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Washington, DC
Joined August 2017
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America’s largest physician specialty group just moved estrogen to the front of the line for hot flashes and night sweats. Not the fallback. The first call.
Other options are ranked for women who can’t take estrogen. First: venlafaxine or desvenlafaxine. Then SSRIs or gabapentin. Last: the newer hormone-free drugs fezolinetant and elinzanetant.
Maryland just became the first state to require mammography centers to tell patients something the scan already shows. Most women have no idea it is there.
The catch: no clinical trial has yet shown that knowing about the finding prevents a heart event. Doctors and researchers are still working out what patients and physicians should do next.
What breast arterial calcification is, what the law requires, and what the open questions are: maternie.com/maryland-mammog… @lisamosconi
New data from @PowertoDecide and @GuttmacherInst: 21+ million women needing low- or no-cost contraception live in counties where publicly funded clinics cannot meet estimated demand.
The maps only count publicly funded clinics -- not telehealth or pharmacy. That is intentional. Those options do not replace in-person care for IUDs, implants, STI testing, or counseling.
The data cuts off in 2023 -- before recent Title X provider closures. The current gap is likely larger. Full breakdown: maternie.com/birth-control-c… [image] @GuttmacherInst @PowertoDecide
In 2016, a trial showed adding azithromycin before an unscheduled c-section cut postpartum infections significantly. A new JAMA study tracked 1.7 million deliveries to see if hospitals actually changed practice.
But 4 in 10 unscheduled c-sections still did not include the drug by 2024. And infection rates among vaginal deliveries rose over the same period -- a separate, unexplained trend.
For women facing a c-section, there is a specific question worth asking your provider. Full breakdown: maternie.com/csection-antibi… [image] @ACOG
41% of US hospitals still offering maternity care share the same high-risk profile as hospitals that have already shut down their delivery units. A new JAMA Health Forum study maps exactly what that looks like.
But rural and urban are not the same story. Unprofitability raised rural closure risk by 12 percentage points more than urban. For-profit ownership is a much stronger predictor of rural closure specifically.
Researchers say blanket policy will not work. Rural and urban hospitals losing maternity units need different responses. Full breakdown: maternie.com/maternity-units… [image] @ACOG @MomCongress
