March 28th 2022
This Consult has been endorsed by the American College of Obstetricians and Gynecologists (ACOG) and replaces the Society for Maternal-Fetal Medicine's (SMFM) Statement #4, Implementation of the use of antenatal corticosteroids in the late preterm birth period in women at risk for preterm delivery, August 2016.
December 23rd 2020
December 21st 2020
Study: Early-term births linked to poorer CRF through young adulthoodOctober 10th 2017
Longitudinal data from a prospective cohort study indicate that being born early term may negatively affect a child’s cardiorespiratory fitness. Plus: Is there a difference in PTB rate between branded and compounded 17P? Also, a review analyzes whether or not there are any benefits to placentophagy.
Meta-analysis on oocyte donation and perinatal outcomesOctober 2nd 2017
A systematic review and meta-analysis suggests that in pregnancies conceived via assisted reproduction, risk of adverse perinatal outcomes may be higher with donated than with autologous oocytes. Plus: Do post-cesarean antibiotics reduce infections in obese women? Also: Researchers believe they have identified the genes associated with preterm delivery.
Do midpelvic vaginal operative deliveries lead to greater trauma?June 26th 2017
A new study looks at whether midpelvic operative deliveries have greater trauma than other delivery forms. Plus: A look at the long-term effects of using bisphosphonates. Also, is lithium use in early pregnancy as dangerous as previously thought?
CDC issues advisory on Zika testingJune 6th 2017
The latest on testing guidelines for Zika from the CDC. Plus: Are corticosteroids effective when administered only hours before delivery? Also, a look at the prevalence of hepatitis C among pregnancy women in the United States.
Is cervical insufficiency a true diagnosis?May 12th 2017
A debate at ACOG 2017 looks at whether cervical insufficiency should be abandoned as a diagnosis. Plus: A study presented at ACOG 2017 examines whether human papillomavirus is linked to preterm birth?
Tools Test Drive: Sureglide, Überlube, and TruClearMay 1st 2017
Dr Greenberg reports his thoughts on the Sureglide device and preventing lacerations during cesarean, Überlube and helping women with vaginal dryness and dyspareunia, and TruClear ULTRA Mini tissue removal device for mechanical morcellation.
Does early menstruation increase risk of GDM?March 22nd 2017
A new study looks at whether who begin menarche early in life are more likely to develop GDM. Plus: USPSTF issues their final recommendations on pelvic exams. Also, a look at the efficacy of vaginal progesterone in preventing preterm birth in twin pregnancy.
Is there a link between CVD and preterm birth?March 1st 2017
A study looks at the impact of a preterm birth on the mother's future risk of cardiovascular disease. Plus: Do shift work and physical labor negatively impact a woman's fertility? Also, are women who get a false-positive mammogram more likely to delay their future screenings?
Readers write in about their thoughts on the annual labor force survey, the conundrum presented by cesarean delivery and defensive medicine, more information on treating women who have been the victim of sexual assault, and what is adding to the stress of the job.
How quality measures can decrease cesareansFebruary 22nd 2017
Can adopting quality measures decrease the cesarean rate? Plus: The Government Accountability Office issues a report on power morcellators and the FDA's system of evaluation. Also, does the volume of one type of heart fat indicate the risk of heart disease?
Should this ectopic pregnancy have been diagnosed earlier?February 1st 2017
The plaintiff asserted that during the diagnostic laparoscopy, Dr A and Dr B should have detected the ectopic pregnancy in the right fallopian tube. Her attorneys claimed that based upon the plaintiff’s abdominal pain, vaginal bleeding, and β- hCG levels, and absent evidence of intrauterine pregnancy on ultrasound, the defendants should have presumed ectopic pregnancy and adequately evaluated the fallopian tube before discharging the patient, thus avoiding rupture.
Brain volume, microcephaly on US associated with ZikaJanuary 30th 2017
Research looks at the science showing associations between microcephaly and Zika virus. Plus: Can cervical pessaries help prevent preterm birth? Also, a study examines whether inadvertent HPV vaccination during pregnancy leads to adverse outcomes for mother and baby.
Can a patient safety bundle prevent deaths from PE?January 1st 2017
Pregnancy-related deaths in the United States have risen from a low of 7.2 per 100,000 live births in 1987 to a high of 17.3 per 100,000 live births in 2013, according to the Centers for Disease Control and Prevention (CDC) Pregnancy Mortality Surveillance System.
Can pessaries prevent preterm birth?December 1st 2016
Preterm birth (PTB) remains the major cause of neonatal morbidity and mortality. For the vast majority of spontaneous PTBs, the final pathway is opening of the cervix. Pessaries have been proposed since the 1950s as a possible intervention to keep the cervix closed. But are pessaries safe and do they work for prevention of spontaneous PTB?
Maternal death from intracranial hemorrhageNovember 1st 2016
A 34-year-old Ohio woman was under the care of her longtime family physician, who had minor privileges to deliver uncomplicated pregnancies at a specific hospital, for her pregnancy. The woman is diagnosed with eclampsia in her third trimester and is immediately given a cesarean. After delivery, she is unresponsive having died from a massive intracranial hemorrhage. The physician is sued for fraudulently representing her abilities in obstetric care. What's the verdict?
Does gender make a difference in sleep patterns?September 28th 2016
A study looks at whether women are at greater risk of sleep problems than their male counterparts. Also, are cesarean deliveries increasing the risk of childhood obesity? Plus: A study highlights the need for further research in postpartum psychosis.
Does ospemifene increase vasomotor symptoms?August 17th 2016
A study examines if ospemifene is linked to increased hot flashes. Plus: Do certain cerclage sutures increase the risk of preterm birth? Also, do pregnancy delays actually decrease the risk of microcephaly as a result of congenital Zika infection?