Pediatrics

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Is fetal pulse oximetry a waste of time? Riveting results from an important trial presented at the 26th annual SMFM meeting in Miami in February suggest just that?and seemingly shatter the whole premise behind fetal pulse oximetry: that it might either improve perinatal outcome or lower cesarean delivery rates.

A cholesterol-lowering diet during pregnancy may do more than just modify maternal lipid levels; it may significantly reduce the rate of preterm birth among low-risk women, according to researchers from Norway.

No issue is more central to global well-being than the health of mothers and their babies. Every individual, every family, every community at some point or another is intimately involved with pregnancy and the success of childbirth. And yet every day, 1,600 women and more than 10,000 newborns die due to complications that could have been prevented.

Counseling patients on screening for Down syndrome has long been a challenge. Findings from the FASTER trial provide solid evidence upon which to base recommendations for first- or second-trimester testing, or a combination of both.

Abiding by the old rules and waiting for a severely preeclamptic patient's diastolic blood pressure (BP) to reach or rise above 110 mm Hg before beginning to treat hypertension can invite a deadly stroke, warned a leading Jackson, Miss. maternal-fetal medicine researcher. Instead, consider treating as a hypertensive emergency a pregnant patient's sudden severe systolic BP reading of 155 to 160 mm Hg or more, regardless of the diastolic reading, said James N. Martin, Jr., MD, Professor of Obstetrics and Gynecology, and Director of Maternal-Fetal Medicine and Obstetrics at the University of Mississippi School of Medicine.

A cholesterol-lowering diet during pregnancy may do more than just modify maternal lipid levels; it may significantly reduce the rate of preterm birth among low-risk women, according to researchers from Norway.

Because there is no increased incidence of infant resuscitation during cesarean sections performed with regional anesthesia for reasons other than fetal distress or malpresentation, pediatricians need not be present, according to a recent cohort study from Australia.

Excessively large breasts can be so painful that even the rare risk of losing her nipples and areolae won't dissuade a woman from undergoing reduction surgery. This article—by two plastic surgeons—gives you information on the pros and cons of various surgical approaches so you can educate patients about all of their options.

Being familiar with the risk factors that predispose a patient to cord prolapse is the first step toward preventing the complication. Recognizing the early warning signs is the first step toward averting a life-threatening disaster.

Proper evaluation of a key muscle group can identify pelvic floor myalgia—an often unsuspected but highly treatable cause of insertional dyspareunia and pelvic pain. An expert tells how to proceed with diagnosis and treatment.

Glyburide is as effective as insulin for women with gestational diabetes mellitus and a fasting plasma glucose of 140 mg/dL or less on a 3-hour glucose tolerance test, according to a 4-year retrospective study of a large and diverse managed-care population.