What Dobbs Means for Patients with Breast Cancer
N.T. Christian and V.F. Borges
Under Dobbs, some U.S. patients with breast cancer will be forced to carry a high-risk pregnancy and will have limited choices for treating their cancer.Sep 01
“Fertility Fraud” Legislation
State fertility-fraud laws prohibit deliberately misrepresenting the source of sperm, eggs, or embryos used to treat infertility. Such legislation could herald an expansion of informed-consent doctrine.Sep 01
- Perspective What Dobbs Means for Patients with Breast Cancer N.T. Christian and V.F. Borges
Quick Take Lower Glycemic Criteria for Gestational Diabetes Diagnosis
Treatment of patients with gestational diabetes improves perinatal outcomes, but controversy exists regarding which glycemic criteria to use for the diagnosis of this condition. New research findings are summarized in a short video.Aug 18
Most Viewed in Obstetrics/Gynecology
Professional Civil Disobedience — Medical-Society Responsibilities after Dobbs
M. K. Wynia
Lesions of the Ovary and Fallopian Tube
R. C. Sisodia and M. G. del Carmen
What Dobbs Means for Patients with Breast Cancer
N. T. Christian and V. F. Borges
Lower versus Higher Glycemic Criteria for Diagnosis of Gestational Diabetes
C. A. Crowther and Others
- N Engl J Med 2022; 387:770-772
State fertility-fraud laws prohibit deliberately misrepresenting the source of sperm, eggs, or embryos used to treat infertility. Such legislation could herald an expansion of informed-consent doctrine.
- N Engl J Med 2022; 387:799-809
In this study involving 1257 pregnancies among persons treated for HIV-1 infection during pregnancy, dolutegravir was better at suppressing viral loads than other regimens, without evident safety concerns.
- N Engl J Med 2022; 387:727-736
Lesions of the ovary and fallopian tube are common and may be acute or chronic. Diagnostic assessment is designed to distinguish benign from malignant causes. Referral to a gynecologic oncologist is often necessary.
- PerspectiveAug 24, 202210.1056/NEJMp2210192
When state laws banning abortion directly and immediately threaten the health of patients, should physicians collectively disobey them?
- N Engl J Med 2022; 387:587-598
Pregnant women were assigned to be evaluated with lower or higher glycemic criteria for the diagnosis of gestational diabetes. Lower criteria did not reduce the risk of a large-for-gestational-age infant.
- N Engl J Med 2022; 387:652-654
In the first decade of this millennium, convincing data showing that screening for and treatment of gestational diabetes mellitus improve both maternal and fetal outcomes1,2 ended debates within the obstetrical community about the usefulness of screening for gestational diabetes. Essentially all U.S. professional societies now recommend universal biochemical...
- N Engl J Med 2022; 387:658-660
A study of DNA sequencing of reproductive tissues (e.g., products of conception after miscarriage) to test for aneuploidy supports the use of this approach to guide prenatal and fertility care.
- N Engl J Med 2022; 387:390-393
After Dobbs, Americans may find themselves in a society where many aspects of basic health care are threatened and the law tries to turn clinicians into adversaries of their patients.
- N Engl J Med 2022; 387:388-390
Health systems and clinicians planning for a post-Roe America can look to Texas, which has already witnessed the impact of strict abortion bans on the provision of evidence-based, essential health care.
- N Engl J Med 2022; 387:367-368
The editors strongly condemn the U.S. Supreme Court’s decision to abolish longstanding legal protections by reversing Roe v. Wade.
- N Engl J Med 2022; 387:109-119
In this study, maternal vaccination with an mRNA vaccine during pregnancy was less common among infants hospitalized for Covid-19 than among controls. The effectiveness of maternal vaccination against Covid-19 hospitalization of infants was 52% overall and was greater when delta, rather than omicron, was predominant.
- N Engl J Med 2022; 387:178-179
The benefits of maternal vaccination to the infant through maternal antibody transfer across the placenta have long been recognized. In the 1870s, babies born to mothers who had received smallpox vaccination were unlikely to have smallpox early in life.1 Tetanus toxoid vaccination during pregnancy, along with improved hygiene...
- N Engl J Med 2022; 387:187-189
In this retrospective cohort study involving pregnant women, those who had been vaccinated against Covid-19 did not have a higher risk of clinically serious adverse events than those who were unvaccinated.
- N Engl J Med 2022; 386:e70
In a post-Roe America, Black women will be disproportionately affected by the lack of abortion access and overrepresented in pregnancy-related deaths. A Black physician aims to ensure that her patients can choose for themselves.
- N Engl J Med 2022; 386:2357-2359
Courts and physicians need to be mindful about the use and misuse of medical-science findings in constitutional conflicts, the cloaking of moral views in scientific guise, and the marshaling of medicine’s cultural authority as a means of persuasion.
Navigating Loss of Abortion Services — A Large Academic Medical Center Prepares for the Overturn of Roe v. WadeN Engl J Med 2022; 386:2061-2064
With the overturn of Roe v. Wade appearing imminent, U.S. medical centers must prepare carefully to manage the systemwide impact of abortion’s criminalization.
- N Engl J Med 2022; 386:1817-1832
Preeclampsia complicates 2 to 4% of all pregnancies and accounts for about 46,000 maternal deaths and 500,000 fetal or newborn deaths each year. Antihypertensive agents and magnesium sulfate can help control the systemic manifestations of preeclampsia, which is usually resolved by delivery of the placenta.