Articles tagged with Prenatal Care
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.
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.
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 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 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 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 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.
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 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.
A quality improvement intervention linked high-risk prenatal patients with primary care, resulting in a significant increase in postpartum and primary care utilization. Despite challenges, FQHC participation improved patient outcomes, highlighting the need for greater resources to ensure sustainability.
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.
A new study found that states with restrictive abortion laws had a 16% increased infant mortality rate compared to those with more comprehensive reproductive healthcare. Demographic factors such as low education attainment and inadequate prenatal care also contributed to elevated IMR.
A new study found that low-dose calcium supplementation (500mg per day) was as effective as high-dose supplementation (1,500mg per day) in preventing preeclampsia, with no significant difference in preterm birth rates. The findings provide an opportunity to revise the WHO's current recommendation for pregnant women with low-calcium diets.
A recent study published by the Mayo Clinic found that an AI-enabled digital stethoscope can detect peripartum cardiomyopathy, a potentially life-threatening condition, more accurately than regular care. The researchers identified twice as many cases using the AI-powered tool.
A new study from Mass General Brigham researchers found that women who experienced more preconception stress had higher blood sugar levels during pregnancy, a predictor of current and long-term cardiovascular health. The study also discovered that socioeconomic status was associated with preconception stress and blood glucose levels.
Hyperemesis gravidarum is a debilitating condition causing intense vomiting, hair loss, and mental health issues. Researcher Cheryl Beck studied 33 blog posts from women in Australia, finding six consistent themes: physical debilitation, emotional distress, and financial struggles.
Researchers at Boston Children's Hospital developed a predictive model for accessing prenatal care services in rural Amhara, Ethiopia. The model incorporated data on education, income source, diet, and history of previous pregnancies, identifying factors that predict failure to attend prenatal care visits.
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 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 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 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 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.
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.
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.