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Response to comment, re: depo provera

Anonymous wrote:"I've never seen or heard of any data linking Depo failure to increased defects. Can you provide a study?"I went directly to the official FDA prescribing information for Depo Provera (Medroxyprogesterone acetate injectable suspension).I have highlighted some important information in blue, and have highlighted the studies/causation information in red.For full info, see this link:FDA […]

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Bias in healthcare

For one of my classes, we had to write a forum post about specific instances of bias in healthcare that we have either experienced or have witnessed. I wrote about weight bias in healthcare - specifically on L&D.Obesity is a huge issue. Not just in one area of nursing, but in all fields. Bias against […]

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Disney World Picture Overload

Okay. Disney World. In two words: AWESOME and exhausting. I ate good food. I rode rides. I laughed until it hurt. I bombed many a photo. It was nonstop action from 7 in the morning until midnight each night, and I feel like I’m still trying to unwind and catch up on sleep (though it […]

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Musings on an Oklahoma Abortion Law Veto

This week, Governor Henry of Oklahoma vetoed a piece of abortion legislation; HB 2780, as the Governor’s office’s press release stated, “would have forced women to undergo an ultrasound and listen to a detailed description of it before they could obtain an abortion.”I think this bill deserved to be vetoed, and had a high likelihood […]

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Bedrest

And... the shit hit the fan today.I went in for my monthly growth ultrasound. The tech measured my cervix, which had been 3.16 and her measurement was something like 2.4ish. I knew that was bad.She said the babies measured fine, 42nd percentile for both of them - around 2lb 14oz. Later the doc said one […]

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5 Tips To Handle Postpartum Depression

Postpartum depression was said to occur due to lack of vitamins, however now it is thought that the most plausible cause for this problem could be the significant changes that take place in a woman’s hormones at the time shortly after childbirth.You may do everything right and still get the baby blues, and in some […]

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Coping with Pregnancy at Work

From hiding morning sickness to breaking the news to your boss, here's how to survive pregnancy on the job.It's best to wait to share your pregnancy news until after your first trimester when your risk of miscarriage decreases.To help keep your pregnancy a secret, move the buttons on your pants so you can wear your […]

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Multi-vitamin during pregnancy ‘cuts chances of having an underweight baby’

Children who are underweight at birth are more likely to develop health problems including difficulty breathing and jaundice.Experts believe that they could also be more likely to develop a number of major illnesses, including diabetes and heart disease, in later life.But new research suggests that taking a specially created supplement could cut the risk of […]

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Support Groups Really Do Help You Conceive

I never thought I was much of a "support group" kind of person, but after a few years of going through fertility treatments and suffering a number of miscarriages, I thought a support group might help. I was surprised how much I really enjoyed getting together with other women who were going through the same […]

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What If

What if... I can never be happy again? Before the days of infertility, there were great days, excitement, opportunity, blue skies, and hope. Today I am mired in a web of not-so-great days, anger, hopelessness, and jealousy. It has been 6 months since I ended infertility treatment for good. That sounds a little freeing saying […]

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Little Girl, What Are You Doing in There?

Dear Daughter,We are 31 weeks along today... That means there's just about 9 more weeks until you arrive! My mom had me a couple of weeks early, I wonder if that means you may be a little early. I had a long conversation with your grandma about all of her labors with your aunts. She […]

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Birth control: when it fails

Do you ever wonder if sometimes, things are just meant to be? No matter what we do, if it's supposed to happen, something will happen?I've taken care of women who have had a variety of genuine birth control "failures" which resulted in fullterm, living babies.- IUD failure: vaginal birth of a healthy baby girl. IUD […]

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H1N1 And Pregnant Women

Statistics show that at any given time, about 1% of the American population is composed of pregnant women. However, in terms of the proportion of pregnant women died from the H1N1 Swine Flu, they comprised 5% of the total deaths. These facts and figures were found by a recently concluded study.The swine flu death rate […]

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Winter and autumn babies are more prone to food allergies

Babies born in autumn or winter are more likely to develop a food allergy than those born in spring or summer, US researchers have found.The Boston scientists believe the trend may be explained by a lack of the sunshine vitamin, vitamin D.Vitamin D from natural sun exposure is needed for the healthy development of a […]

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Having a baby when you’re over 40?

Lee Robinson wasn't all that excited about having a baby, It's not that she didn't want one, it's just that she and her husband, Claude, were happy with their busy lives in Thomson, Georgia, where she's a high school teacher and he's a caterer.Life rolled merrily along until one day, at age 44, Robinson discovered […]

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NAMES 2009!

Welcome to the third annual BABY NAMES spectacular. The newspaper insert was waiting for me when I came home from Disney World. It had a longer way to come this year than previously. Having parents that live in Southeastern Idaho is fun! Special thanks to my mom for mailing it, and to the Rexburg Standard […]

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Lessons learned

First day back from my "stay-cation":I volunteer to circulate for the next scheduled c-section. Interesting psychiatric history on the woman. I end up doing recovery/PACU for her and her baby as well. Despite her long history of issues, she was actually a rather nice lady, once I got to know her more.Lesson learned: put yourself […]

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Soybean isoflavone exposure does not have feminizing effects on men: a critical examination of the clinical evidence

Objective: To critically evaluate the clinical evidence, and when not available, the animal data, most relevant to concerns that isoflavone exposure in the form of supplements or soy foods has feminizing effects on men.Design: Medline literature review and cross-reference of published data.Result(s): In contrast to the results of some rodent studies, findings from a recently […]

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The ethics of sex selection: a comparison of the attitudes and experiences of primary care physicians and physician providers of clinical sex selection services

Objective: To compare the perspectives of primary care physicians (PCPs) and physician sex-selection technology providers (SSTPs) about the ethics of sex selection.Design: Qualitative interview study.Setting(s): Academic, private, and HMO-based infertility and general medical practices.Patient(s): Forty PCPs and 15 SSTPs.Intervention(s): Semistructured interviews.Main Outcome Measure(s): Comparisons of bioethical attitudes towards sex selection.Result(s): Primary care physicians and SSTPs […]

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Evaluation of high-sensitivity C-reactive protein in comparison with C-reactive protein as biochemical serum markers in women with endometriosis

Objective: To compare high-sensitivity C-reactive protein (hs-CRP) with CRP as a soluble serum marker for the diagnosis of women with endometriosis.Design: Prospective nonrandomized controlled trial (Canadian Task Force classification II-1).Setting: University hospital.Patient(s): Eighty-two women were laparoscopically evaluated. No endometriosis was diagnosed in 34 women (the non-E group). Endometriosis was confirmed by histology in 48 women […]

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Comparison of contraceptive ring and patch for the treatment of symptomatic endometriosis

Objective: To evaluate the efficacy and tolerability of a contraceptive vaginal ring and transdermal patch in the treatment of endometriosis-associated pain.Design: Patient preference cohort study.Setting: Academic center.Patient(s): Two-hundred and seven women with recurrent moderate or severe pelvic pain after conservative surgery for symptomatic endometriosis.Intervention(s): Continuous, 12-month treatment with a vaginal ring supplying 15 mcg of […]

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Does luteal estradiol supplementation have a role in long agonist cycles?

Objective: To test the hypothesis that the addition of 6 mg estradiol (E2) valerate either orally or vaginally to progesterone (P) for luteal support, can increase the probability of pregnancy in intracytoplasmic sperm injection (ICSI) cycles using the long agonist protocol.Design: Prospective open-labeled randomized controlled trial.Setting: Private and university fertility centers.Participant(s): Women undergoing ICSI cycles, […]

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Assisted reproductive technologies (ART) in Canada: 2006 results from the Canadian ART Register

Objective: To present a report on assisted reproductive technologies (ART) cycles performed in 2006 in Canada and show trends in outcomes over time. This is the sixth annual report from the Canadian ART Register (CARTR).Design: Prospective cohort study.Setting: Twenty-five of 25 ART centers in Canada.Patient(s): Couples undergoing ART treatment in Canada during 2006.Intervention(s): ART treatments, […]

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Evaluation of the immature human oocytes from unstimulated cycles in polycystic ovary syndrome patients using a novel scoring system

Objective: To establish a novel scoring system for human immature oocytes and estimate its prognostic effects on the in vitro maturation (IVM) and developmental potential of human immature oocytes.Design: Prospective study.Setting: Hospital-based IVF center.Patient(s): Patients with polycystic ovary syndrome (PCOS) undergoing unstimulated cycles of oocyte retrieval.Intervention(s): Immature (germinal vesicle and metaphase I) oocytes were collected […]

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Combination clomiphene citrate and antioxidant therapy for idiopathic male infertility: a randomized controlled trial

Objective: To assess the effect of treatment with a combination of clomiphene citrate as an antiestrogen and vitamin E as an antioxidant on the incidence of pregnancy and sperm variables in men with idiopathic oligozoospermia and infertility.Design: Prospective, randomized, placebo-controlled trial.Setting: The outpatient andrology clinic at a university hospital.Patient(s): Sixty infertile men with idiopathic oligoasthenozoospermia.Intervention(s): […]

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