Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for January 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Long-Term Incidence of A-Fib Increased in Women With Breast Cancer
THURSDAY, Jan. 31, 2019 (HealthDay News) — Women with breast cancer have an increased long-term incidence of atrial fibrillation (AF), according to a study published online Jan. 28 in Heart Rhythm.
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Rising Temps May Up Burden of Congenital Heart Disease in U.S.
THURSDAY, Jan. 31, 2019 (HealthDay News) — Projected increases in maternal heat exposure may result in increased congenital heart defect (CHD) burden, according to a study published online Jan. 30 in the Journal of the American Heart Association.
AHA: Nearly Half of U.S. Adults Have Cardiovascular Disease
THURSDAY, Jan. 31, 2019 (HealthDay News) — The prevalence of cardiovascular disease (CVD) is 48.0 percent in adults in the United States based on 2013 to 2016 data, according to a report published online Jan. 31 in Circulation.
Small Increase in HbA1c Seen With Switch to Human Insulin in T2DM
THURSDAY, Jan. 31, 2019 (HealthDay News) — Switching from analogue to human insulin is associated with a small increase in hemoglobin A1c (HbA1c) levels, according to a study published in the Jan. 29 issue of the Journal of the American Medical Association.
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Management of MS in Pregnancy Reviewed in U.K. Guideline
THURSDAY, Jan. 31, 2019 (HealthDay News) — It is important to discuss family planning and pregnancy proactively in women of childbearing age who have multiple sclerosis (MS), according to a review published online Jan. 5 in Practical Neurology.
More High-Value Care Associated With Receipt of Primary Care
THURSDAY, Jan. 31, 2019 (HealthDay News) — Receipt of primary care is associated with significantly more high-value care, slightly more low-value care, and a better health care experience, according to a study published online Jan. 28 in JAMA Internal Medicine.
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FDA Receives an ‘F’ in Tobacco Prevention Report Card
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — The U.S. Food and Drug Administration was given an “F” in a new American Lung Association report card evaluating tobacco prevention programs.
CNN Article
State of Tobacco Control
Undisturbed Maternal Sleep Tied to Higher Risk for Late Stillbirth
WEDNESDAY, Jan. 30, 2019 (HealthDay News) — Long periods of undisturbed sleep during pregnancy are associated with late stillbirth, according to a study published online Jan. 18 in Birth.
New Guidelines Introduced for Inflammatory Bowel Disease in Pregnancy
TUESDAY, Jan. 29, 2019 (HealthDay News) — The American Gastroenterological Association (AGA) report, Inflammatory Bowel Disease (IBD) in Pregnancy Clinical Care Pathway, was published online Jan. 15 in Gastroenterology.
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Few Patients With Type 1 Diabetes Meeting HbA1c Goals
TUESDAY, Jan. 29, 2019 (HealthDay News) — Only one in five children and adults with type 1 diabetes (T1D) in the United States achieve American Diabetes Association (ADA) goals for glycated hemoglobin (HbA1c), according to a study published online Jan. 18 in Diabetes Technology & Therapeutics.
Evidence Lacking for Benefit of Surgery for Vertebral Fractures
MONDAY, Jan. 28, 2019 (HealthDay News) — Surgical procedures do not appear to provide significant benefit for patients with vertebral fractures (VF), according to a second American Society for Bone and Mineral Research Task Force report published in the January issue of the Journal of Bone and Mineral Research.
Adverse Birth Outcomes Up With Medically Assisted Reproduction
MONDAY, Jan. 28, 2019 (HealthDay News) — Children born by medically assisted reproduction have an increased risk for adverse birth outcomes; however, the increased risk appears to be attributable to other factors, according to a study published online Jan. 14 in The Lancet.
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Report IDs Areas Lacking Good Practice in Health Tech Assessment
FRIDAY, Jan. 25, 2019 (HealthDay News) — In a report published in the January issue of Value in Health, an ISPOR–The Professional Society for Health Economics and Outcomes Research working group indicates the lack of good practices in three areas of health technology assessment (HTA).
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Many Teens Not Up to Date on HPV Vaccination
FRIDAY, Jan. 25, 2019 (HealthDay News) — Many adolescents do not complete human papillomavirus (HPV) vaccination before turning 13 or 15 years old, according to a report published online Jan. 17 in the Journal of Infectious Diseases.
Fried Chicken, Fish Linked to All-Cause, Cardiovascular Death
THURSDAY, Jan. 24, 2019 (HealthDay News) — Among postmenopausal women, fried food consumption, especially fried chicken and fish/shellfish, is associated with an increased risk for all-cause and cardiovascular mortality, according to a study published online Jan. 23 in The BMJ.
Initiative Tied to Decreased Racial Inequity in Breastfeeding
THURSDAY, Jan. 24, 2019 (HealthDay News) — A hospital-based initiative in Southern states is associated with increases in breastfeeding rates among African-American infants, according to a study published online Jan. 18 in Pediatrics.
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Time to Breast Cancer Surgery Delayed for Non-Hispanic Blacks
THURSDAY, Jan. 24, 2019 (HealthDay News) — The time to surgery (TTS) after a breast cancer diagnosis is delayed for non-Hispanic black (NHB) versus non-Hispanic white (NHW) women, according to a study published online Jan. 23 in JAMA Surgery.
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Endometrial Scratching Does Not Increase Live Birth Rate in IVF
WEDNESDAY, Jan. 23, 2019 (HealthDay News) — For women undergoing in vitro fertilization (IVF), endometrial scratching by pipelle biopsy between day 3 of the cycle preceding the embryo-transfer cycle and day 3 of the embryo-transfer cycle, does not result in a higher rate of live birth, according to a study published in the Jan. 24 issue of the New England Journal of Medicine.
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Herd Protection Seen With 4-Valent HPV Vaccination
WEDNESDAY, Jan. 23, 2019 (HealthDay News) — From 2006 to 2017, there was a decrease in 4-valent vaccine-type human papillomavirus (HPV) detection among vaccinated and unvaccinated women, according to a study published online Jan. 22 in Pediatrics.
Marketing of Opioids Linked to Increased OD Mortality
WEDNESDAY, Jan. 23, 2019 (HealthDay News) — Marketing of opioids to physicians is associated with increased mortality from opioid overdoses, according to a study published online Jan. 18 in JAMA Network Open.
Medical Cannabis Decisions Being Made by Users, Not Doctors
TUESDAY, Jan. 22, 2019 (HealthDay News) — Many patients use medical cannabis without their mainstream health care provider’s knowledge, and further, they self-adjust their pharmaceutical use in response to cannabis use, according to a study published online Jan. 8 in the Journal of Psychoactive Drugs.
CDC: Slight Hike in Prevalence of Gastroschisis Since 2006-2010
TUESDAY, Jan. 22, 2019 (HealthDay News) — Over time, the prevalence of gastroschisis has increased, with more babies born with gastroschisis in areas with high and medium versus low opioid prescription rates, according to research published in the Jan. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
CDC: Opioid Prescribing Higher in Rural Versus Urban Areas
TUESDAY, Jan. 22, 2019 (HealthDay News) — The percentage of individuals prescribed an opioid is higher in rural than urban areas, according to research published in the Jan. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Messages for Increasing Parental Confidence in HPV Vaccine ID’d
TUESDAY, Jan. 22, 2019 (HealthDay News) — Providing information on the benefits of vaccination, including cancer prevention, and avoiding expressing urgency to vaccinate can increase parent confidence in human papillomavirus (HPV) vaccination, according to a study published online Jan. 22 in Pediatrics.
Review Gives Guidance to Support Teens With Gender Dysphoria
TUESDAY, Jan. 22, 2019 (HealthDay News) — Primary care providers are well positioned to provide critical support and personalized care for youth with gender dysphoria and their caregivers or families, according to a review published online Jan. 21 in CMAJ, the journal of the Canadian Medical Association.
Repeat Tubal Procedures Up After Hysteroscopic Sterilization
TUESDAY, Jan. 22, 2019 (HealthDay News) — Hysteroscopic sterilization is associated with an increased risk for additional tubal intervention within seven years compared with laparoscopic sterilization, according to a study published online Jan. 8 in Obstetrics & Gynecology.
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Mindfulness, Stress Linked to Menopausal Symptoms
FRIDAY, Jan. 18, 2019 (HealthDay News) — Higher mindfulness and lower stress are independently associated with lower menopausal symptom scores among midlife women, according to a study published online Jan. 17 in Climacteric.
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Trained Alert Dogs Can Detect Impending T1DM-Related Events
FRIDAY, Jan. 18, 2019 (HealthDay News) — Trained alert dogs can help patients with type 1 diabetes regulate their blood glucose levels, according to a study published online Jan. 15 in PLOS ONE.
Mandated Neonatal Abstinence Reporting Helps Quantify Cases
FRIDAY, Jan. 18, 2019 (HealthDay News) — Mandated neonatal abstinence syndrome (NAS) surveillance and reporting allows state health departments to quantify incidence and informs programs and services, according to research published in the Jan. 11 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
FDA Down to 5 Weeks of Funding to Review New Drug Applications
THURSDAY, Jan. 17, 2019 (HealthDay News) — Due to the federal government shutdown, the U.S. Food and Drug Administration has only about five weeks of funding left to review new drug applications, according to Commissioner Scott Gottlieb, M.D.
Achieving Healthy Diet From Sustainable Food Feasible
THURSDAY, Jan. 17, 2019 (HealthDay News) — Achieving a healthy diet from sustainable food systems is feasible but will require considerable shifts toward healthy dietary patterns, according to a report from the EAT-Lancet Commission published online Jan. 16 by The Lancet.
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Prevalence of Knee OA Lower With Menopausal Hormone Therapy
THURSDAY, Jan. 17, 2019 (HealthDay News) — For postmenopausal women, the prevalence of knee osteoarthritis is lower with menopausal hormone therapy (MHT) use, according to a study published online Dec. 21 in Menopause.
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Breast Cancer Patients Do Not Overreact to Genetic Testing
THURSDAY, Jan. 17, 2019 (HealthDay News) — Among breast cancer patients, more extensive genetic testing is not associated with increased cancer worry, according to a study recently published in JCO Precision Oncology.
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Low-Income Women Lack Menstrual Hygiene Supplies
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Many low-income women cannot afford menstrual hygiene supplies, according to a study published online Jan. 8 in Obstetrics & Gynecology.
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Adoption of Advanced Health IT Capabilities Inconsistent
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Adoption of advanced health information technology (HIT) capabilities is inconsistent across health care systems, with electronic health record (EHR) standardization being the strongest predictor of advanced capabilities, according to a study published in the January issue of the American Journal of Managed Care.
Intermittent Fasts Plus Energy Restriction Best for Weight Loss
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Intermittent fasting with restricted energy intake may provide better outcomes than daily continuous diet restriction for health and weight loss in obese women, according to a study published in the January issue of Obesity.
Replacing Sitting Time With Activity Lowers Mortality Risk
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — Replacing prolonged sedentary bouts with physical activity reduces mortality risk, but no benefit is seen for replacement with short sedentary bouts, according to a study recently published in the American Journal of Epidemiology.
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Review Shares Best Practices for Evaluating Penicillin Allergy
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — A new review, published in the Jan. 15 issue of the Journal of the American Medical Association, addresses best practices for the evaluation and management of reported penicillin allergies.
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Components of Ideal Cardio Health Cut Diabetes Risk
WEDNESDAY, Jan. 16, 2019 (HealthDay News) — For individuals with normal fasting glucose but not those with impaired fasting glucose (IFG), a higher number of ideal cardiovascular health (CVH) components correlates with a lower risk for diabetes, according to a study published online Jan. 15 in Diabetologia.
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USPSTF Recommends Risk-Reducing Meds for Breast Cancer
AMI, Stroke Risk Elevated for Women With Preeclampsia Within 20 Years 
Sexual Dysfunction Common Among Young Women With Cancer 
Self-Cut Mesh Noninferior for Pelvic Organ Prolapse Procedure 
How PCOS Diagnosis Is Communicated May Affect Later Well-Being 
2013 to 2024 Saw Decrease in Benzodiazepine Prescribing 
Childhood Cancer Survivors Often Have Mental Distress in Adulthood 
Air Pollution Tied to Higher Risk for Suicide 
Psychiatrists Only Agree 55 Percent of the Time on Diagnoses 
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