Articles tagged with Prenatal Care
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A recent multi-center study found that nearly 80% of patients with congenital heart disease experienced at least one socioeconomic barrier to prenatal diagnosis. The most common barriers were difficulty with appointment scheduling, transportation access, and childcare. Improving paid sick leave policies may help alleviate these barriers.
A new study found no increased risk of major congenital malformations in infants exposed to second-line non-insulin antidiabetic medications during pregnancy compared to those treated with insulin. The study examined over 3.5 million pregnancies and provided reassurance on the safety of these medications for fetuses.
A pregnant patient with severe vasospastic angina successfully carried a healthy baby to full term after starting treatment with calcium channel blockers. The case highlights the importance of careful diagnosis and treatment, which can alleviate symptoms and prevent complications.
A recent study found that nearly all pregnant women have low levels of essential vitamins and minerals, with some developing deficiencies in late pregnancy. Supplementing with over-the-counter multivitamins significantly reduced nutrient deficiencies before and during pregnancy.
A large Kaiser Permanente study found a connection between prenatal cannabis use and increased risk of low birthweight and neonatal intensive care unit (NICU) admission. The study analyzed over 360,000 mothers and infants and found a dose-response relationship between cannabis use and infant health risks.
A study found that nearly one-third of US family medicine residents are training in states with abortion restrictions, highlighting the impact on reproductive health care. The analysis suggests that increased support for comprehensive reproductive health education is needed to mitigate this effect.
A study of 452 Black pregnant patients found that 62% reported depression in combination with anxiety or stress. Prenatal screening for mental health concerns is necessary to address these co-occurring issues.
A meta-analysis of 57 studies found that prenatal cannabis exposure is associated with an increased risk of preterm delivery, low birth weight, and neonatal intensive care unit (NICU) admission. However, it does not appear to increase the risk of birth defects or death within one year.
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 study found that pregnant women with high blood pressure who received tight blood pressure control immediately after pregnancy had lower blood pressure levels and improved cardiac function compared to those with usual care. This could lead to a reduced risk of cardiovascular disease, including heart attacks and strokes.
Experts call for urgent measures to address discrimination against patients fleeing war or conflict zones, those with serious mental illnesses, and frail elderly patients. Guidelines for treating advanced breast cancer should prioritize patient preferences and involve multidisciplinary care teams.
Researchers found that pregnant women with very low titers of anti-Ro antibodies are not at risk for fetal atrioventricular (AV) block, a serious disorder affecting the heart's electrical system. In contrast, high-titer antibody pregnancies can benefit from ambulatory fetal heart rhythm monitoring to detect AV block.
A large-scale international study found that maternal depressive symptoms can appear from early pregnancy and last up to two years after childbirth. The study emphasizes the importance of early interventions during pregnancy to mitigate symptoms and improve outcomes for both mother and child.
A University of Missouri study found that opioid-dependent mothers experience stigma, leading to withdrawal from healthcare and negative outcomes for their infants. The research highlights the need for compassionate support and education to promote better health outcomes.
The Perinatal LAW Project, a medical-legal partnership, helps pregnant and postpartum patients tackle unmet legal needs, such as housing and financial insecurity. By integrating lawyers into care teams, healthcare providers can better support patients' health-harming legal issues, leading to improved birth outcomes.
Researchers have identified a group of babies born to mothers who used fentanyl during pregnancy with similar facial and musculoskeletal abnormalities. The study suggests the emergence of a novel syndrome, which may be caused by fentanyl exposure or another contaminant.
A study of 142,000 live births found that maternal mRNA COVID-19 vaccination during pregnancy was associated with reduced risks of severe neonatal morbidity, neonatal death, and intensive care unit admission. No increase in hospital admissions or readmissions up to age six months was observed.
A new study published in Obstetrics & Gynecology found that birthing people who died during pregnancy or postpartum had received significant amounts of hospital care. The study identified factors such as severe maternal morbidity, opioid use, and prior hospitalization as linked to pregnancy-associated deaths.
A cross-sectional study found that most survey respondents who gave birth between June and December 2020 did not use prenatal telehealth. Personal preference for in-person care was the most common reason among those who chose not to use telehealth services.
A new study found that hybrid closed-loop technology significantly improved maternal blood sugars in pregnant women with type 1 diabetes. Women who used the technology spent more time within the target range for pregnancy blood sugar levels, gained less weight, and had fewer complications.
A new pilot study at the University of Illinois Chicago found that 30% of new dads screened positive for postpartum depression, highlighting the importance of asking new dads about their mental health. The researchers believe that addressing fathers' health can be a powerful untapped tool in improving maternal health.
Research highlights the challenges of rural hospital-based maternity unit closures and transportation barriers, leading to delays in care and adverse outcomes. The study suggests that telehealth services can provide a solution to address these disparities in maternal health outcomes.
A recent study published in Human Reproduction found a doubling in the chances of pregnancy miscarrying or resulting in a stillbirth following a job loss. The researchers emphasize an association between job loss and increased probability of miscarriage or stillbirth, highlighting potential socioeconomic factors.
A new Michigan State University and Corewell Health research found that in-home prenatal services can significantly reduce the risk of premature births and infant deaths. Pregnant individuals receiving enhanced prenatal care saw a 57% reduced risk, while expectant Black mothers experienced an even greater reduction.
A learning collaborative enhanced educational and training support services for primary care doctors to use mifepristone for miscarriage management and abortion provision. Clinics increased knowledge of mifepristone and stockpiled the medication, despite existing financial barriers.
Preeclampsia, a major cause of maternal mortality, has increased by 37% in Texas since 2017. A new $1.47 million NIH grant will support research initiatives to address preeclampsia rates in six Panhandle counties.
A new NIH study found an association between higher prenatal phthalate levels and a slightly increased risk of postpartum depression. Exposure to chemicals like phenols, phthalates, and parabens during pregnancy may influence hormone levels and contribute to the development of postpartum depression symptoms.
The USPSTF recommends screening for hypertensive disorders of pregnancy to reduce maternal morbidity and mortality. The rate of hypertensive disorders has been increasing, from approximately 500 cases per 10,000 deliveries in 1993 to 1,021 cases per 10,000 deliveries in 2016-2017.
Researchers developed statistical models using ultrasound measurements and protein levels to predict stillbirth, neonatal death, or extreme preterm delivery. The findings aim to identify suitable candidates for clinical trials testing novel treatments for fetal growth restriction.
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 new study examines racial and socioeconomic differences in US preterm birth and mortality rates over 25 years. Despite improvements, disparities persist, with Black infants 1.4 times more likely to die from preterm birth than White and Hispanic infants.
New research led by Nansi Boghossian found that sickle cell disease contributes to racial disparities in severe maternal morbidity, with Black individuals at least 1.5 times more likely to experience complications. The study suggests preconception care and management are critical for improving pregnancy outcomes for patients with sickl...
A new study by Northwestern University found that non-Hispanic Black individuals have a significantly higher rate of pre-term births compared to non-Hispanic white individuals. Pre-pregnancy cardiovascular health and social determinants of health explain racial differences in preterm birth rates.
A study by Ann & Robert H. Lurie Children's Hospital of Chicago found that prenatal diagnosis is associated with earlier surgery for babies with congenital heart defects, leading to improved outcomes. Prenatally diagnosed babies had surgery on average one week sooner than those with postnatal diagnosis.
A new study published in The BMJ found that steroid use during pregnancy may increase the risk of short and long-term health issues in infants. Researchers analyzed data from 1.6 million infants and found that full-term babies exposed to corticosteroids had a higher risk of neonatal intensive care admission, respiratory and growth issu...
The USPSTF recommends a daily supplement containing 0.4 to 0.8 mg of folic acid for all persons planning to or who could become pregnant to prevent neural tube defects, which affect approximately 3,000 pregnancies annually. This recommendation reaffirms the 2017 statement and aims to reduce congenital malformations.
The conference will focus on optimizing patient care in the Latin America region, discussing strategies to improve heart health and address rising cardiovascular disease rates. Key topics include cardiac rehabilitation, heart failure management, and practical approaches for clinicians.
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.
Participation in a home visiting program reduced risk of adverse birth outcomes by up to 23% among Medicaid recipients. Black individuals saw greater risk reductions, highlighting disparities in prenatal and postnatal care.
A new analysis of Swedish birth records found that fathers' psychiatric diagnoses increase the risk of preterm birth, with risks higher for infants whose parents have both diagnoses. The study suggests that additional social support and prenatal care may help mitigate this risk.
A large new study by Kaiser Permanente found no significant differences in health outcomes between pregnant patients receiving in-person or multimodal (virtual + in-office) prenatal care. Rates of complications like preeclampsia, severe maternal morbidity, and NICU admissions remained steady across time periods.
LSU Health New Orleans' School of Nursing has been awarded $2.6 million by the Health Resources and Services Administration to increase nurse practitioners and midwives trained for underrepresented populations, particularly in rural areas. The funding will also enhance curriculum and provide tuition support.
Mothers with a criminal record and care experience face negative judgements and excessive scrutiny due to their 'known' status. The study emphasizes the need for supportive dialogue across disciplinary boundaries to break cycles of stigma and social care involvement, focusing on safe spaces and trust-building for care-experienced mothers.
A meta-analysis of almost 35,000 participants found that one-to-one sessions with dietitians were the most beneficial for controlling gestational weight gain. The team identified practical elements such as managing nausea and cravings to be key components of successful interventions.
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for anxiety disorders in older adults. Anxiety disorders are commonly occurring mental health conditions often unrecognized in primary care settings, leading to substantial delays in treatment initiation.
The USPSTF recommends regular screening for depression in the adult population to address its significant impact on daily functioning. Major depressive disorder can lead to increased mortality if left untreated.
A study found that even insured patients with diabetes use crowdfunding platforms like GoFundMe to cover excess medical expenses, including uncovered co-pays and life-saving care. Researchers urge policymakers to consider these needs when developing affordable diabetes care policies.
A smartphone app developed by a team of researchers improved midwives' knowledge and skills in Tanzania, leading to better birth preparations for pregnant women. The app showed significant improvements in learning outcomes and home-based value scores, indicating a higher preference for hospital births.
A new American Heart Association scientific statement highlights the disproportionate burden of cardiovascular disease on AI/AN women. The study reveals that more than 60% of these women have suboptimal heart health when pregnant, increasing their risk of heart disease later in life.
A new study published in Journal of Women’s Health reveals racial disparities in outcomes for pregnant and postpartum veterans and their infants, with Black veterans experiencing higher rates of postpartum re-hospitalization and low-birth-weight infants. The findings underscore the need for further research to address health equity gaps.
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.
Researchers found that 78% of patients reported at least one social risk factor impacting their health. A chatbot was developed to provide follow-up outreach and deliver educational content to recently discharged birthing individuals.
A new study suggests that increasing induced labor rates in UK maternity services without considering staffing workloads and patient care may have unintended consequences. The study highlights gaps in knowledge on home-based IOL services, with workload perceived to be increased in some cases.
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.
Eight low-cost interventions can prevent an estimated 566,000 stillbirths and 5.2 million babies born preterm or small for gestational age each year. Implementing these interventions in 81 low- and middle-income countries could save the lives of millions of babies and improve long-term health outcomes.
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 analyzing 46 million births across nearly three decades reveals a concerning pattern of maltreatment of non-white pregnant women, including disregarding their birthing wishes. The research suggests that medical induction of labor nearly tripled between 1990 and 2017 in the U.S., with no clear association with increased r...
Individuals who experienced depression during pregnancy were more likely to be diagnosed with cardiovascular disease within two years after giving birth. The study found a significant higher risk of developing six major cardiovascular conditions, including heart failure and ischemic heart disease.