12/9/16 Weekly Top 5: Vasopressin, Conception, & Delivering Bad News

By Eva Martin, MD of Elm Tree Medical Inc.

This week the Florida governor reported that Florida is now free of Zika transmission. Hopefully that statement holds true once winter is over. In the meantime, here are this week's Top 5 Women's Health Articles, covering vasopressin for cesarean section, odds of conception depending on age, effects on patients and doctors after stillbirth, progesterone for preterm labor, and the annual MD&M conference.

1. Vasopressin for Cesarean Section

Dr. Barbieri, editor of OBG Management, brings yet another unique offering in this month's edition. He proposes that vasopressin, commonly used to decrease blood loss for gynecologic surgeries, might also be useful for the same purpose in cesarean sections. Vasopressin and oxytocin differ by only two amino acids and both cause uterine contraction. After prolonged labor or exogenous oxytocin administration, oxytocin receptors on the uterus may downregulate, making oxytocin less effective for stopping bleeding. Perhaps vasopressin is the answer.

2. Odds of Conception

I've referenced this quick statistic 3 times since posting it 4 days ago! When considering whether and when they want to start trying to conceive (#TTC for those in the know), many women are curious about how long they can expect to be "trying." Data show that, over a year of trying to conceive, 88% of women age 30-33 become pregnant, 76% of women age 36-37, and 54% of women age 40-41.

3. Delivering Bad News

93% of women experiencing a stillbirth feel that "It's the worst thing that ever happened to me." 70% of women reported that the way they learned the diagnosis negatively impacted their grieving process. As such, the way in which healthcare providers deliver this news is extremely important. Also important is the way the provider internalizes and copes with the experience herself. 10% of OBGYNs report that they considered giving up the practice of obstetrics due to the emotional difficulty of a patient's stillbirth.

4. Progesterone for Preterm Labor

Progesterone is recommended for certain women at high risk of premature delivery, such as women with a history of a spontaneous preterm birth or some women with a short cervix. However, this week, a reminder of progesterone's limitations gained popularity. Unfortunately,  progesterone is not helpful in the immediate prevention of imminent preterm delivery, including in the treatment of preterm labor or preterm premature rupture of membranes, PPROM.

5. MD&M Conference in San Jose

This week BioMEDevice held its MD&M conference in San Jose. It was a great treat to visit all the booths and meet the awesome people behind the manufacture of life-saving devices.

We Want to Hear from You! What's your favorite annual conference? I just bought my ticket to SMFM's The Pregnancy Meeting in January- will you be there?