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
Free
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
A FASTTer Path to Pregnancy for Couples with Unexplained Infertility?
Women's Health
Summary and Comment
Free
Bypassing gonadotropin-stimulated artificial insemination was associated with shorter time to pregnancy and lower risk for multiple births.
Excellent Risk-Benefit Profile of Antimalarials in Treatment of Lupus
Results of a systematic review support use of antimalarials in patients with SLE during the entire course of the disease.
At Puberty, Daughters of Women with PCOS Differ from Daughters of Normal Women
Women's Health
Summary and Comment
PCOS daughters tended to have greater ovarian volume and hyperinsulinemia in glucose tolerance tests.
By Robert W. Rebar, MD
July 9, 2009
Covering:
Sir-Petermann T et al., J Clin Endocrinol Metab 2009 Jun; 94:1923
Assisted Reproduction for Couples with HIV-Positive Male Partners
Women's Health
Summary and Comment
IVF with intracytoplasmic sperm injection using washed sperm is safe and effective.
How Much Weight Gain During Pregnancy?
Women's Health
Practice Watch
Free
Updated IOM guidelines specify weight gain by prepregnancy WHO BMI categories.
Can Progesterone Stave Off Preterm Births of Twins?
Women's Health
Summary and Comment
Progesterone does not prevent preterm delivery in women with twin gestations.
Elective Repeat Cesarean Delivery vs. VBAC: Neonatal Outcomes
Women's Health
Summary and Comment
Free
Complication rates in newborns were higher after cesarean delivery than after successful VBAC.
Pemphigoid Gestationis and Fetal Outcomes
Dermatology
Summary and Comment
Infants of mothers with pemphigoid disease during pregnancy were more likely to be born prematurely or at low birth weight, but the adverse outcomes were not severe.
Safety of PPIs in Pregnancy
General Medicine
Summary and Comment
PPI use was not associated with congenital malformations.
By Allan S. Brett, MD
June 18, 2009
Covering:
Gill SK et al., Am J Gastroenterol 2009 Jun; 104:1541
Warning for the Wary: High Blood Pressure During Pregnancy
Women's Health
Summary and Comment
Rates of hospitalizations associated with hypertensive disorders in pregnancy have risen and are associated with life-threatening obstetric complications.
By Wendy S. Biggs, MD
June 18, 2009
Covering:
Kuklina EV et al., Obstet Gynecol 2009 Jun; 113:1299
Managing Pregnancy-Related Issues in Women with Epilepsy
Women's Health
Practice Watch
Free
Updated guidelines from the American Academy of Neurology and the American Epilepsy Society
Interventions to Lower Rates of Adverse Obstetric Events
Women's Health
Summary and Comment
Implementing multiple patient safety interventions lowered rates of adverse obstetric events at a large teaching hospital.
Metoclopramide During Early Pregnancy: How Safe?
Women's Health
Summary and Comment
Free
In a large Israeli study, metoclopramide use during early pregnancy was not associated with excess risk for congenital malformations.
USPSTF: Updated Recommendation for Folic Acid to Prevent Neural Tube Defects
General Medicine
Clinical Practice Guideline Watch
The task force highly recommends that all women of childbearing age take folic acid supplements.
By Richard Saitz, MD, MPH, FACP, FASAM
June 9, 2009
Covering:
U.S. Preventive Services Task Force., Ann Intern Med 2009 May 5; 150:626
Wolff T et al., Ann Intern Med 2009 May 5; 150:632
High Rate of New HIV Infection in Late Pregnancy
Among pregnant women in South Africa, repeat testing conducted between 36 and 40 weeks of gestation revealed new HIV infection in 3%.
By Keith Henry, MD
June 8, 2009
Covering:
Moodley D et al., AIDS 2009 May 18
Modern Methods of Abortion
Whether medical or surgical, abortion in the U.S. is safe and effective.
By Yael Swica, MD, MPH, MTS
June 4, 2009
The Facts About Abortion
Women's Health
Patient Information
The procedure is safe and effective.
Firm Evidence Favors Folic Acid
Women's Health
Summary and Comment
Free
Periconceptional folic acid supplementation remains key for preventing neural tube defects.
By Wendy S. Biggs, MD
May 28, 2009
Covering:
U.S. Preventive Services Task Force., Ann Intern Med 2009 May 5; 150:626
Wolff T et al., Ann Intern Med 2009 May 5; 150:632