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Patients with excessive bleeding need treatment now. First-line options include progestin-only therapies, the Munro regimen, and DMPA and short-course oral MPA.

Using tobacco, cannabis or illicit drugs during pregnancy increases the risk of stillbirths, according to a recent study published in the journal of Obstetrics and Gynecology. Exposure to second-hand smoke during pregnancy also increases the risk.

An epidemiologic study by researchers at Brown University shows a strong association between air pollution and reduced fetal growth. And the greater the exposure to pollution, the bigger the negative impact, according to a report in the American Journal of Epidemiology.

According to a new retrospective cohort study in Obstetrics & Gynecology, timely initiation of progestin in women with a history of preterm delivery is associated with a reduction in spontaneous preterm delivery.

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?