Article Link Abstract A prior cesarean section is the primary risk factor for uterine rupture in a trial of labor after cesarean, a rare event associated with severe maternal and…
Article Link Abstract Introduction Mental health, at the opposite end of the spectrum from mental illness, is an important yet understudied aspect of maternal well-being. We sought to characterize aspects…
Article Link Abstract Introduction Approximately 40% of obstetric patients do not attend a postpartum visit. Postpartum parents of preterm infants (<37 weeks) are often sicker than parents of full-term infants. Nonetheless,…
Read More from Pregnancy: Length of gestation and postpartum visit attendance
Article Link Abstract The heritability of hypertensive disorders of pregnancy (HDP) and HDP’s association with cardiovascular disease in adult offspring were explored through a systematic review and meta-analysis. MEDLINE and…
Article Link ABSTRACT In this issue of Pediatrics, Rostad et al1 summarize the interim analysis of the safety and immunologic results of 4 approaches to achieve levels of anti-RSV (respiratory syncytial virus) neutralizing antibodies…
Article Link OBJECTIVE Infants with neonatal opioid withdrawal syndrome (NOWS) often experience excessive weight loss while in the hospital after birth. However, the growth patterns of these infants after hospital…
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 Background With increasing rates of labor induction and trial of labor after cesarean, induction of labor after cesarean (IOLAC) is becoming more common. However, predictors of success…
Article Link Abstract Objectives To determine the extent of stigmatizing attitudes among perinatal registered nurses in North Carolina, examine correlates of stigmatizing attitudes, and describe nurses’ attitudes about patients with…
Read More from NWH: Nurses’ Attitudes Toward Patients With Perinatal Substance Use Disorder
Article Link Abstract Unrelieved intraoperative pain during cesarean birth is an underrecognized complication with important clinical and psychological implications. Evidence indicates that intraoperative pain during cesarean birth is more common…
Article Link Position The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) emphasizes the critical importance of preparation tailored to the specific, clearly defined roles of team members involved…
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: To evaluate the odds of congenital syphilis in neonates of mothers with a history of adequately treated prepregnancy syphilis compared with those with no prepregnancy history…
Read More from ACOG: History of Treated Syphilis Before Pregnancy and Risk of Congenital Syphilis
Article Link ABSTRACT OBJECTIVE: To determine whether an intrauterine balloon tamponade duration of 6 hours is noninferior to a duration of 18 hours for controlling bleeding after vaginal delivery, as…
Article Link ABSTRACT Persistent inequities in severe maternal morbidity (SMM) and maternal mortality in the United States have received national attention over the past decade. This scoping review aimed to…
Article Link ABSTRACTOBJECTIVE: To evaluate whether there is an association between state-level Medicaid expansion and severe maternal morbidity (SMM) among Medicaid enrollees who delivered between 2010 and 2018. METHODS: This…
Read More from ACOG: Medicaid Expansion and Severe Maternal Morbidity
Article Link ABSTRACT Inequalities in severe maternal morbidity (SMM) and mortality in high-income countries are persistent, socially patterned, and evident across multiple dimensions, including socioeconomic deprivation, race and ethnicity, and…
Article Link ABSTRACT OBJECTIVE: To characterize distinct medications for opioid use disorder (MOUD) trajectories during pregnancy and evaluate their associations with adverse perinatal maternal outcomes. METHODS: A retrospective cohort study…
Article Link ABSTRACT OBJECTIVE: To describe trends in rates of pregnancy, live birth, and gestational outcomes and to assess variation by maternal demographic characteristics. METHODS: We conducted a retrospective cohort…
Article Link ABSTRACT Out-of-hospital births represent a small but growing proportion of deliveries in the United States. Although many of these births are planned and supervised by a midwife, deliveries…
Article Link ABSTRACT Access to maternity care in the United States is becoming more disparate, leading to worsening maternal and infant outcomes in rural communities. Increases in maternal and infant…
Article Link INTRODUCTION A previously healthy infant presented at several weeks of age with irritability and cutaneous bleeding. Laboratory testing demonstrated a profound coagulopathy with markedly prolonged prothrombin and activated…
Article Link ABSTRACT OBJECTIVE Opioid use disorder (OUD) in pregnancy has increased substantially, with illicit fentanyl now the most common illicit opioid. Limited data exist on the impact of antenatal…
Article Link Abstract Background We know context matters for successful implementation, but few studies have shown which contextual areas are most influential to implementation outcomes. The Atlas Context Assessment was…
Article Link Abstract Introduction Although state, federal, and professional guidelines stipulate the need for informed consent for toxicology testing during pregnancy, consent is often inadequately obtained. The objective of this…