Episiotomy during vaginal delivery was first recommended in 1920 as a way to protect the pelvic floor from lacerations and protect the fetal head from trauma. It was rapidly adopted as a standard practice and has been widely used since then. However, over the last several decades, there has been a growing body of evidence that episiotomy does not provide these purported benefits and may contribute to more severe perineal lacerations and future pelvic floor dysfunction. In this review, we examine the evidence that led to changing episiotomy practices and the debate that has surrounded episiotomy. By doing so, we can not only evaluate this specific obstetric procedure, but also gain insights into the challenge of changing medical practice as new data emerge.
Tags: Changes, Dr. Mathews, dysfunction, Episiotomy, JAMA, medical, natural childbirth, new, pelvic floor, USA, vaginal delivery, woman, women
Posted in News & Education, Obstetrics | No Comments »
A recent study reported online by the BMJ looked at the question, how long a couple should wait before trying for another pregnancy after a miscarriage. Many clinicians, including myself, believe there is little justification for delaying the next pregnancy. The current guidelines from the World Health Organization recommend that women should wait for at least six months before trying again, whereas others suggest a delay of up to 18 months.
Tags: BMJ, couple, kyle mathews, little, miscarriage, Pregnancy, Pregnancy loss, reproductive outcomes, women, World Health Organization
Posted in Infertility, News & Education, Obstetrics | No Comments »
Practically everyone has heard of a couple who, after fertility treatments fail, adopt a baby and then all of a sudden get pregnant. Those stories have given rise to the belief that it takes longer for stressed-out women to conceive, a notion for which there has been little scientific evidence.
Tags: couple, fertility, fertility and sterility, fertility treatments, little, new, Stress, treatments, women
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A recent study found age of puberty is declining for girls, with more girls developing breasts by age 7 than in years past. Ethnicity was also a factor in the study with girls of African-American ethnicity maturing before whites.
Tags: African American, age of puberty, BMI, body mass index, CDC, kyle mathews, linked, puberty in girls
Posted in Gynecology, News & Education | No Comments »
A cup of coffee a day during pregnancy probably won’t increase a woman’s risk of miscarriage or premature birth, according to The American College of Obstetricians and Gynecologists. Until recently, studies have had conflicting findings about the effect of moderate caffeine consumption on pregnancy complications.
Tags: Caffeine, Caffeine During Pregnancy, chocolate, dark chocolate, different, kyle mathews, miscarriage, Obstetrics Gynecology, Pregnancy, pregnancy complications, premature births, woman, women
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