Practice Gap Concrete interventions that advance antiracism within the field of neonatology are required to address neonatal racial/ethnic health inequities and improve care and outcomes for historically marginalized patients and…
ABSTRACT Pediatricians across the United States encounter infants, children, adolescents, young adults, and families affected by substance use disorders in their daily practice. For much of history, substance use has…
ABSTRACT BACKGROUND AND OBJECTIVES: Hypoglycemia occurs in 5% to 15% of neonates in the first few days. A significant proportion requires admission for intravenous fluids. Dextrose gel may reduce admissions…
This Practice Advisory was developed by the American College of Obstetricians and Gynecologists’ Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group in collaboration with Laura E. Riley, MD;…
Key Recommendations The American College of Obstetricians and Gynecologists (ACOG) strongly recommends that pregnant individuals be vaccinated against COVID-19. Given the potential for severe illness and death during pregnancy, completion…
Read More from ACOG: COVID-19 Vaccines and Pregnancy: Conversation Guide
Background Low-dose aspirin has been used during pregnancy most commonly to prevent or delay the onset of preeclampsia 1. The previous recommendation from the American College of Obstetricians and Gynecologists…
Intrauterine resuscitation in the setting of a Category II or III fetal heart tracing is addressed in Practice Bulletin No. 106, “Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General…
Background Globally, the number of children born by cesarean delivery is constantly increasing. However, hormonal and physiological changes associated with labor and vaginal delivery are considered necessary for lung maturation….
Read More from AJOG: Are children born by cesarean delivery at higher risk for respiratory sequelae?
The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) recommends that nurse orientation is customized to meet the needs of the individual orientee based on baseline knowledge and preferred…
ABSTRACT Context Perinatal death is an increasingly important problem as the COVID-19 pandemic continues, but the mechanism of death has been unclear. Objective To evaluate the role of the placenta…
NEWS RELEASE FROM HHS: The U.S. Department of Health and Human Services (HHS) together with leading clinicians, researchers, and policy experts led the development of a standard clinical definition for…
Read More from HHS Announces a Standard Clinical Definition for Opioid Withdrawal in Infants
Abstract Objectives To examine the relationships among intrapartum (IP) nurses’ beliefs regarding birth (physiologic birth/medicalized birth) and their experience, education, and certification; to assess IP nurses’ beliefs about birth practices…
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Read More from Newborn Screening Tip of the Month January: Filling Out the Form Completely
Abstract Background Shared decision-making (SDM) may improve communication, teamwork, patient experience, respectful maternity care, and safety during childbirth. Despite these benefits, SDM is not widely implemented, and strategies for implementing…
What is new in this update? The first AAP neonatal guidance was provided on April 2, 2020, shortly after the onset of the global pandemic, when it was apparent that…
Read More from AAP: FAQs: Management of Infants Born to Mothers with Suspected or Confirmed COVID-19
ABSTRACT Substance use in pregnancy is common; nearly one of five of pregnant individuals have past-month nicotine, alcohol, or illicit substance use, and more than one in 10 meet criteria…
Accounting for adverse events and outcomes related to maternity is fundamental to measuring the health of populations and the systems for delivering medical care. Traditionally, maternal mortality has been such…
ABSTRACT A central question for patients and clinicians is whether potential benefits of pharmacologic treatments for perinatal mental health disorders outweigh potential harms. Given lack of consensus on best practices,…
Read More from ACOG: Pharmacologic Treatment for Perinatal Mental Health Disorders
ABSTRACT OBJECTIVE: To evaluate whether outpatient cervical ripening with a balloon catheter results in a shorter amount of time in the labor and delivery unit when compared with use in…
Read More from ACOG: Outpatient Cervical Ripening with Balloon Catheters
ABSTRACT OBJECTIVE: To estimate the prevalence of pregnancy-associated deaths due to drugs, suicide, and homicide nationwide from 2010 to 2019. METHODS: Using U.S. death certificate records from 2010 to 2019…
ABSTRACT OBJECTIVE: To assess whether application of a standard algorithm to hospitalizations in the prenatal and postpartum (42 days) periods increases identification of severe maternal morbidity (SMM) beyond analysis of…
Read More from ACOG: Using Longitudinally Linked Data to Measure Severe Maternal Morbidity
ABSTRACT OBJECTIVE: To assess variations in low-risk cesarean delivery rates in the United States using the Society for Maternal-Fetal Medicine (SMFM) definition of low-risk for cesarean delivery and to identify…
ABSTRACT Background The onset of the term human parturition involves myometrial gene expression changes to transform the uterus from a quiescent to a contractile phenotype. It is uncertain whether the…
ABSTRACT Background Antenatal depression affects approximately 1 of 7 pregnancies, with an increasing prevalence across gestation. Data regarding the associations between antenatal depression and adverse pregnancy outcomes yielded conflicting results….
Read More from AJOG: Trajectories of antenatal depression and adverse pregnancy outcomes
ABSTRACT Background The rate of cesarean delivery is continuously increasing with the leading indication being a previous cesarean delivery. For women with 1 previous cesarean delivery, it is generally agreed…
Read More from AJOG: Timing of cesarean delivery in women with ≥2 previous cesarean deliveries
ABSTRACT Background Determining fetal head descent, expressed as fetal head station and engagement is an essential part of monitoring progression in labor. Assessing fetal head station is based on the…
ABSTRACT Background The safest mode of delivery to use for very preterm infants is an ongoing topic of debate. There are many reasons to perform a cesarean delivery in cases…
Read More from AJOG: Neonatal morbidity and mortality by mode of delivery in very preterm neonates
ABSTRACT Background 17α-hydroxyprogesterone caproate is a synthetic progestogen initially approved in the 1950s to treat gynecologic and obstetrical conditions. Despite continued concerns about safety and short-term efficacy regarding the use…
New from Centers for Disease Control & Prevention (CDC) As part of their 2021 Breastfeeding Report Card, the CDC has added a new feature to their statistics. They now offer a…
Abstract Objective To use a scoping review to explore the existing literature on best practice guidelines for safe, dignified, and compassionate care in the labor and birth setting for pregnant…