Oxytocin and Attachment Style in New Mothers
Psychiatry Summary and Comment
Oxytocin levels are high in mothers with secure attachment styles when interacting with their infants, and reward centers are activated.
By Barbara Geller, MD
April 12, 2010
Covering:
Strathearn L et al., Neuropsychopharmacology 2009 Dec; 34:2655
Rilling JK., Neuropsychopharmacology 2009 Dec; 34:2621
Home, Hospital, or Birth Center: Does Choice of Birth Facility Affect Outcomes?
Women's Health Summary and Comment
Out-of-hospital deliveries were more likely to be associated with protracted or precipitous labors and less likely to be associated with certain other morbidities.
Management of Early Spontaneous Pregnancy Loss
Procedures for managing early pregnancy loss are moving out of the operating room and into the office, safely and successfully.
By Amanda T. Rodemann, DO, Jana L. Allison, MD, and Danny J. Schust, MD
April 1, 2010
When Pregnancy Ends Too Soon: What Happens and What Comes Next?
Women's Health Patient Information
Information about early pregnancy loss, treatment, and emotional effects
Antiretroviral Therapy and Pregnancy Rates
Pregnancy rates seem to be higher among HIV-infected women who have initiated antiretroviral therapy than among those who have not.
Does Periodontal Therapy During Pregnancy Affect Likelihood of Preterm Birth?
Women's Health Summary and Comment
Periodontal treatment was not associated with lower risk for preterm birth . . . but determining whether treatment was successful might change this conclusion.
Pregnancy Outcomes After HPV Vaccination
General Medicine Summary and Comment
The data are largely reassuring.
Diagnosis and Management of Ectopic Pregnancies Continue to Evolve
Women's Health Summary and Comment
Data document clinicians' growing comfort with use of methotrexate and laparoscopy to treat women with ectopic pregnancies.
By Robert W. Rebar, MD
March 18, 2010
Covering:
Hoover KW et al., Obstet Gynecol 2010 Mar; 115:495
Lipscomb GH., Obstet Gynecol 2010 Mar; 115:487
Do Follicle-Stimulating Hormone Receptor Variants Play a Role in Female Infertility?
Women's Health Summary and Comment
Genetic receptor variants were associated with low and high responses to controlled ovarian stimulation.
By Robert W. Rebar, MD
March 18, 2010
Covering:
Gerasimova T et al., J Clin Endocrinol Metab 2010 Feb; 95:529
Acupuncture for Depression ... Only If You're Pregnant?
Psychiatry Summary and Comment
Although many studies have not found acupuncture to be effective for depression, it might work in pregnant women with major depression.
By Peter Roy-Byrne, MD
March 15, 2010
Covering:
Manber R et al., Obstet Gynecol 2010 Mar; 115:511
Teens' Knowledge and Attitudes About Emergency Contraception
Women's Health Summary and Comment
Based on input from minority adolescents, researchers developed targeted social marketing.
Tubal Sterilization Does Not Lead to Sexual Problems
Women's Health Summary and Comment
Women who underwent the procedure were likely to report positive effects on sexual relationships.
Race and Body Weight Affect In Vitro Fertilization Outcomes
Women's Health Summary and Comment
Likelihood of success differed among four major racial and ethnic groups and was lower among women who were obese.
By Robert W. Rebar, MD
March 11, 2010
Covering:
Fujimoto VY et al., Fertil Steril 2010 Jan 15; 93:382
Bellver J et al., Fertil Steril 2010 Jan 15; 93:447
Continued Use of Asthma Medication During Pregnancy Keeps Wheezing at Bay
Women's Health Summary and Comment
Free
Asthma symptoms were more likely to remain stable during pregnancy when women continued with their usual therapies.
By Wendy S. Biggs, MD
March 4, 2010
Covering:
Belanger K et al., Obstet Gynecol 2010 Mar; 115:559
Active Management of Labor's Second Stage Benefits Second Twin
Women's Health Summary and Comment
Birth outcomes for second twins were similar in planned vaginal and planned cesarean deliveries.
First-Trimester Fetal Growth Restriction: Maternal Factors and Postnatal Consequences
Women's Health Summary and Comment
Maternal physical and lifestyle factors were associated with fetal growth restriction, which doubled risk for preterm birth, low birth weight, and small-for-gestational-age status.
By Wendy S. Biggs, MD
March 4, 2010
Covering:
Mook-Kanamori DO et al., JAMA 2010 Feb 10; 303:527
Smith GCS., JAMA 2010 Feb 10; 303:561
Maternal Flu and the Postnatal Brain: An Animal Study
Psychiatry Summary and Comment
In rhesus monkeys, titers of virus-specific immunoglobulin are associated with brain abnormalities.
By Barbara Geller, MD
March 1, 2010
Covering:
Short SJ et al., Biol Psychiatry 2010 Jan 13
Ulipristal Might Outperform Levonorgestrel for Emergency Contraception
General Medicine Summary and Comment
Initial safety data are encouraging.
By Bruce Soloway, MD
February 25, 2010
Covering:
Glasier AF et al., Lancet 2010 Feb 13; 375:555
Maternal Diabetes, Not Obesity, Does the Damage
Women's Health Summary and Comment
Free
Pregestational diabetes was associated significantly with congenital anomalies; obesity alone was not.
By Wendy S. Biggs, MD
February 25, 2010
Covering:
Biggio JR Jr et al., Obstet Gynecol 2010 Feb; 115:290
Is She or Isn't She?
HIV/AIDS Clinical Care Antiretroviral Rounds
Free
An HIV-infected pregnant woman says she's taking her antiretrovirals — but the blood test results say otherwise. Two experts describe their approach to management.
Prenatal Effects of Cocaine: An Animal Study
Psychiatry Summary and Comment
Cocaine in macaque mothers reaches the fetal brain.
By Barbara Geller, MD
February 22, 2010
Covering:
Benveniste H et al., Proc Natl Acad Sci U S A 2010 Jan 26; 107:1582
Misoprostol vs. Oxytocin for Postpartum Hemorrhage When Clinical Resources Are Scarce
Women's Health Summary and Comment
Sublingual misoprostol could be a reasonable first-line alternative to intravenous oxytocin.
By Anna Wald, MD, MPH
February 18, 2010
Covering:
Winikoff B et al., Lancet 2010 Jan 16; 375:210
Blum J et al., Lancet 2010 Jan 16; 375:217
Preventing Those Last Few Cases of MTCT
Even mothers with virologic suppression at delivery occasionally transmit HIV to their infants at birth. A new case-control study suggests that these infections might be prevented with earlier antiretroviral use during pregnancy.
Inherited Thrombophilia Polymorphisms and Pregnancy Outcomes
Women's Health Summary and Comment
Free
Asymptomatic carriers of inherited thrombophilias were not at excess risk for several adverse pregnancy outcomes.
By Ann J. Davis, MD
February 11, 2010
Covering:
Said JM et al., Obstet Gynecol 2010 Jan; 115:5
Branch DW., Obstet Gynecol 2010 Jan; 115:2
Maternal Surgical Weight Loss for Obesity Before Pregnancy Curbs Obesity in Children
Rates of severe obesity were three times higher in children who were born before their mothers' bariatric surgery than in those who were born after surgery.
