Childbearing After Surviving Cancer
Women's Health
Summary and Comment
Preterm delivery and postpartum hemorrhage rates were higher in cancer survivors than in women without cancer, but neonatal birthweight, morbidity, and mortality were similar in the two groups.
How Well Known Are the ABCDXs of Teratogenicity?
Women's Health
Summary and Comment
About half the women filling class D or X prescriptions had no contraceptive counseling.
Maternal Obesity Is a Risk Factor for Birth Defects
Maternal obesity increased risk for some structural birth defects.
Transmitted HIV Drug Resistance in Pregnant Women
Data from the Women and Infants Transmission Study reinforce the importance of genotypic resistance testing in treatment-naive HIV-infected pregnant women.
GERD During Pregnancy and Beyond
Gastroenterology
Summary and Comment
Does heartburn during pregnancy predispose women to subsequent GERD?
By David A. Johnson, MD
October 19, 2007
Covering:
Bor S et al., Clin Gastroenterol Hepatol 2007 Sep; 5:1035
How Much Weight Gain Is Optimal During Pregnancy?
General Medicine
Summary and Comment
Optimal pregnancy weight gain varies with prepregnancy BMI.
By Robert W. Rebar, MD
October 18, 2007
Covering:
DeVader SR et al., Obstet Gynecol 2007 Oct; 110:745
Kiel DW et al., Obstet Gynecol 2007 Oct; 110:752
Cedergren MI., Obstet Gynecol 2007 Oct; 110:759
Catalano PM., Obstet Gynecol 2007 Oct; 110:743
Eating Disorders in Early Pregnancy
Psychiatry
Summary and Comment
Most remit, but incidence of binge-eating disorder increases.
Pregnancy and HIV Disease Progression
Infectious Diseases
Summary and Comment
In a cohort study conducted since the introduction of potent combination ART, pregnancy seemed to reduce a womans risk for HIV disease progression.
Screening and Follow-Up for Gestational Diabetes
Women's Health
Practice Watch
Free
High-risk individuals require both initial screening and repeated testing during and after pregnancy.
By Ann J. Davis, MD
October 4, 2007
Covering:
Metzger BE et al., Diabetes Care 2007 Jul; 30:251
Psychiatric Medications, Psychiatric Disorders, and Pregnancy: New Data
Psychiatry
Summary and Comment
Pregnancy outcomes in psychiatric patients were related to medications — and to anxiety symptoms.
By Joel Yager, MD
October 1, 2007
Covering:
Suri R et al., Am J Psychiatry 2007 Aug; 164:1206
Newport DJ et al., Am J Psychiatry 2007 Aug; 164:1214
Orr ST et al., Psychosom Med 2007 Jul/Aug; 69:566
Maternal Obesity Is a Risk Factor for Stillbirth
General Medicine
Summary and Comment
The risk for stillbirth was 40% higher among obese women than among normal-weight women.
By Robert W. Rebar, MD
September 27, 2007
Covering:
Salihu HM et al., Obstet Gynecol 2007 Sep; 110:552
Homemade Deliveries
Women's Health
Summary and Comment
More evidence on safety of planned home births
By Diane E. Judge, APN/CNP
September 27, 2007
Covering:
Fullerton JT et al., J Midwifery Womens Health 2007 Jul/Aug; 52:323
Pregnancy and HIV Disease Progression
A cohort study conducted in the current treatment era suggests that pregnancy may lower the risk for HIV disease progression.
Caution Regarding Nelfinavir Use in Children and Pregnant Women
The discovery of a potential carcinogen in nelfinavir has prompted new recommendations regarding use of this drug.
By ACC Editors
September 24, 2007
Does Medical Abortion Compromise Subsequent Pregnancies?
Women's Health
Summary and Comment
Results of a large cohort study provide reassurance about the long-term safety of medical abortion.
Acute Hepatitis E During Pregnancy
Women's Health
Summary and Comment
Women with HEV-associated acute hepatitis during late pregnancy had poor maternal and fetal outcomes.
By Anna Wald, MD, MPH
September 13, 2007
Covering:
Patra S et al., Ann Intern Med 2007 Jul 3; 147:28-33
Diagnosing Antiphospholipid Antibody Syndrome
Oncology and Hematology
Summary and Comment
Free
Results of this study confirmed that aß2GP1 antibodies predicted APS, but the usefulness of aCL as a predictor was not verified.
D-Dimer Assay May Help Exclude DVT in Pregnant Women
General Medicine
Summary and Comment
The assay picked up all cases but also produced many false-positive results.
Many Women with Congenital Heart Disease Can Tolerate Pregnancy Safely
Women's Health
Summary and Comment
Free
Most pregnancies resulted in normal births, but cardiac complications were common among women with complex CHD.
By Marian C. Limacher, MD
August 16, 2007
Covering:
Drenthen W et al., J Am Coll Cardiol 2007 Jun 19; 49:2303-11
Ironing Out Supplementation During Pregnancy
Women's Health
Summary and Comment
Iron supplementation in nonanemic pregnant women was associated with unfavorable outcomes.
Subsequent Pregnancy Outcomes Are Similar After Medical and Surgical Abortion
General Medicine
Summary and Comment
Free
Medical abortion is as safe as surgical abortion.
By Robert W. Rebar, MD
August 15, 2007
Covering:
Virk J et al., N Engl J Med 2007 Aug 16; 357:648-53
Is HPV Vaccine Therapeutic in Women with Preexisting Infection?
General Medicine
Summary and Comment
The vaccine showed no evidence of clearing oncogenic HPV subtypes in infected women.
Folic Acid Fortification in Canada
Fortification was associated with a 46% reduction in neural-tube defects.
By Judith G. Hall, OC, MD
August 8, 2007
Covering:
De Wals P et al., N Engl J Med 2007 Jul 12; 357:135-42
Gene Mutations and Pregnancy Complications
Oncology and Hematology
Summary and Comment
Free
Findings from two studies confirm that thrombophilia is a risk factor for adverse pregnancy outcomes.
By David Green, MD, PhD
August 7, 2007
Covering:
Coppens M et al., J Thromb Haemost 2007 Jul; 5:1444-8
Passamonti F et al., Blood 2007 Jul 15; 110:485-9
Twin Gestations Remain Associated with Risk for Preterm Delivery
Women's Health
Summary and Comment
Free
Progesterone did not reduce the rate of preterm birth in women carrying twins.
By Sandra Ann Carson, MD
August 1, 2007
Covering:
Rouse DJ et al., N Engl J Med 2007 Aug 2; 357:454-61