American Journal of Obstetrics and Gynecology

Sequential pelvic washings demonstrate that contained manual morcellation is associated with a low rate of myometrial cell spillage, with most spillage occurring before morcellation begins. These findings support the safety and effectiveness of containment systems and highlight that tissue dissemination risk may originate from the hysterectomy itself rather than morcellation alone.

A significant proportion of individuals with persistent high-risk human papillomavirus infections and normal or low-grade cytology -who would not typically be referred under cytology-based screening-had a high-grade squamous intraepithelial lesion. Younger age and atypical squamous cells of undetermined significance cytology correlated with elevated risk. Colposcopists should adjust their interpr…

Associations between genital mycoplasmas and adverse pregnancy outcomes are not limited to intraamniotic presence but are also observed with cervicovaginal detection. Given the observational nature of the available data and residual confounding, these associations should be interpreted cautiously and do not support routine screening or treatment. Cervicovaginal detection should be interpreted wit…

Universal screening for iron deficiency by adding ferritin to obstetric intake labs identified that first trimester IDWA affects one in four people in our clinics. Of those with first trimester IDWA, the majority (67%) developed IDA before childbirth, corresponding to nearly two-fold increased risk compared to those who were iron-replete, non-anemic in the first trimester. These findings demonstr…

First birth by cesarean delivery is associated with an 11% reduced likelihood of a second live birth within the twelve-year study period and a 28% increase in the use of assisted reproductive technologies to achieve a second birth. Factors leading to a cesarean delivery may also be associated with subsequent reproductive outcomes and warrant further study.