BJOG: Reduced Fetal Movements Green-Top Guideline No. 57
Article Link KEY RECOMMENDATIONS…
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AAP: Reducing the Impact of RSV in Infants: Vaccinate Mothers, Passively Immunize Newborns, or Both?
Article Link ABSTRACT In this issue of Pediatrics, Rostad et al1 summarize the interim analysis of the safety and immunologic results of 4 approaches to achieve levels of anti-RSV (respiratory syncytial virus) neutralizing antibodies…
AAP: Incidence of Faltering Growth in Infants With Neonatal Opioid Withdrawal Syndrome
Article Link OBJECTIVE Infants with neonatal opioid withdrawal syndrome (NOWS) often experience excessive weight loss while in the hospital after birth. However, the growth patterns of these infants after hospital…
JAMA: Hypertensive Disorders of Pregnancy Subtypes and Long-Term Cardiovascular Risk
Article Link Abstract Importance Hypertensive disorders of pregnancy (HDPs) are associated with an increased long-term risk of cardiovascular disease, but the risks across different HDP subtypes, particularly those other than preeclampsia,…
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AJOG MFM: Factors Associated with Failed Induction of Labor After Cesarean with an Unfavorable Cervix at Term
Article Link Abstract Background With increasing rates of labor induction and trial of labor after cesarean, induction of labor after cesarean (IOLAC) is becoming more common. However, predictors of success…
NWH: Nurses’ Attitudes Toward Patients With Perinatal Substance Use Disorder
Article Link Abstract Objectives To determine the extent of stigmatizing attitudes among perinatal registered nurses in North Carolina, examine correlates of stigmatizing attitudes, and describe nurses’ attitudes about patients with…
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JOGNN: Improved Nursing Assessment and Escalation of Care for Patients With Unrelieved Pain During Cesarean Birth
Article Link Abstract Unrelieved intraoperative pain during cesarean birth is an underrecognized complication with important clinical and psychological implications. Evidence indicates that intraoperative pain during cesarean birth is more common…
JOGNN: Resuscitative Care for the Obstetric and Neonatal Patient – AWHONN Position Statement
Article Link Position The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) emphasizes the critical importance of preparation tailored to the specific, clearly defined roles of team members involved…
AJOG: Isolated severe systolic hypertension with diastolic <110 mmHg during delivery admission and maternal outcomes: a secondary analysis of the Assessment of Perinatal Excellence cohort
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,…
AJOG: Active second-stage duration under 15 minutes in spontaneous vaginal deliveries with delayed pushing
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….
AJOG: Uterine incision-to-delivery interval and neonatal outcomes among nonurgent, term, cesarean deliveries
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…
AJOG: Magnesium sulfate for the prevention of seizures in preeclampsia: origin, experimental basis, clinical studies, and the evolution in obstetrical practice
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…
AJOG: The effect of metformin on perinatal outcomes in pregnant women with type 2 diabetes differs by baseline insulin requirements
Article Link ABSTRACT Background Metformin works by increasing insulin sensitivity, which may aid in the management of insulin-treated type 2 diabetes in pregnancy. However, large trials have found that adjunctive…
AJOG: How Long Should Women Push? The Effect of Fetal Position, Parity, and Epidural Use on Spontaneous Delivery
Article Link Abstract Background Friedman found in 1955 that most nulliparous women without epidural analgesia delivered within two hours in second stage of labor. Estimating the probability of spontaneous delivery…
ACOG: History of Treated Syphilis Before Pregnancy and Risk of Congenital Syphilis
Article Link ABSTRACT OBJECTIVE: To evaluate the odds of congenital syphilis in neonates of mothers with a history of adequately treated prepregnancy syphilis compared with those with no prepregnancy history…
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ACOG: Intrauterine Balloon Tamponade Duration for Postpartum Hemorrhage – A Randomized Control Trial
Article Link ABSTRACT OBJECTIVE: To determine whether an intrauterine balloon tamponade duration of 6 hours is noninferior to a duration of 18 hours for controlling bleeding after vaginal delivery, as…
ACOG:Intervention Research to Reduce Disparities in Severe Maternal Morbidity and Mortality in the United States – A Scoping Review
Article Link ABSTRACT Persistent inequities in severe maternal morbidity (SMM) and maternal mortality in the United States have received national attention over the past decade. This scoping review aimed to…
ACOG: Medicaid Expansion and Severe Maternal Morbidity
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…
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ACOG: Inequalities in Severe Maternal Morbidity and Mortality in High-Income Countries – Patterns, Drivers, and Pathways to Action
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…
O&G Open: Trajectories of Medication Utilization for Opioid Use Disorder in Pregnancy and Associated Maternal Outcomes
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…
O&G Open: Temporal Trends in Pregnancy Rate, Live Birth Rates, and Rates of Gestational Outcomes, 2012–2023
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…
Neo: Out-of-Hospital and Emergency Department Births: A Review of Preparedness and Management
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…
Neo: Maternity Care Deserts: Disparities in Maternal and Infant Access to Care and Potential Solutions
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…
AAP: Vitamin K Deficiency Bleeding After Refusal: A Sentinel Event in a Misinformation Era
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…
AAP: Association of Prenatal Fentanyl Exposure With Neonatal Opioid Withdrawal Syndrome Severity
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…
BMC: Assessing the association between the domains of the Atlas Context Assessment and implementation outcomes of the TeamBirth project: a cross-sectional study
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…
Pregnancy:“Instead of just a drive by”: Clinician and birthing person perspectives on consent for toxicology testing during pregnancy
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…
JAMA: Symptom-Based Dosing for Neonatal Opioid Withdrawal – The OPTimize NOW Randomized Clinical Trial
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…
AJP: The Role of Birth Plan in Shaping Maternal and Neonatal Outcomes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
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…
ACOG: Nationwide Prevalence of Cannabidiol Use in Pregnancy and in Women of Reproductive Age
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…