Article Link Abstract Objective We sought to describe characteristics of pregnant Medicaid beneficiaries seeking emergency care in early pregnancy and to identify risk factors, specifically social drivers of health (SDOH),…
Article Link ABSTRACT Whole blood (WB) has been shown to improve outcomes in military acute trauma patients and, to a limited extent, in civilian trauma and acute obstetric hemorrhage. The…
Read More from O&G Open: Whole Blood in the Management of Postpartum Hemorrhage
Article Link ABSTRACT Amniotic fluid embolism (AFE) is a rare, life-threatening obstetric event associated with extremely high maternal and perinatal morbidity and mortality with no known definitive pathophysiologic pathway. Current…
Article Link Abstract Background and objective: We describe the kinetics of maternally derived antibodies in infants in the first 6 months of life following 2- or 3-dose maternal vaccination during pregnancy…
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…
A Randomized Controlled Trial Article Link OBJECTIVE: To compare the efficacy of 162 mg vs 81 mg aspirin daily for the prevention of preterm preeclampsia (less than 37 weeks of…
Read More from ACOG: Comparison of 162 mg and 81 mg Aspirin for Prevention of Preeclampsia
Article Link Abstract Background While the importance of providing detailed information about potential obstetric emergencies is widely acknowledged, it is often inconsistently addressed in routine care for nulliparous women. Objective…
Article Link Abstract Background Low-dose aspirin (LDA) has been shown to reduce the risk of preterm preeclampsia, particularly when initiated early in pregnancy. However, the safety of starting LDA before…
Article Link Abstract Objective Maternal sepsis is a leading cause of preventable maternal morbidity and mortality in the United States. We assessed the implementation of a standardized early-goal-directed sepsis care…
Article Link Abstract Maternal cardiovascular disease is a leading cause of pregnancy-related death in the United States. Symptoms associated with cardiovascular disease include shortness of breath, palpitations, dizziness, syncope, chest…
Article Link Abstract Introduction Pregnant people with obesity are more likely than those without obesity to undergo induction of labor and to require unplanned cesarean delivery during induction at term….
Article Link Abstract Background: Cardiac and vascular complications are the leading causes of maternal mortality and morbidity, but the contemporary burden of and secular trends in pregnancy-related cardiovascular complications are…
Article Link Abstract Background While the National Academy of Medicine, formerly known as the Institute of Medicine, recommends the optimum weight change in the second and third trimesters combined, the…
Read More from AJOG: Reevaluating optimal weight changes across the stages of pregnancy
Article Link Abstract Introduction Neuraxial analgesia is the most effective modality for pain relief during labor; yet utilization varies considerably among racial and ethnic groups in the United States—representing a…
Article Link Abstract Objective To review and appraise the literature describing the individual- and system-level barriers preventing universal screening of pregnant individuals for substance use in prenatal care settings. Data…
Article Link OBJECTIVES Unsafe sleep practices contribute to sleep-related infant mortality. Recent infant illness is a risk factor for sudden unexplained infant death. This study examined changes to safe sleep…
Read More from AAP: Changes in Sleep Practices During and After Illness
Article Link OBJECTIVE The American Academy of Pediatrics (AAP) publishes evidence-based infant sleep recommendations to prevent sudden unexpected infant death (SUID). We defined common patterns of infant sleep and care…
Read More from AAP: Patterns of Infant Sleep and Care Practices: 2016–2020
Article Link Abstract Importance Clinical guidelines recommend routine screening for postpartum depression (PPD) during well-child visits. All but 5 US states provide Medicaid reimbursement to pediatric practitioners for screening mothers for…
Article Link ABSTRACT Introduction:Optimal fetal positioning is essential for ensuring that labor progresses efficiently and reducing the need for interventions. The aim of this study was to evaluate the potential…
Read More from EJM: Spinning Babies® approach: A way to promote fetal head rotation during labor?
Article Link ABSTRACT OBJECTIVE: To evaluate the risks of neonatal and maternal adverse outcomes in individuals with low-risk, singleton, term breech presentation associated with vaginal compared with cesarean delivery in…
Read More from ACOG: Optimal Mode of Delivery for Individuals With Low-Risk Term Breech Presentation
Article Link OBJECTIVE: To systematically review the use of diuretics to reduce postpartum hypertension among individuals with hypertensive disorders of pregnancy. DATA SOURCES: MEDLINE, EMBASE, CINAHL, and Cochrane Central Register…
Article Link Abstract Importance Trauma is exceedingly common in the United States adult population; therefore, obstetric patients have more than likely experienced trauma within their lifetime and are at risk…
Article Link Abstract Background Periodontal disease in pregnancy is a known risk factor for adverse obstetric and offspring outcomes, including preeclampsia and preterm birth. The American College of Obstetricians and…
Article Link Abstract Background Substantial heterogeneity has been reported in estimates of long-term sequelae following SARS-CoV-2 infection in pregnant women, and most studies were conducted pre-Omicron and pre-dated vaccination rollout….
Article Link Abstract Background Infants affected by late fetal growth restriction are at risk of adverse perinatal outcomes, either due to placental insufficiency or the consequences of late iatrogenic prematurity….
Article Link Abstract Objective The most widely used population reference standard for fetal growth assessment in the United States is the Hadlock 1991 population reference. However, we detected discrepancies in…
Read More from AJOG: Revisiting the Hadlock 1991 population reference for estimated fetal weight
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 Maternal respiratory syncytial virus (RSV) vaccine and nirsevimab, a long-acting monoclonal antibody for infants aged 0–7 months and children aged 8–19 months who are at increased risk…
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…