Article Link OBJECTIVE: To assess the risk of severe maternal morbidity (SMM) and mortality among pregnant patients with cardiovascular disease (CVD). METHODS: This was a retrospective cohort study of U.S….
Article Link Abstract Large-scale catastrophic events, either natural or human-influenced, highlight the requisite for emergency plans that specifically address the needs of obstetric and gynecologic patients. Pregnant, postpartum, and lactating…
Article Link Abstract This Clinical Practice Update integrates data from a large, randomized controlled trial (the ARRIVE trial [A Randomized Trial of Induction Versus Expectant Management]) and subsequent other related…
Article Link OBJECTIVE: To evaluate whether disparities exist in adverse neonatal outcomes among the offspring of lesbian, gay, bisexual, and other sexually minoritized (LGB+) birthing people. METHODS: We used longitudinal…
Read More from ACOG: Sexual Orientation–Related Disparities in Neonatal Outcomes
Article Link OBJECTIVE: To evaluate the comparative efficacy of two of the most commonly used second-line uterotonics—methylergonovine maleate and carboprost tromethamine. METHODS: We conducted a double-blind randomized trial at two…
Read More from ACOG: Second-Line Uterotonics for Uterine Atony – A Randomized Controlled Trial
Article Link OBJECTIVE: To estimate the effect of late preterm antenatal steroids on the risk of respiratory morbidity among subgroups of patients on the basis of the planned mode of…
https://journals.lww.com/greenjournal/fulltext/2024/10000/changes_in_prenatal_cannabis_use_among_pregnant.17.aspx Abstract This population-based cross-sectional study analyzed electronic health record data of pregnant individuals in an integrated health care delivery system in California to examine changes in prenatal cannabis use…
Read More from ACOG: Changes in Prenatal Cannabis Use Among Pregnant Individuals From 2012 to 2022
ACOG Committee Statement No. 11 https://journals.lww.com/greenjournal/fulltext/2024/11000/addressing_social_and_structural_determinants_of.27.aspx Abstract Social and structural determinants of health include historical, social, political, and economic forces, many of which are rooted in racism and inequality, that…
https://journals.lww.com/greenjournal/abstract/2024/11000/long_term_risk_of_type_2_diabetes_after_preterm.14.aspx OBJECTIVE: To examine long-term diabetes risk after preterm delivery or hypertensive disorders of pregnancy in a large population-based cohort. METHODS: This retrospective cohort study included all women with a…
https://journals.lww.com/greenjournal/fulltext/2024/11000/continuous_glucose_monitoring_for_management_of.12.aspx OBJECTIVE: To evaluate the association between continuous glucose monitoring in pregnant people with type 2 diabetes and perinatal outcomes. METHODS: This was a retrospective cohort study of pregnant people…
https://journals.lww.com/greenjournal/abstract/2024/11000/association_between_metformin_use_in_early.18.aspx OBJECTIVE: To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS: This is a planned secondary…
https://journals.lww.com/greenjournal/abstract/9900/screening_for_gestational_and_pregestational.1074.aspx Abstract This Clinical Practice Update reviews current data on screening and diagnostic criteria for pregestational and gestational diabetes mellitus during pregnancy and type 2 diabetes mellitus postpartum. This document…
https://journals.lww.com/greenjournal/abstract/9900/pre_existing_diabetes_and_stillbirth_or_perinatal.1125.aspx OBJECTIVE: Despite the well-recognized association between pre-existing diabetes mellitus and stillbirth or perinatal mortality, there remain knowledge gaps about the strength of association across different populations. The primary objective…
https://journals.lww.com/greenjournal/abstract/9900/association_between_metformin_use_in_early.1144.aspx OBJECTIVE: To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS: This is a planned secondary…
https://journals.lww.com/greenjournal/abstract/9900/association_between_novel_antiphospholipid.1154.aspx OBJECTIVE: To investigate the value of anti-β2 glycoprotein-I domain 1 (aD1) and antiphosphatidylserine–prothrombin antibodies for predicting adverse pregnancy outcomes in an at-risk population and to describe the relationship among…
https://journals.lww.com/greenjournal/fulltext/2024/08000/magnesium_sulfate_before_preterm_birth_for.7.aspx OBJECTIVE: To systematically review the evidence for the effectiveness and safety of magnesium sulfate as a fetal neuroprotective agent when given to individuals at risk of preterm birth. DATA…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To measure what patients with Spanish language preference and limited English proficiency value most when selecting a prenatal care clinician. METHODS: A discrete choice experiment…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To evaluate the effect of statewide efforts to reduce nulliparous, term, singleton, vertex (NTSV) cesarean delivery rates in California. METHODS: This was a population-based study…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To examine temporal trends and risk factors for congenital syphilis in newborn hospitalizations and to evaluate the association between adverse outcomes and congenital syphilis and…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To examine the association between elevated blood pressure (BP) in the early third trimester and cardiometabolic health 10–14 years after delivery. METHODS: This is a…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To investigate the optimal gestational age to deliver pregnant people with chronic hypertension to improve perinatal outcomes. METHODS: We conducted a planned secondary analysis of…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To evaluate differences in health care utilization and guideline adherence for postpartum individuals with hypertensive disorders of pregnancy (HDP) who are engaged in a remote…
Obstetrics & Gynecology (lww.com) Abstract: Hypertensive disorders of pregnancy (HDP) are associated with significantly increased risk of developing future cardiovascular disease (CVD). Obstetricians play a crucial role in CVD prevention…
Read More from ACOG: Cardiovascular Risk Factor Management After Hypertensive Disorders of Pregnancy
Obstetrics & Gynecology (lww.com) OBJECTIVE: To estimate the cost effectiveness of Medicaid covering immediate postpartum long-acting reversible contraception (LARC) as a strategy to reduce future short interpregnancy interval (IPI), severe…
Obstetrics & Gynecology (lww.com) Abstract Disparate health outcomes and unequal access to care have long plagued many communities in the United States. Individual demographic characteristics, such as geography, income, education,…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To test whether an individualized opioid-prescription protocol (IOPP) with a shared decision-making component can be used without compromising postcesarean pain management. METHODS: In this multicenter…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To examine the association between elevated blood pressure (BP) in the early third trimester and cardiometabolic health 10–14 years after delivery. METHODS: This is a…
Obstetrics & Gynecology (lww.com) OBJECTIVE: To characterize national trends in expedited postpartum discharge and, secondarily, to identify predictors of expedited postpartum discharge and assess whether expedited postpartum discharge was associated…
Read More from ACOG: Readmission Rates After Expedited Postpartum Discharge
Obstetrics & Gynecology (lww.com) CLINICAL RECOMMENDATIONSIn summary, although the diagnosis of suspected intraamniotic infection frequently includes maternal fever as a clinical criterion, scenarios exist in which fever in patients with…
Obstetrics & Gynecology (lww.com) CLINICAL RECOMMENDATIONSDiabetes Mellitus Screening at Less Than 24 Weeks of GestationDue to the lack of consistent evidence to indicate neonatal and maternal benefit from early diagnosis…