Article Link Introduction Aspirin initiated before 16 weeks of gestation at a dose of >100 mg daily reduces the risk of preterm preeclampsia (PE).1 In the Combined Multimarker Screening and Randomized…
Read More from AJOG: Aspirin delays preeclampsia in women with chronic hypertension
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…
Article Link ABSTRACT BACKGROUND The rates of severe maternal morbidity in the United States continue to increase. The American College of Obstetricians and Gynecologists recommends close postpartum follow-up for patients at increased…
Article Link Abstract Introduction Rates of congenital syphilis and substance use disorder (SUD) have concurrently risen in pregnant patients. Specific substances and their association with inadequately treated syphilis have not…
Article Link Abstract Background Postpartum hemorrhage is the most common complication in obstetrics and is a leading cause of serious maternal morbidity. Women with one previous cesarean delivery are at…
Article Link Abstract Background Ibuprofen has been shown to increase blood pressure in nonpregnant adults with hypertension, but its impact on blood pressure when used for postpartum analgesia in patients…
A Systematic Review and Meta-analysis Article Link ABSTRACT OBJECTIVE: To determine the effect of antenatal corticosteroid administration on childhood neurodevelopmental outcomes from studies that have a design that minimized the…
Read More from ACOG: Antenatal Corticosteroids and Child Neurodevelopment
Article Link ABSTRACT Cases of syphilis during pregnancy (maternal syphilis) have risen dramatically in the United States in recent years, with racially minoritized groups experiencing high rates and large increases….
An Analysis of the Pregnancy Risk Assessment Monitoring System, 2016–2022 Article Link ABSTRACT OBJECTIVE: To assess national U.S. trends in self-reported prepregnancy cardiometabolic risk factors and counseling about improving cardiometabolic…
Read More from ACOG: National Trends in Prepregnancy Cardiometabolic Risk and Counseling
Article Link ABSTRACT OBJECTIVE: To perform a meta-analysis of randomized and quasi-randomized trials investigating whether endometrial closure is associated with the risk of uterine scar defects, menstrual symptoms, and associated…
Article Link Abstract This Clinical Practice Update provides guidance related to management of the umbilical cord at birth based on recently published data regarding short, medium, and long deferral of…
Article Link ABSTRACT OBJECTIVE: To evaluate obstetric stakeholders’ attitudes and implementation considerations regarding the adoption of key components of a newly tailored prenatal care recommendation—PATH (Plan for Appropriate Tailored Healthcare…
Read More from ACOG: Stakeholder Perspectives of New Tailored Prenatal Care Delivery
Article Link ABSTRACT Healthy People 2030 aims to decrease low-risk cesarean delivery rates to 23.6% in the United States. In 2023, the national rate was 26.6%, though rates vary widely…
Read More from ACOG: Low-Risk Cesarean Delivery Rates by County of Birth in the United States
Article Link The participation of advanced practice registered nurses (APRNs) in neonatal care continues to be supported by the American Academy of Pediatrics. Traditionally, neonatal nurse practitioners and neonatal clinical…
Read More from AAP: Advanced Practice Nursing in Neonatology: Clinical Report
Article Link This policy statement updates the recommendations of the American Academy of Pediatrics (AAP) for the use of coronavirus disease 2019 (COVID-19) vaccines in the prevention of severe COVID-19…
Article Link INTRODUCTION This Policy Statement outlines the American Academy of Pediatrics’ recommendations for respiratory syncytial virus immunization (Open Access)….
Article Link Abstract Cesarean delivery is one of the most common operations in the world, and a growing number of cesarean deliveries are performed in the United States each year….
Article Link ABSTRACT OBJECTIVE: To evaluate antibiotic regimens for the optimization of maternal and neonatal outcomes in pregnancies affected by chorioamnionitis. METHODS: A change in the standard antibiotic regimen for…
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…