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Risk of fetal and infant death is substantially increased in women with pre-existing diabetes, according to results of a new study in Diabetologia. The population-based analysis is one of few to exclude the effect of congenital anomalies and suggests that the association is largely influenced by glycemic control.

Fetal Growth Restriction

Growth-restricted fetuses pose many clinical conundrums: How to identify them? How to distinguish the small and normal from the small and abnormal? How to manage them?

A retrospective analysis of more than 400,000 U.S. births over nearly 6 years shows that delivery of triplets or more costs 20 times as much as a singleton. Published in The American Journal of Obstetrics and Gynecology, the report may be the first to look at medical expenses for both maternal and infant care associated with IVF-assisted pregnancy.

Pregnant patients who have undergone some form of bariatric surgery are at greater risk of preterm birth than women who haven’t had the procedure, according to a study published in the British Medical Journal. The risk of small for gestational age (SGA) was also increased in women with previous bariatric surgery.

A low-cost instrument that an auto mechanic invented to ease assisted vaginal delivery is being tested by the World Health Organization (WHO). If proven safe and effective, the Odon Device would be the first innovation in operative vaginal delivery since the forceps and vacuum extractor.

Exposure to two organochlorine pesticides may increase risk of endometriosis, according to a new study published in Environmental Health Perspectives.