Pregnancy

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines Developed for Opioid Use in Vaginal Birth

Guidelines include use of lowest effective dose, smallest quantity of opioids needed for expected pain.

Pregnancy Losses Linked to Risk for Cardiovascular Disease

Pregnancy Losses Linked to Risk for Cardiovascular Disease

Women with 5 or more live births at increased risk for coronary heart disease, hospitalized MI.

Increased Breast Cancer Risk After Childbirth May Last Decades

Increased Breast Cancer Risk After Childbirth May Last Decades

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Is there an association between breast cancer risk and recent childbirth?

Uterine Transplant From Deceased Donor Results in Successful Childbirth

Uterine Transplant From Deceased Donor Results in Successful Childbirth

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The first successful case of a live birth following uterine transplantation from a deceased donor was reported at the São Paulo School of Medicine, Brazil.

2012 to 2016 Saw Increase in Syphilis Among Pregnant Women

2012 to 2016 Saw Increase in Syphilis Among Pregnant Women

Overall, 49% of pregnant women with syphilis did not report any of 15 risk factors.

Pregnant Women Commonly Refuse Vaccines

Pregnant Women Commonly Refuse Vaccines

Providers believe stressing fetal protection is most effective strategy against refusal.

Does Gestational Age at Birth Impact Seizure Risk Following Receipt of Measles Vaccine?

Does Gestational Age at Birth Impact Seizure Risk Following Receipt of Measles Vaccine?

The study utilized the Vaccine Safety Datalink and included children who received the first dose of a measles-containing vaccine between 12 and 23 months old during the study period of January 1, 2003 to September 20, 2015.

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

Increase in amphetamine-, opioid-related deliveries disproportionate between rural vs. urban counties.

Pregnancy-Associated Mortality Involving Opioids Up

Pregnancy-Associated Mortality Involving Opioids Up

Between 2007 and 2016, pregnancy-associated mortality related to opioids more than doubled.

Short Interpregnancy Intervals Tied to Adverse Outcome Risk

Short Interpregnancy Intervals Tied to Adverse Outcome Risk

Six-month interval associated with greater risk than 18-month interval for women of any age.

Assessment of Bacterial Vaginosis Screening, Treatment for Prevention of Preterm Delivery

Assessment of Bacterial Vaginosis Screening, Treatment for Prevention of Preterm Delivery

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Treatment with oral clindamycin for pregnant women with bacterial vaginosis in their first trimester does not reduce the risk of late miscarriage or very preterm delivery.

Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

There is a lack of consensus among experts and professional organizations whether HCV screening in pregnant women should be risk based or universal.

Influenza Vaccines May Protect Against Lab-Confirmed Influenza-Linked Hospitalization During Pregnancy

Influenza Vaccines May Protect Against Lab-Confirmed Influenza-Linked Hospitalization During Pregnancy

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For women who are pregnant, influenza vaccines may moderately protect against laboratory-confirmed influenza-associated hospitalization.

CDC: Prevalence of Gestational Diabetes 6.0% in 2016

CDC: Prevalence of Gestational Diabetes 6.0% in 2016

Based on data from 40 jurisdictions, increase from 5.2 to 5.6% in GDM from 2012 to 2016.

USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy

USPSTF: Evidence Lacking for Lead Screen in Kids, Pregnancy

The US Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient for assessing the balance of harms and benefits of screening for elevated blood lead levels in asymptomatic children and pregnant women.

Significant Increase Seen in Cesarean Deliveries Worldwide

Significant Increase Seen in Cesarean Deliveries Worldwide

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The number of cesarean deliveries has nearly doubled from 2000 to 2015, with overuse occurring most frequently in middle- and high-income countries.

Preeclampsia Tied to Increased Risk for Vascular Dementia

Preeclampsia Tied to Increased Risk for Vascular Dementia

Preeclampsia seems to be associated with an increased risk for dementia, especially vascular dementia, with a stronger correlation for late-onset disease.

Midwifery Care Cuts Poor Birth Outcomes vs Physician Care

Midwifery Care Cuts Poor Birth Outcomes vs Physician Care

Rates of preterm birth, low-birth weight lower among low-income women.

Psychotropic Medications May Improve Pregnancy Outcomes in Bipolar Disorder

Psychotropic Medications May Improve Pregnancy Outcomes in Bipolar Disorder

Reduced head circumference in the offspring of women with untreated bipolar disorder appeared to be related to sociodemographic characteristics.

Third Trimester Immunization With Tdap Vaccine Optimal for Pertussis Toxin Antibody Concentrations in Newborns

Third Trimester Immunization With Tdap Vaccine Optimal for Pertussis Toxin Antibody Concentrations in Newborns

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Immunization with Tdap vaccine during the third trimester of pregnancy resulted in higher concentrations of pertussis toxin antibodies in newborns.

Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Mistaking Legal Recourse for Evidence-Based Medical Practices in Surrogacy

Paying a surrogate to carry a fetus shoehorns a fourth, and fifth, party into the already tight therapeutic triangle formed by the biological mom, fetus, and physician.

β-Blockers in Early Pregnancy Not Linked to Significant Risk for Overall, Cardiac Malformations

β-Blockers in Early Pregnancy Not Linked to Significant Risk for Overall, Cardiac Malformations

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The use of β-blockers in the first trimester of pregnancy may not greatly increase the risk for major congenital malformations in offspring.

Minority Women at Higher Risk for Severe Maternal Morbidity

Minority Women at Higher Risk for Severe Maternal Morbidity

Higher risk for problems seen among black women, women with other health conditions.

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes.

Need for Adequate Screening for Infants With HCV Infected Mothers During Pregnancy

Need for Adequate Screening for Infants With HCV Infected Mothers During Pregnancy

One of the goals of the US Department of Health and Human Services National Viral Hepatitis Action Plan is to eliminate mother-to-infant transmission of HCV infection.

Monovalent Acellular Pertussis Vaccine Safe and Effective for Neonates With Mothers Unvaccinated for Tdap

Monovalent Acellular Pertussis Vaccine Safe and Effective for Neonates With Mothers Unvaccinated for Tdap

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The monovalent acellular pertussis vaccine may be beneficial to neonates whose mothers did not receive Tdap vaccine during pregnancy.

Disorders in Pregnancy May Increase Risk for Hot Flashes During Menopause

Disorders in Pregnancy May Increase Risk for Hot Flashes During Menopause

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Hypertensive disorders of pregnancy and gestational diabetes may increase the risk for hot flashes during menopause.

Ondansetron in Pregnancy Not Linked to Most Birth Defects

Ondansetron in Pregnancy Not Linked to Most Birth Defects

Use of ondansetron for the treatment of nausea and vomiting in pregnancy does not appear to be associated with birth defects.

Uncertain Future for Health Laws After Supreme Court Crisis Pregnancy Center Ruling

Uncertain Future for Health Laws After Supreme Court Crisis Pregnancy Center Ruling

The recent Supreme Court decision on crisis pregnancy centers is expected to complicate the future of some health laws.

Optimizing Pregnancy Outcomes With Micronutrients

Optimizing Pregnancy Outcomes With Micronutrients

As healthy levels of folic acid, iodine, magnesium, vitamin D, and iron demonstrate improved outcomes in pregnancy, understanding of the function of these essential nutrients on health would benefit family practitioners caring for women of childbearing age.

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