Article Link Abstract Objective Postpartum hemorrhage is a common obstetrical complication that, in severe cases, may necessitate blood transfusion. We hypothesized that severe postpartum hemorrhage, defined as postpartum hemorrhage requiring…
Read More from AJOG: Postpartum hemorrhage and short-term risk of cardiovascular disease
Article Link Abstract Objective To describe the duration of active pushing in spontaneous vaginal deliveries managed with a delayed pushing policy of up to 3 hours after full cervical dilation….
Article Link Abstract Background The uterine incision-to-delivery interval represents the period of interrupted uteroplacental blood flow during cesarean delivery. Prior studies evaluating its association with neonatal outcomes have yielded inconsistent…
Article Link Abstract Background Neonatal hypoxic-ischemic encephalopathy remains a leading cause of neonatal death and lifelong neurological impairment, imposing substantial economic burdens on affected families and healthcare system. While prior…
Article Link Abstract Background Systolic hypertension has emerged as a predictor of maternal morbidity, with current guidelines recommending treatment of systolic blood pressure ≥160 mmHg regardless of diastolic values. However,…
Article Link Abstract For centuries, convulsions unique to pregnancy have been described. In this time, varying therapies—from phlebotomy to narcotics—have been suggested as the treatment of choice for eclampsia. Building…
Article Link Abstract Background Severe maternal morbidity is associated with substantially increased risks of adverse neonatal outcomes. However, few studies have assessed the association between severe maternal morbidity and adverse…
Article Link Abstract Background Maternal vaccination with the tetanus, diphtheria, and acellular pertussis vaccine during pregnancy is the most effective way to prevent pertussis in infants, especially in the first…
Article Link Abstract Objective This study aimed to describe labor progression and duration according to the maternal body mass index in patients who underwent vaginal delivery. Study Design This was…
Article Link Abstract Background Globally, cesarean delivery rates have increased steadily over the past 3 decades, beyond medically indicated limits. Research in the area tends to analyze clinical indications, with…
Article Link ABSTRACT Background Severe maternal morbidity (SMM) has been linked to maternal mortality and several perinatal complications, but the evidence on associations with children’s neurodevelopmental disorders is still unclear….
Article Link Abstract Background Deferred cord clamping reduces mortality in preterm infants. However, there is a controversy about whether deferred cord clamping is as effective in cesarean delivery as in…
Article Link Abstract Background In many countries, antenatal maternal risk stratification and individualization of subsequent pregnancy care are ubiquitous. However, because of the dynamic nature of pregnancy and emergence of…
Article Link Abstract Trauma-informed medical education extends the principles of trauma-informed care into medical training to foster awareness and sensitivity to trauma, aiming to avoid further harm. Trauma-informed care is…
Article Link Abstract The incidence of maternal cardiac arrest is rising, paralleling the escalating maternal morbidity and mortality rates in the United States. Effective management of cardiac arrest in pregnancy…
Read More from AJOG: Resuscitative cesarean delivery: when every second counts
Article Link Abstract Maternal mental health disorders are fairly common during the perinatal period, predominantly mood- and trauma-related disorders, first episodes or relapses. Untreated, these mental health conditions can have…
Article Link Abstract Cesarean delivery on maternal request presents an ethical challenge in obstetrics. This comprehensive ethical examination of cesarean delivery on maternal request incorporates emerging evidence on both medical…
Article Link Abstract Cesarean delivery rates rise globally, yet the procedure remains unstandardized. Wide variation in abdominal and uterine incisions, peritoneal handling, and closure techniques hinders meaningful comparisons of outcomes,…
Article Link Abstract Background The uterine incision-to-delivery interval represents the period of interrupted uteroplacental blood flow during cesarean delivery. Prior studies evaluating its association with neonatal outcomes have yielded inconsistent…
Article Link Abstract Identifying key factors behind persistently high cesarean rates over the past 15 years is challenging due to inconsistent documentation of primary indications, overlapping risk factors, and evolving…
Article Link ABSTRACT OBJECTIVE Postpartum hemorrhage (PPH) is a common obstetrical complication that, in severe cases, may necessitate blood transfusion. We hypothesized that severe PPH, defined as PPH requiring transfusion,…
Read More from AJOG: Postpartum hemorrhage and short-term risk of cardiovascular disease
Article Link ABSTRACT Objective To assess the effectiveness and safety of management strategies for postpartum hypertension. Data sources We searched the Cochrane Pregnancy and Childbirth’s Trials Register in collaboration with…
Article Link Abstract Background The COVID-19 pandemic resulted in major reconfiguration of maternity services, particularly an increase in virtual antenatal care. Objective We explored associations between virtual antenatal care trajectories…
Article Link Abstract Background Poor outcomes from operative vaginal birth are associated with failure to recognize malposition, lack of interdisciplinary communication, and deviation from accepted guidelines. We implemented a safety…
Article Link Abstract Background Decision-making regarding breech extremely preterm mode of birth is difficult. Seeming benefits with cesarean delivery in previous studies may have been due to other factors that…
Article Link Abstract Objective To evaluate the prenatal detection of vasa previa and perinatal survival in studies that implemented standardized protocols of prospective second-trimester ultrasound screening protocols followed by ultrasound…
Read More from AJOG: Ultrasound screening for vasa previa: a systematic review and meta-analysis
Article Link Abstract Objective The aim of this meta-analysis was to compare the impact of transvaginal and transabdominal cervical cerclage on obstetrical and perinatal outcomes in women at risk for…
Article Link Abstract Formation of the smooth membranes is an essential phase of human placentation to allow safe rupture of the chorionic sac and birth of the fetus without damaging…
Article Link Abstract Shoulder dystocia is an obstetrical emergency associated with fetal morbidity and mortality. Mechanical obstruction and failure of fetal shoulder rotation prevent their descent into the pelvis. Current…
Read More from AJOG: Reverse Løvset maneuver for shoulder dystocia
Article Link Abstract Background Recent evidence from the Chronic Hypertension and Pregnancy trial demonstrates that treatment of even mild chronic hypertension during pregnancy reduces the risk of severe adverse maternal,…
Read More from AJOG: Antihypertensive treatment adherence during pregnancy by race and ethnicity