Articles tagged with Obstetrics
A new study from Northwestern Medicine found that the US maternal mortality rate increased by nearly doubling between 2014 and 2021, with no correlation to increasing pregnancy-related deaths among older adults. The study highlights the need to investigate other causes of maternal mortality, particularly cardiovascular disease.
A new study finds that objective information about preeclampsia risk could drive patient behavior change and motivate pregnant women to follow prevention strategies. The research highlights the potential of personalized risk data to improve pregnancy outcomes and reduce complications.
A large study of 2.2 million teenage girls found that teen pregnancy increases the risk of premature mortality later in life. The researchers suggest that support for pregnant teenagers may help prevent future premature deaths.
A new study challenges the prevailing view on maternal mortality rates in the US, finding stable rates between 1999-2002 and 2018-2021. The researchers used a more accurate approach to identify and classify maternal deaths, refuting the idea of dramatic increases.
Researchers at Johns Hopkins Kimmel Cancer Center and University School of Medicine developed an algorithm, REAL-FAST, to identify high-risk precancerous lesions on the fallopian tubes. The test accurately detected cancer 95.8% of the time and correctly ruled out cancer 97.1% of the time.
A study from the University of Gothenburg found a significant drop in satisfaction with postnatal care when partners were excluded due to COVID-19 restrictions. Partners of first-time mothers experienced the greatest decline in satisfaction, with a 43% drop compared to labor wards where partners were still allowed.
Research at Columbia University Mailman School of Public Health found that social inequity contributes to lower use of epidural analgesia among non-Hispanic White and African American women. In counties with high social inequity, labor neuraxial analgesia was used by 72% of African American women, compared to 78% in low-equality counties.
Women with autoimmune disease are 30% more likely to experience perinatal depression, while those with perinatal depression have a 30% higher risk of developing an autoimmune disease. The strongest association is seen with multiple sclerosis.
A new study discovered microplastics in the placentas of Hawaiʻi mothers between 2006 and 2021, with increasing presence found each year. The researchers believe microplastics may be ingested through food or inhaling dust particles, raising concerns about their impact on fetal health.
A study of 1.3 million Canadian children found a higher risk of autism spectrum disorder in those born to parents with infertility. The research suggests that certain obstetrical and neonatal factors may contribute to this increased risk, highlighting the need for further exploration of these factors in individuals with infertility.
Research suggests delaying cord clamping by two minutes can significantly reduce mortality rates among premature babies. This allows blood to flow from the placenta, easing breathing transitions and potentially saving lives.
A new study published in Nature Human Behaviour found that the US Supreme Court's Dobbs v. Jackson Women's Health Organization decision led to an increase in public support for abortion rights, with 2.4 percentage points more respondents believing abortion should be legal for women who choose to have one.
A Northwestern Medicine study found that postpartum individuals living in states with generous mandated paid family and medical leave are more likely to breastfeed and less likely to experience postpartum depression symptoms. Lower-income populations covered by Medicaid saw the greatest benefits, with a 32% greater likelihood of breast...
A McMaster University-led analysis reveals persistently high rates of severe maternal trauma during forceps and vacuum deliveries in Canada. The study calls for increased recognition, transparency, and action to prevent these injuries, which have significant short- and long-term consequences for mothers.
A new specimen collection system has been developed to enhance assisted reproductive technologies by providing a simple one-step method for selecting high-quality sperm for ICSI. The system, known as NovaSort, uses a barrier mesh to isolate mobile sperm without damaging their DNA.
A new study from Uppsala University has found that women with a high genetic predisposition for blood clots are six times more likely to develop a blood clot during the first two years of using contraceptive pills. This knowledge could be used to identify women at risk and counsel them on alternative methods of contraception.
Children born to parents with substance use disorders are at increased risk of intellectual disability, regardless of whether the issue is with mothers or fathers. The study found that both genetic and environmental factors may contribute to this risk.
Research found that women exposed to air pollution give birth to smaller babies, with PM2.5 and other pollutants associated with average reductions in birth weight. However, living in greener areas was linked to slightly higher birth weights, suggesting a potential mitigation effect.
A study by Brigham researchers reveals a 37% increase in out-of-state residents seeking abortion care in Massachusetts after Dobbs, with an estimated 45 additional abortions. Non-profit funding for out-of-state residents increased by nearly ten percent, while in-state residents' use of funding remained relatively stable.
A Mount Sinai study identified the most effective and safest outpatient labor induction methods, using low-dose vaginal misoprostol, which reduces hospital stays and increases hospital efficiency. The study found that this approach does not increase cesarean delivery risk or complications.
Researchers at UC San Diego report new direct evidence of atrophy and fibrosis in pelvic floor muscles of women with symptoms of pelvic organ prolapse. They also showed that an acellular injectable skeletal muscle extracellular matrix hydrogel reduces the negative impact of simulated birth injury on rat pelvic floor muscles.
A Northwestern University study found that only 60% of women with heart disease risk factors received counseling on optimizing their heart health during their six-week postpartum visit. The study highlights the need for improved access to care and increased awareness of maternal cardiovascular health monitoring.
Researchers found that women with adenomyosis experienced higher rates of complications during pregnancy, including caesarean sections, surgical removal of the uterus, and wound complications. The study also linked adenomyosis to increased risks of pre-eclampsia, hypertension, and placenta previa.
A large randomized clinical trial found that culturing embryos for three days versus five days in the lab has no significant impact on live birth rates. Women's age affects outcomes, with younger women aged under 36 experiencing better results from cleavage-stage transfers.
ChatGPT achieved high scores in clinical reasoning and demonstrated rapid response times to evolving questions. However, its lack of local ethnic knowledge and limited medical references hindered its performance in highly contextual situations.
A new study finds that midwifery care is associated with higher levels of autonomy and respect during childbirth, particularly in community settings. Midwives attended 12% of births, mostly in hospitals, while community births were more common with midwife attendance.
A new Dartmouth study reveals high rates of childbirth fear in US pregnant people, associated with factors such as racism, low income, and pre-existing conditions. The COVID-19 pandemic further exacerbated these fears, leading to increased stress and anxiety during labor.
The new FRAXplus beta version offers a more user-friendly platform to refine risk factor information, allowing clinicians to explore the impact on individual patients. The tool provides helpful features such as saved data and export options to facilitate sharing.
A team of clinicians successfully treated an aggressive vascular malformation in an infant's brain before birth, preventing potentially fatal symptoms and brain damage. The procedure marked a paradigm shift in managing vein of Galen malformation, reducing the risk of long-term disability or death.
Researchers found that the 'Eat, Sleep, Console' (ESC) care approach is more effective than Finnegan Neonatal Abstinence Scoring Tool (FNAST) in assessing and managing opioid-exposed newborns. Newborns cared for with ESC were medically ready for discharge approximately 6.7 days earlier and 63% less likely to receive medication.
A comprehensive care plan has been published to prevent preeclampsia, a leading cause of pregnancy-related death in the US. The plan provides specific recommendations for both expecting parents and clinicians, including daily low-dose aspirin, surveillance, and behavioral strategies.
A recent study published in JAMA Pediatrics reveals that individuals born preterm or large for gestational age have a significantly increased risk of developing atrial fibrillation up to middle-age. In contrast, those born small for gestational age only show an increased risk up to the age of 18.
Research found that newborns of low-income immigrant mothers had a significantly lower risk of severe neonatal morbidity and mortality compared to those of Canadian-born mothers. The study suggests that immigration status may influence birth outcomes, with healthier immigrants possibly being more likely to migrate.
A major international study published in Nature Genetics has provided new insights into the genetics of preterm birth and pregnancy length. The research reveals a mutually antagonistic effect between the woman's and unborn child's genes, favoring earlier labor for the mother's survival and extending pregnancy for the child's weight gain.
A recent study found that hospitals serving more vulnerable childbearing populations tend to have inadequate nurse staffing levels, which can lead to poor maternal health outcomes. The researchers surveyed 3,471 registered nurses from 271 hospitals and discovered inconsistencies in nurse-to-patient ratios with national staffing standards.
A new condition, Caesarean Scar Disorder (CSDi), has been defined by an international study led by Amsterdam UMC. More than 30% of women who undergo a caesarean section experience long-term symptoms like abdominal pain and fertility problems, caused by abnormal uterine scars.
Researchers at University of California San Diego School of Medicine found a significant reduction in disease growth when combining immunotherapy with chemotherapy in patients with advanced endometrial cancer. The study resulted in a 70% risk reduction in the deficient mismatch repair group.
A Danish cohort study found that children born by cesarean section had lower chances of graduating from secondary education, but no significant difference in grade point averages or intelligence scores. Additionally, male CS births were less likely to be drafted into the military.
A study of 608,000 obstetric discharges found postpartum emergency department visits were more common among Black and Hispanic patients at safety net hospitals. These disparities support the need to address structural racism in maternal health care.
A new study from British Columbia found that an increase in gestational diabetes rates can be largely attributed to changes in screening practices. After adjusting for screen completion and population factors, diagnoses of gestational diabetes increased by less than one-quarter over a 15-year period.
A new study by Boston University School of Public Health reveals a 104% increase in pregnancy-related deaths among American Indian/Alaska Native people, with rates nearly doubling from pre-pandemic levels. The Delta and Omicron variants contributed to the worsening burden of mortality, particularly among racial and ethnic minorities.
A UK study found that Black Caribbean-British women are 58% more likely than white women to receive general anaesthesia during elective caesarean births, while Bangladeshi-British and Pakistani-British women are less likely to have epidurals. The study also reveals differences in assisted deliveries and emergency caesarean births betwe...
A novel rare mutation in the ABCA12 gene was identified as a cause of Harlequin Ichthyosis through BGI genetic tests. The mutation leads to a severely dysfunctional protein responsible for the disease's serious phenotype.
A randomized controlled trial found that virtual reality lessons significantly improved medical students' knowledge of fetal development, with retention at one-week follow-up. Students showed high satisfaction with the VR tool compared to traditional tutorials.
A study of over 11,000 women with obstetric anal sphincter injuries found that the severity of problems increases with the number of injuries, affecting everyday life and quality of life. Women with two injuries reported high-frequency anal incontinence and a greater impact on their lives.
A new study found that a single oral dose of azithromycin reduced the risk of maternal sepsis or death by 33% in women who delivered vaginally. The results showed lower rates of specific maternal infections and fewer hospital readmissions after delivery.
Researchers found inconsistencies in labor and delivery policies, causing vicarious trauma among nurses. Policy changes are proposed to improve emotional and mental health support for healthcare workers.
A retrospective review of 27,710 medical records found no clinical measurable difference in AFP levels between non-Black and Black patients. The study urges an end to race-based adjustments for AFP prenatal testing, citing a lack of scientific basis for the practice.
A new study reveals a low-cost sensing glove that can identify fetal position and measure force applied to the fetal skull during labor, potentially improving birth outcomes in low-resource regions. The technology provides real-time data during vaginal exams, allowing clinicians to take corrective action early on.
Researchers from UTSA and UT Health San Antonio are developing compounds that target the estrogen receptor-beta, which suppresses cancer growth. The goal is to identify a novel ER-beta agonist with potential as a therapeutic strategy for treating GBM in patients.
Researchers found a significant association between restricting abortion access and increased suicide rates among women of reproductive age. The study's findings have clinical, policy, and ethical implications, highlighting the need for healthcare providers to approach suicide risk classification in this demographic differently.
Studies found underrepresentation of American Indian, Asian, Black, and Latinx groups in obstetrics and gynecology research. The disparity varies by race, ethnicity, subspecialty, and funder, with some subspecialties having more diverse trials than others.
A study found that PPMC-owned practices focusing on clinical management lead to significantly lower C-section rates, while those focusing on financial management lead to higher rates. This suggests that the business strategies used by PPMCs can impact patient care.
Research suggests that people with depression are less likely to have children, particularly men. The study, which examined over 1.4 million participants in Finland, found a significant association between diagnosed depression and the likelihood of having children, as well as the number of children born.
A new study by Weill Cornell Medicine investigators finds that Enterococcus faecalis enhances its protective outer layer to resist natural immune defenses and antibiotics. The research suggests possible new ways to target these bacterial infections.
Research from the University of Pittsburgh found that high COVID-19 stress in women is associated with changes in menstrual cycle length, period duration, and spotting. The study suggests that these changes can have economic and health consequences for women, including increased costs for feminine hygiene products.
Researchers discovered that stillbirth can be inherited and tends to be passed down through male members of the family, particularly on the father's side. This trend was identified in a large study analyzing health histories of families over multiple generations.
Researchers found that the COVID-19 vaccine can reduce the risk of SARS-CoV-2 placentitis, a condition that causes stillbirth and neonatal death. The vaccine not only protects pregnant women but may also be lifesaving for their unborn children.
A study led by Harvard T.H. Chan School of Public Health researchers found that dolutegravir-based regimens are more effective in treating HIV-1 during pregnancy than other commonly used ART regimens. The study showed high viral suppression rates for pregnant people taking dolutegravir, with no observed differences in adverse birth out...
Recent evidence suggests hormone therapy at menopause does not significantly increase the risk of invasive breast cancer. However, estrogen combined with progesterone increases breast cancer risk for women with an intact uterus. Menopause experts offer reassurance to women and their healthcare providers about the safety of hormone ther...