Articles tagged with Obstetrics
The Society for Maternal-Fetal Medicine has released the first evidence-based clinical guidance for cancer diagnosis and treatment during pregnancy. The guidance aims to support both maternal health and pregnancy goals, while also prioritizing effective cancer therapy and fetal well-being.
A large study found that Asian mothers experience a 1.5-fold higher rate of obstetric trauma, while Black immigrant and refugee mothers have a 20-30% higher risk. The study also found that immigrants with shorter duration of residence had higher initial risk of obstetric trauma, which declined with increasing time in Canada.
A study extending pregnancy monitoring from conception to 6 weeks postpartum found nearly 10,000 cases of severe maternal complications in Canada each year. This reveals significant cases were previously missed, emphasizing the importance of postpartum care and timely interventions.
A new study reveals the experiences of people traveling to Illinois for abortion care after the Dobbs v Jackson Women’s Health Organization Supreme Court decision. The study found that delays were common, with participants waiting an average of a month for care, and that abortion stigma, information, and resource availability are major...
Researchers discovered that 53% of newborns with myelomeningocele had sleep-disordered breathing, highlighting the need for routine screening and early intervention to prevent long-term complications. The study's findings suggest that addressing sleep disorders in high-risk infants could meaningfully improve their neurodevelopment.
Delivery Date AI technology has received FDA De Novo clearance for its predictive capabilities on delivering babies using ultrasound imaging. The technology provides real-time insights into fetal development and delivery timing, aiding clinical decision-making in pregnancies where traditional dating methods are unreliable.
A study found that Targeted Regulation of Abortion Providers (TRAP) laws significantly reduced the supply of obstetricians and gynecologists, particularly older and newly trained doctors. This led to a decline in more than 2 obstetrician-gynecologists per 100,000 females aged 15–44 years.
A global analysis of two antenatal treatments reveals significant international variation in implementation, with higher-income countries showing better uptake. The study highlights the need for further research to understand the reasons behind these disparities and improve global equity in essential antenatal treatments.
New research shows that Rytvela, an anti-inflammatory drug candidate, decreases premature birth and infant mortality when administered after the onset of preterm labor in a preclinical mouse model. The treatment prolongs gestation and fetal growth while allowing newborn organs to develop in utero.
A new study from University of Liverpool and King's College London recommends a personalized and tiered model of postnatal care, considering convenience, individual preference, and clinical concerns. Women value virtual care for its convenience but emphasize the need for physical examinations in certain situations.
A nationwide study found that periods can trigger severe pain in many women and girls with sickle cell disease, leading to emergency department visits and hospitalizations. The study's authors recommend a routine menstrual history screening as part of annual sickle cell care and connecting patients with reproductive health specialists.
A study published in JAMA Network Open found that early hydrocortisone treatment increases the chance of surviving without lung disease for extremely premature babies. The treatment is safe and does not increase serious side effects.
The University of California San Diego School of Medicine and UC San Diego Health are now part of the NICHD Maternal-Fetal Care Network, expanding access to research on pregnancy and newborn health. Clinical trials will focus on maternal mortality, prematurity birth rates, and infant mortality rates.
A new study found that warmer nighttime temperatures during pregnancy may be associated with a higher risk of autism diagnosis in children. Exposure to extreme heat during early and late pregnancy increased the risk by 15% and 13%, respectively.
Researchers from The Mount Sinai Hospital have developed an AI-assisted tool to diagnose severe congenital heart defects from fetal scans with high sensitivity and specificity. Additionally, a machine learning model can predict placenta accreta spectrum based on preconception data, identifying novel predictors like anemia.
A novel AI model has been developed to accurately detect placenta accreta spectrum (PAS) in pregnancy, a life-threatening condition often undetected by current screening methods. The model was retrospectively reviewed on 2D obstetric ultrasound images from 113 patients at high risk for PAS and found to be accurate in detecting all cases.
Research found that states with five or more abortion restrictions had higher rates of maternal deaths from any cause, cardiovascular disease, and violence compared to those with fewer restrictions. Abortion is a medically safe procedure, and restricting access to it has real consequences, according to the study.
A new study found that the Baby2Home smartphone app significantly reduced symptoms of stress, depression, and anxiety in first-time mothers, improving overall health and parenting confidence. The app provided personalized educational information, infant care trackers, and mental health self-management tools.
Researchers studied 434 children for signs of autism or neurodevelopmental problems, finding no link between mRNA vaccine and autism. The study suggests that COVID-19 vaccines are safe to receive during pregnancy to protect maternal and infant health.
A nationwide Finnish registry-based study found no increased risk of pre- or postmenopausal breast cancer among women with a history of induced abortion or miscarriage. Breast cancer risks were similar regardless of the number of abortions or miscarriages, as well as the time of first abortion or miscarriage.
The new clinic brings advanced OB/GYN services to the Southland, addressing longstanding gaps in complex maternal and women's healthcare. It offers cervical cancer screening, contraception, minimally invasive surgery for conditions like fibroids and endometriosis, and high-risk pregnancy care.
A new review of over 100 clinical trials found that 13 common labor induction methods are similarly effective, with low-dose vaginal misoprostol being the most commonly used and safest. However, some methods showed better success rates for specific outcomes, such as oxytocin with amniotomy for achieving vaginal birth within 24 hours.
A quarter of pregnant patients suffering stroke symptoms were misdiagnosed due to overlooked warning signs, according to a new study. The researchers highlight the need for better clinician education and decision-support tools to improve maternal health outcomes.
The CDC recommends RSV vaccination for pregnant women to protect their newborns, while a monoclonal antibody injection is also available for high-risk infants. Most experts agree that RSV immunizations should be recommended for these groups due to the severity of the illness they can cause.
A systematic review and meta-analysis of 43 studies found no link between paracetamol use during pregnancy and increased risks of autism, ADHD, or intellectual disabilities. Researchers concluded that previously reported links may be due to genetic predisposition or maternal factors rather than the medication itself.
A new study published in BMC Medicine found that higher maternal blood pressure increases the risk of preterm delivery, smaller babies, and gestational diabetes. The research used Mendelian randomization to assess the link between maternal blood pressure and 24 adverse pregnancy outcomes, revealing clear causal effects.
A study by Oregon Health & Science University found that states with abortion restrictions have worse maternal health outcomes for patients using fertility treatment. The research analyzed over 400,000 births conceived through fertility treatments and found a statistically significant increase in serious maternal health complications.
A study found that many Norwegian mothers do not attend postnatal check-ups, with women citing a lack of information about the service and fear of discussing sensitive topics. The study suggests that providing clear information and supporting women in discussing their birth experiences could improve attendance rates.
A recent study has found that rates of opioid use during pregnancy have risen two-fold over the past decade, with significant increased risks of maternal and infant health complications. The study emphasizes the urgent need for accessible, wraparound health care for mothers and families affected by opioid addiction.
Researchers found that Asian and Singaporean women with PCOS have better reproductive outcomes, including higher pregnancy rates and oocyte retrieval per cycle, compared to women without PCOS. Women with PCOS tend to maintain a higher ovarian reserve as they age, allowing for more robust responses to fertility treatment.
The Icahn School of Medicine at Mount Sinai is advancing women's health through cutting-edge research and compassionate care, with a focus on addressing knowledge gaps and promoting seamless treatment journeys. The institution joins the Milken Institute's Women's Health Network to bring its expertise in clinical excellence, research in...
UC San Diego Health has been recognized as a Best Hospital for Maternity Care by U.S. News & World Report for the fourth year in a row. The hospital provides world-class care for parents and newborns, with a focus on compassion, expertise, and dedication.
A study published in JAMA found that expectant management resulted in higher survival rates compared to active treatment for patent ductus arteriosus in extremely preterm infants. The protocol-defined study showed no significant difference in mortality or bronchopulmonary dysplasia between the two groups.
NEJM Clinician curates highly relevant clinical insights from over 150 peer-reviewed journals to give physicians clear guidance without the noise. The weekly publication delivers summaries and commentary in a concise, 30-minute read, helping healthcare providers stay informed and confident in their decisions.
A new study found that maternal psychological distress experienced at 1 year postpartum has a stronger association with neurodevelopmental delay in toddlers compared to prenatal distress. The researchers also discovered that experiencing distress during both pregnancy and postpartum periods further amplifies the risk of delays.
A study of 349 new parents found intrusive thoughts and psychotic-like experiences more prevalent than thought, causing severe distress linked to higher parenting stress and lower satisfaction. The research highlights the need for normalisation, stigma reduction, and targeted support for affected parents.
A survey by Ohio State University Wexner Medical Center reveals that nearly all Americans are unaware of the comprehensive women's health services provided by certified nurse-midwives. Only 20% know about annual gynecology exams, while 93% are aware of pregnancy and birth support.
The Mount Sinai Hospital is now using an FDA-approved AI tool that enhances fetal ultrasound screenings for congenital heart defects. The AI tool improved detection rates of suspicious findings to over 97%, while also reducing reading time and increasing confidence scores.
A Cochrane review found no significant effect of calcium supplementation on pre-eclampsia, contradicting long-held assumptions. The review excluded small and unreliable studies that previously suggested benefits of calcium supplementation.
A team at the University of Pennsylvania has solved the mechanism of action of hydralazine, revealing its potential to halt the growth of brain cancer cells. By blocking an oxygen-sensing enzyme, hydralazine can reduce intracellular calcium levels, causing blood vessels to relax and tumor cells to enter a dormant state.
A recent study found distinct changes in NAD-related metabolites in women with recurrent miscarriage, suggesting a deeper metabolic imbalance. The findings may lead to the identification of potential biomarkers for risk assessment and new avenues for treatment.
A study published in JAMA Network Open reveals significant racial disparities in cesarean births, with Black individuals facing a higher risk of the procedure despite efforts to decrease overall rates. The research highlights the need for upstream interventions and education to address structural racism in maternal health care.
Researchers developed a novel tool, the Preterm Birth Actionable Risk Index (PTB-ARIx), to assess risk for premature births. The index identifies 18 specific risk factors during pregnancy that can be treated with evidence-based interventions.
A case study in CMAJ describes successful ovarian tissue preservation in a young woman with Hodgkin lymphoma, highlighting the need for improved access to fertility preservation services. The 'hub-and-spoke' model presented offers a potential solution to overcome geographical barriers and improve patient outcomes.
A recent Finnish study found an association between severe nausea during pregnancy and depression, both before and after childbirth. Women who experienced severe nausea were more likely to develop depression and receive earlier diagnoses.
Researchers have discovered that optical genome mapping can reveal hidden causes of pregnancy loss, including chromosomal changes in genes known to be linked to recurrent pregnancy loss. The study found structural changes in the genome that were missed by traditional genetic sequencing methods.
Researchers Drs Emmanuel Bujold and Roberto Romero propose a new closure technique for cesarean delivery that respects the natural anatomical structure of the uterus. This approach may reduce long-term complications such as abnormal placenta attachment, uterine rupture, and pelvic pain.
A new study from University of California Merced found that married fathers' optimism and confidence can lower maternal inflammation during pregnancy, leading to longer gestation periods. Higher paternal resilience also predicted healthier fetal development.
A new study found that the Dobbs v. Jackson Women's Health Organization decision led to a significant increase in tubal ligations, a surgical procedure that permanently prevents pregnancy, with 51% more procedures performed across four medical centers between 2021 and 2023.
A clinical trial found that antibiotics within 24 hours of an obstetric tear can significantly reduce the risk of clinically relevant wound complications. The treatment group experienced fewer complications and reported better wellbeing compared to the placebo group. This finding supports the use of prophylactic antibiotics in routine ...
Researchers have discovered a previously unknown group of cells that produce adrenaline, which may help the fetal heart adapt to stress. The study provides a detailed map of the developing human heart, revealing over 70 distinct cell types and their interactions.
A new Harvard study found that US stillbirth rates are higher than previously reported, with many cases having no identified clinical risk factor. The study highlights the need for improved stillbirth risk prediction and prevention efforts.
The study found that stillbirth rates are higher in low-income communities compared to more affluent areas, highlighting the need for targeted interventions to address social determinants of health
A large national cohort study found associations between adverse pregnancy outcomes and increased risk of atrial fibrillation up to 46 years later. Women with these outcomes require early preventive actions and long-term clinical follow-up.
A new survey conducted by Orlando Health found that less than half of Americans are aware of the technology and testing available to decrease risks for a healthy baby after 35 years old. Advanced prenatal testing and care can help older mothers have safe and healthy pregnancies, dispelling common misconceptions about age and pregnancy.
A Wayne State University study found that prenatal Zika virus exposure leads to sex-specific changes in a baby's immune system, affecting frontline immune cells. Males are more affected, with slower growth and an exaggerated inflammatory response.
A recent survey found that only 38% of US adults recommend taking a Covid-19 vaccine during pregnancy, while only 42% believe it is safe. Women aged 18-49 are even less likely to support vaccination, with 36% and 28% respectively, suggesting a decline in vaccination rates among childbearing women.
A new study found that over 40% of specialty clinics in the US turn away patients weighing 465 pounds or more due to lack of accessibility features. The study highlights a need for staff training on inclusive care and accommodations for patients with severe obesity.
In a first-of-its-kind study, researchers found that unplanned, premature births outside hospitals in Austria posed significant challenges for emergency teams. The study identified key findings on how to improve outcomes for mothers and newborns, including the importance of standardised protocols, training, and equipment availability.
A new study found that infant mortality rates in Massachusetts were significantly higher among babies whose mother experienced a pregnancy-associated death, with rates 14-22 times higher than when the mother survived. Nonpremature infants who survived after their mother’s pregnancy-associated death were also more likely to be hospitali...