The ObGyn Intelligence Scan: 1/16/2026
Your weekly newsletter of what you may have missed
Hi everyone,
First, a quick thank you to everyone who upgraded to ObGyn Intelligence+ this week. It is great to see so many of you committed to supporting independent data analysis.
If you missed the news: we have moved to a subscriber-supported model to allow for deeper, unbiased dives into the data. You can upgrade your subscription here.
The ObGyn Intelligence Scan: January 16, 2026
Welcome to the first edition of The Scan. The goal here is simple: to filter the noise. On a regular basis, I review major medical journals and literature like from the the Gray Journal (American Journal of ObGyn), JAMA, New England Journal of Medicine (NEJM), The Lancet and British Journal of ObGyn (for international ObGyn News) and industry alerts so you don't have to. Below are several things you need to know before Monday morning rounds. Topics span clinical practice, ethics, and the gap between promised outcomes and real-world data. Some are free; others are for ObGyn Intelligence+ subscribers.
Women’s Health
Why Women’s Health Outcomes Lag Despite Modern Medicine - How evidence, incentives, and accountability drift out of alignment in the care of women
The Sleep Decoder and it’s Impact on Women’s Health : A massive new study in Nature suggests that while we sleep, our bodies are actually broadcasting a complex news report about our future health
Pregnancy Intelligence
Our recent publication in AJOG: Cesarean delivery on maternal request: the essential role of professional obligations - “Cesarean delivery on maternal request” (CDMR) is when a patient chooses to have a C-section even though there is no medical reason for it. This creates a difficult situation. Doctors have to balance two things: respecting the patient’s right to choose (autonomy) and their own duty to prevent harm (beneficence).
When Everyone Is High Risk, Is Risk Assessment Still Useful?
A JAMA Network Open study questions whether current aspirin guidelines for preeclampsia prevention are too broad to meaningfully guide individualized care.
Postpartum
The Motherhood Leak: Why We Pretend Postpartum Incontinence Doesn’t Exist: Up to 40% of women leak urine after vaginal birth, and even 10–15% after cesarean. Yet routine screening is missing from official recmmendations. Professionalism means asking, and referring.
Fertility Intelligence
Good Eggs, Bad Eggs: What Prospective Parents Need to Know: Your chances getting pregnant depends a lot on your eggs, quantity and quality
Menopause
Women’s Health, Examined: A clinically grounded look at women’s health across the lifespan, stripped of slogans, myths, and false certainty
The Innovation Room
Doctors Hallucinate Too: Why Medicine Should Be Careful Before Casting Stones at AI : Doctors have been “hallucinating” diagnoses for generations, causing hundreds of thousands of deaths each year. Maybe medicine should fix its own errors before condemning AI for making the same ones.
Housekeeping Note: If you are a paid subscriber, you now have full access to the ObGyn Intelligence+ posts and the comments section on all these posts. I’ll be checking in over the weekend to answer questions.
Have a great weekend,
Amos