Unintended Pregnancy and Contraceptive Use in Military Servicewomen
Women's Health Summary and Comment
Access to contraception during deployment remains problematic.
By Anne A. Moore, DNP, APRN, FAANP
February 14, 2013
Covering:
Grindlay K and Grossman D., Obstet Gynecol 2013 Feb; 121:241
Grindlay K and Grossman D., Contraception 2013 Feb; 87:162
Promoting Use of Magnesium Sulfate to Prevent Cerebral Palsy
Women's Health Summary and Comment
Free
Implementation of guidelines for magnesium sulfate infusion in preterm deliveries effectively escalated its use in one large tertiary center.
Maternal and Fetal Risk Factors for Stillbirth
Women's Health Summary and Comment
Fetal growth restriction, especially when undetected prenatally, was the strongest risk factor.
Pulmonary and Venous Thromboembolism After In Vitro Fertilization
Women's Health Summary and Comment
Absolute risk was modestly higher than that associated with spontaneous pregnancy and was highest during the first trimester.
By Robert W. Rebar, MD
January 31, 2013
Covering:
Henriksson P et al., BMJ 2013 Jan 15; 346:e8632
Pravastatin in Pregnancy? Stay Tuned.
Women's Health Summary and Comment
A potential strategy for preventing preeclampsia
All Sewn Up: Postcesarean Skin Staples vs. Subcuticular Sutures
Women's Health Summary and Comment
Free
Subcuticular closure was associated with lower risk for wound complications.
Influenza Vaccine Protects Pregnant Women and Their Fetuses
Women's Health Summary and Comment
Norwegian study showed excess fetal deaths in women with influenza.
By Anna Wald, MD, MPH
January 24, 2013
Covering:
Håberg SE et al., N Engl J Med 2013 Jan 24; 368:333
Maternal Antidepressant Use and Perinatal Mortality
Women's Health Summary and Comment
Free
Use of selective serotonin reuptake inhibitors does not seem to raise risk for stillbirth or infant death.
At What β-hCG Levels Should Viable Pregnancies Be Consistently Detectable by Ultrasound?
Women's Health Summary and Comment
In a retrospective cohort study, discriminatory levels were much higher than those currently used in practice.
By Robert W. Rebar, MD
January 17, 2013
Covering:
Connolly A et al., Obstet Gynecol 2013 Jan; 121:65
Mode of Delivery Not Influenced by Prior Cervical Loop Electrosurgical Excision
Women's Health Summary and Comment
Good news about risk for cesarean delivery
Tocolytic Therapy for Preterm Labor: Two Days Are All You Get
Women's Health Summary and Comment
Large randomized trial failed to show a benefit of maintenance tocolysis with nifedipine.
Does Gonadotropin Suppression Prevent Chemotherapy-Induced Ovarian Damage?
Women's Health Summary and Comment
Findings suggest no protective effect, but study does not seem definitive.
By Robert W. Rebar, MD
January 17, 2013
Covering:
Elgindy EA et al., Obstet Gynecol 2013 Jan; 121:78
Oxytocin Overuse During Induction: Is Managing with Less Appropriate?
Women's Health Summary and Comment
Free
Oxytocin discontinuation during active labor did not raise risk for cesarean delivery, but did lead to longer labor and higher rates of chorioamnionitis.
Preeclampsia and Parity: Is Having More Than One Child Good for Your Heart?
Women's Health Summary and Comment
Risk for cardiovascular death was highest for women with histories of preterm preeclampsia and just one child.
Pregnancy Complications After Prior Uterine Surgery: Much Ado About Little?
Women's Health Summary and Comment
Risk for uterine rupture after previous myomectomy might not be as high as once thought.
By Allison Bryant, MD, MPH
December 20, 2012
Covering:
Gyamfi-Bannerman C et al., Obstet Gynecol 2012 Dec; 120:1332
Chronic Maternal Heart Disease Takes Its Toll During and After Pregnancy
Women's Health Summary and Comment
Likelihood of small-for-gestational-age neonates, peri- and postnatal infant death, and maternal death was higher in women with chronic heart disease.
AAP Policy Statement on Emergency Contraception for Teens
Emergency Medicine Clinical Practice Guideline Watch
The AAP recommends that teens have access to Plan B both in emergencies and in advance of need.
Could Influenza Vaccination Prevent Autism?
The possibility of an association between prolonged fever during pregnancy and autism cannot be ruled out.
How Useful Is Microarray Analysis for Prenatal Diagnosis and Assessment of Stillbirth?
Women's Health Summary and Comment
Free
New technology has diagnostic benefits, but "uncertain" findings probably will present challenges.
By Andrew M. Kaunitz, MD
December 5, 2012
Covering:
Wapner RJ et al., N Engl J Med 2012 Dec 6; 367:2175
Reddy UM et al., N Engl J Med 2012 Dec 6; 367:2185
To Bring Down the Cesarean Delivery Rate, Start at the Beginning
Women's Health Practice Watch
Free
Targeting modifiable factors behind primary cesarean deliveries can reverse the trend.
Adverse Pregnancy Outcomes and Bipolar Disorder
Psychiatry Summary and Comment
Free
The increased risks are independent of treatment for the disorder.
By Deborah Cowley, MD
November 19, 2012
Covering:
Boden R et al., BMJ 2012 Nov 8; 345:e7085
Stem Cells to Reverse Damage to the Fetal Brain?
Psychiatry Summary and Comment
In a proof-of-concept study, rat pups exposed prenatally to alcohol and later injected with neural stem cells showed behavioral and cognitive improvements.
By Joel Yager, MD
November 19, 2012
Covering:
Shirasaka T et al., Transl Psychiatry 2012 Nov 13; 2:e188
Severe Obstetric Morbidity: Learning from the "Near Misses"
Women's Health Summary and Comment
Free
New criteria for identifying severe maternal morbidity reveal worrisome recent trends.
Obstructive Sleep Apnea, Obesity, and Obstetric Consequences
Women's Health Summary and Comment
Preeclampsia, cesarean deliveries, and admissions to neonatal intensive care units were more common with maternal OSA.
What Is the Best Time Window for Delivery in Women with Gestational Hypertension?
Women's Health Summary and Comment
Inducing labor at 38 to 39 weeks presented the lowest maternal and fetal risks.
