Article Link Abstract Objective To develop, implement, and evaluate an educational program to improve nurses’ management of the second stage of labor. Design Evidence-based practice project guided by the Iowa…
Read More from NWH: Improving Nurse Management of the Second Stage of Labor
Article Link Introduction Congenital heart defects, orofacial clefts, and neural tube defects share similar modifiable risk factors. The prevalence and trends of risk factors for these selected birth defects were…
Article Link Abstract Background/Objective Gestational diabetes mellitus (GDM) increases the risk of adverse perinatal outcomes. Understanding genetic-based risk for GDM is important for clinical risk prediction. The objective of this…
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 Background Approximately 20% of patients in the United States undergo an induction of labor (IOL). Patients undergoing induction are more likely to report lower birth satisfaction, especially…
Read More from MFM: Visual aids for induction of labor education: a randomized controlled trial
Article Link Abstract Introduction A traumatic childbirth can lead some women to develop birth-related posttraumatic stress symptoms (PTSS), an emotional stress response associated with posttraumatic stress disorder (PTSD). This study…
Article Link Abstract Background The effect of Breastfeeding Self-efficacy (BFSE) and the Baby-Friendly Hospital Initiative’s (BFHI) 10 Steps on breastfeeding initiation, continuation and exclusivity, is well established. However, direct evidence…
Article Link Abstract Introduction Depression in pregnancy is common and the use of antidepressants in pregnancy, especially sertraline, is on the rise. Although sertraline is known to cross the placenta,…
Article Link Abstract Introduction Iron-deficiency anemia is a common finding in pregnancy; however, current obstetric practice lacks standardized recommendations for its diagnosis and treatment during pregnancy, and data are limited…
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 Objective To implement an interprofessional communication tool before non-emergent cesarean births and evaluate individual nurse cesarean rates for women with low-risk pregnancies. Design A quality improvement initiative…
Article Link ABSTRACT BACKGROUND The rates of severe maternal morbidity in the United States continue to increase. The American College of Obstetricians and Gynecologists recommends close postpartum follow-up for patients at increased…
Article Link Abstract Introduction Rates of congenital syphilis and substance use disorder (SUD) have concurrently risen in pregnant patients. Specific substances and their association with inadequately treated syphilis have not…
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…
Article Link Abstract Background Ibuprofen has been shown to increase blood pressure in nonpregnant adults with hypertension, but its impact on blood pressure when used for postpartum analgesia in patients…
A Systematic Review and Meta-analysis Article Link ABSTRACT OBJECTIVE: To determine the effect of antenatal corticosteroid administration on childhood neurodevelopmental outcomes from studies that have a design that minimized the…
Read More from ACOG: Antenatal Corticosteroids and Child Neurodevelopment
Article Link ABSTRACT Cases of syphilis during pregnancy (maternal syphilis) have risen dramatically in the United States in recent years, with racially minoritized groups experiencing high rates and large increases….
An Analysis of the Pregnancy Risk Assessment Monitoring System, 2016–2022 Article Link ABSTRACT OBJECTIVE: To assess national U.S. trends in self-reported prepregnancy cardiometabolic risk factors and counseling about improving cardiometabolic…
Read More from ACOG: National Trends in Prepregnancy Cardiometabolic Risk and Counseling
Article Link ABSTRACT OBJECTIVE: To perform a meta-analysis of randomized and quasi-randomized trials investigating whether endometrial closure is associated with the risk of uterine scar defects, menstrual symptoms, and associated…
Article Link Abstract This Clinical Practice Update provides guidance related to management of the umbilical cord at birth based on recently published data regarding short, medium, and long deferral of…
Article Link ABSTRACT OBJECTIVE: To evaluate obstetric stakeholders’ attitudes and implementation considerations regarding the adoption of key components of a newly tailored prenatal care recommendation—PATH (Plan for Appropriate Tailored Healthcare…
Read More from ACOG: Stakeholder Perspectives of New Tailored Prenatal Care Delivery
Article Link ABSTRACT Healthy People 2030 aims to decrease low-risk cesarean delivery rates to 23.6% in the United States. In 2023, the national rate was 26.6%, though rates vary widely…
Read More from ACOG: Low-Risk Cesarean Delivery Rates by County of Birth in the United States
Article Link The participation of advanced practice registered nurses (APRNs) in neonatal care continues to be supported by the American Academy of Pediatrics. Traditionally, neonatal nurse practitioners and neonatal clinical…
Read More from AAP: Advanced Practice Nursing in Neonatology: Clinical Report
Article Link This policy statement updates the recommendations of the American Academy of Pediatrics (AAP) for the use of coronavirus disease 2019 (COVID-19) vaccines in the prevention of severe COVID-19…
Article Link INTRODUCTION This Policy Statement outlines the American Academy of Pediatrics’ recommendations for respiratory syncytial virus immunization (Open Access)….
Article Link Abstract Cesarean delivery is one of the most common operations in the world, and a growing number of cesarean deliveries are performed in the United States each year….
Article Link ABSTRACT OBJECTIVE: To evaluate antibiotic regimens for the optimization of maternal and neonatal outcomes in pregnancies affected by chorioamnionitis. METHODS: A change in the standard antibiotic regimen for…