Despite current recommendations against its use, activity restriction remains a common intervention used to prevent preterm birth in multiple clinical settings. Hypertensive disorders of pregnancy, preterm premature rupture of membranes,…
Read More from SMFM Consult Series #50: The role of activity restriction in obstetric management
Venous thromboembolism is a major cause of maternal morbidity and mortality. The risk of venous thromboembolism is particularly elevated during the postpartum period and especially after cesarean delivery. There is…
Read More from SMFM Consult Series #51: Thromboembolism prophylaxis for cesarean delivery
ABSTRACT Recent evidence supports the use of an early, short course of glucocorticoids in patients with COVID-19 who require mechanical ventilation or oxygen support. As the number of coronavirus disease…
ABSTRACT OBJECTIVE: To evaluate characteristics associated with adverse outcomes in low-risk nulliparous women randomized to elective labor induction at 39 weeks of gestation or expectant management. METHODS: We conducted a…
ABSTRACT OBJECTIVE: To develop models to predict vaginal delivery in low-risk, nulliparous women contemplating elective induction of labor or expectant management at 39 weeks of gestation. METHODS: We conducted a…
ABSTRACT Since 1970, the American College of Obstetricians and Gynecologists’ Committee on American Indian and Alaska Native Women’s Health has partnered with the Indian Health Service and health care facilities…
Read More from ACOG: A 50-Year Commitment to American Indian and Alaska Native Women
Cervical ripening, induction, and augmentation of labor are common interventions on labor and delivery units, and nurses provide most of the hands-on, direct care for women undergoing these procedures. This…
About HEAR HER: Over 700 women die each year in this country from problems related to pregnancy or delivery complications. Every death is a tragedy, especially when we know that…
Advances in Neonatal Care October 2020, Volume 20, Issue 5 Guest Editorial 347–348 Care of the Infant and Family Affected by Neonatal Abstinence Syndrome (NAS) Across Multiple Settings Lisa M….
Read More from Advances in Neonatal Care released a special issue on NAS
ABSTRACT OBJECTIVE: To assess whether outpatient cervical ripening with a transcervical Foley catheter in nulliparous women undergoing elective labor induction shortens the time from admission to delivery. METHODS: We performed…
Read More from ACOG: Outpatient Foley Catheter for Induction of Labor in Nulliparous Women
ABSTRACT BACKGROUND: Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide, with uterine atony responsible in 80% of cases. In intractable cases, hysterectomy is the final treatment,…
As an internal medicine and pediatric hospitalist in the home stretch of my third pregnancy, my daily focus is on squeezing into scrubs, following strict infection control procedures, and keeping…
Read More from Pediatrics: Perspective on Skin-to-Skin Care and COVID-19
ABSTRACT OBJECTIVE: To assess trends in polysubstance use among pregnant women with opioid use disorder in the United States. METHODS: We conducted a time trend analysis of pooled, cross-sectional data…
As the coronavirus disease 2019 (COVID-19) pandemic continues, its impact on newborns remains uncertain. Early reports from China suggested that although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection could…
Maternal morbidity attributable to substance use is high, and illicit substance use in pregnancy occurs regardless of racial or socioeconomic status.1–4 National guidelines promote universal screening for substance use in…
Read More from ACOG: Toxicology Testing in Pregnancy Evaluating the Role of Social Profiling
ABSTRACT OBJECTIVES: (1) To identify a resource use inflection point (RU-IP) beyond which patients in the NICU no longer received NICU-level care, (2) to quantify variability between hospitals in patient-days…
Read More from Pediatrics: The Resource Use Inflection Point for Safe NICU Discharge
ABSTRACT OBJECTIVE: To develop and validate an expanded obstetric comorbidity score for predicting severe maternal morbidity that can be applied consistently across contemporary U.S. patient discharge data sets. METHODS: Discharge…
INTRODUCTION Timely access to care, including cesarean delivery, is critical for optimizing obstetric and neonatal outcomes. The Lancet Commission on Global Surgery defines access to timely essential surgery as the…
Read More from ACOG: Travel Time to Access Obstetric and Neonatal Care in the United States
From the American Academy of Family Physicians; American College of Nurse-Midwives; American College of Obstetricians and Gynecologists; and Association of Women’s Health, Obstetric and Neonatal Nurses, read our joint Call…
What is new in this update? The first AAP neonatal guidance was provided on April 2, 2020, near the onset of the global pandemic, when it was apparent that SARS-CoV-2…
Abstract Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2–8% of pregnancies globally (1). In…
Read More from ACOG Practice Bulletin No. 22: Gestational Hypertension and Preeclampsia
Abstract Introduction Women of color are at increased risk for poor birth outcomes, often driven by upstream social determinants and socially structured systems. Given the increasing rate of maternal mortality…
Ariadne Labs and Boston College Connell School of Nursing are conducting research to understand the best practices of labor & delivery nurses to improve patient safety and help transform maternity…
Abstract Objectives This report presents 2018 infant mortality statistics by age at death, maternal race and Hispanic origin, maternal age, gestational age, leading causes of death, and maternal state of…
FPQC’s Four-Part Video Series on Maternal Opioid Recovery Effort…
Read More from Check out FPQC’s Four-Part Video Series on Maternal Opioid Recovery Effort
As the coronavirus disease 2019 (COVID-19) pandemic evolves across the globe, there is increasing interest in screening and surveillance for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), known to cause…
ABSTRACT BACKGROUND AND OBJECTIVES: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a newly identified pathogen that mainly spreads by droplets. Most published studies have been focused on adult patients…
Read More from Pediatrics: Coinfection and Other Clinical Characteristics of COVID-19 in Children