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
Article Link Abstract Background Worsening neonatal outcomes over time among planned vaginal births following a previous cesarean were reported in Canada; what drove the change remained unclear. Objective We aimed…
Article Link Abstract Objective Understanding the rates and timing of postpartum complications can facilitate timely screening and management to reduce preventable morbidity and mortality. The aim of this study was…
Article Link Abstract Background While the National Academy of Medicine, formerly known as the Institute of Medicine, recommends the optimum weight change in the second and third trimesters combined, the…
Read More from AJOG: Reevaluating optimal weight changes across the stages of pregnancy
Article Link Abstract Background Substantial heterogeneity has been reported in estimates of long-term sequelae following SARS-CoV-2 infection in pregnant women, and most studies were conducted pre-Omicron and pre-dated vaccination rollout….
Article Link Abstract Background Infants affected by late fetal growth restriction are at risk of adverse perinatal outcomes, either due to placental insufficiency or the consequences of late iatrogenic prematurity….
Article Link Abstract Objective The most widely used population reference standard for fetal growth assessment in the United States is the Hadlock 1991 population reference. However, we detected discrepancies in…
Read More from AJOG: Revisiting the Hadlock 1991 population reference for estimated fetal weight
Article Link Abstract Background Macrosomia, classically defined by an arbitrary birthweight threshold, is associated with an increased risk of postpartum hemorrhage. However, some preliminary evidence suggests that lower birthweights may…
Article Link Abstract Background Macrosomia, classically defined by an arbitrary birthweight threshold, is associated with an increased risk of postpartum hemorrhage. However, some preliminary evidence suggests that lower birthweights may…
Article Link Abstract Background Prelabor rupture of membranes is a risk factor for maternal and neonatal infectious morbidity. Ampicillin is indicated for patients with unknown group B Streptococcus status and prelabor rupture…
Article Link Abstract Background The United States maternal mortality rate increased after 2018, with a marked increase in 2021 followed by a decline in 2022 and 2023. Trends at the…
Read More from AJOG: Trends in Maternal Mortality Rates by State, United States, 2018-2023
Article Link Introduction Aspirin initiated before 16 weeks of gestation at a dose of >100 mg daily reduces the risk of preterm preeclampsia (PE).1 In the Combined Multimarker Screening and Randomized…
Read More from AJOG: Aspirin delays preeclampsia in women with chronic hypertension
Article Link Abstract Background Postpartum hemorrhage is the most common complication in obstetrics and is a leading cause of serious maternal morbidity. Women with one previous cesarean delivery are at…