Obstetrics

Health literacy and maternal/neonatal outcomes

September 15, 2021

Pregnant individuals with inadequate health literacy have a greater risk of cesarean delivery, major perineal laceration, small-for-gestational-age status and low birth weight, compared to individuals with adequate heath literacy, according to an analysis of data from a large, multicenter cohort study of nulliparous individuals in the United States.

Protocols for High-Risk Pregnancies, 7th Edition: Protocol 21, Obesity

September 13, 2021

In this protocol, Ramsey reviews the health implications of obesity for mother and fetus. The incidence of obesity in the United States has increased dramatically. Of pregnant women in the country, more than half are overweight or obese and 8% or more are extremely obese. As the author notes, excessive gestational weight gain, particularly in women who are already overweight or obese, increases risk of maternal complications such as diabetes, hypertension, and operative deliveries and neonatal outcomes such as macrosomia and stillbirth.

Certain incentives may help those with OUD prevent unintended pregnancy

September 10, 2021

Among women with opioid use disorder (OUD) at high risk for unintended pregnancy, on-site contraceptive services coupled with financial incentives to attend follow-up visits to assess contraceptive satisfaction was a significantly more effective and cost-beneficial intervention than without incentives or with usual care, according to a prospective randomized clinical trial in JAMA Psychiatry.

Noninvasive prenatal screening for single-gene disorders

September 08, 2021

A study in the journal Ultrasound in Obstetrics & Gynecology1 has found that noninvasive prenatal testing (NIPT) can help in the early detection of a set of single gene disorders (SGDs), especially in the presence of either abnormal ultrasound findings or a family history.

NASPAG responds to Texas Heartbeat Act

September 07, 2021

The North American Society for Pediatric and Adolescent Gynecology (NASPAG) is the latest professional medical association to come out against Texas Senate Bill 8 (SB 8), also known at the Texas Heartbeat Act.