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…
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 ABSTRACT Objectives: This systematic review and meta-analysis discuss how birth plans impact maternal and infant outcomes. Our main objective is to analyze maternal fear of childbirth, labor phases…
Article Link ABSTRACT Clinical guidelines recommend avoiding cannabinoids, including cannabidiol (CBD), during pregnancy and lactation. Use of CBD is widespread, but prevalence in pregnancy and among women of reproductive age…
Article Link ABSTRACT OBJECTIVE: To evaluate whether there is an association between the Centers for Disease Control and Prevention (CDC) Social Vulnerability Index (SVI) score and postpartum care attendance. METHODS: …
Read More from ACOG: Social Vulnerability Index and Its Association With Postpartum Care Attendance
Article Link ABSTRACT OBJECTIVE: To assess the association between opioid exposure in the childbirth period and persistent postpartum opioid use and to evaluate whether there are differential associations based on…
Read More from ACOG: Postpartum Persistent Opioid Use After Opioid Exposure for Childbirth