Article Link ABSTRACT BACKGROUND: Shoulder dystocia is an obstetric emergency with the potential to cause maternal and neonatal injuries. TECHNIQUE: The hook & roll maneuver is a modification of other…
Read More from ACOG: The Hook & Roll Maneuver for Resolution of Shoulder Dystocia
Article Link ABSTRACT Understanding the distribution of obstetrician–gynecologists (ob-gyns) is crucial to combatting inequities in care access throughout the United States. In this cross-sectional study, we used data from the…
Read More from ACOG: Geographic Disparities in Obstetric Care Access in the United States
Article Link Objective: The Giant PANDA trial assessed whether starting treatment with nifedipine, compared to labetalol, in pregnant women with hypertension (≥11 weeks’ gestation) reduced severe maternal hypertension without increasing…
Article Link ABSTRACT OBJECTIVE: To evaluate whether people with cardiac disease were at increased odds of nontransfusion severe maternal morbidity (SMM) and specific types of SMM during delivery hospitalization through…
Article Link ABSTRACT OBJECTIVE: To examine associations between oxytocin dosing intensity and maternal outcomes—cesarean delivery and postpartum hemorrhage (PPH)—by body mass index (BMI). METHODS: This retrospective cohort study included singleton…
Article Link ABSTRACT OBJECTIVE: We sought to evaluate the association between the timing of new-onset hypertensive disorders of pregnancy (HDP) development (ie, antepartum, intrapartum, or postpartum) and the risk of…
Article Link Abstract Objective Determine the relationship between maternal Social Deprivation Index (SDI), a composite measure of area-level deprivation, and maternal characteristics and infant outcomes for mother–infant dyads with perinatal…
Article Link ABSTRACT Since 1991, the CDC has recommended screening for hepatitis B virus (HBV) infection in pregnancy and universal hepatitis B vaccination of all medically stable infants at birth,…
Article Link ABSTRACT OBJECTIVE The birth hospitalization for infants prenatally substance-exposed (IPSEs) is a critical opportunity to connect with families and optimize the transition of care from inpatient to outpatient…
Article Link ABSTRACT OBJECTIVES In this study, we hypothesize that significant variation in clinical practice and adherence to the 2022 American Academy of Pediatrics (AAP) hyperbilirubinemia guidelines exists, including for…
Article Link ABSTRACT Therapeutic hypothermia to a temperature of 33.5 to 34.5 °C initiated within 6 hours of birth and continued for 72 hours reduces the risk of death or moderate-to-severe neurodevelopmental…
Article Link Objective: The objective is to report the effect of universal aspirin dispensation in a population where the majority of patients are at moderate or high risk of preeclampsia….
Read More from Pregnancy: Universal Aspirin Administration for Prevention of Preeclampsia
Article Link Abstract Objective To provide a qualitative summary of published interventions for postpartum opioid abstinence and reduction in non-prescribed opioid use in patients with opioid use disorder (OUD). Materials…
Article Link Abstract Objective To describe the design and initial findings of a prospective cohort study examining the impact of opioid treatment during pregnancy on maternal and infant outcomes. Study…
Article Link Abstract During labor and birth, inadvertent negative suggestions from care givers and support people are common and may lead to negative experiences known as nocebo effects. Counteracting nocebo…
Read More from JMWH: Midwifery Communication for Childbirth: A Practical Approach
Article Link Abstract Problem Pregnancies can be anxiety-provoking, and birth which includes complications or deviations from expectations can be perceived as traumatic. Background The perception of birth as traumatic is…
Article Link Abstract Access to obstetrical and subspecialty maternal-fetal medicine care has continued to decrease in recent years, with a notable obstetrical workforce shortage. Maternity care deserts subsequently lead to…
Article Link Abstract Prophylactic low-dose aspirin is recommended to reduce the risk of preeclampsia in pregnant persons with risk factors. Sixteen distinct risk factors are recognized, including elements of current…
Article Link OBJECTIVE: Evidence related to anemia in early pregnancy, and its resolution or persistence by late pregnancy, is limited. We evaluated pregnancy outcomes associated with anemia in early pregnancy…
ACOG Committee Statement Article Link Abstract Immigrants face challenges in navigating complex policies that govern access to health care, shelter, food, and clean water, resulting in profound effects on health…
Read More from ACOG: Advocating for Safe and Equitable Obstetric and Gynecologic Care for Immigrants
Article Link ABSTRACT Pregnancy Mortality Surveillance System (PMSS) data from 2012–2022 were analyzed for this descriptive study. Specific subclassifications of deaths within the PMSS category of “other noncardiovascular medical conditions”…
Article Link Abstract Background In many countries, antenatal maternal risk stratification and individualization of subsequent pregnancy care are ubiquitous. However, because of the dynamic nature of pregnancy and emergence of…
Article Link Abstract Trauma-informed medical education extends the principles of trauma-informed care into medical training to foster awareness and sensitivity to trauma, aiming to avoid further harm. Trauma-informed care is…
Article Link Abstract Objective Given the profound impacts of substance use in pregnancy on the health and well-being of parents and newborns, improving the organization and delivery of perinatal services…
Article Link Abstract Objective The primary objective was to ascertain if the proportion of time in category II fetal heart rate tracing (FHRT) prior to birth among term (≥ 37…
Read More from AJP: Proportion of Time in Category II Fetal Heart Rate Tracing and Adverse Outcomes
Article Link Abstract The incidence of maternal cardiac arrest is rising, paralleling the escalating maternal morbidity and mortality rates in the United States. Effective management of cardiac arrest in pregnancy…
Read More from AJOG: Resuscitative cesarean delivery: when every second counts
Article Link Abstract Maternal mental health disorders are fairly common during the perinatal period, predominantly mood- and trauma-related disorders, first episodes or relapses. Untreated, these mental health conditions can have…
Article Link Abstract BACKGROUND: Pregnancy-associated stroke may present with nonfocal symptoms, leading to missed diagnostic opportunities (MDO). METHODS: We conducted a retrospective study including patients aged 18 to 50 years…
Read More from AHJ: Identifying Missed Diagnostic Opportunities in Maternal Stroke
Article Link ABSTRACT Pre-eclampsia complicates up to 8% of pregnancies and is associated with increased risk of ischemic cardiac and cerebral disease, which may be prevented through management of cardiovascular…
Read More from UOG: Atherosclerosis after pre-eclampsia: systematic review and meta-analysis
Article Link Abstract Background Maternal mental health conditions are common in pregnancy; suboptimal maternal mental health is associated with numerous adverse pregnancy outcomes, including preterm birth, hypertensive disorders of pregnancy,…
Read More from AJOG MFM: Early pregnancy depressive symptoms and severe maternal morbidity