Pregnancy and Childbirth in Women with MS
Neurology Summary and Comment
Free
Two studies add important information about the mutual influences of pregnancy and MS.
By Maria K. Houtchens, MD, MMSci
February 9, 2010
Covering:
D'hooghe MB et al., J Neurol Neurosurg Psychiatry 2010 Jan; 81:38
Kelly VM et al., Neurology 2009 Dec 1; 73:1831
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. How would you manage?
Annual Review of Pediatric and Adolescent Vital Statistics
Women's Health Summary and Comment
The data reveal increasing rates of teen pregnancies, cesarean sections, and very-low-birth-weight infants as well as persistent disparities in life expectancy.
Labor Induction at Term Is a Risk Factor for Cesarean Delivery
Women's Health Summary and Comment
Risk for cesarean delivery was higher with induced labor than with spontaneous labor or expectant management, regardless of comparison group.
Risks of Pregnancy in Women with Cardiomyopathy
Cardiology Summary and Comment
Data from a small case series suggest that advanced symptoms, low LVEF, or both are associated with adverse maternal and fetal outcomes.
Acetaminophen Use During Pregnancy: Better Than Safe?
Women's Health Summary and Comment
Women who used acetaminophen for fever during the first trimester were less likely to have infants with certain birth defects.
By Wendy S. Biggs, MD
January 28, 2010
Covering:
Feldkamp ML et al., Obstet Gynecol 2010 Jan; 115:109
For Monitoring Labor, Is Inside the Uterus Better Than Outside?
Women's Health Summary and Comment
Free
Rates of operative delivery did not differ significantly for internal versus external measurement of uterine contractions.
Does Antenatal Diagnosis of Placenta Accreta Improve Maternal Outcomes?
Women's Health Summary and Comment
Predelivery diagnosis allowed for planned cesarean delivery with hysterectomy, resulting in better maternal outcomes without substantial adverse effects on neonatal outcomes.
Annual Review of Vital Statistics
The data reveal increasing rates of teen pregnancies, cesarean sections, and very low birth weight infants as well as persistent disparities in life expectancy.
Glyburide Outperformed Metformin in Treating Women with Gestational Diabetes
Women's Health Summary and Comment
Free
Compared with glyburide, metformin was associated with doubled risk for poor glycemic control.
By Wendy S. Biggs, MD
January 14, 2010
Covering:
Moore LE et al., Obstet Gynecol 2010 Jan; 115:55
Postpartum Resistance to HIV Drugs
Women who receive antiretrovirals during pregnancy and then stop at delivery have a high rate of postpartum drug resistance.
HPV Vaccination and Pregnancy Outcomes
Women's Health Summary and Comment
Administration of the quadrivalent HPV vaccine was not associated with excess risk for adverse outcomes.
By Anna Wald, MD, MPH
January 7, 2010
Covering:
Dana A et al., Obstet Gynecol 2009 Dec; 114:1170
Garland SM et al., Obstet Gynecol 2009 Dec; 114:1179
Smith-McCune K and Sawaya GF., Obstet Gynecol 2009 Dec; 114:1168
Women's Perceptions: When Is Pregnancy Full Term and Delivery Safe?
Women's Health Summary and Comment
Many women believe that delivery before 37 weeks' gestation is safe.
What's New in Perinatal Depression?
Psychiatry Year in Review
Free
Risks of using SSRIs during pregnancy and other important issues in the etiology, diagnosis, and overall approach to the treatment of perinatal depression
Preeclampsia and Hypothyroidism
Women's Health Summary and Comment
Women with preeclampsia had higher risk for elevated thyroid-stimulating hormone before delivery and were more likely to develop future hypothyroidism.
By Wendy S. Biggs, MD
December 17, 2009
Covering:
Levine RJ et al., BMJ 2009 Nov 17; 339:b4336
Blood Refusal Raises Risk for Death from Maternal Hemorrhage
Women's Health Summary and Comment
Maternal mortality and serious morbidity were substantially greater in Dutch Jehovah's Witnesses than in the general population.
By Wendy S. Biggs, MD
December 17, 2009
Covering:
Van Wolfswinkel ME et al., BJOG 2009 Jul; 116:1103
Guichon J and Mitchell I., BJOG 2009 Oct; 116:1540
"Worse Than Desolate": Maternal Grief After Loss of an Unborn Child
Psychiatry Summary and Comment
The psychological pain of grief activates physical pain networks in the brain.
By Joel Yager, MD
December 14, 2009
Covering:
Kersting A et al., Am J Psychiatry 2009 Dec; 166:1402
Do Oral Contraceptives Explain the "Edge," as Women Overtake Men in SCC Risk?
Dermatology Summary and Comment
The data are insufficient to draw any conclusions about current use of oral contraceptives.
By June Robinson, MD
December 11, 2009
Covering:
Applebaum KM et al., J Invest Dermatol 2009 Dec; 129:2760
Healthcare Workers' Beliefs About Flu Vaccination
Women's Health Summary and Comment
Free
Many healthcare workers were ambivalent or misinformed about flu vaccination for pregnant women.
Pregnancy Problems Predict Future Cardiovascular Risks
Women's Health Summary and Comment
Women with vascular complications of pregnancy are at excess risk for postpartum metabolic syndrome and future hypertension and diabetes.
By Wendy S. Biggs, MD
December 10, 2009
Covering:
Magnussen EB et al., Obstet Gynecol 2009 Nov; 114:961
Stekkinger E et al., Obstet Gynecol 2009 Nov; 114:1076
Assisted Reproduction and Birth Defects
Women's Health Summary and Comment
Prevalence of birth defects was substantially higher among infants who were conceived with assisted reproduction than among those who were conceived naturally.
By Robert W. Rebar, MD
December 10, 2009
Covering:
El-Chaar D et al., Fertil Steril 2009 Nov; 92:1557
Should Women Remain Immobile Immediately After Intrauterine Insemination?
Women's Health Summary and Comment
This simple procedure was associated with higher ongoing pregnancy rates.
By Robert W. Rebar, MD
December 3, 2009
Covering:
Custers IM et al., BMJ 2009 Oct 29; 339:b4080
Ledger WL., BMJ 2009 Oct 29; 339:b4274
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
