journal
https://read.qxmd.com/read/32925634/customized-probability-of-vaginal-delivery-with-induction-of-labor-and-expectant-management-in-nulliparous-women-at-39-weeks-of-gestation
#1
Robert M Silver, Madeline Murguia Rice, William A Grobman, Uma M Reddy, Alan T N Tita, Gail Mallett, Kim Hill, Elizabeth A Thom, Yasser Y El-Sayed, Ronald J Wapner, Dwight J Rouse, George R Saade, John M Thorp, Suneet P Chauhan, Edward K Chien, Brian M Casey, Ronald S Gibbs, Sindhu K Srinivas, Geeta K Swamy, Hyagriv N Simhan, George A Macones
OBJECTIVE: To develop models to predict vaginal delivery in low-risk, nulliparous women contemplating elective induction of labor or expectant management at 39 weeks of gestation. METHODS: We conducted a secondary analysis of a randomized controlled trial of planned elective induction of labor at 39 weeks of gestation compared with expectant management for low-risk nulliparous women. Two groups were included for this analysis: 1) women who were randomized to the induction of labor group and underwent elective induction at 39 0/7-39 4/7 weeks of gestation and 2) women who were randomized to the expectant management group who experienced spontaneous labor or medically indicated delivery (including postterm)...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925633/management-of-fecal-incontinence
#2
Heidi W Brown, Keisha Y Dyer, Rebecca G Rogers
Nine percent of adult women experience episodes of fecal incontinence at least monthly. Fecal incontinence is more common in older women and those with chronic bowel disturbance, diabetes, obesity, prior anal sphincter injury, or urinary incontinence. Fecal incontinence negatively affects quality of life and mental health and is associated with increased risk of nursing home placement. Fewer than 30% of women with fecal incontinence seek care, and lack of information about effective solutions is an important barrier for both patients and health care professionals...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925632/cochrane-review-summaries-october-2020
#3
Donal O'Mathuna, Vincenzo Berghella, Federica Bellussi, Nimisha Kumar, David M Haas
With the current issue, the journal continues to bring new insights from Cochrane Systematic Reviews to the readers of Obstetrics & Gynecology. This month, we focus on potential interventions to improve pregnancy outcomes for women with recurrent pregnancy loss and antiphospholipid antibodies, the utility of pelvic floor muscle training in the perinatal period to prevent incontinence, and the use of adhesion barriers in gynecologic surgery. The summaries are published below, and the complete references with hyperlinks are listed in Box 1...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925631/obstetric-and-perinatal-outcomes-in-pregnancies-conceived-after-preimplantation-genetic-testing-for-monogenetic-diseases
#4
Baruch Feldman, Raoul Orvieto, Marine Weisel, Adva Aizer, Raanan Meyer, Jigal Haas, Michal Kirshenbaum
OBJECTIVE: To investigate whether the addition of embryo biopsy performed during preimplantation genetic testing for monogenic diseases is associated with a higher risk of obstetric and neonatal complications compared with in vitro fertilization (IVF) without preimplantation genetic testing or spontaneously conceived pregnancies. METHODS: This is a cohort study of all pregnancies conceived after preimplantation genetic testing for monogenic diseases (PGT-M group) from 2006 to 2018 at Sheba Medical Center, Israel...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925630/pathophysiologic-origins-of-brachial-plexus-injury
#5
Grace J Johnson, Stacie Denning, Steven L Clark, Christina Davidson
OBJECTIVE: To analyze the origins and consequences of cases of brachial plexus injuries and their relationship to shoulder dystocia. METHODS: We conducted a retrospective cohort study and identified all neonates with brachial plexus injury delivered at our institution between March 2012 and July 2019. A review was performed of the maternal and neonatal records of each neonate to identify obstetric antecedents, including the occurrence of shoulder dystocia and persistence of the injury...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925629/characteristics-associated-with-consent-and-reasons-for-declining-in-a-randomized-trial-in-pregnancy
#6
Gail Mallett, Kim Hill, Jessica de Voest, Sabine Z Bousleiman, Donna Allard, Stacy Harris, Ashley Salazar, Kelly Clark, Felecia Ortiz, Anna Bartholomew, Wendy Dalton, Jennifer Craig, Melissa Bickus
OBJECTIVE: To evaluate the maternal characteristics associated with consent to a randomized trial of labor induction in pregnancy. METHODS: This is a secondary analysis of low-risk nulliparous women randomized to induction of labor at 39 weeks or expectant management. During the trial, the Data and Safety Monitoring Committee requested additional fields on the screening log, which already included race and ethnicity: maternal age, type of insurance, and the reason for declining consent if declined...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925628/elective-labor-induction-at-39-weeks-of-gestation-compared-with-expectant-management-factors-associated-with-adverse-outcomes-in-low-risk-nulliparous-women
#7
Yasser Y El-Sayed, Madeline Murguia Rice, William A Grobman, Uma M Reddy, Alan T N Tita, Robert M Silver, Gail Mallett, Kim Hill, Elizabeth A Thom, Ronald J Wapner, Dwight J Rouse, George R Saade, John M Thorp, Suneet P Chauhan, Edward K Chien, Brian M Casey, Ronald S Gibbs, Sindhu K Srinivas, Geeta K Swamy, Hyagriv N Simhan, George A Macones
OBJECTIVE: To evaluate characteristics associated with adverse outcomes in low-risk nulliparous women randomized to elective labor induction at 39 weeks of gestation or expectant management. METHODS: We conducted a secondary analysis of women randomized during the 38th week to induction at 39 weeks of gestation or expectant management. Deliveries before 39 weeks of gestation and those not adherent to study protocol or with fetal anomalies were excluded. A composite of adverse outcomes (perinatal death or severe neonatal complications), third- or fourth-degree lacerations, and postpartum hemorrhage were evaluated...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925627/fecal-microbiota-transplantation-for-the-treatment-of-refractory-recurrent-urinary-tract-infection
#8
Sarah E S Jeney, Felicia Lane, Andrew Oliver, Katrine Whiteson, Sonia Dutta
No abstract text is available yet for this article.
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925625/association-of-obesity-with-maternal-and-cord-blood-penicillin-levels-in-women-with-group-b-streptococcus-colonization
#9
Jennifer A McCoy, Michal A Elovitz, Kevin Alby, Nathanael C Koelper, Itzhak Nissim, Lisa D Levine
OBJECTIVE: To compare maternal and cord blood penicillin concentrations in women with and without obesity who are receiving intrapartum group B streptococcus (GBS) prophylaxis. METHODS: We performed a prospective cohort study of term women receiving intrapartum penicillin prophylaxis for GBS colonization (determined by antenatal rectovaginal culture). The following outcomes were compared between obese (body mass index [BMI] 35 or higher at delivery) and nonobese (BMI less than 30 at delivery) groups: penicillin concentration in maternal blood (after two penicillin doses) and umbilical cord blood, GBS rectovaginal colonization status on admission and after two completed doses, and neonatal GBS colonization (using a postnatal ear swab)...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925624/menstrual-hygiene-needs-among-women-undergoing-substance-use-disorder-treatment
#10
Victoria Keiser, Anna Beth Parlier-Ahmad, Anne Sebert Kuhlmann, Caitlin E Martin
No abstract text is available yet for this article.
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925623/factors-associated-with-serum-estradiol-levels-among-postmenopausal-women-using-hormone-therapy
#11
Intira Sriprasert, Naoko Kono, Roksana Karim, Howard N Hodis, Frank Z Stanczyk, Donna Shoupe, Wendy J Mack
OBJECTIVE: To identify factors associated with serum estradiol (E2) levels among healthy postmenopausal women using hormone therapy (HT). METHODS: This is an unplanned post hoc analysis of data from ELITE (Early versus Late Intervention Trial with Estradiol), a randomized controlled trial of 1 mg oral E2 with or without vaginal progesterone in healthy early compared with late (<6 years compared with 10 or more years since menopause) postmenopausal women. We included results from visits when women reported at least 80% compliance with HT...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925622/a-50-year-commitment-to-american-indian-and-alaska-native-women
#12
Alan G Waxman, William H J Haffner, Jean Howe, Kathleen Wilder, Tony Ogburn, Neil Murphy, Eve Espey, J Martin Tucker, Amanda Bruegl, Elaine Locke, Yvonne Malloy
Since 1970, the American College of Obstetricians and Gynecologists' Committee on American Indian and Alaska Native Women's Health has partnered with the Indian Health Service and health care facilities serving Native American women to improve quality of care in both rural and urban settings. Needs assessments have included formal surveys, expert panels, consensus conferences, and onsite program reviews. Improved care has been achieved through continuing professional education, recruitment of volunteer obstetrician-gynecologists, advocacy, and close collaboration at the local and national levels...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925621/mifepristone-combination-therapy-compared-with-misoprostol-monotherapy-for-the-management-of-miscarriage-a-cost-effectiveness-analysis
#13
Holly H Berkley, Howard L Greene, Michael D Wittenberger
OBJECTIVE: To assess whether mifepristone pretreatment adversely affects the cost of medical management of miscarriage. METHODS: Decision tree analyses were constructed, and Monte Carlo simulations were run comparing costs of combination therapy (mifepristone and misoprostol) with monotherapy (misoprostol alone) for medical management of miscarriage in multiple scenarios weighing clinical practice, patient income, and surgical evacuation modalities for failed medical management...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925620/improved-outcomes-with-an-enhanced-recovery-approach-to-cesarean-delivery
#14
Luciana Mullman, Patrick Hilden, Jan Goral, Nnamdi Gwacham, Caitlin Tauro, Kristen Spinola, Kim Rosales, Sheila Collier, Lynice Holmes, Janice Maccione, Richard Pitera, Richard Miller, Paul Yodice
OBJECTIVE: To examine the results of a quality-improvement study that implemented an enhanced recovery after surgery (ERAS) program for cesarean delivery. METHODS: A pre-post design was used to assess changes in opioid use, length of stay, and costs among all patients undergoing cesarean delivery before and after implementation of an evidence-based ERAS pathway for the preoperative, intraoperative, and postoperative management of patients beginning December 2018...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925619/connect-the-dots-october-2020
#15
Mariam Savabi, Fiorella E Reyes-Baez, Holly H Berkley, Nancy C Chescheir
No abstract text is available yet for this article.
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925618/the-promise-of-telepsychiatry-to-reduce-maternal-mortality-by-increasing-access-to-maternal-mental-health-and-addiction-services
#16
Samantha Meltzer-Brody, Mary Kimmel
No abstract text is available yet for this article.
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925617/outcomes-of-subsequent-births-after-placenta-accreta-spectrum
#17
Heather J Baldwin, Tanya A Nippita, Siranda Torvaldsen, Ibinabo Ibiebele, Jane B Ford, Jillian A Patterson
OBJECTIVE: To investigate subsequent birth rates, maternal and neonatal outcomes for women with a history of placenta accreta spectrum (placenta accreta, increta, and percreta). METHODS: A population-based record linkage study of women who had a first, second, or third birth in New South Wales from 2003 to 2016 was conducted. Data were obtained from birth and hospital records and death registrations. Women with a history of placenta accreta spectrum were matched to women without, on propensity score and parity, to compare outcomes with women who had similar risk profiles...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925616/standardized-criteria-for-review-of-perinatal-suicides-and-accidental-drug-related-deaths
#18
Marcela C Smid, Jewel Maeda, Nicole M Stone, Heidi Sylvester, Laurie Baksh, Michelle P Debbink, Michael W Varner, Torri D Metz
OBJECTIVE: To estimate the proportion of accidental drug-related deaths and suicides classified as pregnancy-related from 2013 to 2014 (preimplementation of standardized criteria) and 2015 to 2016 (postimplementation). METHODS: Based on Centers for Disease Control and Prevention pregnancy-related death criteria, the Utah Perinatal Mortality Review Committee developed a standardized evaluation tool to assess accidental drug-related death and suicide beginning in 2015...
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925615/pregnancy-associated-mortality-due-to-accidental-drug-overdose-and-suicide-in-ohio-2009-2018
#19
O Trent Hall, Orman E Hall, Kara M Rood, Monique E McKiever, Julie Teater, Ashlee Senay
No abstract text is available yet for this article.
September 10, 2020: Obstetrics and Gynecology
https://read.qxmd.com/read/32925614/maternal-and-neonatal-outcomes-in-hospital-based-deliveries-with-water-immersion
#20
Abbey C Sidebottom, Marc Vacquier, Kathrine Simon, Whitney Wunderlich, Patricia Fontaine, Dawn Dahlgren-Roemmich, Shannon Steinbring, Barbara Hyer, Lisa Saul
OBJECTIVE: To compare neonatal intensive care unit (NICU) or special care nursery admission for deliveries with water immersion compared with deliveries in the matched control group without water immersion. Secondary outcomes included adverse neonatal diagnoses, maternal infections, and perineal lacerations. METHODS: We conducted a retrospective study using electronic health record data (2014-2018) from two health systems (eight hospitals), with similar clinical eligibility, associated with low risks of intrapartum complications, and implementation policies for waterbirth...
September 10, 2020: Obstetrics and Gynecology
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