Get the top three things to know in women's health + wellness, every weekday:

building codes vs. birth centers

the top things to know in women’s health and wellness today: 

  • A large study had more good news on hormone therapy for menopause: there is no association between the treatment and glioma, a type of brain cancer women are more likely to get than men.
     
  • An essay in the Guardian gets at the complexity of women moving from hormonal methods to natural cycle tracking, in some cases to avoid side effects, but at the risk of getting pregnant.
     
  • Why aren’t more midwife birth centers opening where there are maternity deserts? A KFF story from California finds building codes may be a culprit.

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Birth Control
Pregnancy + Postpartum
Abortion Access
Menopause

BIRTH CONTROL

The Big Thing Happening in Birth Control

What: An essay from Barbara Speed in The Guardian captures the complexity around the birth control shifts we are starting to see some evidence of: women moving from hormonal methods to natural cycle tracking, in some cases to avoid side effects, at the risk of getting pregnant.

Key line: “But while some may have fallen prey to conspiracy theories, others will have spent years diligently trying option after option – from the mini-pill, to the injection, implant, cap – waiting for the appointment, reading up on the pros and cons, looking for the right fit. With the implant finally yanked from my arm, I remember walking out into the rain, arm throbbing, Googling what I could try next. More than eight in 10 of Bpas’s respondents had switched methods at least once.”

Source: The Guardian

PREGNANCY + POSTPARTUM

Preventing Type 2 Diabetes After Gestational Diabetes

What: A study from the University of Pittsburgh looked at 225 women with gestational diabetes who tdeveloped type 2 diabetes within 12 years of delivery. They found the diabetes was driven by pancreatic beta-cell dysfunction, insulin resistance, or a mix of both.

Key line: “The work builds upon recent research the team published in Science Advances that was the first to identify molecular mechanisms of the progression from gestational diabetes to type 2 diabetes. A goal of future research is developing approaches to easily [determine] whether women fall into one of the clusters, and then provide early interventions that prevent progression to type 2 diabetes.”

Source: University of Pittsburgh

Why Birth Centers Aren’t Where They’re Needed in California

What: KFF Health News looks at how California state rules for birth centers – typically operated by midwives – may be preventing new centers from opening despite need for more maternity services. Getting a license for a birth center can take “as long as four years.”

Key line: “’All they’ve essentially done is made it more dangerous to have a baby,’ said Sacramento midwife Bethany Sasaki. ‘People have to drive two hours now because a birth center can’t open, so it’s more dangerous. People are going to be having babies in cars on the side of the road.’… The state last updated birth center regulations more than a decade ago, before hospitals’ mass exodus from obstetrics.”

Source: KFF Health News

ABORTION ACCESS

Abortion Ban States Try to Go Even Further

What: The 19th breaks down how states that have already banned abortion may try to restrict access even further. The legislation filed so far in state legislatures focuses on criminalizing abortion pills, targeting clinicians who prescribe abortion pills for women in abortion ban states, setting up further restrictions against minors getting information on abortion, and more.

Key line: “State lawmakers aren’t waiting for the new president to clarify his approach, and many have taken Trump’s election as validation to pursue new restrictions. ‘It emboldened anti-abortion legislators,’ said Jennifer Driver, senior director of reproductive rights at the State Innovation Exchange, which advocates for progressive policy in statehouses. ‘It pushed the limit.’”

Source: The 19th

MENOPAUSE

No Link Between Hormone Therapy and Brain Cancer

What: More good news for hormone replacement therapy to treat menopause symptoms: a study looking at more than 75,000 women over a median of 12 years found no link between HRT and a brain cancer known as glioma. Women are more likely to get gliomas than men.

Key line: “’This study found that, although there is a known sex difference in the incidence of gliomas, with women being six times more likely to develop the disease compared with men, there does not appear to be an association between glioma and hormone therapy use in postmenopausal women. However, larger prospective studies with longer duration of follow-up are needed to confirm these results,’ says Dr. Stephanie Faubion, medical director for The Menopause Society.”

Source: The Menopause Society