The Green Journal
Audio Summaries

Combined Oral Contraceptives and Stroke Risk in Individuals With Migraine With Aura

May 7, 2026

The authors aimed to evaluate the risk of stroke associated with combined oral contraceptives (COCs) compared to progestogen-only pills (POPs) in individuals with migraine with aura. Their findings indicated that the overall risk of stroke was low and similar between users of COCs and POPs, with a minimal difference in the 1-year risk of ischemic stroke. This suggests that COCs may not significantly increase stroke risk in this population.

Mapping the Distances From Prisons to Hospitals Providing Obstetric and Neonatal Intensive Care

May 7, 2026

The authors aimed to assess the driving distances from U.S. prisons housing women to hospitals that provide obstetric care and advanced neonatal intensive care. Their analysis revealed that while most prisons are relatively close to obstetric hospitals, significant disparities exist, particularly in certain states and regions, which could hinder timely access to essential perinatal care and exacerbate maternal and neonatal health inequities.

Prevalence of Postpartum Permanent Contraception Requests and Fulfillment Among Individuals Experiencing Incarceration and Individuals in the Community

May 7, 2026

The authors aimed to compare the prevalence of requests for and fulfillment of postpartum permanent contraception among individuals experiencing incarceration with those in the community. They found that while 15.1% of incarcerated patients requested permanent contraception, this was significantly lower than the 23.5% in the community, and fulfillment rates were also markedly lower for incarcerated individuals (29.1% vs. 52.8%). The study highlights the need for further research to understand the reproductive health needs of incarcerated individuals and address disparities in access to contraception.

Intrauterine Balloon Tamponade Duration for Postpartum Hemorrhage: A Randomized Controlled Trial

May 7, 2026

The authors aimed to determine if a 6-hour duration of intrauterine balloon tamponade is noninferior to an 18-hour duration for controlling postpartum hemorrhage (PPH) after vaginal delivery, as measured by total quantitative blood loss. The study found that the median blood loss at 18 hours post-placement was similar between the two groups, indicating that the 6-hour duration is effective and may be a reasonable alternative to the longer duration.

Hereditary Breast and Ovarian Cancer: Overview of Gene-Specific Risks and Challenges in Genetics Care Delivery

May 7, 2026

The authors aim to review the gene-specific risks associated with hereditary breast and ovarian cancers, particularly focusing on the impact of genetic testing and management strategies. They highlight the challenges in delivering genetics care, including underutilization of testing among underserved populations, and propose that innovative healthcare delivery models could enhance access and equity in cancer prevention. The paper underscores the importance of integrating advancements in genetic testing into clinical practice to improve outcomes for individuals at risk.

History of Treated Syphilis Before Pregnancy and Risk of Congenital Syphilis

May 7, 2026

The authors aimed to evaluate the risk of congenital syphilis in neonates born to mothers with a history of adequately treated syphilis before pregnancy compared to those without such a history. Their study found that mothers with a prior history of treated syphilis had significantly higher rates of congenital syphilis and maternal reinfection during pregnancy, suggesting that previous treatment does not confer the expected protective effects and highlighting the need for enhanced monitoring in this population.

Self-Sampling for Cervical Cancer Screening in Transmasculine and Nonbinary People

Apr 30, 2026

This narrative review investigates the potential of high-risk HPV self-sampling as a cervical cancer screening method for transmasculine and nonbinary individuals, who are often underserved in traditional screening practices. The findings indicate that self-sampling is widely accepted and preferred over clinician-collected samples, leading to increased adherence to screening. The authors emphasize the need for further research to refine follow-up recommendations and assess the long-term impact of self-sampling on screening adherence in these populations.

Person-Centered Pregnancy Options Counseling

Apr 30, 2026

The authors explore how to effectively implement person-centered pregnancy options counseling, which involves providing information on pregnancy management while considering a patient's individual values and concerns. They examine the challenges healthcare professionals face, such as legal and institutional barriers, in delivering this type of counseling and suggest using person-centered and shared decision-making frameworks to better support patients. The Society for Family Planning endorses their recommendations for enhancing this counseling process.

Screening for Cervical Cancer

Apr 23, 2026

This committee statement from the American College of Obstetricians & Gynecologists provides a qualified endorsement of the updated cervical cancer screening guidelines from the 2026 Women's Preventive Services Initiative, specifically for patients at average risk across different age groups. The authors aim to clarify the implementation of these guidelines, particularly regarding the use of self-collection for primary high-risk human papillomavirus screening.

Inequalities in Severe Maternal Morbidity and Mortality in High-Income Countries: Patterns, Drivers, and Pathways to Action

Apr 23, 2026

The authors investigate the persistent inequalities in severe maternal morbidity (SMM) and mortality in high-income countries, seeking to understand the underlying social and structural factors contributing to these disparities. They highlight that these inequalities are influenced by socioeconomic status, race, ethnicity, and migration status, and emphasize the need for equitable access to care and culturally responsive practices to address these issues effectively.