Article Link Abstract PURPOSE: The purpose of this document is to provide an evidence-based framework for the evaluation and management of intrapartum fetal heart rate (FHR) patterns. TARGET POPULATION: Pregnant…
Article Link Abstract Background Macrosomia, classically defined by an arbitrary birthweight threshold, is associated with an increased risk of postpartum hemorrhage. However, some preliminary evidence suggests that lower birthweights may…
Article Link Abstract Pain management in pregnant and postpartum people with an opioid use disorder requires a balance among the risks associated with opioid tolerance, including withdrawal or return to…
Article Link Abstract Background Prelabor rupture of membranes is a risk factor for maternal and neonatal infectious morbidity. Ampicillin is indicated for patients with unknown group B Streptococcus status and prelabor rupture…
Article Link Abstract Objective To estimate the frequency of racial/ethnic and gender discrimination and lack of a regular source of care in the postpartum period and to examine how these…
Article Link Introduction Contemporary definitions of perinatal loss encompass a range of involuntary and unintended pregnancy outcomes, including miscarriage (loss of pregnancy before 20 weeks gestation; Mayo Clinic, 2023), ectopic pregnancy…
Read More from JOGNN: Expanding the Conceptualization of Bereavement in the Perinatal Period
Article Link Abstract Objective The aim of the study is to evaluate whether values and the shape of the glucose curve during the oral glucose tolerance test (OGTT) in pregnancy identify…
Read More from AJP: Oral Glucose Tolerance Test in Pregnancy and Subsequent Maternal Hypertension
Article Link Abstract Syphilis infection among pregnant people and congenital syphilis rates have risen considerably in the United States, leading to adverse maternal and neonatal health outcomes. Most cases of…
Article Link Abstract Background To assess the impact of a maternal cardiovascular (CV) and blood pressure (BP) screening and standardized referral protocol at newborn visits on care utilization in the…
Article Link Abstract Introduction Opioids are commonly prescribed to manage postpartum pain. Yet, 1.7%–2.2% of postpartum people develop new persistent use of opioids after receiving a postpartum opioid prescription. Individuals…
Article Link Abstract Objective To examine the association between mood disorders and peripartum cardiomyopathy (PPCM). Methods Retrospective cohort study utilizing the National Inpatient Sample from the Healthcare Cost and Utilization…
Read More from Pregnancy: Mood disorders and peripartum cardiomyopathy
Article Link Summary: Cannabis refers to all products derived from the plants Cannabis sativa, Cannabis indica, and Cannabis ruderalis and is the most commonly used illicit drug under U.S. federal law. With increasing…
Read More from ACOG: Cannabis Use During Pregnancy and Lactation – Clinical Concensus
Article Link Abstract Objective To develop, implement, and evaluate an educational program to improve nurses’ management of the second stage of labor. Design Evidence-based practice project guided by the Iowa…
Read More from NWH: Improving Nurse Management of the Second Stage of Labor
Article Link Introduction Congenital heart defects, orofacial clefts, and neural tube defects share similar modifiable risk factors. The prevalence and trends of risk factors for these selected birth defects were…
Article Link Abstract Background/Objective Gestational diabetes mellitus (GDM) increases the risk of adverse perinatal outcomes. Understanding genetic-based risk for GDM is important for clinical risk prediction. The objective of this…
Article Link Introduction Access to high-quality US hospital–based perinatal care is limited, contributing to poor outcomes.1 Because perinatal care is often Medicaid-funded with high fixed costs for specialized units, its provision…
Article Link ABSTRACT Importance Suicide is a leading cause of maternal postpartum death. Evidence-based interventions are needed. Objective To determine whether the likelihood of endorsing suicide ideation (SI) changed during a brief…
Article Link ABSTRACT Importance Neonatal intensive care has advanced over recent decades, yet premature birth remains associated with increased neonatal mortality and morbidity. Objective To describe health service use, morbidity, and medication…
Article Link Abstract Background Approximately 20% of patients in the United States undergo an induction of labor (IOL). Patients undergoing induction are more likely to report lower birth satisfaction, especially…
Read More from MFM: Visual aids for induction of labor education: a randomized controlled trial
Article Link Abstract Introduction A traumatic childbirth can lead some women to develop birth-related posttraumatic stress symptoms (PTSS), an emotional stress response associated with posttraumatic stress disorder (PTSD). This study…
Article Link Abstract Background The effect of Breastfeeding Self-efficacy (BFSE) and the Baby-Friendly Hospital Initiative’s (BFHI) 10 Steps on breastfeeding initiation, continuation and exclusivity, is well established. However, direct evidence…
Article Link Abstract Introduction Depression in pregnancy is common and the use of antidepressants in pregnancy, especially sertraline, is on the rise. Although sertraline is known to cross the placenta,…
Article Link Abstract Introduction Iron-deficiency anemia is a common finding in pregnancy; however, current obstetric practice lacks standardized recommendations for its diagnosis and treatment during pregnancy, and data are limited…
Article Link Abstract Background The United States maternal mortality rate increased after 2018, with a marked increase in 2021 followed by a decline in 2022 and 2023. Trends at the…
Read More from AJOG: Trends in Maternal Mortality Rates by State, United States, 2018-2023
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…