Articles tagged with Prenatal Care
A study published in Clinical Infectious Diseases reveals that Asian and Black individuals are less likely to be tested for hepatitis C, while American Indian/Alaska Native women are more likely to receive treatment. The findings highlight the need to prioritize equity in healthcare approaches to ensure timely diagnosis and effective t...
A new study analyzing over five million births found a 10.6% increase in preterm births between 2011 and 2022, with racial and socioeconomic disparities persisting. Factors like diabetes, high blood pressure, and mental health conditions became more common, while protective factors such as prenatal care and WIC participation declined.
A study found that patients with Medicaid are less likely to receive prenatal diagnosis of congenital heart defects due to lower rates of 20-week ultrasounds. The lead author believes increasing 20-week ultrasound utilization can mitigate insurance-related disparities and improve outcomes for children with CHD.
A recent Cochrane review confirms that giving women at risk of premature birth a simple magnesium sulphate infusion can prevent their babies from developing cerebral palsy. The drug costs approximately £5 (~$6.50) per dose and has been recommended by the World Health Organization since 2015.
A nationwide cohort study revealed a higher risk of placental problems, premature births, and severe bleeding in subsequent deliveries following uterine artery embolization. Babies born to mothers who underwent UAE also had a higher chance of major birth defects, particularly heart problems.
Researchers argue that placental pathology is underutilized clinically and deserves routine obstetric and neonatal care, as well as more research attention.
A new study found that neighborhoods with fewer opportunities are associated with a higher risk of preterm birth, particularly among Black and Hispanic infants. The study suggests that structural racism and discriminatory practices contribute to this racial gap in preterm birth outcomes.
A large study found that women with asthma are more likely to miscarry and require fertility treatment, but most can still have babies. The study analyzed reproductive outcomes for over 700,000 Danish women, finding higher rates of foetal loss and fertility treatment among those with asthma.
Researchers at UCSF identified signals in the metabolic system of infants who died from Sudden Infant Death Syndrome (SIDS), finding associations between lower C-3 levels and elevated C-14OH. Elevated biomarkers also led to reduced risk of SIDS, but further research is needed to validate these findings.
A $15 million gift from Sally Ross Soter will support the Go Red for Women Venture Fund, investing in health companies targeting cardiovascular, metabolic, and neurologic solutions for women. The fund aims to close the gap in women's health investment and translate research into better patient care.
A Northwestern University study reveals that states with severe post-Dobbs abortion restrictions also lack policies to support families, particularly those of low socioeconomic status and marginalized individuals. The authors argue that advocates should leverage child protection arguments to advocate for improved family welfare policies.
A new study found that Medicaid Accountable Care Organizations (ACOs) in Massachusetts increased prenatal and postpartum office visits, postpartum depression screenings, and timely postpartum care. This value-based model of care addressed inequities in healthcare access for pregnant and postpartum people covered by Medicaid.
A new study from Oregon Health & Science University found that routine prenatal iron supplementation has no significant impact on maternal or infant health outcomes. Clinicians can now inform decisions around iron supplement use with individualized prenatal care, considering a patient's unique symptoms and history.
The USPSTF finds that iron deficiency is the leading cause of anemia during pregnancy, affecting approximately 18% of pregnant individuals. Routine screening and supplementation are not recommended to prevent adverse maternal and infant health outcomes.
Pregnant women exposed to buprenorphine combined with naloxone had similar or more favorable outcomes compared to those exposed to buprenorphine alone. This suggests that both formulations are safe treatment options for opioid use disorder during pregnancy.
After two major health policy shifts, pregnant and postpartum women with depression and anxiety received slightly more psychotherapy and paid less out-of-pocket costs. Despite the positive trends, only about 10% of women with private insurance received psychotherapy in 2019 to 2020.
A new study found that living near areas where pesticides were used during the first trimester of pregnancy or pre-conception increases the risk of stillbirths. Researchers linked pesticide use records to state birth certificate data and found specific chemicals, such as organophosphates and pyrethroids, to be associated with increased...
A major new study by Karolinska Institutet has found that women with epilepsy are four times more likely to die during pregnancy and their babies have a 50 percent higher risk of illness or death. Despite the high relative risks, most pregnancies for women with epilepsy go well.
A novel AI tool has been shown to accurately estimate gestational age from blind ultrasound sweeps, comparable to expert sonographers. The technology has the potential to democratize prenatal care in resource-limited settings by expanding access to quality diagnostic tools without the need for expensive equipment or specialized training.
Researchers at Lawson Health Research Institute have made a world-first discovery using advanced technology and artificial intelligence (AI) to accurately diagnose rare diseases and prenatal exposure-related birth abnormalities. They used EpiSign technology, which measures a patient's epigenome, to identify patients affected by recurre...
Rates of hypertensive disorders of pregnancy increased from 6.1% to 8.5%, while related health conditions declined, according to a Canadian study. The growing population of high-risk obstetrical patients highlights the need for easily accessible specialized care.
A cohort study found that prenatal cannabis use was associated with several negative maternal health outcomes during pregnancy. The study emphasizes the need for further research on how different aspects of prenatal cannabis use may impact these associations.
A cohort study found that a healthy prenatal dietary pattern was linked to reduced risk of autism diagnosis and social communication difficulties in offspring. Adherence to this dietary pattern was not significantly associated with reduced restrictive and repetitive behaviors.
A study published in JAMA Network Open found no association between RSV vaccination during late pregnancy and increased risk of preterm birth or poor outcomes. The research provides real-world evidence supporting the safety of Pfizer's Abrysvo vaccine, offering reassurance to patients and clinicians.
A new study has found that gestational carriers experience a severe maternal morbidity rate of 7.1%, significantly higher than unassisted conceptions (2.4%) and IVF conceptions (4.6%). Gestational carriers are also at risk for postpartum haemorrhages and hypertensive disorders, which can be serious complications during pregnancy.
A new study has validated the Trauma History Questionnaire (THQ) with incarcerated and perinatal women, revealing strong connections between trauma exposure and negative mental health outcomes. The findings suggest that increased attention to mental health care is necessary for these vulnerable populations.
Researchers found that WIC enrollment was associated with lower rates of gestational diabetes, preterm birth, blood transfusions, and ICU admissions. This suggests that programs like WIC can improve pregnancy health.
A new study by UC San Francisco's ANSIRH program found that patients who received care remotely for medication abortion had similar outcomes to those who got ultrasounds and in-person care. The researchers analyzed the experiences of over 500 patients and found a high success rate for the
The HHS competition evaluated Ochsner Connected MOM's effectiveness in increasing blood pressure measurements among Black patients and rural populations. The program saw a statistically significant increase in blood pressure measurements, benefiting over 2,000 patients.
A new study found that the rate of cannabis-related disorders diagnosed among pregnant women in Québec increased by more than 20% after the enactment of the Cannabis Act. The average number of CRD diagnoses per month jumped from 14.5 to 23.5 per 100,000 pregnant women.
A collaborative study published in Lancet's eClinical Medicine found that prenatal maternal depression is a link to early birth, while intervention can reduce risk of early birth and newborn morbidity and mortality. Enhanced psychotherapy during routine prenatal care appointments led to reduced depression and longer gestation.
A global meta-analysis of 1.8m women found COVID-19 vaccination reduces the risk of infection during pregnancy by 61% and hospitalization by 94%. Vaccination also lowers caesarean section risk by 9%, hypertensive disorders in pregnancy by 12%, and intensive care unit admission for newborns by 8%.
A cohort study suggests that prenatal exposure to endocrine-disrupting chemicals is associated with adverse metabolic health in children, highlighting the need for public health implications. The findings indicate a potential link between chemical mixtures and metabolic syndrome in offspring.
Research reveals morning sickness is caused by hormone GDF15, linked to life-threatening hyperemesis gravidarum (HG). HG can lead to postnatal depression, preterm birth, autism spectrum disorder, and other complications. Expert Marlena Fejzo discusses potential treatments targeting GDF15 hormonal pathway.
A new study reveals a common chromosomal microdeletion, 22q11.2del, as the first identified genetic variation contributing to spina bifida. The deletion is associated with a risk of spina bifida more than 10 times greater than the general public. Folic acid supplementation may also help reduce this risk and severity.
The Healthy Start scheme in England is a vital support for pregnant women and low-income families, but uptake remains suboptimal. A new study recommends reframing the scheme as a child's right to good food and healthy development, improving coordination and resources.
A new American Heart Association Scientific Statement highlights the importance of patient-centered care in cardiovascular health, combining expert knowledge with consideration of patients' beliefs, preferences, and values. The statement provides practical guidance on incorporating person-centered care into routine clinical practice.
Researchers propose seven comprehensive changes to healthcare and economic policies to mitigate the burden of undiagnosed and untreated perinatal mental health challenges. These recommendations include training programs, payment models, paid family leave, and access to reproductive justice services.
Research highlights gaps in information, support, and resources for women with serious mental illness who are pregnant or planning a pregnancy. The study found that few women recalled discussions of pregnancy with their mental health providers and were dissatisfied with the information they received about potential safety concerns.
A trio of studies show increased diagnosis and treatment of anxiety, depression, and PTSD in pregnant and new mothers with private insurance, but disparities persist. The findings suggest that policy changes and increased awareness have contributed to the rise in diagnoses and treatments.
A nationwide Swedish study reveals a bidirectional link between premenstrual disorders (PMS/PMDD) and perinatal depression. Women with PMS/PMDD are five times more likely to experience perinatal depression, while those with perinatal depression are twice as likely to develop PMS/PMDD.
A new study found that multiple unsafe sleep practices, such as sharing a bed, were present in over 75% of sudden infant deaths. Infants who died were often younger, non-Hispanic Black, and publicly insured. The research emphasizes the need for better safe-sleep education and support to reduce Sudden Infant Deaths.
Researchers developed a web-based decision aid to support pregnant individuals in making informed decisions about tubal sterilization. The study found that those who used the decision aid had significantly higher knowledge of the procedure's permanence and reduced uncertainty, compared to those who did not use it.
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 recent study from The Hospital for Sick Children found that pregnant teenagers in Ontario were at a 50% higher risk of premature death before age 31 compared to those with no teen pregnancy. The Young Prenatal Program and Young Families Program offer integrated physical, mental, and developmental care to support adolescent parents.
A new study examines the impact of the Dobbs decision on healthcare delivery, revealing a two-tiered system that worsens disparities for marginalized communities. Providers in restrictive and protective states report reduced quality of care, increased training gaps, and fewer trained healthcare providers.
A large study found that people with class I obesity had double the risk of stillbirth at 39 weeks' gestation compared to those with normal BMI. The risk further increased with gestational age, with a more than fourfold risk at 40 weeks. Researchers hope that these findings will improve care for pregnant individuals with obesity.
A USC study found that diets high in solid fats and refined grains may increase the likelihood of developing preeclampsia, while a diet rich in vegetables, oils, and fruit may reduce the risk. Low-income Hispanic women are disproportionately affected by this health disparity.
A new web-based baby sleep planner tool, developed by researchers at the University of Bristol, has been shown to improve the uptake of life-saving advice for families with infants at increased risk of sudden infant death syndrome. The tool provides a baby's SUDI risk assessment at birth and a downloadable sleep plan for families.
A large clinical trial found that an intervention for pregnant women in Pakistan significantly reduced the likelihood of developing moderate-to-severe anxiety and depression after birth. The intervention, led by Dr. Pamela J. Surkan, was administered by non-specialized providers and showed promising results.
A research team at Children's National Hospital found that maternal mental illness contributes significantly to the death of new mothers in the US. The study highlights the need for urgent action to address this public health crisis, which is driven by a lack of access to maternity care and inadequate screening for depression postpartum.
A new American Heart Association scientific statement emphasizes the need for increased awareness of heart disease as a major health risk for women, particularly those with pregnancy complications. Early detection and treatment of risk factors may help prevent future heart attack, heart failure, and stroke.
Young women under 30 and those from lower education levels are disproportionately affected. Firearms are the most frequent weapon used in peripartum homicides, accounting for 63.4% of cases.
A study by Amsterdam UMC shows that Doppler ultrasound can detect placenta problems in small babies, identifying those at higher risk of oxygen deficiency and health issues. The measurement is added to the care plan for these undersized babies, allowing for better detection and monitoring of potential problems.
A new study published in Neurology found that young Black and Hispanic women with multiple sclerosis face greater challenges in pregnancy, have more advanced disease, and experience higher inflammation levels, which may signal MS progression. The researchers also noted disparities in healthcare access and treatment.
Researchers found that access to community perinatal mental health teams significantly improved the risk of acute relapse, but also associated with increased stillbirth and neonatal death rates. Women with severe mental illnesses had a lower risk of relapse after birth in regions with CPMHTs.
A study found that primary care physicians spent nearly 30 minutes more on EHR tasks between pre-pandemic and final year, with time spent outside of scheduled hours increasing significantly. This growth in EHR workload may contribute to burnout and affect decisions to cut back on clinic time or leave the profession.
The study found that patients had a positive experience obtaining TeleMAB through their primary care health system, citing ease of access, autonomy, and reduced anxiety. This normalizes abortion care within the context of comprehensive primary care, improving access for many people of reproductive age.
This study explores how better communication with care teams can improve the birthing experience for Black people. Researchers found that addressing urgent procedures and fostering a welcoming environment to share birth experiences mitigated negative consequences of preterm births.