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Maternal-Fetal Medicine

Expert review | Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy.

21 Jul, 2021 | 10:37h | UTC

Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy – American Journal of Obstetrics & Gynecology

 

Commentary on Twitter

 


Cohort study: Pfizer/BioNTech COVID vaccine associated with 78% lower risk of Covid-19 in pregnancy.

14 Jul, 2021 | 11:20h | UTC

Between BNT162b2 Vaccination and Incidence of SARS-CoV-2 Infection in Pregnant Women – JAMA

Commentary: Pfizer COVID vaccine shows 78% efficacy in pregnancy – CIDRAP

 


Top 10 pearls for the recognition, evaluation, and management of maternal sepsis.

13 Jul, 2021 | 09:25h | UTC

Top 10 Pearls for the Recognition, Evaluation, and Management of Maternal Sepsis – Obstetrics & Gynecology

 


RCOG Guidance: Coronavirus (COVID-19) Vaccination in Pregnancy.

7 Jul, 2021 | 08:53h | UTC

Coronavirus (COVID-19) Vaccination in Pregnancy – Royal College of Obstetricians & Gynaecologists

See also: Resources and FAQs – Royal College of Obstetricians & Gynaecologists

 

Commentary on Twitter

 


Pregnancy in congenital heart disease: risk prediction and counseling.

6 Jul, 2021 | 09:57h | UTC

Pregnancy in congenital heart disease: risk prediction and counselling – Heart

 

Commentary on Twitter

 


M-A: Pregnancy After Breast Cancer – “These results provide reassuring evidence on the safety of conceiving in BC survivors”.

6 Jul, 2021 | 09:55h | UTC

Pregnancy After Breast Cancer: A Systematic Review and Meta-Analysis – Journal of Clinical Oncology (link to abstract – $ for full-text)

 

Commentary on Twitter

 


RCT showed improved outcomes with fetal surgery for severe left diaphragmatic hernia.

5 Jul, 2021 | 01:53h | UTC

Randomized Trial of Fetal Surgery for Severe Left Diaphragmatic Hernia – New England Journal of Medicine (link to abstract – $ for full-text – Full text can be found here)

Commentary: Fetal Surgery Boosts Survival for Babies With Severe Birth Defect – MedPage Today (free registration required)

 


RCT: Prophylactic manual rotation of occiput posterior and transverse positions was associated with a reduced risk of operative delivery.

5 Jul, 2021 | 01:28h | UTC

Prophylactic manual rotation of occiput posterior and transverse positions to decrease operative delivery: the PROPOP randomized clinical trial – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 


Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic enabled the reduction of in-person consultations by 50% without compromising pregnancy outcomes.

2 Jul, 2021 | 11:26h | UTC

Widespread implementation of a low-cost telehealth service in the delivery of antenatal care during the COVID-19 pandemic: an interrupted time-series analysis – The Lancet

Commentary: Expanding the concept of safety in antenatal care provision – The Lancet

 


Systematic review: low‐dose oral misoprostol probably has many benefits over other methods for labor induction.

24 Jun, 2021 | 09:44h | UTC

Low‐dose oral misoprostol for induction of labour – Cochrane Library

 


WHO: Caesarean section rates continue to rise, amid growing inequalities in access.

18 Jun, 2021 | 08:23h | UTC

Caesarean section rates continue to rise, amid growing inequalities in access – World Health Organization

Original study: Trends and projections of caesarean section rates: global and regional estimates – BMJ Global Health

 

Commentary on Twitter (thread – click for more)

 


No health issues in babies whose moms got flu vaccine while pregnant.

9 Jun, 2021 | 08:17h | UTC

No health issues in babies whose moms got flu vaccine while pregnant – CIDRAP

Original study: Association of Maternal Influenza Vaccination During Pregnancy With Early Childhood Health Outcomes – JAMA (free for a limited period)

Editorial: Realizing the Potential of Maternal Influenza Vaccination (free for a limited period)

 

Commentary on Twitter

 


RCT: Vaginal administration of misoprostol is superior to buccal administration of misoprostol along with a Foley catheter for induction of labor.

9 Jun, 2021 | 08:11h | UTC

Buccal vs vaginal misoprostol combined with Foley catheter for cervical ripening at term (the BEGIN trial): a randomized controlled trial – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 

Commentary on Twitter

 


Challenges and solutions for physician mothers: a critical review of the literature.

6 Jun, 2021 | 23:46h | UTC

Challenges and Solutions for Physician Mothers: A Critical Review of the Literature – Mayo Clinic Proceedings

 

Commentary on Twitter

 


USPSTF Statement: Clinicians should offer behavioral counseling interventions to promote healthy weight gain and prevent excess gestational weight gain in pregnancy.

1 Jun, 2021 | 08:08h | UTC

Healthy Weight and Weight Gain In Pregnancy: Behavioral Counseling Interventions – U.S. Preventive Services Task Force

Editorial: Behavioral Counseling Interventions for Healthy Weight During Pregnancy: An Ambitious Endeavor – JAMA

Evidence Report: Counseling and Behavioral Interventions for Healthy Weight and Weight Gain in Pregnancy – JAMA

Author Interview: USPSTF Recommendation: Behavioral Counseling Interventions for Healthy Weight and Weight Gain in Pregnancy – JAMA

JAMA Patient Page: Behavioral Interventions for Healthy Weight Gain During Pregnancy

 


NICE recommends offering women induced labor earlier in new draft guidance – “women with uncomplicated singleton pregnancies should be offered induction at 41 weeks and the induction should take place as soon as possible. Previous guidelines advised induction between 41 and 42 weeks”.

31 May, 2021 | 08:08h | UTC

NICE recommends offering women induced labour earlier in new draft guidance – National Institute for Health and Care Excellence

 


RCT: Immediate “kangaroo mother care” improves survival in infants with low birth weight compared to conventional care with “kangaroo mother care” initiated after stabilization.

27 May, 2021 | 08:18h | UTC

Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight – New England Journal of Medicine

Commentary: Immediate skin-to-skin contact after birth improves survival of pre-term babies – Karolisnka Institutet

Related: RCT: Community-initiated kangaroo mother care reduced the risk of moderate-to-severe maternal postpartum depressive symptoms among mothers of low-birth-weight infants in low-income areas in India AND WHO: New research highlights risks of separating newborns from mothers during COVID-19 pandemic AND Randomized Trial: Kangaroo Mother Care Improves Survival of Infants with Low Birthweight

 


RCT: Manual rotation of occiput posterior fetal positions at the start of the second stage of labor does not increase the rate of vaginal delivery without instrumental assistance.

26 May, 2021 | 08:17h | UTC

Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions: A Randomized Controlled Trial – Obstetrics & Gynecology

 


Risk factors for illness severity among pregnant women with confirmed SARS-CoV-2 infection – moderate-to-severe COVID-19 was associated with age 25 years and older, healthcare occupation, pre-pregnancy obesity, chronic lung disease, chronic hypertension, and pregestational diabetes mellitus.

24 May, 2021 | 08:34h | UTC

Risk factors for illness severity among pregnant women with confirmed SARS-CoV-2 infection – Surveillance for Emerging Threats to Mothers and Babies Network, 22 state, local, and territorial health departments, March 29, 2020 -March 5, 2021 – Clinical Infectious Diseases

 


M-A: Compared to cefazolin alone, pre-incision cefazolin + adjunctive prophylaxis with macrolides or metronidazole significantly reduces the incidence of post-cesarean surgical site infection and hospital stay.

20 May, 2021 | 08:19h | UTC

Pre-incision Adjunctive Prophylaxis for Cesarean Sections: A Systematic Review and Meta-analysis – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)

 


RCT: Prophylactic closed incision negative pressure wound therapy reduces (difference close to statistical significance; P=0.06) the risk of surgical site infection in obese women undergoing cesarean section.

7 May, 2021 | 08:24h | UTC

Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial – The BMJ

 


WHO: New report sounds the alarm on global shortage of 900 000 midwives.

6 May, 2021 | 08:45h | UTC

New report sounds the alarm on global shortage of 900 000 midwives – World Health Organization

Report: The State of the World’s Midwifery 2021 – UN sexual and reproductive health agency

 

Commentary on Twitter (thread – click for more)

 


Cohort study: Risk of developmental difficulties remains high among children born early

5 May, 2021 | 08:24h | UTC

Neurodevelopmental outcomes at age 5 among children born preterm: EPIPAGE-2 cohort study – The BMJ

News release: Risk of developmental difficulties remains high among children born early – The BMJ

 

Commentary on Twitter

 


RCT: Community-initiated kangaroo mother care reduced the risk of moderate-to-severe maternal postpartum depressive symptoms among mothers of low-birth-weight infants in low-income areas in India

5 May, 2021 | 08:21h | UTC

Effect of Community-Initiated Kangaroo Mother Care on Postpartum Depressive Symptoms and Stress Among Mothers of Low-Birth-Weight Infants: A Randomized Clinical Trial – JAMA Network Open

 

Commentary on Twitter

 


The Lancet Series | Miscarriage matters

3 May, 2021 | 05:11h | UTC

Editorial: Miscarriage: worldwide reform of care is needed

 


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