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email article Transgender and gender-diverse patients have unique healthcare needs, and ob/gyn physicians should educate themselves so they can provide appropriate, inclusive, and affirming care, an American College of Obstetricians and Gynecologists (ACOG) committee said. Providers should discuss patients fertility desires as early as possible in the transition process, and ensure that contraceptive options are offered beyond gender-affirming hormone therapy, according to a report from ACOG s Committee on Gynecologic Practice and Committee on Health Care for Underserved Women. The document, which is also published in Obstetrics & Gynecology, notes that medications for gender transition can be safely prescribed by a wide range of providers who have the appropriate education and training including ob/gyns and no specific prescribing certification is needed to provide care. ....
email article Kids born to mothers with good cardiovascular health during pregnancy were more likely to have better heart health later on, according to a multinational cohort study. Children born to mothers with a lower total cardiovascular health (CVH) score calculated with metrics including body mass index (BMI), blood pressure, cholesterol levels, glucose levels, and a history of smoking had an increased risk of poor cardiovascular health themselves, reported Amanda Perak, MD, MS, of the Northwestern University School of Medicine in Chicago, and colleagues. Each additional poor metric measured in pregnant women was associated with a dose-dependent, increased risk of worse cardiovascular health in their kids, the researchers noted in ....
In a separate BMJ study, mothers who used prescription opioids in the first trimester had no increased risk of having a child with a birth defect, reported Brian Bateman, MD, of Brigham and Women s Hospital in Boston, and colleagues. Macrolides This nationwide cohort study found no association between the use of macrolide antibiotics during pregnancy and risk of major birth defects overall, or in the 12 organ-specific subgroups of birth defects examined, Andersson said in an email to MedPage Today. Neil Seligman, MD, a maternal-fetal medicine specialist at the University of Rochester Medical Center in New York, told MedPage Today that these results should provide reassurance to providers and patients that macrolide antibiotics can be safely taken in the first trimester. ....