Prenatal Ultrasound Is Not Always Right
Parents need to know that an exact prognosis cannot be established antenatally.
By William P. Kanto, Jr., MD
June 9, 2006
Covering:
Borsellino A et al., J Pediatr Surg 2006 Apr; 41:826-9
Hospitalization of Pregnant Women During Flu Season
General Medicine
Summary and Comment
More evidence in support of influenza vaccination for pregnant women
By Robert W. Rebar, MD
June 27, 2006
Covering:
Cox S et al., Obstet Gynecol 2006 Jun; 107:1315-22
Safety of First-Trimester Exposure to ACE Inhibitors
General Medicine
Summary and Comment
Free
Medicaid data on nearly 30,000 births showed a significant increase in risk for major congenital anomalies with first-trimester exposure.
By Allan S. Brett, MD
June 27, 2006
Covering:
Cooper WO et al., N Engl J Med 2006 Jun 8; 354:2443-51
Friedman JM., N Engl J Med 2006 Jun 8; 354:2498-500
Maternal and Perinatal Morbidity Associated with Suicide Attempts in Pregnant Women
General Medicine
Summary and Comment
Substance abuse proved to be the best indicator of risk for suicide attempts during pregnancy.
By Robert W. Rebar, MD
June 13, 2006
Covering:
Gandhi SG et al., Obstet Gynecol 2006 May; 107:984-90
Assisted Reproduction in HIV-Discordant Couples
A new method of sperm processing in HIV-infected men may prove advantageous for reducing transmission risk, particularly during intrauterine insemination.
By Shayne M. Plosker, MD, and Karen T. Tashima, MD
June 28, 2006
Covering:
Kato S et al., AIDS 2006 Apr 24; 20:967-73
Prenatal Environmental Contributions to Severity in Tourette Syndrome
Psychiatry
Summary and Comment
Maternal smoking during pregnancy increases the severity of tics and the likelihood of OCD in patients with Tourette syndrome.
By Joel Yager, MD
July 11, 2006
Covering:
Mathews CA et al., Am J Psychiatry 2006 Jun; 163:1066-73
Prenatal Deficits in Neurogenesis and Later Improvement: An Animal Study
Psychiatry
Summary and Comment
Early environmental stimulation might overcome these stress-induced deficits.
By Barbara Geller, MD
July 11, 2006
Covering:
Lemaire V et al., Biol Psychiatry 2006 May 1; 59:786-92
ACE Inhibitors Are Teratogenic in the First Trimester
Cardiology
Summary and Comment
Free
Specifically, these drugs were associated with increased infant risks for cardiovascular and nervous system anomalies.
By Harlan M. Krumholz, MD, SM
July 5, 2006
Covering:
Cooper WO et al., N Engl J Med 2006 Jun 8; 354:2443-51
Friedman JM., N Engl J Med 2006 Jun 8; 354:2498-500
Diabetic Women Receive Inadequate Contraceptive Counseling
General Medicine
Summary and Comment
In a nationwide study, diabetic women were about half as likely as nondiabetic women to receive contraceptive counseling.
By Robert W. Rebar, MD
May 30, 2006
Covering:
Schwarz EB et al., Obstet Gynecol 2006 May; 107:1070-4
Sperm Counts Recover Fully After Male Hormonal Contraception
General Medicine
Summary and Comment
Most men who use hormonal contraception will have full sperm recovery within 1 year of stopping contraceptive use.
By Bruce Soloway, MD
May 26, 2006
Covering:
Liu PY et al., Lancet 2006 Apr 29; 367:1412-20
Outcomes in Women with First-Trimester Bleeding
Women's Health
Summary and Comment
Women with threatened miscarriage in their first-trimester have a slightly higher risk for obstetric and neonatal complications.
By Sandra Ann Carson, MD
May 23, 2006
Covering:
Wijesiriwardana A et al., Obstet Gynecol 2006 Mar; 107:557-62
Do Vitamins C and E Prevent Preeclampsia?
Women's Health
Summary and Comment
Antioxidant supplementation did not prevent preeclampsia in high-risk women.
By Anna Wald, MD, MPH
May 23, 2006
Covering:
Poston L et al., Lancet 2006 Apr 8; 367:1145-54
Maternal Mortality Worldwide
Women's Health
Summary and Comment
A WHO analysis confirms the wide variation in causes of maternal death worldwide.
By Anna Wald, MD, MPH
May 23, 2006
Covering:
Khan KS et al., Lancet 2006 Apr 1; 367:1066-74
Smoking Associated with Congenital Digital Anomalies
Women's Health
Summary and Comment
Maternal smoking during pregnancy increased the risk for digital anomalies in US infants.
By Sandra Ann Carson, MD
May 23, 2006
Covering:
Man LX and Chang B., Plast Reconstr Surg 2006 Jan; 117:301-8
Does PI Use During Pregnancy Increase the Risk for Preterm Delivery?
Prospective, observational findings from a single center with a strict PI protocol suggest yes, but definitive answers must come from randomized trials.
By G. Sonia Nagy, MD
May 10, 2006
Covering:
Cotter AM et al., J Infect Dis 2006 May 1; 193:1195-201
Tuomala RE and Yawetz S., J Infect Dis 2006 May 1; 193:1191-4
Preventing Mother-to-Child Transmission of HBV
Gastroenterology
Summary and Comment
Administering hepatitis B vaccine, HBIG, or both to newborn infants significantly reduces HBV transmission from HBsAg-positive mothers.
By Atif Zaman, MD, MPH
May 9, 2006
Covering:
Lee C et al., BMJ 2006 Feb 11; 332:328-36
Does Infertility Therapy Increase Risk for Genetic Imprinting Disorders?
General Medicine
Summary and Comment
IVF and intracytoplasmic sperm injection were associated with a small but significant increase in BeckwithWiedemann syndrome.
By Robert W. Rebar, MD
May 9, 2006
Covering:
Sutcliffe AG et al., Hum Reprod 2006 Apr; 21:1009-11
Antiretroviral Therapy During Pregnancy: How Safe?
Infectious Diseases
Summary and Comment
Combination therapy that includes a protease inhibitor may increase the risk for preterm delivery.
By Daniel J. Diekema, MD, MS
May 5, 2006
Covering:
Cotter AM et al., J Infect Dis 2006 May 1; 193:1195-201
Tuomala RE and Yawetz S., J Infect Dis 2006 May 1; 193:1191-4
Postpartum Psychosis: Risk Factors
Psychiatry
General Medicine
Among patients with bipolar or schizoaffective disorder, first-time mothers and those with complicated deliveries might especially be at risk.
By Nada L. Stotland, MD, MPH
May 3, 2006
Covering:
Blackmore ER et al., Br J Psychiatry 2006 Jan; 188:32-6
Is FSH Useful for Identifying Reproductive Stage?
General Medicine
Summary and Comment
Free
FSH levels vary widely among premenopausal, transitional, and postmenopausal women.
By Robert W. Rebar, MD
May 2, 2006
Covering:
Henrich JB et al., Menopause 2006 Mar/Apr; 13:171-7
Cesarean Delivery Increases Risk for Future Placenta Previa and Abruption
General Medicine
Summary and Comment
Risks also increase as the interval between pregnancies decreases.
By Robert W. Rebar, MD
April 25, 2006
Covering:
Getahun D et al., Obstet Gynecol 2006 Apr; 107:771-8
Sexual Activity and Risk for Recurrent Preterm Delivery
General Medicine
Summary and Comment
Lifetime sexual activity, but not sex during pregnancy, influences risk for recurrent preterm birth.
By Robert W. Rebar, MD
April 21, 2006
Covering:
Yost NP et al., Obstet Gynecol 2006 Apr; 107:793-7
Parental Notification in Teen Abortion: The Texas Experience
Women's Health
Summary and Comment
Free
With parental notification, birth rates rose among the oldest teens affected by the law.
By Andrew M. Kaunitz, MD
April 18, 2006
Covering:
Joyce T et al., N Engl J Med 2006 Mar 9; 354:1031-8
Fetal Sex Determination Using Noninvasive Procedures
Women's Health
Summary and Comment
Ultrasound and cell-free fetal DNA analysis accurately identified sex in 10 fetuses at risk for hemophilia.
By Sandra Ann Carson, MD
April 18, 2006
Covering:
Chi C et al., BJOG 2006 Feb; 113:239-42
Prenatal Maternal Psychopathology Affects the Fetus: More Evidence
Women's Health
Summary and Comment
Mothers with prenatal psychological morbidity appear more likely to have low-birth-weight infants.
By Nada L. Stotland, MD, MPH
April 18, 2006
Covering:
Patel V and Prince M., Br J Psychiatry 2006 Mar; 188:284-5