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Trajectories of Medication Utilization for Opioid Use Disorder in Pregnancy and Associated Maternal Outcomes

May 4, 2026

The authors aimed to characterize the trajectories of medication for opioid use disorder (MOUD) during pregnancy and assess their impact on maternal outcomes. They found that consistent treatment and early initiation of MOUD were linked to better maternal health outcomes, while late initiation, declining treatment, or no treatment increased the risk of adverse events such as ICU admissions and severe maternal morbidity. These results highlight the importance of early and continuous MOUD during pregnancy to improve maternal health.

Temporal Trends in Pregnancy Rate, Live Birth Rates, and Rates of Gestational Outcomes, 2012-2023

Apr 20, 2026

The authors aimed to investigate trends in pregnancy rates, live birth rates, and various gestational outcomes from 2012 to 2023, while also examining variations by maternal demographics. Their findings revealed a significant decline in both pregnancy and live birth rates, alongside a notable increase in induced abortions, suggesting that the decrease in live births may be attributed to higher abortion rates despite improvements in other gestational outcomes.

Teaching Vaginal Surgery Through Simulation

Apr 20, 2026

The authors conducted a scoping review to assess the current literature on simulation training for gynecologic vaginal surgical procedures, aiming to identify effective educational methodologies and performance metrics. They found significant variability in simulation fidelity, complexity, and educational effectiveness across the 41 included studies, with a notable lack of standardized assessment tools and evidence linking simulation training to improved surgical competency and patient outcomes. The review highlights the need for further research to enhance the validity of simulation training and its practical application in surgical education.

Cannabis Exposure After Pregnancy and Development of Hypertension in the nuMoM2b Heart Health Study

Apr 20, 2026

The authors aimed to determine whether cannabis exposure after a first pregnancy is linked to the development of hypertension 2-7 years later. Their analysis of data from the nuMoM2b Heart Health Study found no significant association between cannabis use and incident hypertension, even after adjusting for nicotine exposure and other risk factors. Thus, cannabis exposure in this population of nulliparous women did not appear to contribute to the risk of developing hypertension in the specified timeframe.

Pilot Implementation of a National, Web-Based Abortion Curriculum for Obstetrics-Gynecology Residents

Apr 3, 2026

The authors aimed to evaluate the impact of a national, web-based abortion curriculum on the clinical knowledge of obstetrics-gynecology residents. Their pilot implementation demonstrated a positive effect, suggesting that such a centralized educational resource can effectively enhance residents' understanding of abortion care.

Two Perioperative Ketorolac Dosing Regimens After Cesarean Delivery and Opioid Use: A Randomized Controlled Trial

Mar 30, 2026

The authors aimed to determine whether an initial intravenous loading dose of 60 mg of ketorolac, compared to 30 mg, would reduce postoperative opioid requirements after cesarean delivery. The study found that the higher dose resulted in lower opioid consumption, delayed the time to first opioid administration, and reduced pain scores without increasing adverse effects. These findings suggest a potential benefit of a higher ketorolac dose, although the clinical significance remains to be fully established.

Barriers to Health Care Among Pregnancy-Associated Overdose Deaths in Six States

Mar 27, 2026

The authors aimed to identify barriers to health care for individuals who experienced pregnancy-associated overdose deaths in six states. Through a mixed-methods approach, they found significant structural, financial, and cognitive barriers that hindered access to necessary maternal health care and treatment for substance use and mental health issues. The study highlights the need for improved care coordination and resources to prevent future overdose deaths among pregnant and postpartum individuals.

Diagnosis of Polycystic Ovary Syndrome With Predictive Modeling of Select Clinical Features

Mar 23, 2026

The authors aimed to determine if a limited set of ultrasonographic, biochemical, and clinical features could accurately predict a diagnosis of polycystic ovary syndrome (PCOS). Their findings revealed that a model incorporating anti-müllerian hormone (AMH) and ovarian volume demonstrated high diagnostic accuracy, suggesting that a streamlined approach using fewer variables could effectively diagnose PCOS while reducing clinical burden.

Removal of Mini-Sling Anchor With Magnetic Resonance Imaging-Guided Site Marking With Methylene Blue

Mar 20, 2026

The authors aim to demonstrate a novel technique for the removal of a retained radiolucent single-incision midurethral sling anchor in a patient suffering from chronic pelvic pain. By using magnetic resonance imaging to localize the anchor and marking it with methylene blue dye, they provide intraoperative guidance that facilitates the surgical dissection. This approach highlights the potential value of dye marking in improving the localization of surgical targets that are not visible on standard imaging.

Case Log Trends of Graduating Obstetrics and Gynecology Residents Between 2018 and 2024

Mar 20, 2026

This study aimed to evaluate the trends in operative experience among graduating obstetrics and gynecology residents in the U.S. from 2018 to 2024. The authors found a significant decline in mean operative experience for several core procedures, particularly abdominal hysterectomy and operative vaginal deliveries, while laparoscopic hysterectomy experience increased. These findings underscore the need for ongoing assessment of surgical training to ensure residents are adequately prepared for practice.