Article Link Abstract Background Preterm prelabor rupture of membranes before or around the limit of fetal viability is associated with serious maternal and neonatal complications, including chorioamnionitis, extremely preterm birth,…
Article Link Abstract Background Intrapartum cardiotocographic monitoring of fetal heart rate by abdominal external ultrasound transducer without simultaneous maternal heart rate recording has been associated with increased risk of early…
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…
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…
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…
Article Link Abstract Background The United States suffers from an increasing rate of severe maternal morbidity, paired with a wide disparity in maternal health by race. Doulas are posited to…
Article Link Abstract Substance use and substance use disorders among pregnant and postpartum individuals have risen dramatically, necessitating enhanced clinician education and intervention strategies. This expert review offers obstetricians and…
Read More from AJOG: Substance use and use disorders during pregnancy and the postpartum period
Article Link Abstract Objective Type 2 diabetes (T2D) now accounts for the majority of pre-existing diabetes affecting pregnancy in the UK. Our aim was to determine its impact on pregnancy…
Read More from AJOG: Pregnancy outcomes in type 2 diabetes: a systematic review and meta-analysis
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…
Article Link Abstract Objective This systematic review and meta-analysis aimed to conduct a thorough and contemporary assessment of maternal and neonatal outcomes associated with water birth in comparison with land-based…
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…
Article Link Abstract Background Studies that have compared induction of labor in individuals with 1 prior cesarean delivery to expectant management have shown conflicting results. Objective To determine the association…
Article Link Abstract Objective To compare the effects of delayed cord clamping vs early cord clamping on all-cause in-hospital mortality and selected morbidities among preterm twin neonates. Data sources A…
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…
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…
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…
Article Link Abstract Background The recent American College of Obstetricians and Gynecologists Practice Bulletin offers no guidance on the management of preeclampsia with severe features at <24 weeks of gestation….
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…
Article Link Abstract Background Optimal management of fetuses diagnosed as small for gestational age based on an estimated fetal weight of <10th percentile represents a major clinical problem. The standard…
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,…
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…
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)…
Article Link Abstract Glucagon-like peptide-1 receptor agonists are peptide analogues that are used to treat type 2 diabetes mellitus and obesity. The first medication in this class, exenatide, was approved…
Read More from AJOG: Glucagon-like peptide-1 receptor agonist use in pregnancy: a review
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….
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…
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…
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…
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…
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…
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…