Reassuring Pregnancy Outcomes in Childhood Cancer Survivors
Women's Health Summary and Comment
Offspring of women with childhood cancer histories were not at excess risk for malformations or infant death; preterm birth and cesarean delivery were somewhat more common among childhood cancer survivors.
By Ann J. Davis, MD
November 19, 2009
Covering:
Mueller BA et al., Arch Pediatr Adolesc Med 2009 Oct; 163:879
Stability of U.K. Down Syndrome Birth Rate: Age-Related Risks Offset by Antenatal Screening
Women's Health Summary and Comment
From 1989 through 2008, better antenatal screening for Down syndrome kept the number of affected live births constant despite a shift toward older maternal age at delivery.
By Wendy S. Biggs, MD
November 19, 2009
Covering:
Morris JK and Alberman E., BMJ 2009 Oct 26; 339:b3794
Birth Defects Associated with Use of Antibiotics During Pregnancy
Sulfonamides and nitrofurantoins were associated with birth defects.
By Howard Bauchner, MD
November 18, 2009
Covering:
Crider KS et al., Arch Pediatr Adolesc Med 2009 Nov; 163:978
PTSD Is Common in Pregnant Women
Women's Health Summary and Comment
Free
Among nulliparous women, those with histories of abuse or difficult miscarriage or abortion had the highest risk for PTSD.
Evolving Criteria for Placenta Previa
Women's Health Summary and Comment
How low is low enough to necessitate cesarean delivery?
Are Antibiotics Warranted for Cesarean Delivery Before Onset of Labor?
Women's Health Summary and Comment
Perioperative antibiotic prophylaxis substantially lowered risk for postpartum infection.
By Anna Wald, MD, MPH
November 12, 2009
Covering:
Dinsmoor MJ et al., Obstet Gynecol 2009 Oct; 114:752
Preconceptional Folate Supplementation Reduces Risk for Spontaneous Preterm Birth
Preconceptional supplementation was associated with a 50%–70% reduction in risk for spontaneous preterm birth.
Maternal Depression: We Must Be Aware
Among women with symptoms of postpartum depression, having a controlling partner was significantly associated with persistent depression.
Prenatal Exposure to SSRIs and Risk for Congenital Septal Heart Defects
Prenatal exposure to certain SSRIs might increase a child's risk for septal heart defects.
By Robin Drucker, MD
November 10, 2009
Covering:
Pedersen LH et al., BMJ 2009 Sep 23; 339:b3569
Cardiovascular (Among Other) Effects of Prenatal Exposure to Influenza
Cardiology Summary and Comment
Acute prenatal exposure to the 1918 H1N1 influenza pandemic was associated with excess cardiovascular disease.
By JoAnne M. Foody, MD
November 10, 2009
Covering:
Mazumder B et al., J Dev Orig Health Dis 2009 Oct 1
Future Fertility After Miscarriage
Women's Health Summary and Comment
About 80% of women had live births within 5 years after miscarriage regardless of management mode.
By Wendy S. Biggs, MD
November 5, 2009
Covering:
Smith LFP et al., BMJ 2009 Oct 8; 339:b3827
Exercise, Pregnancy, and Birth Weight
Women's Health Summary and Comment
Risk for excessive newborn weight was one quarter lower in nulliparous women who exercised regularly.
Is Preimplantation Genetic Diagnosis Explained Appropriately on the Internet?
Women's Health Summary and Comment
Quality of PGD information on IVF clinic websites varies widely.
By Robert W. Rebar, MD
November 5, 2009
Covering:
Klitzman R et al., Fertil Steril 2009 Oct; 92:1276
Immediate Complications More Common After Medical Than Surgical Abortions
Women's Health Summary and Comment
In a Finnish study, overall incidence of adverse events was low within 42 days after abortion but was higher following medical abortions than after surgical abortions.
Does Repeated Membrane Sweeping for VBAC Make a Difference?
Women's Health Summary and Comment
Weekly membrane sweeping was not beneficial for women who opted for vaginal birth after cesarean.
Pregnancy and Anticoagulation: What Is a Clinician to Do?
Cardiology Summary and Comment
In a case series of women with prosthetic heart valves, enoxaparin appeared to be effective when used as directed and carefully monitored.
By Joel M. Gore, MD
October 28, 2009
Covering:
McLintock C et al., BJOG 2009 Nov; 116:1585
Prenatal Exposure to SSRIs Can Adversely Affect Certain Delivery Outcomes
Women's Health Summary and Comment
In utero SSRI exposure was associated with excess risk for preterm delivery and related complications but not for lower birth weight or smaller head circumference.
By Wendy S. Biggs, MD
October 22, 2009
Covering:
Lund N et al., Arch Pediatr Adolesc Med 2009 Oct; 163:949
Twins Born Following ART Have Higher Risk for Morbidity Than Spontaneously Conceived Twins
Women's Health Summary and Comment
ART twins had higher risk for adverse perinatal outcomes as well as hospital admissions during the first 3 years of life.
By Robert W. Rebar, MD
October 22, 2009
Covering:
Hansen M et al., Hum Reprod 2009 Sep; 24:2321
Oral Contraceptive Failure Rates
Women's Health Summary and Comment
The OC failure rate in a large European cohort was 0.75% in the first year of use.
More About SSRI Use During Pregnancy
Psychiatry Summary and Comment
Free
A population-based cohort study reports SSRI-associated cardiac septal defects.
By Deborah Cowley, MD
October 19, 2009
Covering:
Pedersen LH et al., BMJ 2009 Sep 23; 339:b3569
Chambers C., BMJ 2009 Sep 23; 339:b3525
Mild Gestational Hypertension and Preeclampsia at Term
General Medicine Summary and Comment
Induction of labor lowers maternal morbidity.
By Bruce Soloway, MD
October 15, 2009
Covering:
Koopmans CM et al., Lancet 2009 Sep 19; 374:979
Are Developing Hearts Harmed by SSRIs?
Women's Health Summary and Comment
First-trimester fetal exposure to SSRIs more than doubled risk for septal heart defects; absolute differences in incidence were small.
By Wendy S. Biggs, MD
October 1, 2009
Covering:
Pedersen LH et al., BMJ 2009 Sep 23; 339:b3569
Chambers C., BMJ 2009 Sep 23; 339:b3525
Does Treatment for Mild Gestational Diabetes Improve Pregnancy Outcomes?
Women's Health Summary and Comment
Free
Treatment lowered risk for maternal hypertensive disorders and complications related to excessive fetal growth, but not for perinatal mortality and severe neonatal complications.
By Ann J. Davis, MD
September 30, 2009
Covering:
Landon MB et al., N Engl J Med 2009 Oct 1; 361:1339
Sacks DA., N Engl J Med 2009 Oct 1; 361:1396
Do Occupational Exposures Affect Semen Quality?
General Medicine Summary and Comment
Impaired semen quality was more common among men who reported chemical and physical occupational exposures.
By Robert W. Rebar, MD
September 29, 2009
Covering:
de Fleurian G et al., J Androl 2009 Sep/Oct; 30:566
Joint APA-ACOG Algorithms for Treatment of Depression During Pregnancy
Psychiatry Summary and Comment
Free
A groundbreaking collaboration provides useful advice on a clinically challenging problem.
By Deborah Cowley, MD
September 28, 2009
Covering:
Yonkers KA et al., Gen Hosp Psychiatry 2009 Sep/Oct; 31:403
