TEMPORARY REMOVAL: Pelvic floor muscle strength and the incidence of pelvic floor disorders after vaginal and cesarean childbirth
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 15, 2019 Category: OBGYN Authors: Joan L. Blomquist, Megan Carroll, Alvaro Mu ñoz, Victoria L. Handa Source Type: research

May 2019 (vol. 220, no. 5, page 504)
Doherty MG. Medical abortion reversal: science and politics meet. Letter. Am J Obstet Gynecol 2019;220:504-5. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 14, 2019 Category: OBGYN Tags: Correction Source Type: research

Drelationship Between Vaginal and Urinary Microbiomes
Although the vaginal and urinary microbiomes have been increasingly well-characterized in health and disease, few have described the relationship between these neighboring environments. Elucidating this relationship has implications for understanding how manipulation of the vaginal microbiome may affect the urinary microbiome and treatment of common urinary conditions. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 14, 2019 Category: OBGYN Authors: Yuko M. Komesu, Darrell L. Dinwiddie, Holly E. Richter, Emily S. Lukacz, Vivian W. Sung, Nazema Y. Siddiqui, Halina M. Zyczynski, Beri Ridgeway, Rebecca G. Rogers, Lily A. Arya, Donna Mazloomdoost, Josh Levy, Benjamin Carper, Marie G. Gantz, NICHD Pelvic Tags: Original Research: Gynecology Source Type: research

Chemotherapy alone for patients 75 years and older with epithelial ovarian cancer - is interval cytoreductive surgery still needed?
Ovarian cancer patients ≥ 75 years old experience high peri-operative morbidity, but recruitment into prospective trials to assess the role of surgery continues to be challenging. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 14, 2019 Category: OBGYN Authors: David A. Klein, Amandeep K. Mann, Alexandra H. Freeman, Cheng-I. Liao, Daniel S. Kapp, John K. Chan Tags: Original Research: Gynecology Source Type: research

October 2011 (vol. 205, no. 4, pages 362.e4-.e6)
Chandra V, Fatima I, Saxena R, et  al. Apoptosis induction and inhibition of hyperplasia formation by 2-[piperidinoethoxyphenyl]-3-[4-hydroxyphenyl]-2H-benzo(b)pyran in rat uterus. Am J Obstet Gynecol 2011;205:362.e1-11. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 13, 2019 Category: OBGYN Tags: Correction Source Type: research

Surgical Management of Neuroproliferative-Associated Vestibulodynia: A Tutorial on Vestibulectomy with Vaginal Advancement Flap
Provoked vestibulodynia is an often under diagnosed and mismanaged medical condition that impacts the lives of many women. When symptoms are due to a dramatically increased density of pain fibers in the vestibular endoderm the condition is referred to as neuroproliferative-associated vestibulodynia (NAV). Unfortunately, assessment of pain fiber density can only be performed after surgery during histologic examination. First-line therapies for this condition often include topical or oral medications targeting hyperalgesia and allodynia at the vulvar vestibule. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 10, 2019 Category: OBGYN Authors: Catherine Wu, Andrew Goldstein, Jordan S. Klebanoff, Gaby N. Moawad Tags: Surgeon's Corner Source Type: research

Impact of Oral Metronidazole Treatment on the Vaginal Microbiota and Correlates of Treatment Failure
Metronidazole is the first-line treatment for bacterial vaginosis (BV), but cure rates are suboptimal and recurrence rates high. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 9, 2019 Category: OBGYN Authors: Marijn C. Verwijs, Stephen K. Agaba, Alistair C. Darby, Janneke H.H.M. van de Wijgert Tags: Original Research: Gynecology Source Type: research

A Novel Measurement of Pelvic Floor Cross Sectional Area in Older and Younger Women with and Without Prolapse
An increase in size of the aperture of the pelvis that must be spanned by pelvic floor support structures translates to an increase in the force on these structures. Prior studies have measured the bony dimensions of the pelvis, but the effect of changes in muscle bulk that may affect the size of this area are unknown. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Anne G. Sammarco, David D. Sheyn, Tessa E. Krantz, Cedric K. Olivera, Antonio A. Rodrigues, Emily K. Kobernik, Mariana Masteling, John O. Delancey Tags: Meeting Papers: Society of Gynecologic Surgeons Source Type: research

Preoperative predictors of endometrial cancer at time of hysterectomy for endometrial intraepithelial neoplasia or complex atypical hyperplasia
Endometrial intraepithelial neoplasia (EIN), also known as complex atypical hyperplasia (CAH), is a precancerous lesion of the endometrium associated with a 40% risk concurrent endometrial cancer at the time of hysterectomy. While a majority of endometrial cancers (EC) diagnosed at the time of hysterectomy for endometrial intraepithelial neoplasia are low-risk, low-stage, approximately 10% of patients ultimately diagnosed with EC will have high-risk disease that would warrant lymph node assessment to guide adjuvant therapy decisions. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Monica Hagan Vetter, Blair Smith, Jason Benedict, Erinn M. Hade, Kristin Bixel, Larry J. Copeland, David E. Cohn, Jeffrey M. Fowler, David O ’Malley, Ritu Salani, Floor J. Backes Tags: Original Research: Gynecology Source Type: research

Hyperglycosylated human chorionic gonadotropin as a predictor of ongoing pregnancy
Hyperglycosylated human chorionic gonadotropin (hCG-H), the predominant human chorionic gonadotropin (hCG) variant secreted following implantation, is associated with trophoblast invasion. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Paula C. Brady, Leslie V. Farland, Catherine Racowsky, Elizabeth S. Ginsburg Tags: Original Research: Gynecology Source Type: research

Paternal bias: the impact of not accounting for paternal confounders in reproductive epidemiological studies
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Andrea Bellavia, Susanna D. Mitro, Russ Hauser, Tamarra James-Todd Tags: Research Letter Source Type: research

Cerebroplacental ratio assessment in low risk population
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Roger A. McMaster-Fay Tags: Letter to the Editors Source Type: research

Routine assessment of cerebroplacental ratio at 35-37 weeks ’ gestation in the prediction of adverse perinatal outcome
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 8, 2019 Category: OBGYN Authors: Ranjit Akolekar, Kypros H. Nicolaides Tags: Letter to the Editors Source Type: research

Early amniotomy after cervical ripening for induction of labor: a systematic review and metaanalysis of randomized controlled trials
Timing of artificial rupture of membranes (ie, amniotomy) in the induction of labor is controversial, because it has been associated not only with shorter labors, but also with fetal nonreassuring testing, at times necessitating cesarean delivery. The aim of this systematic review and metaanalysis of randomized trials was to evaluate the effectiveness of early amniotomy vs late amniotomy or spontaneous rupture of membranes after cervical ripening. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 6, 2019 Category: OBGYN Authors: Valentino De Vivo, Luigi Carbone, Gabriele Saccone, Giulia Magoga, Generoso De Vivo, Mariavittoria Locci, Fulvio Zullo, Vincenzo Berghella Tags: Systematic Review Source Type: research

Early amniotomy after cervical ripening for induction of labor: a systematic review and meta-analysis of randomized controlled trials
Timing of artificial rupture of membranes, i.e. amniotomy, in induction of labor is controversial, as it has been associated with shorter labors, but also with fetal non-reassuring testing, at times necessitating cesarean delivery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 6, 2019 Category: OBGYN Authors: Valentino De Vivo, Luigi Carbone, Gabriele Saccone, Giulia Magoga, Generoso De Vivo, Mariavittoria Locci, Fulvio Zullo, Vincenzo Berghella Tags: Systematic Review Source Type: research

Reply
We appreciate the comments and insights by Dietl et  al regarding our recent study.1 The authors expressed their concern regarding uterine manipulator use during minimally invasive radical hysterectomy for early-stage cervical cancer as a risk factor for tumor spillage and dissemination. Several previous studies may support their hypothesis. First, uterine manipulator use during minimally invasive radical hysterectomy for early-stage cervical cancer was associated with increased risk of tumor surface disruption (45% vs 13%) and artificial parametrial tumor carryover (65% vs 29%) compared with laparotomy (both, P (Sour...
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Koji Matsuo, Alexander Melamed, Jason D. Wright Tags: Letter to the Editors Source Type: research

Minimally invasive surgery for early-stage cervical cancer: is the uterine manipulator a risk factor?
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Anna Dietl, Maximilian Klar, Konrad Aumann Tags: Letter to the Editors Source Type: research

Contraception Across the Transmasculine Spectrum
The field of transgender health continues to expand rapidly, including research in the area of family planning. While much attention has been given to fertility preservation and the parenting intentions of transgender individuals, far less has been paid to pregnancy prevention and contraceptive needs of people along the transmasculine (TM) gender spectrum (transgender men and gender-nonbinary persons who were assigned female at birth). Existing research illustrates that many clinicians and TM individuals falsely believe that there is no risk of pregnancy while amenorrheic. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Chance Krempasky, Miles Harris, Lauren Abern, Frances Grimstad Tags: Clinical Opinion Source Type: research

Noninvasive Prenatal Detection of Hemoglobin Bart hydrops fetalis via maternal plasma dispensed with parental haplotyping using the Semiconductor Sequencing Platform (SSP)
Thalassemia is one of most common monogenetic diseases in the south of China and Southeast Asia. Hemoglobin Bart ’s hydrops fetalis syndrome was caused by a homozygous SEA deletion (--/--) in the HBA gene. Few studies has proved the potential of screen for Bart's hydrops fetalis using fetal cell-free DNA. However, the number of cases is still relatively small. Clinical trials of large samples would be needed . (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Jiexia Yang, Chun-fang Peng, Yiming Qi, Xing-qiang Rao, Fangfang Guo, Yaping Hou, Wei He, Jing Wu, Yang-yi Chen, Xin Zhao, Yu-nan Wang, Haishan Peng, Dongmei Wang, Li Du, Ming-yong Luo, Quan-fei Huang, Hai-liang Liu, Aihua Yin Tags: Original Research: Obstetrics Source Type: research

Intimate Partner Violence During Pregnancy and Risk of Fetal and Neonatal Death: A Meta-Analysis with Socioeconomic Context Indicators
To summarize the results from observational studies examining the risk of fetal and neonatal death (perinatal death) as a function of the experience of Intimate Partner Violence (IPV) during pregnancy and examine the influence of socioeconomic context indicators on this association. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Guadalupe Pastor-Moreno, Isabel Ruiz-P érez, Jesús Henares-Montiel, Dafina Petrova Tags: Systematic Review Source Type: research

Effect of delayed interval delivery of remaining fetus(es) in multiple pregnancies on survival: a systematic review and meta-analysis
The management of the pregnancy after delivery of the first fetus during second trimester miscarriage or very early preterm birth has not been well defined. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Ka Wang Cheung, Mimi Tin Yan Seto, Weilan Wang, Carman Wing Sze Lai, Mark D. Kilby, Ernest Hung Yu Ng Tags: Systematic Review Source Type: research

In Reply
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: Koji Matsuo, Alexander Melamed, Jason D. Wright Tags: Letter to the Editors Source Type: research

Incorporating the Probability of Competing Event(s) into the Preeclampsia Competing Risk Algorithm
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 5, 2019 Category: OBGYN Authors: David Wright, Kypros H. Nicolaides Tags: Letter to the Editors Source Type: research

Amniotic fluid embolism: Principles of early clinical management
We describe key features of initial management of patients with amniotic fluid embolism. Where available, we recommend performing transthoracic or transesophageal echocardiography as soon as possible since this is an easy and reliable method of identifying a failing right ventricle. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 31, 2019 Category: OBGYN Authors: Luis D. Pacheco, Steven L. Clark, Miranda Klassen, Gary D.V. Hankins Tags: Clinical Opinion Source Type: research

Use of naltrexone in treating opioid use disorder in pregnancy
The mainstay of managing opioid use disorder in pregnancy is with methadone or buprenorphine medication assisted treatment (MAT). Methadone and buprenorphine are opioid agonist drugs. Naltrexone, an opioid antagonist, is also a MAT option, but to date, only a few retrospective studies have reported its use in pregnancy. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 31, 2019 Category: OBGYN Authors: Craig V. Towers, Emily Katz, Beth Weitz, Kevin Visconti Tags: Original Research: Obstetrics Source Type: research

Impact of implementation of an enhanced recovery program in gynecologic surgery on healthcare costs
Enhanced recovery programs have been associated with improved outcomes following gynecologic surgery. There is limited data on the effect of enhanced recovery programs on healthcare costs or healthcare service utilization. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 31, 2019 Category: OBGYN Authors: Ross F. Harrison, Yao Li, Alexis Guzman, Brandelyn Pitcher, Andrea Rodriguez-Restrepo, Katherine E. Cain, Maria D. Iniesta, Javier D. Lasala, Pedro T. Ramirez, Larissa A. Meyer Tags: Original Research: Gynecology Source Type: research

Successful treatment of intraamniotic infection/inflammation: a paradigm shift
Preterm birth (defined as birth at (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 27, 2019 Category: OBGYN Authors: Michael G. Gravett Tags: Editorial Source Type: research

Table of Contents
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 27, 2019 Category: OBGYN Source Type: research

Information for Readers
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 27, 2019 Category: OBGYN Source Type: research

SMFM Divider Page
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 27, 2019 Category: OBGYN Source Type: research

Obstetric Care Consensus, Number 9: Levels of Maternal Care
Maternal mortality and severe maternal morbidity, particularly among women of color, have increased in the United States. The leading medical causes of maternal mortality include cardiovascular disease, infection, and common obstetric complications such as hemorrhage and vary by timing relative to the end of pregnancy. Although specific modifications in the clinical management of some of these conditions have been instituted, more can be done to improve the system of care for high-risk women at facility and population levels. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 25, 2019 Category: OBGYN Authors: The American Association of Birth Centers;, the Association of Women's Health, Obstetric and Neonatal Nurses;, American College of Obstetricians and Gynecologists, Society for Maternal-Fetal Medicine, Sarah J. Kilpatrick, M. Kathryn Menard, Christopher M. Tags: SMFM Special Report Source Type: research

Uterine legacy of open maternal –fetal surgery: preterm uterine rupture
We congratulate Goodnight et  al1 on the publication of a study in the Journal in March of 2019 titled, “Subsequent pregnancy outcomes after open maternal-fetal surgery for myelomeningocele.” Using an international multicenter prospective observational registry, the authors’ analysis of 52 subsequent pregnancies after op en maternal–fetal surgery (OMFS) for fetal myelomeningocele revealed that the risk of uterine rupture was 9.6% (5/52) and the additional risk of uterine dehiscence/thinness was 17.3% (9/52). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Ramen H. Chmait, Eftichia V. Kontopoulos, Rub én A. Quintero Tags: Letter to the Editors Source Type: research

Should women with gestational diabetes be screened at delivery hospitalization for type 2 diabetes?
Less than one-half of women with gestational diabetes mellitus are screened for type 2 diabetes postpartum. Other approaches to postpartum screening need to be evaluated, including the role of screening during the delivery hospitalization. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Thaddeus P. Waters, Shin Y. Kim, Erika Werner, Cheryl Dinglas, Ebony B. Carter, Roshni Patel, Andrea J. Sharma, Patrick Catalano Tags: Original Research Source Type: research

Copper ions are novel therapeutic agents for uterine leiomyosarcoma
Multidrug resistance is a major concern in uterine leiomyosarcoma treatment. Development of effective chemotherapies and management of drug resistance in patients is necessary. The copper efflux transporter ATP7B is a member of the P-type ATPase family and is also known as a strong platinum efflux transporter. Various reports have shown the association between ATP7B and platinum resistance; however, suitable inhibitors or methods for inhibiting platinum efflux via ATP7B are not developed. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Mamoru Kakuda, Shinya Matsuzaki, Yutaka Ueda, Mayu Shiomi, Satoko Matsuzaki, Toshihiro Kimura, Masami Fujita, Tomomi Egawa-Takata, Eiji Kobayashi, Satoshi Serada, Kiyoshi Yoshino, Tetsuji Naka, Tadashi Kimura Tags: Original Research: Gynecology Source Type: research

Serum HE4 and diagnosis of ovarian cancer in postmenopausal women with adnexal masses
Transvaginal ultrasound and serum CA125 are routinely used for differential diagnosis of pelvic adnexal mass. Use of Human Epididymis 4 (HE4) was approved in the United States in 2011. However, there is scarcity of studies evaluating the additional value of HE4. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Aleksandra Gentry-Maharaj, Matthew Burnell, James Dilley, Andy Ryan, Chloe Karpinskyj, Richard Gunu, Susan Mallett, Jon Deeks, Stuart Campbell, Ian Jacobs, Sudha Sundar, Usha Menon Tags: Original Research: Gynecology Source Type: research

The Physiology of Intrapartum Fetal Compromise at Term
Uterine contractions in labor result in a 60% reduction in uteroplacental perfusion, causing transient fetal and placental hypoxia. A healthy term fetus with a normally developed placenta is able to accommodate this transient hypoxia by activation of the peripheral chemoreflex, resulting in a reduction in oxygen consumption and a centralisation of oxygenated blood to critical organs, namely the heart, brain and adrenals. Providing there is adequate time for placental and fetal re-perfusion between contractions, these fetuses will be able to withstand prolonged periods of intermittent hypoxia and avoid severe hypoxic injury...
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Jessica M. Turner, Murray D. Mitchell, Sailesh Kumar Tags: Expert Review Source Type: research

Uterine Legacy of Open Maternal-Fetal Surgery: Preterm Uterine Rupture
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Ramen H. Chmait, Eftichia V. Kontopoulos, Rub én A. Quintero Tags: Letter to the Editors Source Type: research

Magnetic Resonance Imaging for Placenta Accreta: Hope for the Future
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Grace Lim, Marc Lim, Jeanne M. Horowitz Tags: Letter to the Editors Source Type: research

Should women with gestational diabetes be screened at delivery hospitalization for type-2 diabetes?
Less than half of women with gestational diabetes mellitus (GDM) are screened for type 2 diabetes (DM) postpartum (PP). Other approaches to postpartum screening need to be evaluated including the role of screening during the delivery hospitalization (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 24, 2019 Category: OBGYN Authors: Thaddeus P. Waters, Shin Y. Kim, Erika Werner, Cheryl Dinglas, Ebony B. Carter, Roshni Patel, Andrea J. Sharma, Patrick Catalano Tags: Original Research: Obstetrics Source Type: research

Effect of Regionalization of Endometrial Cancer Care on Site of Care and Patient Travel
Complex oncologic surgeries, including those for endometrial cancer, have been increasingly concentrated to higher volume centers, owing to previous research that has demonstrated associations between higher surgical volume and improved outcomes. There is a potential for concentration of care to have unwanted consequences, including cost burden, delayed treatment, patient dissatisfaction, and possibly worse clinical outcomes, especially for more vulnerable populations. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 22, 2019 Category: OBGYN Authors: Anne Knisely, Yongmei Huang, Alexander Melamed, Ana I. Tergas, Caryn M. St. Clair, June Y. Hou, Fady Khoury-Collado, Cande V. Ananth, Alfred I. Neugut, Dawn L. Hershman, Jason D. Wright Tags: Original Research: Gynecology Source Type: research

The effect of placental location in cases of placenta accreta spectrum
Placenta accreta spectrum (PAS) affects approximately 3:1000 pregnancies. There is a paucity of data evaluating the effect of placental location on diagnosis, risk factors, and resultant outcomes in cases of PAS. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 22, 2019 Category: OBGYN Authors: Elizabeth A. Morgan, Abbey Sidebottom, Marc Vacquier, Whitney Wunderlich, Matthew Loichinger Tags: Meeting Papers: SMFM Papers Source Type: research

“New or not-so-new” labor management practices and cesarean delivery for arrest of progress
Because nearly one-third of births in the United States are now achieved by cesarean delivery, comprising more than 1.27 million women each year, national organizations have recently published revised guidelines for the management of labor. These new guidelines stipulate that labor arrest should not be diagnosed unless ≥6 cm cervical dilatation has been reached or labor has been stimulated for at ≥6 hours. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 20, 2019 Category: OBGYN Authors: David B. Nelson, James M. Alexander, Donald D. McIntire, Kenneth J. Leveno Tags: Original Research Source Type: research

Risks of Cause-specific Mortality in Offspring of Pregnancies Complicated by Hypertensive Disease of Pregnancy
Fetal environment has a substantial influence on an individual ’s health throughout their life course. Animal models of hypertensive disease of pregnancy (HDP) have demonstrated adverse health outcomes among offspring exposed to HDP in utero. While there are numerous descriptions of the neonatal, infant, and pediatric outcomes of human offspring affected by H DP, there are few data in United States populations on later life outcomes, including mortality. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 20, 2019 Category: OBGYN Authors: Ibrahim A. Hammad, Huong Meeks, Alison Fraser, Lauren H. Theilen, M. Sean Esplin, Ken R. Smith, Michael W. Varner Tags: Original Research: Obstetrics Source Type: research

Fetal cardiac remodeling and dysfunction is associated with both preeclampsia and fetal growth restriction
Preeclampsia and fetal growth restriction share some pathophysiological features and are both associated with placental insufficiency. Fetal cardiac remodeling has extensively been described in fetal growth restriction, whereas little is known about preeclampsia with a normally grown fetus. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 20, 2019 Category: OBGYN Authors: Lina Youssef, Jezid Miranda, Cristina Paules, Laura Garcia-Otero, Kilian Vellv é, Grigorios Kalapotharakos, Alvaro Sepulveda-Martinez, Francesca Crovetto, Olga Gomez, Eduard Gratacós, Fatima Crispi Tags: Original Research: Obstetrics Source Type: research

“New or not–so-new” labor management practices and cesarean delivery for arrest of progress
Because nearly one-third of births in the United States are now delivered by cesarean —more than 1.27 million women each year—national organizations have recently published revised guidelines for the management of labor. These new guidelines stipulate that labor arrest should not be diagnosed unless ≥ 6 cm cervical dilatation had been reached or labor had been stimulated for at least 6 hours. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 20, 2019 Category: OBGYN Authors: David B. Nelson, James M. Alexander, Donald D. McIntire, Kenneth J. Leveno Tags: Original Research: Obstetrics Source Type: research

Maternal surgery during pregnancy has a transient adverse effect on the developing fetal rabbit brain
Recently the US Food and Drug Administration called for cautious use of anesthetic drugs during pregnancy. In 0.2-2% of pregnancies non-obstetric surgery is being performed. The consequences of anesthesia during pregnancy on fetal development remain unclear and preclinical studies in relevant animal models may help elucidate that. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 20, 2019 Category: OBGYN Authors: Lennart Van der Veeken, Johannes Van der Merwe, Sarah Devroe, Annalisa Inversetti, Angela Galgano, Tom Bleeser, Roselien Meeusen, Steffen Rex, Jan Deprest Tags: Meeting Papers: SMFM Papers Source Type: research

Opioids Affect the Fetal Brain: Reframing the Detoxification Debate
Medication-Assisted Treatment is recommended for individuals with an opioid use disorder including pregnant women. Medication-Assisted Treatment during pregnancy provides benefits to the mother and fetus including better pregnancy outcomes, reduced illicit drug use and improved prenatal care. An alternative approach, medically supervised withdrawal (detoxification), has, in recent reports, demonstrated a low risk of fetal death, low rates of relapse and Neonatal Abstinence Syndrome. The rates of relapse and Neonatal Abstinence Syndrome are questioned by many who view medically supervised withdrawal as unacceptable based on...
Source: American Journal of Obstetrics and Gynecology - July 16, 2019 Category: OBGYN Authors: Steve N. Caritis, Ashok Panigrahy Tags: Clinical Opinion Source Type: research

The use of a hybrid mannequin for the modern high-fidelity simulation in the labor ward: The Italian experience of the EGEO group
Regular training in the management of intrapartum emergencies has been demonstrated to yield measurable benefits in terms of maternal and perinatal outcomes. Thanks to technologic advances,computerized full-body mannequins have been created and made available for high-fidelity simulation in obstetrics. The technical skills subjected to training are conventionally represented by classical manual maneuvers, which are recommended in the case of instrumental vaginal delivery, shoulder dystocia, or postpartum hemorrhage. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 16, 2019 Category: OBGYN Authors: Tullio Ghi, Giuseppe Rizzo, EGEO Group Tags: Clinical Opinion Source Type: research

Pelvic floor myofascial pain severity and pelvic floor disorder symptom bother: Is there a correlation?
Pelvic floor myofascial pain, which is predominantly identified in the muscles of the levator ani and obturator internus, has been observed in women with chronic pelvic pain and other pelvic floor disorder symptoms, and is hypothesized to contribute to their symptoms. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 15, 2019 Category: OBGYN Authors: Melanie R. Meister, Siobhan Sutcliffe, Asante Badu, Chiara Ghetti, Jerry L. Lowder Tags: Original Research: Gynecology Source Type: research

Evaluating the Discordant Relationship Between Tarlov Cysts and Symptoms of Pudendal Neuralgia
Pudendal neuralgia is a painful neuropathic condition involving the pudendal nerve dermatome. Tarlov cysts have been reported in the literature as another potential cause of chronic lumbosacral and pelvic pain. Notably, they are often located in the distribution of the pudendal nerve origin at the S2, S3, and S4 sacral nerve roots and it has been postulated that they may cause similar symptoms to pudendal neuralgia. Literature has been inconsistent on the clinical relevance of the cysts and if they are responsible for symptoms. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - July 15, 2019 Category: OBGYN Authors: Victoria M. Lim, Rohit Khanna, Olga Kalinkin, Mario E. Castellanos, Michael Hibner Tags: Original Research: Gynecology Source Type: research