Gestational Diabetes: Controversies About Diagnosis and Treatment Persist
General Medicine Summary and Comment
Increasing maternal glucose intolerance is associated with increasing birth weight, neonatal hypoglycemia, and fetal insulin levels.
By Robert W. Rebar, MD
May 7, 2008
Covering:
The HAPO Study Cooperative Research Group., N Engl J Med 2008 May 8; 358:1991
Rowan JA et al., N Engl J Med 2008 May 8; 358:2003
Ecker JL and Greene MF., N Engl J Med 2008 May 8; 358:2061
Chronic Pain Common After Pfannenstiel Incision
General Medicine Summary and Comment
Abdominal wall nerve entrapment was present in more than half of women with moderate-to-severe pain.
Postnatal Depression in Fathers Has Adverse Effects on Their Children’s Mental Health
Paternal depressive symptoms increase the vulnerability of their children to psychiatric disorders.
By Martin T. Stein, MD
May 7, 2008
Covering:
Ramchandani PG et al., J Am Acad Child Adolesc Psychiatry 2008 Apr; 47:390
Gestational Hyperglycemia: Continuum of Risk, Choices for Treatment
Women's Health Summary and Comment
Free
Likelihood of adverse pregnancy outcomes increased in proportion to maternal glucose levels; metformin for gestational diabetes was not inferior to insulin.
By Ann J. Davis, MD
May 7, 2008
Covering:
The HAPO Study Cooperative Research Group., N Engl J Med 2008 May 8; 358:1991
Rowan JA et al., N Engl J Med 2008 May 8; 358:2003
Ecker JL and Greene MF., N Engl J Med 2008 May 8; 358:2061
Second-Trimester Amniocentesis Is Even Safer Than We Thought
Women's Health Summary and Comment
Free
In one prenatal diagnosis center, the pregnancy loss rate attributed to amniocentesis was 1 in 769 procedures.
Binge Drinking During Early Pregnancy
Women's Health Summary and Comment
In infrequent drinkers, fewer than three binge drinking episodes during the first 16 weeks of pregnancy were not associated with adverse birth outcomes.
By Sandra Ann Carson, MD
April 24, 2008
Covering:
Strandberg-Larsen K et al., Obstet Gynecol 2008 Mar; 111:602
No Ifs, Ands, or Butts: Quitting Smoking During Pregnancy Might Help Infant Temperament
Women's Health Summary and Comment
Mothers who stopped smoking during pregnancy were more likely to have infants with easy dispositions than were mothers who continued to smoke.
By Wendy S. Biggs, MD
April 24, 2008
Covering:
Pickett KE et al., J Epidemiol Community Health 2008 Apr; 62:318
More Reassuring Data About Pregnancy in HIV-Infected Women
In the current treatment era, survival rates are high for HIV-infected mothers, and vertical transmission rates are low.
Evaluating Minor Trauma During Pregnancy
Women's Health Summary and Comment
None of six objective measures evaluated were predictive of adverse pregnancy outcomes after minor trauma during pregnancy.
Long-Term Consequences of Preterm Birth
General Medicine Summary and Comment
Preterm birth affected both long-term survival and reproductive success.
VBAC Outcome Gets Better Every Time
Women's Health Summary and Comment
Women who experienced one VBAC faced even better odds for a second, third, or subsequent VBAC.
Still No Consensus on BV Screening and Treatment During Pregnancy
Women's Health Summary and Comment
BV screening didn’t benefit asymptomatic, low-to-average–risk pregnant women.
Acupuncture and IVF
Women's Health Summary and Comment
In a meta-analysis of seven randomized trials, acupuncture was associated with higher rates of pregnancy.
By Anna Wald, MD, MPH
March 27, 2008
Covering:
Manheimer E et al., BMJ 2008 Mar 8; 336:545
Cervical Length and Cesarean Delivery
Women's Health Summary and Comment
Free
Longer midpregnancy cervical length was an independent predictor of higher cesarean delivery rates at term.
Carpal Tunnel Syndrome in Pregnancy
Neurology Summary and Comment
This condition usually has a favorable prognosis.
By Tulio E. Bertorini, MD
March 25, 2008
Covering:
Mondelli M et al., Muscle Nerve 2007 Dec; 36:778
Keeping Unintended Pregnancy at Bay
Women's Health Practice Watch
IUDs: An opportunity for clinicians to help women avoid unintended pregnancies and abortions
By Ann J. Davis, MD
March 20, 2008
Covering:
American College of Obstetricians and Gynecologists., Obstet Gynecol 2007 Dec; 110:1493
Grimes DA and Mishell DR Jr., Contraception 2008 Jan; 77:6
Jensen JT et al., Contraception 2008 Jan; 77:22
Trussell J and Wynn LL., Contraception 2008 Jan; 77:1
OB/GYNs, CMV, and Pregnancy
Women's Health Summary and Comment
Free
Fewer than half of OB/GYNs reported routinely providing counsel about preventing CMV infection during pregnancy.
By Ann J. Davis, MD
March 13, 2008
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Morb Mortal Wkly Rep 2008 Jan 25; 57:65
Postpartum Mental Illness: Tell Me More About Yourself, Your Family, and Your Partner
Women's Health Summary and Comment
For first-time mothers, family and partner mental health influenced the development of postpartum mental disorders.
Expanding HIV Treatment Options in Pregnancy
Several reports presented at the 15th Retrovirus Conference addressed gaps in knowledge around perinatal antiretroviral use.
Intubation Difficulty Might Increase as Labor Progresses
Emergency Medicine Summary and Comment
In one third of term-pregnant laboring women, Mallampati class worsened by at least one grade by the end of labor.
Injuries and Pregnancy
Women's Health Summary and Comment
Falls and motor vehicle accidents were primary causes for unintentional pregnancy-associated injuries.
Acupuncture with IVF Might Improve Pregnancy Rates
General Medicine Summary and Comment
In a systematic review, women who received acupuncture as adjuvant treatment to embryo transfer were more likely to have a clinical pregnancy and live birth.
Bromocriptine for Postpartum Cardiomyopathy: Preliminary Findings
Women's Health Summary and Comment
Two patients experienced significant improvement in cardiac function with bromocriptine treatment.
By Marian C. Limacher, MD
February 28, 2008
Covering:
Hilfiker-Kleiner D et al., J Am Coll Cardiol 2007 Dec 11; 50:2354
Abortion: What Are the Numbers?
Women's Health Summary and Comment
The number of legal induced abortions has continued to decline in the U.S.
By Diane E. Judge, APN/CNP
February 28, 2008
Covering:
Centers for Disease Control and Prevention (CDC)., MMWR Surveill Summ 2007 Nov 23; 56:1
Does Cell Phone Use Lower Sperm Counts and Impair Male Fertility?
General Medicine Summary and Comment
High cell phone use could signal low sperm count.
By Robert W. Rebar, MD
February 21, 2008
Covering:
Agarwal A et al., Fertil Steril 2008 Jan; 89:124
