Pregnancy

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

ACOG: Updated Recommendations for Influenza Vaccination During Pregnancy

This updated Committee Opinion includes more recent data on the safety and efficacy of influenza vaccination during pregnancy, as well as recommendations for treatment and postexposure chemoprophylaxis.

In Utero Exposure to Multiple AEDs, Sodium Valproate Linked to Poor Educational Attainment in Childhood

In Utero Exposure to Multiple AEDs, Sodium Valproate Linked to Poor Educational Attainment in Childhood

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In utero exposure to AEDs in combination, or sodium valproate alone, is associated with a significant decrease in attainment in national educational tests for 7-year-old children.

Postpartum Depression Screening Effective in the Pediatric Setting

Postpartum Depression Screening Effective in the Pediatric Setting

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Standardizing postpartum depression screening in the ambulatory pediatric setting coupled with implementing a referral algorithm and referral guide can help more PPD cases be identified, further evaluated, and treated.

Childhood bullying, abuse may increase teen pregnancy risk

Childhood bullying, abuse may increase teen pregnancy risk

Bullying and maltreatment may be factors that explain the high pregnancy levels in teenage sexual minorities.

Over 7% of pregnant women smoked in 2016

Over 7% of pregnant women smoked in 2016

Of the women who gave birth in 2016, over 7% smoked cigarettes while pregnant.

Cesarean delivery linked to long-term pregnancy complications

Cesarean delivery linked to long-term pregnancy complications

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Cesarean delivery is associated with a reduced rate of urinary incontinence and pelvic organ prolapse, but this should be weighed against the association with increased risks for fertility, future pregnancy, and long-term childhood outcome.

USPSTF: Syphilis screenings recommended for pregnant women

USPSTF: Syphilis screenings recommended for pregnant women

The USPSTF reports that pregnant women can benefit from screening for syphilis infection.

Early treatment of nausea, vomiting in pregnancy may prevent complications

Early treatment of nausea, vomiting in pregnancy may prevent complications

Early treatment of nausea and vomiting of pregnancy can prevent complications.

Prenatal marijuana use increased from 2009 to 2016

Prenatal marijuana use increased from 2009 to 2016

Prenatal marijuana use increased from 2009 to 2016 for pregnant women of all ages.

ADHD medication in pregnancy linked to few absolute increased risks

ADHD medication in pregnancy linked to few absolute increased risks

Women with significant attention-deficit/hyperactivity disorder do not need to stop treatment during pregnancy.

Prenatal ADHD treatment linked to neonatal morbidity

Prenatal ADHD treatment linked to neonatal morbidity

Treatment with ADHD medication during pregnancy was associated with a higher risk for neonatal morbidity, especially central nervous system-related disorders such as seizures.

Aspirin effective in preventing preterm preeclampsia in women at high risk

Aspirin effective in preventing preterm preeclampsia in women at high risk

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Preterm preeclampsia occurred in 13 participants (1.6%) in the aspirin group, as compared with 35 (4.3%) in the placebo group.

Use of antidepressants in pregnancy does not alter newborn behavior

Use of antidepressants in pregnancy does not alter newborn behavior

The baby's behavior at 2 to 4 weeks after birth is not likely due to exposure to medication or depression.

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

Antibiotic use during pregnancy linked to increased risk of spontaneous abortion

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Use of azithromycin, clarithromycin, metronidazole, sulfonamides, tetracyclines, and quinolones was associated with an increased risk of spontaneous abortion during pregnancy.

Screening for spontaneous preterm birth has low predictive accuracy

Screening for spontaneous preterm birth has low predictive accuracy

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Using measurements of vaginal fetal fibronectin levels and cervical length did not indicate spontaneous preterm birth among first-time pregnant women.

Postpartum depression incidence declining

Postpartum depression incidence declining

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Reducing postpartum depression involves universal screening and appropriate referral and treatment by clinicians.

Low vitamin E in pregnant women increases asthma risk in offspring

Low vitamin E in pregnant women increases asthma risk in offspring

Research presented at the AAAAI Annual Meeting suggests a link between maternal vitamin E levels and childhood asthma development.

Risk for postpartum depression higher among women with diabetes

Risk for postpartum depression higher among women with diabetes

Among all women, PPD risk increased with advanced age and gestational diabetes.

In-utero MRI more accurate than ultrasound for diagnosing fetal brain abnormalities

In-utero MRI more accurate than ultrasound for diagnosing fetal brain abnormalities

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This finding suggests that any fetus with a suspected brain abnormality on ultrasound should have iuMRI to better inform counseling and management decisions.

Birth defect rate is 6% among US women with possible Zika virus infection

Birth defect rate is 6% among US women with possible Zika virus infection

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Birth defects potentially related to Zika virus were identified in 6% of fetuses or infants of women included in the study.

Teen pregnancy prevention program

Teen pregnancy prevention program

The program strives to modify teen attitudes toward sexuality and bring about life-changing behavior.

OCD in children may develop due to pregnancy practices and childbirth complications

OCD in children may develop due to pregnancy practices and childbirth complications

The researchers found that smoking, method of delivery and birth weight, and a low Apgar score indicated a greater risk of OCD.

Screening and treating pregnant women with asymptomatic bacteriuria may not be helpful

Screening and treating pregnant women with asymptomatic bacteriuria may not be helpful

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Screening for asymptomatic bacteriuria may not lead to better outcomes among pregnant women and exposes them to unnecessary antibiotics.

Autism risk not linked to induced labor

Autism risk not linked to induced labor

Nearly 2% of the 1 million infants studied were later diagnosed with autism.

Prenatal nicotine exposure rates higher than previously reported

Prenatal nicotine exposure rates higher than previously reported

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High levels of nicotine were detected in 16.5% of study participants.

Exercise during pregnancy does not increase preterm birth risk

Exercise during pregnancy does not increase preterm birth risk

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Women who participated in an aerobic exercise program 3 to 4 times per week during their pregnancies were not likely to give birth prematurely.

Postpartum readmission rates increase

Postpartum readmission rates increase

Readmission was more common among publically insured, black patients presenting with comorbidities including hypertension and diabetes.

Obesity linked to increased risk for adverse pregnancy, neonatal outcomes

Obesity linked to increased risk for adverse pregnancy, neonatal outcomes

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Women categorized as class III obese were more likely to experience adverse outcomes in pregnancy and neonatal risks.

Renal function can predict preeclampsia in pregnant women with hypertension

Renal function can predict preeclampsia in pregnant women with hypertension

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Baseline renal function tests may predict the risk of preeclampsia and preterm birth for pregnant women with hypertension.

Smoking while pregnant increases risk of schizophrenia in offspring

Smoking while pregnant increases risk of schizophrenia in offspring

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Mothers who heavily used tobacco during pregnancy increased the risk of their children developing schizophrenia.

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