Have you broached the topic of frozen embryos with your patients? What was their response?
Obstetrics-Gynecology & Women's Health
The first birth from a groundbreaking trial of in utero stem cell transplantation suggests that fetal therapy may be a viable new option for alpha thalassemia (ATM). Plus: Why do vasomotor symptoms bother some women long after menopause? Also: Does CPAP improve sexual QOL in women with sleep apnea?
Prenatal exposure to tobacco and marijuana can affect infant size and behavior, according to a recently published study. Plus: Is HT-NIPT cost-effective for guiding postpartum use of anti-D? Also: A recent study shows that lesbian and bisexual (LB) women have a greater likelihood of developing type 2 diabetes (T2D) than their heterosexual counterparts.
A recent study shows that mothers exposed to moderate to high levels of caffeine during pregnancy may give birth to infants that gain excess weight in early childhood. Plus: How does ART affect risk of stillbirth? Also: A study found that obese African-American women have significantly lower energy expenditure per kilogram of mass compared to obese white women with similar energy intake and physical activity levels.
Maternal chronic hepatitis B virus (HBV) infection is associated with a 16% increase in risk of preterm birth (PTB), with substantial heterogeneity, according to an updated systematic review and meta-analysis.
The fetal fibronectin (fFN) test alone had a sensitivity of 66.7% and a specificity of 97.2% in predicting spontaneous preterm birth (SPTB) in symptomatic twin pregnancies, according to a small pilot study of 40 women.
In 2012, a Virginia woman began receiving prenatal care for her seventh pregnancy, during which she was diagnosed with Type II diabetes and obesity. During the delivery, shoulder dystocia was encountered. The baby's right arm was noted to be limp and she was diagnosed with a brachial plexus injury. The woman sued those involved with the delivery, claiming that during the course of her care, the history, physical examinations, and tests showed she had an increased risk for encountering shoulder dystocia during a vaginal delivery.
In the United States, 1% to 2.5% of pregnant women are infected with hepatitis C virus (HCV), which carries an approximately 5% risk of transmission from mother to infant. HCV can be transmitted to an infant in utero or during the peripartum period.
Providers should be discussing Zika with their patients and educating them about preventive strategies as well as offering screening and testing to relevant populations of pregnant women.
Across the United States, nitrous oxide (N2O) is attracting attention as a desired option for analgesia during childbirth.