Pregnancy and Birth

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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.

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.

A recent population-based study showed a lack of correlation between Joint Commission indicators of elective delivery at 39 weeks’ gestation and cesarean delivery and rates of maternal and neonatal complications in deliveries at New York City hospitals in 2010.

A study of nearly 1.5 million births in the United States shows that while rates of cesarean delivery vary widely from hospital to hospital, identifying the underlying cause with existing data is difficult. The findings underscore a need for collection by hospitals of comprehensive patient data in order to fully understand and optimize use of cesarean delivery.