Obstetrics

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Tight control of hypertension in pregnancy does not produce better perinatal outcomes or fewer serious maternal complications than looser control, according to results of an international randomized clinical trial. Published in the New England Journal of Medicine, the findings are consistent with those from a meta-analysis of 29 previous trials.

Results of a retrospective cohort study show that use of intracytoplasmic sperm injection is on the rise but cast doubt on whether the technology is improving reproductive outcomes. Brian Levine, MD, MS provides commentary.

Analysis of data from more than 2.2 million vaginal deliveries shows that episiotomy declined between 2006 and 2012 and nonmedical factors may have been at play. The findings were published in a Research Letter in JAMA.

A new CDC report shows that while perinatal mortality rates are continuing to decline-down 10% since 2000-the US fetal mortality rate for the latest study period (2006–2012) did not improve.

A study by researchers from Yale University and Brown University suggests that low-to-moderate alcohol consumption during pregnancy may not increase risk of birth outcomes such as low birthweight.

A panel of experts were bested only once at the “Stump the Professors” session at the 43rd AAGL Global Congress on Minimally Invasive Gynecology in Vancouver. A sarcoma was the diagnosis that got away among three complex cases presented to a packed audience.

Women who receive the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) may not be at increased risk of preterm birth or other adverse birth outcomes, according to a new study in JAMA.

A small study by investigators from Harvard University suggests that cryopreserved embryo transfer (CET) is a strong independent risk factor for placenta accreta in women undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI).

The 7th annual March of Dimes Premature Birth Report Card shows that in 2013, the preterm birth rate fell to its lowest in 17 years-11.5%--meeting Healthy People 2020 goals. That number, however, still earns a “C” grade from the organization, which has set a goal of 9.6% of all live births by 2020.

A patient handout prepared by the Society for Maternal-Fetal Medicine to aid in understanding of periviable rupture of membranes.

From a medical perspective, the care and treatment appeared to be appropriate, and the patient’s cause of death was speculative. However, from a litigation perspective, the perinatologists were fighting an uphill battle.