Article Link ABSTRACT OBJECTIVE: To compare the efficacy of two antibiotic regimens (cefazolin vs clindamycin plus gentamicin) for preventing infectious complications after planned cesarean delivery. METHODS: A retrospective cohort study…
Article Link Abstract The unique physiology of the pregnant and postpartum patient, along with the challenges of the emergency department setting, may increase the risk factors for preventable harm in…
Read More from MCN: Collaborative Approaches in the Emergency Department for Maternity Patients
Article Link ABSTRACT Introduction: Doulas are skilled paraprofessionals who provide supportive care to pregnant women and birthing people resulting in improved outcomes. However, conflicts persist between health care providers and…
Read More from MCN: Racial Minority Doulas’ Perceptions of Hospital Team-Based Care
Article Link ABSTRACT Amniotic fluid embolism (AFE) is a life-threatening complication occurring during pregnancy, labor, or birth and is characterized by sudden cardio-respiratory collapse and disseminated intravascular coagulopathy. Amniotic fluid…
Read More from MCN: Effective Communication During and After an Amniotic Fluid Embolism
Article Link BACKGROUND AND OBJECTIVES Identifying neonates at risk for neonatal opioid withdrawal syndrome (NOWS) is important to ensure adequate monitoring and treatment. We sought to evaluate 3 screening modalities—maternal…
Read More from AAP: Maternal and Infant Opioid Screening for Neonates at Risk
Article Link ABSTRACT Background: Workplace violence, a known contributor to burnout, is on the rise among health care workers, including nurses. Recent interest in the implementation of a trauma-informed care…
Read More from AJN: Health Care Workers and Burnout: A Cross-Sectional Study
Article Link Abstract Background: Neuraxial anesthesia is the definitive standard technique for cesarean delivery; however, pain during cesarean delivery may be underreported. The primary aim of this systematic review and…
Article Link ABSTRACT In 2019, the American College of Obstetricians and Gynecologists recommended that universal prenatal group B streptococcus (GBS) screening be shifted from 35 0/7–37 6/7 weeks of gestation…
Article Link Abstract Background We are lacking data with a high level of evidence on the use of episiotomy during instrumental delivery to prevent anal sphincter injury, which nonetheless presents…
Article Link Abstract This Clinical Practice Update provides revised guidance on the use of nonsurgical hemorrhage-control devices. This document is a focused update of related content in Practice Bulletin No….
Article Link Abstract Importance Post-Traumatic Stress Disorder (PTSD) is a prevalent and debilitating mental health condition. PTSD may be an important underlying mechanism in pregnancy and obstetric complications as well…
Article Link OBJECTIVE Massachusetts implemented the “Eat, Sleep, Console” (ESC) initiative to manage neonatal abstinence syndrome (NAS) through its state Perinatal-Neonatal Quality Improvement Network (PNQIN) starting in 2017. This study…
Article Link Abstract Introduction Gestational diabetes mellitus (GDM) is defined as an abnormal glucose tolerance first diagnosed during pregnancy. The 100-g oral glucose tolerance test (OGTT), applied exclusively during pregnancy,…
Article Link Abstract Background The use of glucagon-like peptide-1 receptor agonists has greatly increased in patients of reproductive age within the past 4 years. However, there is limited research on…
Article Link OBJECTIVE: To evaluate demographic, pregnancy, and labor characteristics and perinatal outcomes related to intrapartum cesarean delivery in twin gestations. METHODS: We conducted a population-based retrospective cohort study of…
Article Link ABSTRACT OBJECTIVE: To quantify mortality trends among female individuals of childbearing age (15–49 years) across global regions from 1990 to 2021, systematically evaluating persistent geographic inequities in preventable…
Article Link Abstract Sepsis and septic shock are leading causes of maternal morbidity and mortality. Sepsis complicates an estimated 1 in 1,000 pregnancies and is responsible for 24% of in-hospital…
Read More from ACOG: Sepsis and Septic Shock During Pregnancy and Postpartum
Article Link OBJECTIVE: To evaluate the association between the level of maternity care access and maternal and pregnancy-related mortality. METHODS: This was a cross-sectional analysis of county-level data in the…
Article Link Abstract Introduction Prior research has demonstrated associations between unintended pregnancy and adverse birth outcomes. The recent restrictions on abortion access may result in a rise in unintended pregnancy….
Article Link 1 INTRODUCTION In 2025, the World Health Organization (WHO) has published a new evidence-based clinical practice guideline to support the provision of high-quality care for women with sickle-cell…
Article Link Abstract Introduction Prior retrospective data demonstrated that standardization of labor induction may reduce racial disparities in cesarean delivery and morbidity. Here, we aimed to determine the impact of…
Article Link Abstract Background Prior studies indicate that unintended and unwanted pregnancies can be associated with poor obstetric outcomes. Objective This study examined whether an unintended or unwanted pregnancy was…
Read More from MFM: Unwanted pregnancies are associated with preterm birth, but not low birth weight
Article Link Abstract Background Defining, preventing, and evaluating severe maternal morbidity (SMM) has become an important component of obstetric care delivery, but existing frameworks for SMM do not account for…
Read More from MFM: Developing a novel patient-centered definition of severe maternal morbidity
Article Link Introduction Pasteurized donor human milk (PDHM) is recommended when mother’s own milk is unavailable or contraindicated.1,2 Guidance prioritizes human milk for infants with very low birth weight (<1500 g) as…
Read More from AAP: Changes in Donor Human Milk Use Among US Hospitals: 2018–2024
Article Link Introduction Over the last several decades, there has been a steady increase in medical and surgical interventions provided for infants and children with trisomy 13 or trisomy 18…
Article Link Abstract We identified obstetric service status for every rural and urban short-term acute care hospital in every US state. During 2010–22, seven states had at least 25 percent of…
Article Link OBJECTIVE: To evaluate the effectiveness of influenza vaccination during pregnancy against influenza in infants during their first 6 months of life. METHODS: We conducted a cohort study among…
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 Background Most medical responders are not adequately trained to recognize and treat maternal medical emergencies, including maternal cardiac arrest, and national credentialing standards do not exist. Obstetric…
Article Link Abstract Background Traditionally, hospital perinatal quality and rankings have been based on cesarean rates among nulliparous, term, singleton, vertex patients, and recently added unexpected term newborn complication rates…