Article Link ABSTRACT OBJECTIVE: To evaluate contemporary patterns of antidepressant discontinuation during pregnancy and associated maternal mental health outcomes, including behavioral health–related emergency department (ED) visits, among patients with preexisting…
Article Link Abstract Background Childbirth can be experienced as traumatic and lead to posttraumatic stress symptoms. The evolution of childbirth-related posttraumatic stress symptoms remains poorly documented. Objective We aimed to…
Article Link ABSTRACT Cesarean delivery is a complex issue, involving medical, social, economic, and ethical dimensions. Cesarean delivery rates have steadily increased worldwide since 1990. Yet, important disparities exist between…
Article Link Abstract Background Women at a high risk of developing preeclampsia are recommended to have additional blood pressure surveillance, but frequent outpatient attendances are demanding for patients and the…
Article Link Abstract Background Hypertensive disorders of pregnancy are a major cause of maternal morbidity and mortality. Aspirin therapy has shown benefit in high-risk populations; however, current characteristic-based screening approaches…
Article Link Abstract Background Routine third-trimester ultrasound screening for suspected large-for-gestational-age (LGA) and macrosomic fetuses is increasingly used to guide obstetric management and reduce delivery-related morbidity. However, ultrasound estimation of…
Article Link Abstract Background Maternal iron deficiency anemia is a persistent global health challenge associated with an increased risk of adverse perinatal outcomes. A recent multicenter clinical trial found reduced…
Article Link Abstract Background Postpartum depression affects 1 in 7 women in the U.S. and antidepressant medications during pregnancy are recommended by obstetric and psychiatric professional societies for select patients…
Article Link Abstract Objective This systematic review updates a 2020 analysis of clinical practice guidelines regarding hypertensive disorders of pregnancy, aiming to both support evidence-based practice and inform future research….
Article Link Abstract Resuscitative cesarean delivery, previously perimortem cesarean delivery, is one of the rarest, yet physically and emotionally demanding procedures in obstetrics. Maternal cardiac arrest occurs in approximately 1…
Article Link ABSTRACTAmniotic fluid embolism (AFE) is a catastrophic complication of pregnancy and the second leading cause of maternal death within the first 24 hours after delivery, followed by postpartum…
Article Link Abstract Maternal mortality is an important public health concern that has gained increasing attention since the late 20th and early 21st centuries. Though low- and middle-resource countries are…
Article Link Abstract Background Severe maternal morbidity has been linked to maternal mortality and several perinatal complications, but the evidence on associations with children’s neurodevelopmental disorders is still unclear. Objective…
Article Link Abstract Background Aspirin prevents preterm preeclampsia in high-risk pregnancies, but the extent to which its effectiveness depends on adherence and baseline risk remains uncertain. Objective To evaluate how…
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 Objective Preterm prelabor rupture of membranes is a common pregnancy complication and a major contributor to preterm birth, but lacks contemporary evidence to guide management. This systematic…
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 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 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 Metformin works by increasing insulin sensitivity, which may aid in the management of insulin-treated type 2 diabetes in pregnancy. However, large trials have found that adjunctive…
Article Link Abstract Background Friedman found in 1955 that most nulliparous women without epidural analgesia delivered within two hours in second stage of labor. Estimating the probability of spontaneous delivery…
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…