AJOG: Betamethasone treatment-to-delivery interval, retreatment, and severe intraventricular hemorrhage in infants <28 weeks’ gestation

Article Link Abstract Background Antenatal corticosteroids decrease the incidence of severe intraventricular hemorrhage (grades 3, 4) in preterm infants. It is unclear whether their beneficial effects on intraventricular hemorrhage wane…

Read More from AJOG: Betamethasone treatment-to-delivery interval, retreatment, and severe intraventricular hemorrhage in infants <28 weeks’ gestation

AJOG: Implementing a bundle for evidence-based cesarean delivery may not be as beneficial as expected: a multicenter, pre- and post-study

Article Link Abstract Background Standardization of procedures improves outcomes. Though systematic reviews have summarized the evidence-based steps of cesarean delivery, their bundled implementation has not been investigated. Objective In this…

Read More from AJOG: Implementing a bundle for evidence-based cesarean delivery may not be as beneficial as expected: a multicenter, pre- and post-study

AJOG: Insights from preventability assessments across 42 state and city maternal mortality reviews in the United States

Article Link Abstract Background The rising trend in maternal mortality over the past 3 decades sets the United States apart from all other high-income countries. Multidisciplinary state and city Maternal Mortality…

Read More from AJOG: Insights from preventability assessments across 42 state and city maternal mortality reviews in the United States

AJOG: Consensus statement on pain management for pregnant patients with opioid use disorder from the Society for Obstetric Anesthesia and Perinatology, Society for Maternal-Fetal Medicine, and American Society of Regional Anesthesia and Pain Medicine

Article Link Abstract Pain management in pregnant and postpartum people with an opioid use disorder requires a balance among the risks associated with opioid tolerance, including withdrawal or return to…

Read More from AJOG: Consensus statement on pain management for pregnant patients with opioid use disorder from the Society for Obstetric Anesthesia and Perinatology, Society for Maternal-Fetal Medicine, and American Society of Regional Anesthesia and Pain Medicine

AJOG: Funisitis Increases the Risk of Death or Cerebral Palsy in Extremely Preterm Infants

Article Link Abstract Background The relationship between histological chorioamnionitis (inflammation of fetal membranes) and funisitis (inflammation of umbilical cord), both commonly associated with preterm birth, with subsequent development of cerebral…

Read More from AJOG: Funisitis Increases the Risk of Death or Cerebral Palsy in Extremely Preterm Infants

AJOG: Aspirin 162 mg vs 81 mg for preeclampsia prophylaxis in high-risk obese individuals: a comparative effectiveness open-label randomized trial (ASPREO)

Article Link Abstract Background In the United States, leading medical societies recommend 81 mg of aspirin daily for the prevention of preeclampsia in women at risk, whereas the NICE guidelines…

Read More from AJOG: Aspirin 162 mg vs 81 mg for preeclampsia prophylaxis in high-risk obese individuals: a comparative effectiveness open-label randomized trial (ASPREO)

AJOG: Optimization of the betamethasone and dexamethasone dosing regimen during pregnancy: a combined placenta perfusion and pregnancy physiologically based pharmacokinetic modeling approach

Article Link Abstract Background Antenatal betamethasone and dexamethasone are prescribed to women who are at high risk of premature birth to prevent neonatal respiratory distress syndrome (RDS). The current treatment…

Read More from AJOG: Optimization of the betamethasone and dexamethasone dosing regimen during pregnancy: a combined placenta perfusion and pregnancy physiologically based pharmacokinetic modeling approach

AJOG: Impact of hypertensive disorders of pregnancy and gestational diabetes mellitus on offspring cardiovascular health in early adolescence

Article Link Abstract Background Adverse pregnancy outcomes, including hypertensive disorders of pregnancy and gestational diabetes mellitus, influence maternal cardiovascular health long after pregnancy, but their relationship to offspring cardiovascular health…

Read More from AJOG: Impact of hypertensive disorders of pregnancy and gestational diabetes mellitus on offspring cardiovascular health in early adolescence

AJOG: Evidence of brain injury in fetuses of mothers with preterm labor with intact membranes and preterm premature rupture of membranes

Article Link Abstract Background Brain injury and poor neurodevelopment have been consistently reported in infants and adults born before term. These changes occur, at least in part, prenatally and are…

Read More from AJOG: Evidence of brain injury in fetuses of mothers with preterm labor with intact membranes and preterm premature rupture of membranes

AJOG: Implementation of perinatal quality collaborative statewide initiative improves obstetrical opioid use disorder care and outcomes

Article Link Abstract Background Maternal deaths resulting from opioid use disorder have been increasing across the United States. Opioid use disorder among pregnant persons is associated with adverse pregnancy outcomes,…

Read More from AJOG: Implementation of perinatal quality collaborative statewide initiative improves obstetrical opioid use disorder care and outcomes

AJOG: Reducing severe maternal morbidity for birthing persons with severe hypertension through a statewide quality improvement initiative

Article Link Abstract Background Hypertensive disorders of pregnancy are a leading preventable cause of severe maternal morbidity and maternal mortality worldwide. Objective To assess the improvement in hospital care processes…

Read More from AJOG: Reducing severe maternal morbidity for birthing persons with severe hypertension through a statewide quality improvement initiative

AJOG: Time to redefine prolonged third stage of labor? A systematic review and meta-analysis of the length of the third stage of labor and adverse maternal outcome after vaginal birth

Article Link Abstract Objective This study aimed (1) to assess the association between the length of the third stage of labor and adverse maternal outcome after vaginal birth and (2)…

Read More from AJOG: Time to redefine prolonged third stage of labor? A systematic review and meta-analysis of the length of the third stage of labor and adverse maternal outcome after vaginal birth

AJOG: The 36-week preeclampsia risk by the Fetal Medicine Foundation algorithm is associated with fetal compromise following induction of labor

Article Link ABSTRACT Background Previous studies demonstrated that placental dysfunction leads to intrapartum fetal distress, particularly when an abnormal pattern of angiogenic markers is demonstrated at 36 weeks of gestation….

Read More from AJOG: The 36-week preeclampsia risk by the Fetal Medicine Foundation algorithm is associated with fetal compromise following induction of labor

AJOG: Spontaneous miscarriage and social support in predicting risks of depression and anxiety: a cohort study in UK Biobank

Article Link Abstract Background It is still unclear whether social support can moderate the high risk of depression and anxiety due to spontaneous miscarriage. Objective This study prospectively investigated the…

Read More from AJOG: Spontaneous miscarriage and social support in predicting risks of depression and anxiety: a cohort study in UK Biobank

AJOG: Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery study

Article Link Abstract Background The effect on obstetrical outcomes of closed- or open-glottis pushing is uncertain among both nulliparous and parous women. Objective This study aimed to assess the association…

Read More from AJOG: Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery study

AJOG: Magnesium sulfate and risk of hypoxic-ischemic encephalopathy in a high-risk cohort

Article Link Background Hypoxic-ischemic encephalopathy contributes to morbidity and mortality among neonates ≥36 weeks of gestation. Evidence of preventative antenatal treatment is limited. Magnesium sulfate has neuroprotective properties among preterm…

Read More from AJOG: Magnesium sulfate and risk of hypoxic-ischemic encephalopathy in a high-risk cohort

AJOG: Cesarean delivery is associated with lower neonatal mortality among breech pregnancies: a systematic review and meta-analysis of preterm deliveries ≤32 weeks of gestation

Article Link Objective To investigate the association between actual and planned modes of delivery, neonatal mortality, and short-term outcomes among preterm pregnancies ≤32 weeks of gestation. Data Sources A systematic literature…

Read More from AJOG: Cesarean delivery is associated with lower neonatal mortality among breech pregnancies: a systematic review and meta-analysis of preterm deliveries ≤32 weeks of gestation

AJOG: Prenatal cannabis exposure and the risk for neuropsychiatric anomalies in the offspring: a systematic review and meta-analysis

Article Link Objective To evaluate the association between cannabis use during pregnancy and the risk for long-term neuropsychiatric pathology in the offspring. Data Sources MEDLINE, EMBASE, and Cochrane library databases…

Read More from AJOG: Prenatal cannabis exposure and the risk for neuropsychiatric anomalies in the offspring: a systematic review and meta-analysis

AJOG: Maternal body mass index, maneuvers, and neonatal morbidity associated with shoulder dystocia

https://www.ajog.org/article/S0002-9378(24)01109-8/abstract Abstract Background Shoulder dystocia is associated with neonatal morbidity. Higher maternal prepregnancy body mass index is an established risk factor for shoulder dystocia, yet the relationship between maternal prepregnancy…

Read More from AJOG: Maternal body mass index, maneuvers, and neonatal morbidity associated with shoulder dystocia

AJOG: Posttraumatic stress disorder 2 months after cesarean delivery: a multicenter prospective study

https://www.sciencedirect.com/science/article/abs/pii/S000293782400440X Background The prevalence and risk factors of posttraumatic stress disorder after cesarean delivery, outside high-risk contexts, remain unclear. Objective This study aimed to assess posttraumatic stress disorder prevalence and risk factors at 2 months…

Read More from AJOG: Posttraumatic stress disorder 2 months after cesarean delivery: a multicenter prospective study

AJOG: Placental differences between severe fetal growth restriction and hypertensive disorders of pregnancy requiring early preterm delivery: morphometric analysis of the villous tree supported by artificial intelligence

https://www.ajog.org/article/S0002-9378(24)00370-3/abstract Background The great obstetrical syndromes of fetal growth restriction and hypertensive disorders of pregnancy can occur individually or be interrelated. Placental pathologic findings often overlap between these conditions, regardless…

Read More from AJOG: Placental differences between severe fetal growth restriction and hypertensive disorders of pregnancy requiring early preterm delivery: morphometric analysis of the villous tree supported by artificial intelligence