related toObstetrics/Gynecology

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

Reducing Patient Risk for Human Papillomavirus Infection and Cervical Cancer

Jennifer Herbert, MD, and Janis Coffin, DO
J Osteopath Med; 108(2): 65-70

Combined Anal Sphincteroplasty and Perineal Reconstruction for Fecal Incontinence in Women

Joseph M. Novi, DO; Beth H.K. Mulvihill, DO; and Mark A. Morgan, MD
J Osteopath Med; 109(4): 234-236

Using One Question to Identify Women at Risk for an Alcohol-Exposed Pregnancy

Kenneth E. Johnson, DO; Mark B. Sobell, PhD; and Linda Carter Sobell, PhD
J Osteopath Med; 110(7): 381-384

Cost Analysis of Prophylactic Intraoperative Cystoscopic Ureteral Stents in Gynecologic Surgery

James Fanning, DO; Bradford Fenton, MD, PhD; Geraldine Marie Jean, DO; and Clara Chae, MD
J Osteopath Med; 111(12): 667-669

Multiple Primary Cancers Including Mesothelioma of the Tunica Vaginalis: Case Report and Literature Review With Primary Care Focus

Lewis Bass, DO, and Timothy W. Hegeman, OMS IV
J Osteopath Med; 111(8): 483-486