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
Does Treating Periodontal Disease During Pregnancy Improve Birth Outcomes?
Women's Health
Summary and Comment
One-time periodontal treatment did not prevent preterm birth.
When to Deliver: A New Approach to Gestational Hypertension and Mild Preeclampsia
Women's Health
Summary and Comment
Free
Induction of labor at 37 weeks' gestation proved beneficial in limiting disease progression.
Dispelling Some Myths About Cesarean Delivery Rates and Elective Induction of Labor
Women's Health
Summary and Comment
Compared with expectant management, induction of labor after 41 weeks' gestation was associated with lower risk for cesarean delivery and meconium staining of amniotic fluid.
Speaking Bluntly About Needles for Cesarean-Delivery Closure
Women's Health
Summary and Comment
Blunt needles led to fewer glove perforations than sharp needles.
By Ann J. Davis, MD
August 27, 2009
Covering:
Sullivan S et al., Obstet Gynecol 2009 Aug; 114:211
Prepregnancy BMI, Pregnancy Weight Gain, and Risk for Large Infants
Excess weight gain increases risk for macrosomic and LGA newborns, especially in lean women.
Pregnant Women Are at Elevated Risk for Complications from H1N1 Flu
General Medicine
Summary and Comment
Free
Pregnant women were more than four times as likely to be hospitalized as people in the nonpregnant general population.
By Bruce Soloway, MD
August 13, 2009
Covering:
Jamieson DJ et al., Lancet 2009 Aug 8; 374:451
Pregnancy and the Flu
Women's Health
Summary and Comment
Pandemic H1N1 and seasonal influenza take their toll on pregnant women; vaccination is a top priority.
By Anna Wald, MD, MPH
August 6, 2009
Covering:
Jamieson DJ et al., Lancet 2009 Aug 8; 374:451
MacDonald NE et al., Obstet Gynecol 2009 Aug; 114:365
Phillippe M., Obstet Gynecol 2009 Aug; 114:206
Atlanta, GA: Centers for Disease Control and Prevention (CDC) 2009 Jul 29
Magnesium Sulfate: A New Therapy for Prevention of CP
Be prepared to care for patients whose mothers have been treated with MgSO4 to prevent CP.
By William P. Kanto, Jr., MD
August 5, 2009
Covering:
Conde-Agudelo A and Romero R., Am J Obstet Gynecol 2009 Jun; 200:595
Rouse DJ., Am J Obstet Gynecol 2009 Jun; 200:610
Macones GA., Am J Obstet Gynecol 2009 Jun; 200:589
Cahill AG and Caughey AB., Am J Obstet Gynecol 2009 Jun; 200:590
Magnesium Sulfate to Prevent Cerebral Palsy in Preterm Infants: Gathering the Evidence
Women's Health
Summary and Comment
Results of a meta-analysis support use of magnesium sulfate in women at risk for preterm delivery before 34 weeks' gestation.
Maternal Smoking Rates During Pregnancy Drop . . . A Little
Women's Health
Summary and Comment
Rates of smoking during and after pregnancy declined somewhat from 2000 through 2005, but smoking prevalence before conception did not change.
By Diane E. Judge, APN/CNP
July 30, 2009
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Surveill Summ 2009 May 29; 58:1