Elaine L. Duryea, MD, is the medical director of the Maternal-Fetal Medicine Clinic at Parkland Health and Hospital System and an assistant professor in the Department of Obstetrics and Gynecology at the University of Texas Southwestern Medical Center in Dallas.
A before-and-after cohort study of more than 18,000 patients found that universal aspirin 162 mg dispensation at the first prenatal visit was associated with a 29% reduction in preeclampsia with severe features, with benefit observed across patients with and without chronic hypertension and no increase in hemorrhagic complications.
Cesarean delivery is the most commonly performed surgery in the United States, with over 1 million infants delivered this way each year. Maternal morbidity and mortality rates in this country are higher in women undergoing cesarean delivery. To improve these outcomes, experts make a case for the application of several ERAS principles to obstetric-specific issues.
May 12th 2021
