Articles tagged with Obstetrics
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...
Scientists developed a same-day test to identify abnormal fetal chromosomes using prenatal tests and tissue from miscarriage or biopsies. The STORK test shows promise in diagnosing genetic causes of miscarriage and streamlining IVF, potentially saving time and cost.
A new study suggests that tocolytics can safely delay preterm births and reduce neonatal deaths worldwide. The analysis of 122 clinical trials found benefits for all preterm delay treatments, with some side effects noted.
A new study published in Cochrane Reviews found that tocolytics, or preterm delay treatments, are beneficial for women worldwide. The researchers reviewed 122 clinical trials and concluded that the benefits of these drugs outweigh any risks associated with side effects.
Middle-aged women are at increased risk of serious health outcomes due to weight gain. New guidelines recommend counseling healthy weight management for all middle-aged women.
The NIH announced five cash prize winners and four honorable mentions in its Maternal Health Diagnostics Challenge. The winning technologies aim to reduce maternal morbidity and mortality, with a focus on detecting and differentiating common pregnancy-related conditions.
A new study found that a fast food diet before pregnancy can negatively impact breast milk quality and baby's health, increasing the risk of conditions like heart disease and diabetes. Even short-term consumption of high sugar and fat diets affects women's health and fertility.
Researchers found similar operational procedures for remote medication abortion services across diverse practice settings, with adaptations made to local laws and regulations. The study highlights the feasibility of offering abortion services through telehealth, demonstrating potential variations in service adaptation.
A University of Ottawa-led team has developed an AI-based deep learning model to identify cystic hygroma, a rare and life-threatening disorder, from first-trimester ultrasound scans with high sensitivity and specificity. The approach may be applied to other fetal anomalies identified by ultrasonography.
Researchers from University Hospitals developed a transfusion appropriateness algorithm to analyze blood transfusions for adult patients. The algorithm led to a decrease in transfusions and an increase in appropriate use, resulting in cost savings of $2.5 million over 12 months.
Researchers investigate regulatory frameworks governing preimplantation genetic testing in Japan, the UK, and Western Australia. The study highlights the need for a multidisciplinary approach to evaluate disease severity and make informed decisions about treatment.
Researchers developed live-cell imaging to study chromosome segregation errors and their impact on embryonic development. They found that micronucleus formation during early cleavage division is a potential hallmark of preimplantation embryonic loss in cattle.
The study found that uterine transplantation is an effective method to remedy infertility, with a clinical pregnancy rate of 33% and cumulative live birth rate exceeding expectations. The procedure also showed positive health outcomes, including improved quality of life and low rates of anxiety and depression.
Researchers found that nearly 80% of women with blocked fallopian tubes could conceive naturally after a simple diagnostic procedure and treatment, called selective salpingography and fallopian tube recanalization. The study suggests that this treatment could provide clarity on infertility and offer a life-changing option for many women.
A new modeling study found that reducing excess prevalence of low birthweight, preterm birth, or small-for-gestational-age birth in low- and middle-income countries could lead to substantial long-term human capital gains. The study estimates potential gains of 20.3 million school years and $68.8 billion in lifetime income per birth coh...
A new study finds that progesterone does not prevent preterm birth in women who have had a previous preterm birth. The research calls for revised guidelines on the use of vaginal progesterone in these patients.
Research suggests that mothers-to-be on high-salt diets may increase their children's risk of developing hypertension and cardiovascular conditions. The study found that offspring exposed to a high-salt environment in utero had higher blood pressure and increased predisposition to hypertension, even after weaning.
Researchers at Wayne State University developed a novel technique to measure the age of male sperm, finding a link between sperm epigenetic aging and pregnancy outcomes. The study suggests that older sperm can be associated with lower pregnancy success rates and shorter gestation periods.
A new study analyzed 34 previous studies on the impact of diet on gestational diabetes, finding a lack of robust data for non-white European women. The findings stress the need for inclusive research methods to accurately understand the relationship between diet and gestational diabetes across all ethnicities.
A national study of over 170 pregnant women found rising exposure to potentially harmful chemicals from plastics and pesticides. Latinas had higher levels of parabens, phthalates, and bisphenols, which may be linked to increased risk during fetal development.
A new study by UCSF and UCLA finds that nearly half of US OB-GYN residency programs may lack abortion training if Roe v. Wade is overturned, posing significant risks for patient care. The researchers estimate that 44.8% of programs are in states where abortion will be banned, while 43.9% of residents have received training in these sta...
A new analysis of 23 studies identified factors influencing birth setting decisions in the US, including safety, media influence, and access to options. The study highlights the importance of building a comprehensive system of high-quality perinatal health for equitable access to all birth settings.
A new study found that hysteroscopic and laparoscopic sterilization procedures have higher-than-expected failure rates of five to six percent at 5 years post-procedure. The study, led by Dr. Aileen Gariepy, used Medicaid claims data to compare the effectiveness of these methods.
A new Northwestern Medicine study has found that the COVID-19 vaccine is not associated with birth defects that are detectable on ultrasound. The study analyzed electronic medical records from a cohort of 3,156 pregnant people who received at least one vaccine dose and found no increased risk of major fetal structural anomalies.
Researchers analyzed nearly 100,000 pregnancies and found no association between COVID-19 vaccination and poor birth outcomes. The study provides further evidence on the safety of mRNA vaccines for pregnant individuals.
A large-scale registry study found no association between COVID-19 vaccination during pregnancy and increased risk of preterm birth, growth retardation, or neonatal care. Vaccination was associated with a slightly lower risk of neonatal care and provided protection against COVID-19 for the newborn.
A new video tool aims to help mothers understand that stillbirth is not their fault by explaining the aging process of the placenta. The research identifies that unexplained stillbirth is often due to 'aging of the placenta,' which is complex and not affected by the mother's behavior.
Researchers found that high levels of anti-Mullerian hormone (AMH) may cause follicles to mature too quickly, leading to problems with ovulation and fertility in women with PCOS. AMH was previously thought to be a passive byproduct of the disorder.
A meta-analysis of over 3,000 studies found that women with one ovary have a 30% lower chance of becoming pregnant and giving birth after IVF. The study suggests that surgical removal of an ovary has an adverse effect on fertility.
A study led by the Institute for Systems Biology found that unvaccinated pregnant people with COVID-19 are more likely to have poor birth outcomes, including preterm birth and stillbirth. The risk of these outcomes is particularly high for infections during the first or second trimester.
A new study found high rates of trauma for mothers and babies from forceps and vacuum deliveries, with over 25% of forceps deliveries resulting in severe perineal tears. Researchers call for a reassessment of the safety of these birthing practices.
A NIH-funded study discovered a small, temporary increase in menstrual cycle length among women receiving COVID-19 vaccine. The average increase was less than one day, with no change in bleeding days.
A large observational study found that children conceived through assisted reproductive techniques (ART) have generally good mental health throughout adolescence and young adulthood. However, those born after ART had a slightly elevated risk of obsessive-compulsive disorder, which was explained by parental background factors.
A UBC-led study found no increase in abortion-related health complications after Canada removed mifepristone restrictions. The study examined 315,000 abortions in Ontario between 2012 and 2020 and showed that abortion continued to be safe and effective with mifepristone prescribed without restrictions.
A study of over 200,500 women found an increased risk of death in younger pre-menopausal women when ovaries and fallopian tubes were removed during surgery. In contrast, the procedure is safer for older post-menopausal women, whose ovaries have already stopped producing estrogen.
A recent study published in PLOS ONE found that smoking during pregnancy can increase the risk of having a small for gestational age (SGA) baby in subsequent pregnancies. The research analyzed data from nearly 17,000 mothers who received antenatal care for their first two pregnancies and found that women who smoked at the start of eith...
Researchers found that COVID-19 infection in mothers leads to distinct immune changes in babies, including altered cytokine profiles and T cell responses. The study also identified potential correlations with clinical complications such as preeclampsia and fetal growth restriction.
A recent study reveals that child maltreatment is associated with altered oxytocin gene methylation, leading to atypical brain structures and function. This finding suggests a potential biological mechanism for targeting during adolescence to improve the lives of victims of childhood abuse.
A UC study found that Ohioans consider various factors beyond distance and cost when selecting an abortion clinic, including personal experiences, online reviews, and clinic type. The research highlights the importance of social myths and risk perception in shaping choices about abortion care.
Researchers found that low-to-moderate caffeine intake was associated with a reduced risk of developing gestational diabetes. Drinking up to 100mg of caffeine per day during the second trimester showed a 47% reduction in diabetes risk.
A prospective-longitudinal study found that pregnant women with lower emotional stability and personality traits tend to have worse subjective birth experiences. Unexpected events like Caesareans can exacerbate these negative experiences.
A new smartphone app, MyHealthyPregnancy, evaluates preeclampsia risk and patient adherence to low-dose aspirin recommendations. The study found that 37% of high-risk patients were unaware they needed to take the medication, highlighting a need for improved communication between providers and patients.
A recent study published in the journal Birth found that family physicians deliver babies in 67% of rural hospitals and are the only physicians who deliver babies in 27% of them. If they stopped, patients would have to drive an average of 86 miles round-trip to access maternal care.
A new study found that pregnant and lactating women need to adhere closely to recommended COVID-19 vaccine schedules to attain full antibody protection. Key antibody functions are delayed in these groups following the initial dose, but the second dose induces robust antibody responses similar to those in nonpregnant women.
A Children's Hospital of Philadelphia-led study found that most US obstetric hospitals deliver fewer than 500 babies per year, with approximately 2.5 million infants born at low-volume hospitals between 2010 and 2018. Nearly a fifth of these low-volume hospitals are isolated from other obstetric hospitals, with over half located in rur...