March 17th 2023
For preterm infants, clinical outcomes from microbial mechanisms are not affected by a diet of only human milk compared to bovine milk formulas or fortifiers.
Grand Rounds: Will active management of obstetric risk lower C/S rates?
September 1st 2005Can a radical approach that's counter to conventional wisdom cut climbing cesarean rates by inducing labor in patients with risk—before their risk becomes an indication for C/S? It's certainly controversial—but it just might be right!
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No more inhaled nitric oxide for premature infants?
September 1st 2005Contrary to some previous findings, inhaled nitric oxide therapy does not reduce the risk of death or further lung problems in premature infants weighing less than 1,500 g and should not be administered to this population, according to a study by the National Institute of Child Health and Human Development of the National Institutes of Health. However, a separate prospective, longitudinal study of similarly sick and premature infants found that those treated with nitric oxide at birth had improved neurodevelopmental outcomes at 2 years of age.
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Treatment of gestational diabetes reduces perinatal morbidity
August 1st 2005Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.
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Treatment of gestational diabetes reduces perinatal morbidity
August 1st 2005Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.
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Grand Rounds: Could better trichomoniasis screening curb more serious STIs?
August 1st 2005Because Tv infection is so widespread, increases with age, and—according to important new evidence—raises the risk of both acquiring and shedding HIV, accurately diagnosing this sexually transmitted infection may be an important strategy in fighting the HIV epidemic.
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Grand Rounds: Counseling couples on risks of early preterm delivery of triplets
July 1st 2005Cervical length assessment is just one of several powerful tools for detecting or excluding patients at risk for preterm birth. An expert tells how to assess and counsel a patient pregnant with triplets on her chances of carrying all three fetuses to at least 32 weeks.
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Preventing pregnancy loss with aspirin and low-molecular-weight heparin
July 1st 2005Low-dose aspirin combined with low-molecular-weight heparin (LMWH) during pregnancy is just as safe and effective as aspirin with unfractionated heparin (UFH) for preventing recurrent pregnancy loss due to antiphospholipid syndrome, according to a prospective, controlled, multicenter pilot study.
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Editorial: Caduceus—or Asklepian?
July 1st 2005The caduceus is the modern American symbol of the medical profession. But the Asklepian, which I encountered on a recent trip to the Greek island of Kos, may be a far better emblem for the values we as ob/gyns hold dear. Allow me to explain the import of two snakes versus one.
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Grand Rounds: Prolonged pregnancy: How long do you wait?
June 1st 2005Postterm birth seems to get a lot less attention than preterm birth when clinicians are discussing the risks of complications and death. But, unlike babies born too soon, timely delivery can almost entirely prevent the risks—including stillbirth—linked with prolonged pregnancy.
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Take high cholesterol off the list of health problems caused by low birthweight
June 1st 2005Contrary to the "fetal origins" hypothesis and suggestions of a strong inverse relationship between birthweight and subsequent blood cholesterol levels, a recent study finds that 1-kg lower birthweight may be associated with at most about 2.0 mg/dL (0.05 mmol/L) higher total cholesterol later in life—an amount unlikely to have much impact on public health.
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Prophylactic Cerclage Risky in Twin Pregnancies
May 12th 2005Women with twin pregnancies should not be given prophylactic cerclage simply because they are carrying two fetuses. A 14-year retrospective study of twins using data from Matria Healthcare indicates that prophylactic cerclage is associated with a higher frequency of very premature delivery, low birth weight and very low birth weight infants, and more nursery days
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An update on diagnosing STIs and HIV
May 1st 2005We can do a better job of screening and testing sexually active teens and young adults for STIs. Keeping up with the latest evidence can help you decide when to test, whom to test, and which of a wide array of office- and lab-based tests to choose.
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SSRIs during pregnancy may cause neonatal withdrawal syndrome
May 1st 2005The risks of neonatal convulsions and neonatal withdrawal syndrome seem to increase when a pregnant women uses selective serotonin reuptake inhibitors (SSRIs), with paroxetine being the worst offender, according to cases reported by 72 countries to the World Health Organization's Collaborating Centre for International Drug Monitoring in Uppsala, Sweden.
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