Elective Repeat Cesarean Delivery at Term: What Timing Is Best?
Women's Health Summary and Comment
Elective repeat cesarean delivery before 39 weeks’ gestation was associated with adverse neonatal outcomes.
By Andrew M. Kaunitz, MD
January 8, 2009
Covering:
Tita ATN et al., N Engl J Med 2009 Jan 8; 360:111
Greene MF., N Engl J Med 2009 Jan 8; 360:183
Elective Repeat Cesarean Delivery — Do Not Rush
General Medicine Summary and Comment
Free
The incidence of neonatal complications was higher for deliveries before 39 weeks’ gestation.
By Robert W. Rebar, MD
January 7, 2009
Covering:
Tita ATN et al., N Engl J Med 2009 Jan 8; 360:111
Greene MF., N Engl J Med 2009 Jan 8; 360:183
In Utero Exposure to Valproate: A Cause of Autism?
Preliminary findings from this small study represent the first prospective observation of an association between fetal valproate exposure and ASDs.
By Martin T. Stein, MD
January 7, 2009
Covering:
Bromley RL et al., Neurology 2008 Dec 2; 71:1923
Corticosteroids Every 2 Weeks to Prevent Preterm Birth: No Benefits, Smaller Babies
General Medicine Summary and Comment
Neonates in the treatment group were shorter and weighed less.
By Bruce Soloway, MD
December 30, 2008
Covering:
Murphy KE et al., Lancet 2008 Dec 20/27; 372:2143
Down Syndrome Birth Rate Lower After Screening
Women's Health Summary and Comment
Free
In Denmark, first-trimester screening seemed to lower the number of prenatal diagnostic procedures and halve the number of infants born with Down syndrome.
By Wendy S. Biggs, MD
December 30, 2008
Covering:
Ekelund CK et al., BMJ 2008 Nov 27; 337:a2547
Depression and Antidepressants in Pregnancy
Both psychiatric illness and medications can affect the child.
Late Preterm Birth: Beware!
Women's Health Summary and Comment
Free
Adverse neonatal outcomes at 34 to 37 weeks’ gestation give reason to rethink obstetric practices in deliveries earlier than 37 weeks.
More Caffeine Leads to Less Fetal Growth
Women's Health Summary and Comment
Caffeine intake during pregnancy conferred risk for fetal growth restriction.
By Wendy S. Biggs, MD
December 11, 2008
Covering:
CARE Study Group., BMJ 2008 Nov 3; 337:a2332
Bariatric Surgery’s Effects on Pregnancy
Women's Health Summary and Comment
Despite possible complications, bariatric surgery is associated with lower rates of gestational diabetes and preeclampsia.
Does Exposure to Sexual Content on TV Presage Teen Pregnancy?
Women's Health Summary and Comment
Teens who reported more exposure had greater likelihood of pregnancy.
By Ann J. Davis, MD
December 4, 2008
Covering:
Chandra A et al., Pediatrics 2008 Nov; 122:1047
DMPA: How Has the Black Box Affected Clinical Practice?
Women's Health Summary and Comment
Some physicians limit DMPA use and order BMD tests.
By Ann J. Davis, MD
December 4, 2008
Covering:
Paschall S and Kaunitz AM., Contraception 2008 Nov; 78:370
When Religious Ethics Conflict with Medical Standards of Miscarriage Management
Women's Health Summary and Comment
A survey of OB/GYNs showed several cases in which Catholic hospital ethics committees blocked timely uterine evacuation in women with spontaneous pregnancy loss.
"Late" Preterm Still Is Preterm
Both late preterm infants and preterm infants had increased risk for short- and long-term adverse outcomes compared with full-term infants.
Venous Thromboembolism and Pregnancy
An approach to managing VTE in pregnant patients
By David Green, MD, PhD
December 2, 2008
Covering:
Marik PE and Plante LA., N Engl J Med 2008 Nov 6; 359:2025
Sexual and Contraceptive Practices of Women with Epilepsy
Neurology Summary and Comment
Women with epilepsy and their healthcare providers need a better understanding of appropriate contraceptive options, a questionnaire study suggests.
By Andrew G. Herzog MD, MSc
December 2, 2008
Covering:
Davis AR et al., Contraception 2008 Jun; 77:405
Sex on Television and Risk for Pregnancy — Turn the Dial
Adolescents who reported frequent exposure to sexual content on television were more likely to become pregnant or to father a baby.
Risk for Orofacial Cleft with Lamotrigine Use in Pregnancy
Neurology Summary and Comment
Despite postmarketing data suggesting a highly elevated risk for orofacial clefts associated with lamotrigine use, this case–control study found no such increase relative to the risks for other major malformations.
By Ellen J. Bubrick, MD
November 25, 2008
Covering:
Dolk H et al., Neurology 2008 Sep 2; 71:714
Choose to Chew: Nicotine Gum and Pregnancy
Women's Health Summary and Comment
Women who chewed nicotine gum cut their daily smoking more than did women who chewed placebo gum.
Antibiotics Used in Preterm Birth Might Affect Offspring
Women's Health Summary and Comment
Free
Antibiotics used maternally for preterm birth had mixed effects on outcomes in children 7 years later.
By Anna Wald, MD, MPH
November 6, 2008
Covering:
Kenyon S et al., Lancet 2008 Oct 11; 372:1310
Kenyon S et al., Lancet 2008 Oct 11; 372:1319
Bedford Russell AR and Steer PJ., Lancet 2008 Oct 11; 372:1276
Older Women Are Less Likely to Use Contraceptives Than Are Younger Women
General Medicine Summary and Comment
Nonuse of contraception also was associated with lower education level, black race, Medicaid coverage, lack of insurance, and infrequent sexual activity.
Which Women Regret Their Sterilization Decisions?
Women's Health Summary and Comment
Black women and those who were younger at the time of the procedure were more likely to want tubal sterilization reversal.
Cryopreserved Sperm from Men with Malignancies Can Produce Pregnancies
General Medicine Summary and Comment
Free
Preserving sperm before cancer therapy can enhance the likelihood of later fatherhood.
By Robert W. Rebar, MD
October 23, 2008
Covering:
Hourvitz A et al., Fertil Steril 2008 Sep; 90:557
Do More Data Translate into Better Control of Diabetes During Pregnancy?
Women's Health Summary and Comment
Intermittent use of continuous glucose monitoring by pregnant women with diabetes seemed to help them achieve glycemic control and lower risk for fetal macrosomia.
By Wendy S. Biggs, MD
October 23, 2008
Covering:
Murphy HR et al., BMJ 2008 Sep 25; 337:a1680
Antibiotics to Prevent Preterm Birth: Long-Term Benefits and Risks
General Medicine Summary and Comment
Follow-up data offer reassurance about the long-term benefit and safety of erythromycin in women with premature membrane rupture.
By Bruce Soloway, MD
October 21, 2008
Covering:
Kenyon S et al., Lancet 2008 Oct 11; 372:1310
Kenyon S et al., Lancet 2008 Oct 11; 372:1319
Cognitive-Behavioral Therapy for Depressed Mothers in Rural Pakistan
Psychiatry Summary and Comment
Minimally trained rural health workers can make a difference.
