About 20,455 results

Mom's Cardiovascular Risk After Pre-Eclampsia Emerges Within a Decade

Jan 26th, 2023 - It did not take long after pregnancy for excess heart attacks and strokes to emerge in women with pre-eclampsia, according to national records from Denmark. Within 20 years of delivery, the cumulative incidence of acute myocardial infarction (MI) and ischemic stroke approached 2.0% in women who had a history of pre-eclampsia versus 1.2% who had no pre-eclampsia, reported Sara Hallum, MSc, a PhD...

Risk of Maternal Morbidity After C-Section No Different Based on Surgeon Gender

Jan 25th, 2023 - Risk of maternal morbidity, including postpartum hemorrhage, after cesarean deliveries did not differ by surgeon gender, according to a prospective cohort study from France. Among over 4,000 women, maternal morbidity was 14.2% with male surgeons versus 16.3% with female surgeons (adjusted risk ratio [RR] 0.92, 95% CI 0.74-1.13, P=0.46), reported Loïc Sentilhes, MD, PhD, of Bordeaux University H...

Case Study: Ethics and Mental Illness in Pregnancy
Clinical Advisor

Jan 23rd, 2023 - A 28-year-old Asian woman is evaluated by psychiatry on postpartum day 2 secondary to exhibiting unusual behavior. The obstetrics staff noticed that the patient was talking loudly to the mirror in her room and was not showing affection to her newborn child. She had not breastfed her newborn for over 6 hours even though that was the plan before delivery. The patient is inattentive to staff direc...

DOJ Investigates Formula Maker; Theranos' Holmes a Flight Risk? TikTok Miscarriage

Jan 23rd, 2023 - Note that some links may require subscriptions. The Department of Justice has begun a criminal investigation of Abbott Laboratories, the company responsible for the nation's continuing infant formula shortage. (Politico) Biosecurity experts advising the NIH issued a draft report calling for greater government oversight of studies on dangerous pathogens. (Washington Post) Spread of the Omicron s...

Pregnant Women With Syphilis, Substance Use More Likely to Pass Infection to Babies

Jan 19th, 2023 - Pregnant patients with syphilis who used substances had a greater chance of passing the infection along to their baby compared with those without substance use, according to a CDC study conducted in Arizona and Georgia. From 2018 to 2021, patients who had a congenital syphilis pregnancy outcome -- defined as a syphilitic stillbirth or a live birth with a syphilis diagnosis -- had almost double ...

Be Alert For Ectopic Pregnancy After Self-Managed Abortion

Jan 18th, 2023 - Clinicians in the emergency department (ED) and primary care settings should be prepared to spot complications of self-managed abortion, according to a case report. A patient who had attempted self-managed abortion presented to the ED with a ruptured ectopic pregnancy that went undetected, reported Isabel Beshar, MD, of Stanford University in California, and colleagues. They explained in a corr...

Socioeconomic Disadvantages Explain Maternal Age and ADHD Causal Association
Clinical Advisor

Jan 18th, 2023 - The association between young maternal age and childhood attention-deficit/hyperactivity disorder (ADHD) is likely explained primarily by socioeconomic disadvantages, according to study findings published in The Journal of Child Psychology and Psychiatry. Researchers conducted a cross-sectional analysis using the ABCD Study June 2016 through mid-October 2018. A total of 8514 children aged 8 to ...

Reforming Institutions, Integrating Health Technology to Address Maternal Mortality Gap
Clinical Advisor

Jan 17th, 2023 - Despite advancements in medical care, rates of maternal morbidity and mortality are significantly higher in the United States compared with other wealthy countries.1 The greatest effects of the maternal mortality crisis in the United States are observed in minority communities. Black women have nearly a 3-fold higher risk of dying during childbirth and a 5-fold higher risk of dying from pregnan...

Bedside Prognostic Tool Identifies Infants at Risk for Cerebral Palsy

Jan 17th, 2023 - A new prognostic model for identification of term-born neonates at increased risk for cerebral palsy (CP) may have brought better outcomes through early intervention one step closer. The model, based on 12 clinical variables, improved the prediction of CP in infants compared with clinical presentation of encephalopathy, Mary Dunbar, MD, of the University of Calgary in Alberta, and colleagues re...

Experiencing Racism Tied to Doubled Odds of Depression During Pregnancy
Clinical Advisor

Jan 12th, 2023 - HealthDay News — Women who have been upset due to experiencing racism in the year prior to delivery have significantly higher odds of depression during pregnancy, according to a study published online in the Journal of Advanced Nursing. Kelly M. Bower, PhD, MPH, RN, from the Johns Hopkins School of Nursing in Baltimore, and colleagues used data from phase 8 (2018) of the Pregnancy Risk Assessme...

Clinicians Address the Resurgence of Syphilis in the United States
Clinical Advisor

Jan 6th, 2023 - In 2000, rates of syphilis infection had declined to the point of near elimination in the United States, with an all-time low of 5979 diagnoses reported that year.1 In the past 2 decades, however, rates have not only returned to previous levels but have drastically surpassed those rates, reaching a record high of 171,074 diagnoses in 2021. This figure represents an increase of approximately 70%...

CDC Data Show Mpox Risks in Cisgender, Pregnant Women

Jan 6th, 2023 - While data on mpox has mostly focused on men who have sex with men, new data from the CDC suggest that it is also important to monitor risk among cisgender women and pregnant people to examine the effects of the virus on sexual and reproductive health. From May to November, 769 cisgender women were infected with mpox, accounting for 2.7% of all reported cases in the U.S. Of these women, 73% rep...

Instagram Live: Providing Abortion Care in 2023

Jan 5th, 2023 - What does the landscape for abortion care look like in 2023? Family planning experts will be answering questions live about the current state of reproductive rights in the U.S. -- join us! Featuring: How do I join? Follow @MedPage on Instagram! When is the event? Tune in Tuesday, January 10, at 4 p.m. ET Can I submit questions? Yes, we encourage questions! Submit your questions prior to the eve...

Abortion Access Tied to Suicide Rates Among Young Women

Dec 28th, 2022 - Restrictions on access to reproductive care were associated with suicide rates among women of reproductive age, researchers found. In a longitudinal ecologic study using state-based data from 1974 to 2016, enforcement of Targeted Regulation of Abortion Providers (TRAP) laws was associated with higher suicide rates among reproductive-age women (β=0.17, 95% CI 0.03-0.32, P=0.02) but not among wom...

Maternal Mortality Crisis Among Minority Patients in the US
Clinical Advisor

Dec 19th, 2022 - The United States has the highest maternal mortality among high-income countries, with approximately 700 deaths yearly and more than of these deaths considered preventable.1,2 Maternal mortality is prevalent in minority populations, with non-Hispanic Black women experiencing 55.3 deaths per 100,000 live births in 2020, nearly 2.9 times the rate for non-Hispanic White women (19.1).3 Racial and e...

A Win for Women With Symptomatic Uterine Fibroids

Dec 14th, 2022 - This transcript has been edited for clarity. Uterine leiomyomas or fibroids represent the most common indication for hysterectomy in US women, with the burden of this disease disproportionately born by Black women. Gonadotropin-releasing hormone (GnRH) antagonists comprise a new class of orally active medications which bind to GnRH receptors, thereby rapidly and reversibly suppressing ovarian s...

Mothers' Sleep Issues Promote Poor Outcomes for Infants

Dec 14th, 2022 - Several adverse infant outcomes were significantly more likely for infants whose mothers had diagnoses of sleep apnea or insomnia, based on data from approximately 5000 infants. Sleep disturbance is common during pregnancy, and "sleep disorders during pregnancy can have significant consequences for both the pregnant person and their infant," write Jennifer N. Felder, PhD, of the University of C...

Alloantibody Data Exchange Would Save Lives, Reduce Costs

Dec 13th, 2022 - NEW ORLEANS — Save lives, save money. What's not to love? That's the claim made for a proposed national exchange or registry of data on alloantibodies. These are antibodies that develop in response to foreign red blood cells in individuals who undergo repeated blood transfusions, such as patients with sickle cell disease, although they can also occur after pregnancy and transplants. A central r...

Immune Dysregulation May Drive Long-Term Postpartum Depression

Dec 13th, 2022 - Postpartum depression, anxiety, and posttraumatic stress disorder that persist 2-3 years after birth are associated with a dysregulated immune system that is characterized by increased inflammatory signaling, according to investigators. These findings suggest that mental health screening for women who have given birth should continue beyond the first year postpartum, reported lead author Jennif...

Three Antiseizure Medications Join List for Newborn Risks

Dec 13th, 2022 - A study of more than 4 million births over 20 years in five Scandinavian countries has reported that three antiseizure medications should be used with caution in women of child-bearing age because they were associated with low birth weights. Dr Jakob Christensen In results presented at the annual meeting of the American Epilepsy Society, Jakob Christensen, MD, DSc, PhD, a professor at Aarhus Un...