In routine antenatal care, blood pressure is used as a screening tool for preeclampsia and its associated adverse outcomes. As such women with a blood pressure greater than 140/90 mm…
Background Pregnancy-related deaths in the United States are increasing. Medical, social, economic, and cultural issues have all been implicated in this trend, but few data exist to differentiate the relative…
The frequency of operative vaginal delivery has been declining, even though it can be an attractive alternative to cesarean delivery in selected cases. Performance of operative vaginal delivery required consideration…
Abstract: The novel corona virus 2019, or COVID-19, infection has rapidly spread through the New York metropolitan area since the first reported case in the state on March 1, 2020….
This limited initial US experience suggests a need for immediate changes in obstetric clinical practice. Two of seven (28.6%) confirmed COVID-19-positive were asymptomatic upon admission, and these same two soon…
Read More from AJOG MFM: COVID-19 in Pregnancy: Early Lessons
SOURCE: AJOG: Coronavirus Disease 2019 (COVID-19) Pandemic and Pregnancy ABSTRACT: The current coronavirus disease 2019 (COVID-19) pneumonia pandemic, caused by the severe acute respiratory syndrome 2 (SARS-CoV-2) virus, is spreading…
Read More from AJOG – Coronavirus Disease 2019 (COVID-19) Pandemic and Pregnancy
ABSTRACT Uterine contractions in labor result in a 60% reduction in uteroplacental perfusion, causing transient fetal and placental hypoxia. A healthy term fetus with a normally developed placenta is able…
Read More from AJOG: The physiology of intrapartum fetal compromise at term
ABSTRACT: The Centers for Disease Control and Prevention have demonstrated continuous increased risk for maternal mortality and severe morbidity with racial disparities among non-Hispanic black women an important contributing factor….
ABSTRACT: Background Management of preterm hypertensive disorders remains a clinical dilemma. The maternal benefits of delivery need to be weighed against the adverse neonatal consequences of preterm birth. Long-term consequences…
ABSTRACT: Amniotic fluid embolism is an uncommon, but potentially lethal, complication of pregnancy. Because amniotic fluid embolism usually is seen with cardiac arrest, the initial immediate response should be to…
Read More from AJOG: Amniotic fluid embolism: principles of early clinical management
SOURCE: Easter SR, Bateman BT, Sweeney VH, et al. A comorbidity-based screening tool to predict severe maternal morbidity at the time of delivery. Am J Obstet Gynecol 2019; DOI: https://doi.org/10.1016/j.ajog.2019.06.025…
ABSTRACT: Vaccines administered to women during pregnancy can provide protection against serious infectious diseases for the mother, for the newborn, or both. Maternal immunization boosts the concentration of maternal antibodies…
Interpregnancy care aims to maximize a woman’s level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is…
Read More from AJOG Obstetric Care Consensus #8: Interpregnancy Care
AJOG has published a two-part article on the Enhanced Recovery After Surgery (ERAS) Guidelines for perioperative care in cesarean delivery that provides best practice, evidenced-based, recommendations for preoperative, intraoperative, and…
BACKGROUND: How race is associated with adverse outcomes in the setting of postpartum hemorrhage is not well characterized. OBJECTIVE: The objective of this study was to assess how race is associated…
Read More from AJOG: Postpartum Hemorrhage Outcomes and Race
The current definition of postpartum hemorrhage is inadequate for early recognition of this important cause of maternal death that is responsible for >80,000 deaths worldwide in 2015. A stronger definition…
Read More from AJOG: Postpartum hemorrhage: new insights for definition and diagnosis
Reference: Hitti, Jane et al., Contribution of hypertension to severe maternal morbidity, American Journal of Obstetrics & Gynecology, article in press, DOI: https://doi.org/10.1016/j.ajog.2018.07.002 BACKGROUND: Maternal mortality and severe maternal morbidity are growing…
Read More from AJOG: Contribution of Hypertension to Severe Maternal Morbidity
Abstract Objective To decrease rates of admission hypothermia (<36 °C) in very-low-birth-weight (VLBW) newborns (<1,500 g). Design Quality improvement initiative. Setting/Local Problem Urban, Level IV NICU with 32 patient beds….
While there are well-accepted standards for the diagnosis of arrested active-phase labor, the definition of a “failed” induction of labor remains less certain. One approach to diagnosing a failed induction is…
Read More from AJOG Study: Defining Failed Induction of Labor
OBJECTIVE: We sought to compare the efficacy of intravenously administered hydralazine and oral nifedipine for acute blood pressure control in acute hypertensive emergency of pregnancy Click here to view the…
Read More from AJOG: Hydralazine vs nifedipine for acute hypertensive emergency in pregnancy
Perioperative pain management: an update for obstetrician-gynecologists Lamvu G, Feranec J, Blanton E, et al. Perioperative pain management: an update for obstetrician-gynecologists. Am J Obstet Gynecol 2017, doi: 10.1016/j.ajog.2017.06.021 Abstract: The opioid…
Abstract: Increase in the number of opioid-dependent pregnant women delivering babies at risk for neonatal abstinence syndrome prompted a US Government Accountability Office report documenting deficits in research and provider…
Read More from AJOG Article: Opioid Dependence and Pregnancy: Minimizing Stress on the Fetal Brain
Obstetric hemorrhage is the leading cause of severe maternal morbidity and of preventable maternal mortality in the United States. The California Maternal Quality Care Collaborative has developed a comprehensive quality…
Read More from AJOG Accepted Manuscript: Reduction of Severe Maternal Morbidity from Hemorrhage
Hypertensive disorders of pregnancy result in significant maternal morbidity and mortality. State and national guidelines have been proposed to increase treatment of patients with hypertensive emergencies or critically elevated blood…
Read More from AJOG Accepted Manuscript: Standardized Treatment of Critical Blood Pressure
Hypertensive diseases of pregnancy are associated with severe maternal morbidity and remain common causes of maternal death. Recently, national guidelines have become available to aid in recognition and management of…
This Obstetric Care Consensus is updated to reflect a limited, focused change in the description and presentation of data regarding the percentage of survival with moderate or severe impairment among…
Have you ever wondered about the difference between a “bundle” and a “protocol”? This document published in the April edition of the American Journal of Obstetrics and Gynecology outlines the…
Laurence E. Shields, MD; Suzanne Wiesner, RN, MBA; Catherine Klein, RN, CNM; Barbara Pelletreau, RN, MPH; Herman L. Hedriana, MD BACKGROUND: Maternal mortality in the United States has increased unabated…
Read More from AJOG: Use of Maternal Early Warning Trigger tool reduces maternal morbidity.
Pregnancy-Related Cardiovascular Deaths in California- Beyond Peripartum Cardiomyopathy Hameed AB, Lawton ES, McCain C, Morton CH, Mitchell C, Main EK, Foster E, American Journal of Obstetrics and Gynecology (2015), doi:…
Read More from AJOG Paper Highlight: Pregnancy-Related Cardiovascular Deaths in California
Center of Excellence for Placenta Accreta. Silver, Robert M., Fox, Karin A.; Barton, John R.; Abuhamad, Alfred Z.; Simhan, Hyagriv; Huls, C. Kevin; Belfort, Michael A.; Wright, Jason D. American…
Read More from AJOG Paper Highlight: Center of Excellence for Placenta Accreta