Article Link Abstract Importance Hypertensive disorders of pregnancy (HDPs) are associated with an increased long-term risk of cardiovascular disease, but the risks across different HDP subtypes, particularly those other than preeclampsia,…
Read More from JAMA: Hypertensive Disorders of Pregnancy Subtypes and Long-Term Cardiovascular Risk
Article Link Abstract Importance Infants with neonatal opioid withdrawal syndrome (NOWS) who receive pharmacologic treatment are traditionally treated with a scheduled opioid taper. An alternate approach, symptom-based dosing, may better align…
Article Link INTRODUCTION Hepatitis B virus (HBV) vaccination has substantially reduced HBV-related morbidity and mortality.1 Infants infected with HBV in the first year of life have a 90% risk of developing…
Read More from JAMA: US Newborn Hepatitis B Virus Vaccination Rates
Article Link Abstract Importance Studies examining community births (ie, births that occur outside of a hospital setting, such as at home or in a birth center) often misclassify transfers to hospitals…
Read More from JAMA: Planned Community Birth and Birth Outcomes
Article Link Abstract Importance Advances in medical care and clinician experience have lowered the gestational age at which resuscitation is considered for extremely premature infants. Some centers now offer trials of…
Read More from JAMA: Outcomes of Infants Born at 21 Weeks’ Gestational Age
Article Link INTRODUCTION Routine newborn intramuscular vitamin K prophylaxis has nearly eliminated vitamin K deficiency bleeding in the US since initiation of universal administration in 1961.1 Nonetheless, there are reports of…
Read More from JAMA: Trends in Vitamin K Administration Among Infants
Article Link Abstract Importance Infant mortality, ie, death within the first year of life, serves as a critical health indicator. Objective To evaluate the association of maternal residence in counties with no…
Read More from JAMA: Maternity Care Access and Infant Mortality
Article Link Abstract Importance Clinical guidelines recommend routine screening for postpartum depression (PPD) during well-child visits. All but 5 US states provide Medicaid reimbursement to pediatric practitioners for screening mothers for…
Article Link Introduction Access to high-quality US hospital–based perinatal care is limited, contributing to poor outcomes.1 Because perinatal care is often Medicaid-funded with high fixed costs for specialized units, its provision…
Article Link ABSTRACT Importance Suicide is a leading cause of maternal postpartum death. Evidence-based interventions are needed. Objective To determine whether the likelihood of endorsing suicide ideation (SI) changed during a brief…
Article Link ABSTRACT Importance Neonatal intensive care has advanced over recent decades, yet premature birth remains associated with increased neonatal mortality and morbidity. Objective To describe health service use, morbidity, and medication…
Article Link Abstract Importance Prenatal cannabis use continues to increase, and cannabis remains the most commonly used illegal substance in pregnancy. Accumulating evidence suggests potential adverse effects on fetal and neonatal…
Article Link Abstract Importance Clinical guidelines recommend routine screening for postpartum depression (PPD) during well-child visits. All but 5 US states provide Medicaid reimbursement to pediatric practitioners for screening mothers for…
Article Link Abstract Importance Intimate partner violence (IPV) affects millions of US residents across the lifespan and is often unrecognized. Abuse of older or vulnerable adults by a caregiver or someone…
Article Link Abstract Importance The US has the highest rate of preganncy-related death among high-income countries, and disparities continue to widen despite many of these deaths being largely preventable. Objective To examine…
Read More from JAMA: Pregnancy-Related Deaths in the US, 2018-2022
Article Link Abstract Importance While rising maternal morbidity and mortality have been well documented in the US, national data on general maternal physical and mental health beyond the perinatal period are…
Read More from JAMA: Trends and Disparities in Maternal Self-Reported Mental and Physical Health
Article Link Abstract Importance Accurately measuring maternal mortality trends has been challenging due to changes in data collection. This work disambiguates trends from the effects of introducing the pregnancy checkbox on…
Read More from JAMA: Trends in Maternal, Fetal, and Infant Mortality in the US, 2000-2023
Article Link Abstract Importance Opioid use disorder (OUD) in pregnancy has grown in the US. Buprenorphine, a medication to treat OUD, may improve pregnancy outcomes; however, most pregnant individuals do not…
Read More from JAMA: Buprenorphine Treatment in Pregnancy and Maternal-Infant Outcomes
Article Link Abstract Importance The association between breastfeeding and health benefits in children has been previously well established; health benefits have also been found for women who breastfeed. However, breastfeeding rates…
Article Link Abstract Importance: Hypothermia begun less than 6 hours after birth reduces death or disability in infants with encephalopathy due to hypoxia-ischemia at 36 or more weeks’ gestation. Trials of…
Article Link Abstract Importance Current evidence of the association between prenatal exposure to glucocorticoids and long-term mental disorders is scarce and has limitations. Objective To investigate the association between prenatal exposure to…
Read More from JAMA: Mental Disorders Among Offspring Prenatally Exposed to Systemic Glucocorticoids
Article Link Abstract Importance Food insecurity is a growing public health concern, but its association with perinatal complications remains unclear. Objective To examine whether food insecurity in pregnancy was associated with the…
Article Link Abstract Importance The feasibility of implementing genome sequencing as an adjunct to traditional newborn screening (NBS) in newborns of different racial and ethnic groups is not well understood. Objective To…
Access the full Research Letter Results This study included 4964 short-term acute care hospitals (1982 in rural counties and 2982 in urban counties). In 2010, 43.1% (843/1955) of rural hospitals…
Read More from JAMA: Obstetric Care Access at Rural and Urban Hospitals in the United States
Article Link Abstract Importance Cannabis use among pregnant individuals has increased. Depression and stress are frequently reported motives for cannabis use that may prolong using cannabis during pregnancy. Objective To examine associations…
Article Link Abstract Importance Understanding whether there are racial and ethnic and residential disparities in prenatal telehealth uptake is necessary for ensuring equitable access and guiding implementation of future hybrid (ie,…
Article Link Abstract Importance The associations of exposure to fine particulate matter (PM2.5) and its constituents with spontaneous preterm birth (sPTB) remain understudied. Identifying subpopulations at increased risk characterized by socioeconomic…
Read More from JAMA: Fine Particulate Matter, Its Constituents, and Spontaneous Preterm Birth
Article Link Abstract Importance Postpartum depression (PPD) poses significant risks to maternal and child health. Understanding temporal trends is crucial for evaluating prevalence and identifying populations at risk. Objective To evaluate recent…
Article Link Abstract Importance Antiseizure medications (ASMs) are potential teratogens commonly prescribed for multiple indications. ASM fetal exposure can impair neurodevelopment. Folate improves pregnancy outcomes, but higher doses may pose…
https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2824356 Abstract Importance The incidence of severe maternal morbidity (SMM)—and particularly cardiovascular SMM (cvSMM), the first cause of pregnancy-related mortality—has been rising in North America. Although hypertensive disorders of pregnancy (HDP)…