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
Article Link OBJECTIVE: To evaluate the comparative effectiveness of intravenous (IV) ferumoxytol compared with oral ferrous sulfate for increasing hemoglobin levels in the treatment of iron deficiency anemia (IDA) in…
Article Link Abstract Objective To explore pediatric health care providers’ perceptions of their role in screening mothers for postpartum depression (PPD). Design Descriptive, qualitative methodology. Setting Pediatric care providers from…
Article Link Abstract Background Although mental health screenings have increased during perinatal visits, perinatal mental health services are often inaccessible. Social workers may facilitate mental health referrals or increase access…
Article Link ABSTRACT OBJECTIVE: To evaluate whether machine learning could be used with audio recordings from a smartphone to detect fetal movements that create disruptions of the amniotic fluid environment….
Read More from ACOG: Smartphone Detection of Fetal Movements Using Artificial Intelligence
Article Link Abstract Objective Postpartum hemorrhage is a common obstetrical complication that, in severe cases, may necessitate blood transfusion. We hypothesized that severe postpartum hemorrhage, defined as postpartum hemorrhage requiring…
Read More from AJOG: Postpartum hemorrhage and short-term risk of cardiovascular disease
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 Background Neonatal hypoxic-ischemic encephalopathy remains a leading cause of neonatal death and lifelong neurological impairment, imposing substantial economic burdens on affected families and healthcare system. While prior…
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 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 Objective To increase the percentage of women with severe-range blood pressure during the perinatal period who are treated within 30 min from 25% to at least 50%…
Article Link Abstract Acetaminophen is the most widely used antipyretic and analgesic medication in pregnancy, but recent concerns have challenged its reproductive safety. Review articles and regulatory advisories have highlighted…
Read More from AJOG MFM: Safety of acetaminophen use in pregnancy: review of existing evidence
Article Link ABSTRACT Background Stage 1 hypertension, defined by the American Heart Association as a systolic blood pressure (SBP) of 130-139 mm Hg or a diastolic blood pressure (DBP) of…
Article Link Abstract Objective To evaluate the association between county-level social vulnerability and preterm birth and assess whether racial disparities vary across levels of vulnerability. Methods This cross-sectional study utilized…
Article Link Abstract Objective This study aimed to increase the rate of low-dose aspirin (LDA) counseling and treatment in patients with two or more moderate risk factors for preeclampsia (PMRF)…