Pregnancy: On failing in pregnancy
Article Link Introduction A colleague on Labor and Delivery recently sought my advice about one of her pregnant patients whom I was co-managing. In giving me the update, she mentioned…
Pregnancy: Association between postoperative length of stay after cesarean delivery and postpartum maternal complications
Article Link Abstract Introduction There is no standard for how long a patient’s postpartum stay should be after cesarean delivery. There are known patient- and system-level benefits of shortening the…
Birth: Impact of Traumatic Childbirth and Birth-Related Posttraumatic Stress Disorder on Breastfeeding Outcomes: A Systematic Review of Longitudinal and Cohort Studies
Article Link ABSTRACT Background Breastfeeding is the most recommended form of infant nutrition during the first months of life. Mother’s perception of childbirth as traumatic, or birth-related diagnosis of Posttraumatic…
JMWH: Barriers to Birth Center Integration Into the Perinatal Health System in New Jersey: A Qualitative Analysis
Article Link Abstract Introduction When compared with hospitals, evidence has shown that freestanding birth centers are a high-value but underused birth setting offering midwifery care for individuals with low-risk pregnancies….
MFM: Postpartum health-care utilization and blood pressure control by antihypertensive agent in hypertensive disorders of pregnancy
Article Link Abstract BACKGROUND Hypertensive disorders of pregnancy are a significant contributor to maternal morbidity and mortality in the postpartum period and are the leading cause of postpartum readmission following…
MFM: Physical activity during pregnancy and depression, anxiety and stress: randomized clinical trials
Article Link Abstract Background Pregnancy is not an emotionally stable period; pregnant women could suffer psychological lability influenced by hormonal variation between trimesters of gestation. The COVID-19 pandemic and the…
AJOG: The relationship between virtual antenatal care and pregnancy outcomes in a diverse UK inner-city population: a group-based trajectory modeling approach using routine health records
Article Link Abstract Background The COVID-19 pandemic resulted in major reconfiguration of maternity services, particularly an increase in virtual antenatal care. Objective We explored associations between virtual antenatal care trajectories…
AJOG: Clinical outcomes following implementation of an operative vaginal birth safety bundle: a prospective observational study and time-series analysis
Article Link Abstract Background Poor outcomes from operative vaginal birth are associated with failure to recognize malposition, lack of interdisciplinary communication, and deviation from accepted guidelines. We implemented a safety…
AJOG: Outcomes with cesarean delivery vs vaginal birth in extremely preterm breech singletons
Article Link Abstract Background Decision-making regarding breech extremely preterm mode of birth is difficult. Seeming benefits with cesarean delivery in previous studies may have been due to other factors that…
AJOG: Ultrasound screening for vasa previa: a systematic review and meta-analysis
Article Link Abstract Objective To evaluate the prenatal detection of vasa previa and perinatal survival in studies that implemented standardized protocols of prospective second-trimester ultrasound screening protocols followed by ultrasound…
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AJOG: Transabdominal vs transvaginal cervical cerclage in the prevention of preterm birth: a systematic review and meta-analysis
Article Link Abstract Objective The aim of this meta-analysis was to compare the impact of transvaginal and transabdominal cervical cerclage on obstetrical and perinatal outcomes in women at risk for…
AJOG: Formation of the placental membranes and pathophysiological origin of associated great obstetrical syndromes
Article Link Abstract Formation of the smooth membranes is an essential phase of human placentation to allow safe rupture of the chorionic sac and birth of the fetus without damaging…
AAP: Prenatal Substance Exposure and Child Protection System Involvement to Age 12 Years
Article Link BACKGROUND AND OBJECTIVES Children with prenatal substance exposure are at high risk of child protection involvement during infancy. We quantified the risk and timing of child protection system…
AAP: Too Simple of a Story: Contextualizing Child Protection Responses to Prenatal Substance Exposure
Article Link ABSTRACT Infants and children with prenatal substance exposure (PSE) experience high rates of child protection system (CPS) involvement.1 Reporting to CPS is often initiated around the time of birth…
JOGNN: Human Factors Evaluation of the Use of Workarounds Among Obstetric Nurses
Article Link Abstract Objective To identify and categorize components of the work system that obstetric nurses address using workarounds. Design Convergent parallel mixed methods. Setting Online survey distribution from September…
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JOGNN: Implementation of Team Communication and Nurse Feedback to Reduce Cesarean Rates
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…
JOGNN: Care Coordination During Pregnancy and Maternal Health Outcomes in a Medicaid Population
Article Link Abstract Objective To test the association between Prenatal Care Coordination (PNCC) participation during pregnancy and maternal health outcomes among Medicaid beneficiaries in Wisconsin. Design Retrospective cohort study using…
JOGNN: Retrospective Cohort Study on Racial and Ethnic Disparities in Cesarean Birth in a Midwifery-Integrated Health System
Article Link Abstract Objective To examine factors associated with cesarean birth by race and ethnicity in a health system with a large proportion of midwife-attended births. Design Retrospective cohort study…
ACOG COMMITTEE STATEMENT:
Effective Patient–Physician Communication Article Link Abstract Effective communication between physicians and patients is the cornerstone of the patient -physician relationship. Effective communication practices can build positive relationships, enable sharing power,…
ACOG: Maternal and Neonatal Outcomes After Respiratory Syncytial Virus Prefusion F Protein Vaccination During Pregnancy
Analysis From the 2024–2025 Immunization Campaign in France Article Link OBJECTIVE: To assess the safety of the respiratory syncytial virus prefusion F protein (RSVpreF) vaccine in pregnant women during the…
ACOG: Measles in Pregnancy-Clinical Considerations and Challenges
Article Link ABSTRACT Measles is a highly contagious infectious disease caused by the measles virus. Recent declines in population-level immunity and outbreaks linked to imported cases have led to the…
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ACOG: Postpartum Persistent Opioid Use After Opioid Exposure for Childbirth
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…
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JAMA: Maternity Care Access and Infant Mortality
Article Link Abstract Importance Infant mortality, ie, death within the first year of life, serves as a critical health indicator. Objective To evaluate the association of maternal residence in counties with no…
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AJP: Induction of Labor at 40 Weeks of Gestation after Dissemination of the ARRIVE Trial
Article Link Abstract Objective The ARRIVE trial showed that induction of labor in low-risk nulliparous individuals at 39 weeks reduced cesarean delivery. We sought to determine whether publication of the…
Birth: Provider Perceptions of Perinatal Mental Healthcare Access
Article Link ABSTRACT Background The consequences of untreated perinatal mental health conditions are well-established, yet fewer than one in five women experiencing perinatal mental health distress receive treatment. Although recommendations…
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WB: Enhancing collaboration between midwives and obstetricians: A qualitative content analysis study
Article Link Abstract Problem Collaboration between midwives and obstetricians is insufficiently developed in Swiss and other healthcare systems. Background Collaboration in maternity care impacts birth outcomes. Previous studies have focused on determinants of collaboration, but it…
ACOG: Extended-Release Buprenorphine for Treatment of Opioid Use Disorder During Pregnancy and Postpartum
Article Link ABSTRACT Buprenorphine use in pregnancy and postpartum for individuals with opioid use disorder (OUD) decreases maternal and fetal morbidity and mortality. Extended-release buprenorphine overcomes barriers to sublingual buprenorphine,…
ACOG: Zuranolone and Brexanolone for the Treatment of Postpartum Depression
Article Link Abstract This Clinical Practice Update provides revised guidance on the use of brexanolone and zuranolone in the postpartum period for depression that has onset in the third trimester…
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ACOG: Emerging Substances and Perinatal Health: A Narrative Review
Article Link ABSTRACT Perinatal substance exposure is evolving rapidly, often before data on exposure outcomes are available. New exposures to substances include adulterants found in established drug supplies such as…
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AJOG: Reverse Løvset maneuver for shoulder dystocia
Article Link Abstract Shoulder dystocia is an obstetrical emergency associated with fetal morbidity and mortality. Mechanical obstruction and failure of fetal shoulder rotation prevent their descent into the pelvis. Current…
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