The Green Journal
Audio Summaries

Intravenous Ferumoxytol Compared With Oral Ferrous Sulfate for Iron Deficiency Anemia in Pregnancy: A Randomized Controlled Trial

Mar 20, 2026

The authors aimed to compare the effectiveness of intravenous (IV) ferumoxytol versus oral ferrous sulfate in increasing hemoglobin levels for treating iron deficiency anemia (IDA) during pregnancy. Their randomized controlled trial found that IV ferumoxytol significantly improved hemoglobin levels at 4 and 8 weeks, resolved anemia more effectively, and resulted in higher postpartum hemoglobin compared to oral ferrous sulfate.

Effect of Medical Therapies for Endometriosis on Bone Health: A Systematic Review and Meta-analysis

Mar 19, 2026

The authors aimed to evaluate the impact of various medical therapies for endometriosis on bone mineral density (BMD). Their systematic review and meta-analysis revealed that hormonal treatments, particularly GnRH agonists and dienogest, are associated with a significant decrease in BMD after 12 months of use, although the clinical implications of these findings remain uncertain. The study underscores the need for expert consensus on managing bone health in patients undergoing long-term hormonal therapy for endometriosis.

The ACOG National Well-Being Program: Promoting Physician Well-Being, Advancing Clinical Excellence, and Sustaining a Workforce

Mar 19, 2026

The authors investigate how to enhance physician well-being within the field of obstetrics and gynecology, addressing the high rates of burnout and its negative impact on patient care. They introduce the ACOG National Well-Being Program, which aims to improve clinician resilience and satisfaction through a structured approach that includes personal wellness, peer support, and practice efficiency. The program is designed to measure its effects on both physician well-being and patient outcomes, ultimately contributing to workforce sustainability.

Maternal Depression and Opioid Use After Cesarean Delivery

Mar 19, 2026

The authors aimed to evaluate the relationship between maternal depression, treatment status, and opioid use following cesarean delivery. They found that while self-reported depression did not increase inpatient opioid use, untreated depression was linked to higher outpatient opioid consumption and greater perceived pain interference in daily activities up to six weeks postpartum. These findings suggest the importance of addressing untreated maternal depression to potentially mitigate opioid use and pain management challenges after cesarean delivery.

Establishing Modern Birth Weight Centiles for Twins in the United States

Mar 19, 2026

The authors aimed to develop updated birth weight percentiles for twins in the United States, using recent data to address inaccuracies in previous references. By applying quantile regression and the LMS method to five years of birth data, they created twin-specific and singleton birth weight curves, demonstrating improved classification of percentiles compared to existing references. Their findings suggest that the new twin reference offers a more accurate assessment of birth weight for twins, while the singleton reference can enhance studies involving both populations.

Vaginal Injection of Platelet-Rich Plasma for Sexual Function: A Randomized Controlled Trial

Mar 19, 2026

The authors aimed to evaluate the effects of anterior vaginal wall injections of platelet-rich plasma (PRP) on sexual function in sexually active premenopausal women without severe sexual dysfunction. The study found that women receiving PRP reported greater improvements in sexual function, as measured by the Female Sexual Function Index (FSFI) and Patient Global Impression of Improvement (PGI-I) scores, compared to those receiving a saline placebo. These results suggest that PRP injections may enhance sexual function in this population.

Diabetes Testing Immediately Postpartum After Gestational Diabetes Mellitus: A Randomized Controlled Trial

Mar 17, 2026

The authors aimed to determine whether the setting of postpartum glucose testing (inpatient vs. outpatient) affects the completion rates of oral glucose tolerance tests (OGTT) in women with gestational diabetes mellitus (GDM). The randomized controlled trial found that testing conducted before discharge from the hospital significantly increased completion rates and patient satisfaction compared to outpatient testing, with a higher diagnosis rate of prediabetes or type 2 diabetes in the inpatient group. These findings support the recommendation for inpatient postpartum diabetes testing as a more effective approach.

Accuracy of Menstrual History for Determining Gestational Age Among Adolescents Who Underwent Abortion in England and Wales

Mar 17, 2026

The authors aimed to evaluate the accuracy of using the last menstrual period (LMP) date for determining gestational age in adolescents under 16 who underwent abortion, comparing it to ultrasonography. They found that while LMP dating had high sensitivity for identifying ineligible patients for no-test medication abortion, it slightly overestimated gestational age. Incorporating additional menstrual history indicators improved sensitivity but reduced specificity, highlighting the need for careful policy considerations regarding access to abortion services for adolescents.

Endometrial Polyps

Mar 12, 2026

The authors investigate the characteristics, diagnosis, and management of endometrial and endocervical polyps, which are common intrauterine lesions associated with various symptoms, including abnormal uterine bleeding and potential infertility. They emphasize the importance of transvaginal ultrasonography and sonohysterography for accurate diagnosis and recommend hysteroscopic polypectomy as an effective treatment, particularly for symptomatic cases. The paper also discusses the unclear role of polyps in infertility and the potential use of medical treatments for symptom relief.

Safely Supporting the Establishment of Breastfeeding in the Setting of Fentanyl Use Before the Birth Hospitalization

Mar 12, 2026

The authors aim to address the clinical challenges of supporting breastfeeding in families where nonprescribed fentanyl use occurs during pregnancy. They synthesize existing data on fentanyl's pharmacokinetics and its transmission into breast milk, proposing a harm-reduction approach that recommends initiating breastfeeding 72 hours after the last opioid use, coupled with parental treatment engagement and newborn monitoring. This guidance seeks to empower clinicians to provide compassionate support while ensuring safe breastfeeding practices in these complex situations.