Maternal-fetal Medicine
RCT: Metformin vs. insulin in gestational diabetes – metformin was associated better glycemic control, lower risk of hypoglycemia, and less maternal weight gain
25 Apr, 2021 | 21:03h | UTCMeDiGes Study. Metformin versus insulin in gestational diabetes: Glycemic control, and obstetrical and perinatal outcomes. Randomized prospective trial. – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)
Related: Randomized trial tests metformin in women with type 2 diabetes in pregnancy AND Neonatal, infant, and childhood growth following metformin versus insulin treatment for gestational diabetes: A systematic review and meta-analysis – PLOS Medicine AND Case-Control Study: Metformin Exposure in First Trimester of Pregnancy is Not Associated with Congenital Anomalies
RCT: Induction of Labor at Term with Vaginal Misoprostol or a PGE2 Pessary – little difference in outcomes, the clinical risk-benefit ratio justifies the use of both drugs
25 Apr, 2021 | 20:59h | UTCInduction of Labor at Term With Vaginal Misoprostol or a PGE2 Pessary: a Noninferiority RCT – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)
Recommendations on the Management of Maternal Hepatitis B, C and D Infection in Pregnancy
25 Apr, 2021 | 20:44h | UTC
Covid-19: More data on the increased risks to pregnant women and their newborn infants
23 Apr, 2021 | 08:44h | UTCEditorial: COVID-19 in Pregnant Women and Their Newborn Infants
Commentaries: Pregnant women with COVID-19 face high mortality rate – University of Washington School of Medicine AND Covid-19 raises risks for expectant mothers and babies, study says – CNN
Commentary on Twitter
18 country study in >2000 pregnant women with and without #COVID19 shows higher complication and death rates in symptomatic, but not asymptomatic, women with COVID-19. Their babies were at greater risk of neonatal complications, mainly due to preterm birth https://t.co/mRl8OOIMsz
— JAMA Pediatrics (@JAMAPediatrics) April 22, 2021
Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons
22 Apr, 2021 | 08:49h | UTCAudio Interview: Covid-19 Vaccines and Pregnancy — A Conversation with CDC Director Rochelle Walensky – New England Journal of Medicine
Commentaries: No evidence that Pfizer or Moderna vaccines are unsafe during pregnancy, a preliminary study says. – The New York Times AND Preliminary data show no safety concerns for pregnant women receiving COVID-19 vaccines – AAP News AND Messenger RNA COVID vaccines likely safe for pregnant women: Study – ABC News
Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions
22 Apr, 2021 | 08:19h | UTCSee also: Final Report AND Evidence Summary
M-A: Progestogens for preventing miscarriage
21 Apr, 2021 | 06:22h | UTCProgestogens for preventing miscarriage: a network meta‐analysis – Cochrane Library
Summary: Are progestogen treatments effective in preventing miscarriage? – Cochrane Library
Related Meta-analysis: Evaluating Progestogens for Preventing Preterm birth International Collaborative (EPPPIC): meta-analysis of individual participant data from randomised controlled trials – The Lancet (link to abstract – $ for full-text)
RCT: Continued versus discontinued oxytocin stimulation in the active phase of labor
16 Apr, 2021 | 06:18h | UTCCommentaries: Study sheds more light on use of oxytocin during labour – The BMJ AND Study Explores Oxytocin Use in Active Phase of Induced Labor – HealthDay
Commentary on Twitter
#BMJInfographic #VisualAbstract Routine discontinuation of oxytocin stimulation in the active phase of labour may lead to a small increase in caesarean section rate but a reduced risk of uterine hyperstimulation and abnormal fetal heart rate patterns https://t.co/LbCxUf1MSx pic.twitter.com/BSQ5rrwQb5
— The BMJ (@bmj_latest) April 15, 2021
Were pregnant women more affected by COVID-19 in the second wave of the pandemic?
16 Apr, 2021 | 06:24h | UTCWere pregnant women more affected by COVID-19 in the second wave of the pandemic? – The Lancet
M-A: Antenatal corticosteroids for impending late preterm (34-36+6 weeks) deliveries
7 Apr, 2021 | 01:22h | UTC
Guideline for elective cesarean section: updated systematic review and procedure‐specific postoperative pain management recommendations
2 Apr, 2021 | 09:09h | UTC
Randomized controlled trial compared three antiretroviral regimens started in pregnant women with HIV
2 Apr, 2021 | 09:15h | UTCCommentary: ART in pregnant women living with HIV – The Lancet
Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis
2 Apr, 2021 | 09:23h | UTCCommentaries: Covid-19 led to a global increase in stillbirths, maternal mortality, and depression, review finds – CNN AND COVID-19 pandemic and health-care disruptions: count the most vulnerable – The Lancet Global Health
Commentary on Twitter
NEW—Pregnancy outcomes worsened during the #COVID19 pandemic worldwide, with an increase in maternal deaths, stillbirth, ruptured ectopic pregnancies, and maternal depression.
New review of 40 studies from 17 countries in @LancetGH: https://t.co/GWBohu6b6k pic.twitter.com/4RzgtShYeH
— The Lancet (@TheLancet) April 1, 2021
Obesity in women: anesthetic implications for peri‐operative and peripartum management
2 Apr, 2021 | 09:07h | UTC
Cohort study: Association of spontaneous abortion with all cause and cause specific premature mortality
1 Apr, 2021 | 03:27h | UTCCommentaries: Miscarriage linked to increased risk of early death – The BMJ AND Miscarriage Linked to Higher Risk for Premature Mortality – HealthDay
Commentary on Twitter
Study suggests spontaneous abortion is associated with a greater risk of premature death, particularly from cardiovascular disease. Spontaneous abortion could be an early marker of future health risk in women, including premature death, say the authorshttps://t.co/mA7IrF0J00
— The BMJ (@bmj_latest) March 28, 2021
RCT: Six vs. Twelve Hours of Single Balloon Catheter Placement with Oxytocin Administration for Labor Induction
31 Mar, 2021 | 03:02h | UTCSix vs. Twelve Hours of Single Balloon Catheter Placement with Oxytocin Administration for Labor Induction: A Randomized Controlled Trial – American Journal of Obstetrics & Gynecology (link to abstract – $ for full-text)
The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis
31 Mar, 2021 | 03:27h | UTC
AHA Scientific Statement | Adverse Pregnancy Outcomes and Cardiovascular Disease Risk
30 Mar, 2021 | 03:08h | UTCNews Release: Six pregnancy complications are among red flags for heart disease later in life – American Heart Association
M-A: Evaluating Progestogens for Preventing Preterm Birth
30 Mar, 2021 | 03:02h | UTCEvaluating Progestogens for Preventing Preterm birth International Collaborative (EPPPIC): meta-analysis of individual participant data from randomised controlled trials – The Lancet (link to abstract – $ for full-text)
Cohort study: Even small amounts of Caffeine consumption in pregnancy were linked to smaller neonatal birth size
28 Mar, 2021 | 22:14h | UTCCommentaries: Even a Little Coffee in Pregnancy Could Impact Newborn’s Weight: Study – HealthDay AND Moderate daily caffeine intake during pregnancy may lead to smaller birth size – NIH News Releases
Commentary on Twitter
Cohort study finds even small amounts of caffeine consumption in pregnancy were associated with smaller birthweight and lean tissue measures, consistent for measured plasma caffeine/paraxanthine, and self-reported caffeine consumption. @NIH https://t.co/YzDVU6ejYO
— JAMA Network Open (@JAMANetworkOpen) March 25, 2021
M-A: Outpatient Cervical Ripening
25 Mar, 2021 | 08:07h | UTCOutpatient Cervical Ripening: A Systematic Review and Meta-analysis – Obstetrics & Gynecology
Review: Post-Transplant Pregnancy and Contraception
23 Mar, 2021 | 02:10h | UTCPost-Transplant Pregnancy and Contraception – Clinical Journal of the American Society of Nephrology
Systematic Review: Umbilical vein injection for management of retained placenta
19 Mar, 2021 | 07:53h | UTCUmbilical vein injection for management of retained placenta – Cochrane Library
Summary: Umbilical vein injection after childbirth for management of retained placenta – Cochrane Library
Systematic review: Enteral zinc supplementation for prevention of morbidity and mortality in preterm neonates
18 Mar, 2021 | 08:45h | UTC
Pragmatic RCT: No difference in outcomes from different gestational diabetes screening methods
11 Mar, 2021 | 08:12h | UTCA Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: One-Step Screening for Gestational Diabetes Increases Diagnoses — But Doesn’t Improve Outcomes – NEJM Journal Watch AND How Do Screening Methods for Gestational Diabetes Compare? – AJMC AND Different gestational diabetes screening methods cause no difference for complications – 2 Minute Medicine