Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women’s Health for October 2018. 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.
Black, Low-Income Women May Not Report Barriers to Care
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography, according to a study published online Sept. 24 in Cancer.
Abstract
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Genetic Risk Score IDs Breast CA Risk in Female Child CA Survivors
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — A polygenic risk score (PRS) can identify subsequent breast cancer risk among childhood survivors of cancer, according to a study published online Oct. 26 in Clinical Cancer Research.
Abstract/Full Text (subscription or payment may be required)
USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy
WEDNESDAY, Oct. 31, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women. These findings form the basis of a draft recommendation statement published online Oct. 30.
Draft Recommendation Statement
Evidence Review — Children
Evidence Review — Pregnant Women
AMA Announces Initiative to Reinvent Physician Training
TUESDAY, Oct. 30, 2018 (HealthDay News) — The American Medical Association (AMA) today announced a new $15 million competitive grant initiative, the “Reimagining Residency” initiative, aimed at improving residency training.
Prenatal Exposure to Phthalates Linked to Language Delay
TUESDAY, Oct. 30, 2018 (HealthDay News) — Prenatal exposure to phthalates is associated with language delay in children, according to a study published online Oct. 29 in JAMA Pediatrics.
Abstract/Full Text (subscription or payment may be required)
New Method Estimates Risk for Recurrence in Breast Cancer
TUESDAY, Oct. 30, 2018 (HealthDay News) — The risk for breast cancer recurrence can be extracted using disease-specific survival data, according to a study published online Oct. 18 in Cancer Epidemiology, Biomarkers & Prevention.
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Community Health Worker Intervention Beneficial
TUESDAY, Oct. 30, 2018 (HealthDay News) — A standardized community health worker (CHW)-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases, according to a study published online Oct. 22 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Many Hospitals Noncompliant With Record Request Regulations
MONDAY, Oct. 29, 2018 (HealthDay News) — Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations, according to a study published online Oct. 5 in JAMA Network Open.
Paid Family Leave Policies May Modestly Increase Breastfeeding
MONDAY, Oct. 29, 2018 (HealthDay News) — Women in states with paid family leave (PFL) policies have a modestly greater likelihood of exclusively breastfeeding at six months, according to a study published online Oct. 25 in the American Journal of Public Health.
Abstract/Full Text (subscription or payment may be required)
Trump Administration Announces Plan to Cut Drug Prices
FRIDAY, Oct. 26, 2018 (HealthDay News) — In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations, according to a proposal announced Oct. 25 by the Trump administration.
HHS Study
New York Times Article
Early Natural Menopause Linked to Shorter Life Expectancy
FRIDAY, Oct. 26, 2018 (HealthDay News) — Compared with women who experience normal or late menopause, women who experience early natural menopause have a shorter life expectancy and spend fewer years without type 2 diabetes (T2D), according to a study published online Oct. 8 in Menopause.
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Infant HIV Infection Ups Risk for Congenital CMV Infection
THURSDAY, Oct. 25, 2018 (HealthDay News) — HIV-exposed infants have high rates of congenital cytomegalovirus (cCMV) infection, and in utero HIV infection seems to be a major risk factor for cCMV, according to a study published in the October issue of The Pediatric Infectious Disease Journal.
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Outcomes Studied for Surgical Tx of Stress Urinary Incontinence
THURSDAY, Oct. 25, 2018 (HealthDay News) — Among women undergoing midurethral mesh sling insertion, the rate of mesh sling removal at nine years is estimated to be 3.3 percent, according to a study published online Oct. 23 in the Journal of the American Medical Association.
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Pace of Change Has Accelerated in Alternative Payment Models
THURSDAY, Oct. 25, 2018 (HealthDay News) — The impact of alternative payment models (APMs) on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.
Hispanics With HIV Face Higher Risk for HPV-Related Cancer
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — HIV-infected Hispanics have an increased risk for human papillomavirus (HPV)-related cancers than Hispanics in the general population, according to a study published online Oct. 22 in Cancer.
Abstract/Full Text (subscription or payment may be required)
Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Compared with physician models of care, midwifery care is associated with lower odds of poor birth outcomes for low-income women, according to a study published in the October issue of BMJ Open.
Most Supplements Contain Prohibited Stimulants
WEDNESDAY, Oct. 24, 2018 (HealthDay News) — Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices, according to a research letter published online Oct. 22 in JAMA Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editor’s Note (subscription or payment may be required)
Preeclampsia Tied to Increased Risk for Vascular Dementia
TUESDAY, Oct. 23, 2018 (HealthDay News) — Preeclampsia seems to be associated with an increased risk for dementia, especially vascular dementia, with a stronger correlation for late-onset disease, according to a study published online Oct. 17 in The BMJ.
USPSTF Recommends Screening Women for Partner Violence
TUESDAY, Oct. 23, 2018 (HealthDay News) — Clinicians should screen women of reproductive age for intimate partner violence (IPV) and refer women to ongoing support services if necessary, according to a U.S. Preventive Services Task Force (USPSTF) final recommendation statement published in the Oct. 23/30 issue of the Journal of the American Medical Association.
Evidence Report
Final Recommendation Statement
Editorial
Editorial
White House Unveils New Insurance Option for Small Firms
TUESDAY, Oct. 23, 2018 (HealthDay News) — A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.
AP News Article
More Information
Diagnostic Strategy Can Rule Out PE in Pregnant Women
MONDAY, Oct. 22, 2018 (HealthDay News) — A diagnostic strategy based on pretest clinical probability assessment, high-sensitivity D-dimer testing, bilateral lower-limb compression ultrasonography (CUS), and computed tomography pulmonary angiography (CTPA) can safely rule out pulmonary embolism (PE) in pregnant women, according to a study published online Oct. 23 in the Annals of Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Guidelines Outlined to Ease Peds Transition to Adult Health Care
MONDAY, Oct. 22, 2018 (HealthDay News) — Guidelines have been updated to support the health care transition from adolescence to adulthood, according to a clinical report published online Oct. 22 in Pediatrics.
Glucose Dysregulation Seen Years Before Diabetes Diagnosis
MONDAY, Oct. 22, 2018 (HealthDay News) — Individuals who develop diabetes or prediabetes have elevated fasting plasma glucose (FPG) at least 10 years before diagnosis, according to an observational study recently published in the Journal of the Endocrine Society.
Variability in Geographic Availability of New Antibiotics
FRIDAY, Oct. 19, 2018 (HealthDay News) — There is considerable variability in the geographic availability of antibiotics, according to a study published online Oct. 16 in PLOS ONE.
Limited Success for Changing Diet and Exercise Among Nurses
FRIDAY, Oct. 19, 2018 (HealthDay News) — Implementation of a workplace intervention to change diet and physical activity (PA) behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging, according to a study recently published in the Journal of Nutrition Education and Behavior.
Abstract/Full Text (subscription or payment may be required)
Light Use of Topical Skin Tx Before Radiotherapy Seems Safe
FRIDAY, Oct. 19, 2018 (HealthDay News) — Contrary to the advice most cancer patients receive, light or moderate use of topical agents before radiation treatment does not appear to increase the radiation dose to the skin, according to a study published online Oct. 18 in JAMA Oncology.
2014 to 2016 Saw 470 Percent Increase in HIV PrEP Use in U.S.
FRIDAY, Oct. 19, 2018 (HealthDay News) — From 2014 to 2016 there was an increase in the annual number of HIV preexposure prophylaxis (PrEP) users in the United States, although only about 7 percent of those with indications for PrEP were prescribed PrEP in 2016, according to research published in the Oct. 18 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Mortality Due to Suicide, Alcohol, Accidents Up in Diabetes
THURSDAY, Oct. 18, 2018 (HealthDay News) — Patients with diabetes have increased mortality due to suicide, alcohol-related causes, and accidents than those without diabetes, according to a study published in the November issue of the European Journal of Endocrinology.
HPV Vaccination Not Tied to Risky Sexual Behavior in Teen Girls
THURSDAY, Oct. 18, 2018 (HealthDay News) — Implementation of a school-based human papillomavirus (HPV) vaccination program in Canada did not lead to an increase in sexual risk-taking behaviors among adolescent girls, according to a study published in the Oct. 15 issue of CMAJ, the journal of the Canadian Medical Association.
Sharp Drop in U.S. Life Expectancy Rankings by 2040
THURSDAY, Oct. 18, 2018 (HealthDay News) — The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040, a new study says.
CNN Article
Abstract/Full Text
Editorial
Maternal Trauma Associated With Low Male Infant Birthweight
THURSDAY, Oct. 18, 2018 (HealthDay News) — Higher lifetime trauma among women is associated with decreased birthweight among male offspring, according to a study published Sept. 6 in The Journal of Pediatrics.
Limited Evidence for OTC Preps to Treat Nasal Symptoms of Colds
THURSDAY, Oct. 18, 2018 (HealthDay News) — Limited evidence is available for over-the-counter (OTC) treatments for nasal symptoms of the common cold, according to a report published online Oct. 10 in The BMJ.
CDC: Many Pregnant Women Not Receiving Immunizations
THURSDAY, Oct. 18, 2018 (HealthDay News) — Many pregnant women are not getting recommended vaccinations, with less than half of those pregnant during the peak influenza vaccination period in 2017 to 2018 reporting being vaccinated before or during their pregnancy, according to research published in the Sept. 28 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Deep Learning Algorithm Can ID Mammographic Breast Density
THURSDAY, Oct. 18, 2018 (HealthDay News) — A deep learning (DL) algorithm can successfully assess mammographic breast density, according to a study published online Oct. 16 in Radiology.
Abstract/Full Text
Editorial (subscription or payment may be required)
Procurement Requirements Drive Interoperability in Health Care IT
THURSDAY, Oct. 18, 2018 (HealthDay News) — Interoperability of health care information technology (IT) must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost, according to a report published by the National Academy of Medicine.
Giving Flu Shots in Pharmacies Could Up Vaccination Coverage
WEDNESDAY, Oct. 16, 2018 (HealthDay News) — Administering influenza vaccines through pharmacies in addition to traditional locations can increase vaccination coverage in the event of an epidemic, according to a study published online Oct. 16 in Vaccine.
Recreational Marijuana Now Legal in Canada
WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Recreational marijuana became legal in Canada today, and while many welcome the move, others have serious concerns.
The New York Times Article
CMAJ Editorial
Lung Cancer Deaths 28% Lower in California Than Rest of U.S.
WEDNESDAY, Oct. 17, 2018 (HealthDay News) — Annual lung cancer mortality was 28 percent lower in California than in the rest of the United States in 2013, according to a study published online Oct. 10 in Cancer Prevention Research.
Abstract/Full Text (subscription or payment may be required)
Fertility Rates Down for Each Urbanization Level 2007 to 2017
WEDNESDAY, Oct. 17, 2018 (HealthDay News) — During 2007 to 2017, fertility rates decreased in the United States for each urbanization level, according to an October data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Seven-Day Metronidazole Better for Trichomoniasis Tx in Women
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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