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.
Continuity of Midwife-Led Care: What Effect on Pregnancy Outcomes?
Women's Health Summary and Comment
One-to-one midwifery lowered cesarean rates over standard care in a low-risk obstetric population.
Tocolysis for Threatened Preterm Delivery: What to Use When No Particular Agent Seems Ideal
Women's Health Summary and Comment
Meta-analysis shows prostaglandin inhibitors and calcium channel blockers offer the best risk-benefit profiles.
Serum Progesterone to Evaluate Bleeding or Pain During Early Pregnancy
Women's Health Summary and Comment
One-time progesterone measurement can help predict viability if ultrasound findings are ambiguous.
How Well Do Pregnant Women Adhere to ART?
HIV/AIDS Clinical Care Summary and Comment
Free
Not well enough: Suboptimal adherence rates may compromise the global elimination of mother-to-child HIV transmission.
By Abigail Zuger, MD
October 29, 2012
Covering:
Nachega JB et al., AIDS 2012 Oct 23; 26:2039
Both HIV Infection and ART Use Associated with Increased Risk for Adverse Birth Outcomes
Use of ART during pregnancy was associated with increased risk for preterm delivery, small size for gestational age, and stillbirth.
By Keith Henry, MD
October 29, 2012
Covering:
Chen JY et al., J Infect Dis 2012 Oct 12
Reproductive Healthcare for Women in the Military
Active-duty servicewomen are at higher risk for many adverse reproductive health outcomes.
By Vinita Goyal, MD, MPH
October 25, 2012
Especially for Military Women: Managing Your Reproductive Health
Women's Health Patient Information
Special considerations for preventing sexually transmitted diseases and unintended pregnancy
Prenatal Mercury Exposure, Fish Consumption, and ADHD Symptoms
Prenatal mercury exposure increases risk for attention-deficit/hyperactivity disorder symptoms in children, while prenatal fish consumption decreases risk.
By Cornelius W. Van Niel, MD
October 24, 2012
Covering:
Sagiv SK et al., Arch Pediatr Adolesc Med 2012 Oct 8
Lanphear BP., Arch Pediatr Adolesc Med 2012 Oct 8
Assisted Reproductive Technology Outcomes Keep Improving
Women's Health Summary and Comment
Birth defects are decreasing and perinatal outcomes are getting better.
By Robert W. Rebar, MD
October 18, 2012
Covering:
Hansen M et al., Obstet Gynecol 2012 Oct; 120:852
Joshi N et al., Obstet Gynecol 2012 Oct; 120:843
What You See Might Not Be What You Get: Prenatal Ultrasound Diagnosis in Obese Women
Women's Health Summary and Comment
Congenital anomalies are more likely to be missed in fetuses of women with high BMI.
Postpartum HPV Vaccination: Acceptance Belies Completion Rates
Women's Health Summary and Comment
Most study participants were satisfied with having chosen postpartum HPV vaccination, but only one third completed all three shots.
By Anna Wald, MD, MPH
October 18, 2012
Covering:
Wright JD et al., Obstet Gynecol 2012 Oct; 120:771
Maternal and Paternal Age of Conception: Variability of Benefits and Risks
Older fathers are more likely to transfer de novo mutations and children of older mothers have better health and developmental outcomes.
By Martin T. Stein, MD
October 17, 2012
Covering:
Kong A et al., Nature 2012 Aug 23; 488:471
Kondrashov A., Nature 2012 Aug 23; 488:467
Sutcliffe AG et al., BMJ 2012 Aug 21; 345:e5116
Free Highly Effective Reversible Contraception: Conquering a Barrier
Women's Health Summary and Comment
Free
Providing such contraception at no cost significantly reduced abortion rates.
The Sex Difference in Depression and Anxiety Explained?
Psychiatry Summary and Comment
An animal study suggests that a genetic variant of brain-derived neurotrophic factor could play an important role.
By Steven Dubovsky, MD
October 5, 2012
Covering:
Bath KG et al., Biol Psychiatry 2012 Sep 15; 72:499
Epperson CN and Bale TL., Biol Psychiatry 2012 Sep 15; 72:434
Nonclinical Psychosis, Frontostriatal Processing, and Fingerprint Abnormalities
Psychiatry Summary and Comment
In a small study, individuals with attenuated positive symptoms seem to exhibit developmental problems similar to those with frank psychosis.
By Joel Yager, MD
October 5, 2012
Covering:
Mittal VA et al., Acta Psychiatr Scand 2012 Oct; 126:290
Uterine Perforation Following Placement of Intrauterine Contraception Is Uncommon
Women's Health Summary and Comment
But drawing conclusions about risk factors is difficult.
By Robert W. Rebar, MD
October 4, 2012
Covering:
Kaislasuo J et al., Hum Reprod 2012 Sep; 27:2658
White or Whole Grain: Does Glycemic Index Matter During Pregnancy?
Women's Health Summary and Comment
Free
Adherence to a low-glycemic–index diet curbed maternal weight gain but did not lower incidence of neonatal macrosomia.
Is Pregnancy-Associated Cancer Becoming More Common?
Women's Health Summary and Comment
In an Australian study, rising incidence was only partially accounted for by advancing maternal age.
When to Conceive? Ask Father Time.
General Medicine Summary and Comment
Older fathers were more likely than younger fathers to transmit de novo mutations.
By Anthony L. Komaroff, MD
September 20, 2012
Covering:
Kong A et al., Nature 2012 Aug 23; 488:471
Kondrashov A., Nature 2012 Aug 23; 488:467
