Labor and Delivery

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?

A study examines the efficacy of lower-than-conventional doses of estrogen in relieving vasomotor symptoms. Plus: What are the latest ACOG recommendations on water births?

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?

A new study questions whether current HPV testing intervals can be extended for some. Plus: Can azithromycin prophylaxis prevent post infection in women who have undergone a cesarean?

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.

Relative risk of stillbirth and preterm birth associated with less well-known antibodies was of similar magnitude to that found for anti-D.

On L&D units throughout the country, more and more women are being admitted with birth plans. Birth plans have become an increasingly common part of women’s prenatal preparation.

“Women have very polarized views about induction... some are keen to be induced near their due date ... Others, however, feel that nature knows best and induction is meddlesome."

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?

Two cases illustrate how jury verdicts and awards to plaintiffs may differ drastically in medical malpractice trials.

Readers weigh in on the best forceps for a Scanzoni rotation and the reasons behind our high cesarean rate.

For Contemporary OB/GYN, Dr Bobby Lazzara looks at the question of whether reducing term births before 39 weeks' gestation leads to a significant increase in the rate of stillbirths and how it may impact practice.

Seven strategies to fight the rising tide.

A study in Sweden looked at safety and effectiveness.

A study looked at the outcomes for women who had prolonged premature rupture of membranes at term.

This case emphasizes the importance of keeping detailed records of each patient encounter.

A commentary on ACOG Practice Bulletin Number 154: Operative Vaginal Delivery by Charles J Lockwood, MD, MHCM.

Prior to the 1980s, because labor after a previous cesarean delivery was believed to be dangerous, many obstetricians recommended repeat cesareans for all subsequent births to women with a previous such delivery. Since then, TOLAC has been advocated as a reasonable alternative for women with a previous cesarean delivery via a low transverse uterine incision.

This forceps-aided rotation can be used when the fetus is occiput posterior and the head is low in the pelvis.

Home birth can carry risks, regardless of whether the woman has previously delivered, and prior cesarean delivery can also carry risks. This session examined the risks that can occur among women who choose home birth with a history of at least one cesarean delivery.

Are postpartum readmissions becoming more common than they were in the past? This session examined the current trends and looked at complex reasons behind the trend.

In the past decade, the rate of preterm delivery in the United States has declined 11% from its peak of 12.8% in 2006.

Contemporary OB/GYN readers speak up about exploratory laparotomy, the cesarean epidemic, and the difficulty to re-enter ob.

A new study looks at whether ovary-sparing hysterectomies can lead to early menopause. Plus: Does betamethasone reduce respiratory complications in preterm infants? Also, the impact of the vaginal microbiome on preterm birth.

The CDC offers new guidance on Zika virus and the labor and delivery unit. Plus: How are out-of-hospital trends moving? Also, a look at whether or not planned cesareans mean poorer outcomes for children.

In 2014, 1.3 million women in the United States delivered via cesarean, placing the rate at 32.2%, down just .7% from the peak in 2009.

A new study wonders if allowing a longer labor could help reduce rates of cesarean delivery. Plus: Does placing a cervical pessary prevent preterm birth? Also, a look at why teenaged LARC users aren't using condoms for STI prevention.

Answers to frequently asked questions about when to perform CL measurement

Data from the National Center Health Statistics (NCHS) show that rates of unintended pregnancy in the United States have a hit a 3-decade low.

An update on the Zika virus and its impact on your practice. And, a look at whether or not vaginal delivery increases risk of incontinence. Plus: What was the impact of the HPV vaccine on HPV rates?