Editorial Decisions on Coronavirus Disease 2019 (COVID-19).
PMID: 32459415 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Chescheir NC Tags: Obstet Gynecol Source Type: research

Too Good to Be True.
PMID: 32459416 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Jorgensen K, Schorge JO Tags: Obstet Gynecol Source Type: research

Ovarian Cancer After Prophylactic Salpingectomy in a Patient With Germline BRCA1 Mutation.
CONCLUSION: More research is needed to determine the role of prophylactic salpingectomy with delayed oophorectomy, optimal timing of completion oophorectomy, and the risks and benefits compared with up-front risk-reducing salpingo-oophorectomy. PMID: 32459417 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Lugo Santiago N, Smith E, Cox M, Wan CS, Tchabo NE, Awowole I, Broach V, Chi DS Tags: Obstet Gynecol Source Type: research

Association of Immediate Postpartum Etonogestrel Implant Insertion and Venous Thromboembolism.
Abstract OBJECTIVE: To estimate the rate of readmissions for postpartum venous thromboembolism (VTE) during the first 30 days postdelivery between women with and without the immediate postpartum insertion of the etonogestrel contraceptive implant. METHODS: The Nationwide Readmissions Database from 2016 was used to identify women with a singleton delivery, immediate postpartum insertion of the etonogestrel contraceptive implant, and readmission for VTE within 30 days of discharge. Those with a prior history of VTE or anticoagulant therapy were excluded. These women were compared with the number of women readmi...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Floyd JL, Beasley AD, Swaim LS, Turrentine MA, Nijjar JB Tags: Obstet Gynecol Source Type: research

Profile of Reported Alcohol, Tobacco, and Recreational Drug Use in Nulliparous Women.
Abstract OBJECTIVE: To estimate alcohol, tobacco, and recreational drug use during pregnancy among nulliparous women. METHODS: In a cohort of nulliparous women followed through pregnancy from the first-trimester nuMoM2b (Nulliparous Outcomes in Pregnancy: Monitoring Mothers to be) study, self-reported use of alcohol, tobacco, and drugs was chronicled longitudinally at four study visits in this secondary analysis. Rates of use before pregnancy, in each trimester (visit 1, visit 2, visit 3, approximating each trimester), and at the time of delivery (visit 4) were recorded. The amount of alcohol, tobacco, and dr...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Haas DM, Mahnke B, Yang Z, Guise D, Daggy J, Simhan HN, Silver RM, Grobman WA, Wapner RJ, Makhoul J, Parry S, Mercer BM, Saade GR Tags: Obstet Gynecol Source Type: research

Cannabinoids for Pain Control During Medical Abortion: A Randomized Controlled Trial.
CONCLUSION: Dronabinol does not reduce the maximum level of pain experienced by women undergoing medical abortion. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT03604341. PMID: 32459420 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Colwill AC, Alton K, Bednarek PH, Bayer LL, Jensen JT, Garg B, Beardsworth K, Edelman A Tags: Obstet Gynecol Source Type: research

Abortion Policies in U.S. Teaching Hospitals: Formal and Informal Parameters Beyond the Law.
Abstract OBJECTIVE: To evaluate the prevalence and features of policies regulating abortion in U.S. teaching hospitals. METHODS: In this mixed-methods study, we conducted a national survey of obstetrics and gynecology teaching hospitals (2015-2016) and qualitative interviews (2014 and 2017) with directors at obstetrics and gynecology residency programs. We asked participants about hospital regulations on abortion and their perceptions of the nature and enforcement of these policies. Interview analysis was conducted with a grounded theoretical approach and informed development of the survey. The prevalence of ...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Zeldovich VB, Rocca CH, Langton C, Landy U, Ly ES, Freedman LR Tags: Obstet Gynecol Source Type: research

Influence of Contraception Class on Incidence and Severity of Acne Vulgaris.
CONCLUSION: Combined OCs appear to be associated with a modest (or small) protective effect with respect to incident acne and treatment escalation compared with other contraceptive methods. However, absolute differences between contraceptive methods were small. PMID: 32459422 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Barbieri JS, Mitra N, Margolis DJ, Harper CC, Mostaghimi A, Abuabara K Tags: Obstet Gynecol Source Type: research

Elagolix Treatment for Up to 12 Months in Women With Heavy Menstrual Bleeding and Uterine Leiomyomas.
CONCLUSION: Up to 12 months of elagolix with add-back therapy provided sustained reduction in menstrual blood loss in women with uterine leiomyomas, with the addition of add-back therapy attenuating the hypoestrogenic effects of elagolix alone. No new or unexpected safety concerns were associated with an additional 6 months of elagolix with addback therapy. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT02925494. FUNDING SOURCE: AbbVie Inc funded this study. PMID: 32459423 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Simon JA, Al-Hendy A, Archer DF, Barnhart KT, Bradley LD, Carr BR, Dayspring T, Feinberg EC, Gillispie V, Hurtado S, Kim J, Liu R, Owens CD, Muneyyirci-Delale O, Wang A, Watts NB, Schlaff WD Tags: Obstet Gynecol Source Type: research

Comparison of 30-Day Readmission After Same-Day Compared With Next-Day Discharge in Minimally Invasive Pelvic Organ Prolapse Surgery.
CONCLUSION: In women undergoing minimally invasive pelvic reconstructive surgery within a large managed care organization, there is no difference in 30-day readmission or ED visit rates between those discharged the same day and those discharged the next day. When considering patient factors, same-day discharge after minimally invasive pelvic reconstructive surgery may be safe and play an important role in value-based care. PMID: 32459424 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Berger AA, Tan-Kim J, Menefee SA Tags: Obstet Gynecol Source Type: research

Mild Thrombocytopenia and Postpartum Hemorrhage in Nulliparous Women With Term, Singleton, Vertex Deliveries.
Abstract OBJECTIVE: To assess whether mild thrombocytopenia (platelet count 100-149 k/microliter) is associated with an increased risk of postpartum hemorrhage. METHODS: Nulliparous women with term, singleton, vertex pregnancies undergoing labor at our institution between August 2016 and September 2017 were included. The primary exposure was mild thrombocytopenia, defined as platelet count 100-149 k/microliter, and the comparator was normal platelet count (150 k/microliter or greater). Those with severe thrombocytopenia (platelet count less than 100 k/microliter) were excluded from analysis. The primary outco...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Govindappagari S, Moyle K, Burwick RM Tags: Obstet Gynecol Source Type: research

Effect of Digital Step Counter Feedback on Mobility After Cesarean Delivery: A Randomized Controlled Trial.
Abstract OBJECTIVE: To assess the effect of a personalized repeated feedback approach using digital step counters (pedometers) on mobility after cesarean delivery in high-risk patients. METHODS: This was a randomized controlled trial at a tertiary university hospital. Patients who underwent cesarean delivery and were defined as high risk for thromboembolic events were asked to wear a pedometer around their wrists postpartum for 48 hours. Patients were randomized to the feedback group, which received personalized feedback by the research staff regarding their mobility at three set timepoints, or the control gr...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Ganer Herman H, Kleiner I, Tairy D, Gonen N, Ben Zvi M, Kovo M, Bar J, Weiner E Tags: Obstet Gynecol Source Type: research

Singleton, Term, Vertex Cesarean Delivery on a Midwife Service Compared With an Obstetrician Service.
CONCLUSION: At a single rural tertiary care center, patients on the midwife service have significantly lower adjusted odds of cesarean delivery than patients on the obstetrician-led service. PMID: 32459427 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Damiano EA, Auty SG, Von Mertens J, Gerjevic KA Tags: Obstet Gynecol Source Type: research

Maternal Mortality in the United States Compared With Ethiopia, Nepal, Brazil, and the United Kingdom: Contrasts in Reproductive Health Policies.
Abstract Maternal mortality is falling in most of the world's countries, but, for 20 years, the United States has seen no reduction. Over this period, a dozen countries in various stages of development, all spending much less than the United States on health, achieved their United Nations' Millennium Development Goal of 2015 (Millennium Development Goal 5: improve maternal health), with substantial reductions in maternal mortality rates. To consider whether interventions successful in reducing global maternal mortality rates could help the United States to lower its rate, the American College of Obstetricians and ...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Darney PD, Nakamura-Pereira M, Regan L, Serur F, Thapa K Tags: Obstet Gynecol Source Type: research

Association of Prior Cesarean Delivery With Early Term Delivery and Neonatal Morbidity.
CONCLUSION: Prior cesarean delivery is correlated with earlier delivery and increased neonatal morbidity. Advocating trial of labor after cesarean delivery may provide maternal and neonatal benefit. PMID: 32459429 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Forde B, DeFranco EA Tags: Obstet Gynecol Source Type: research

Association of Antenatal Corticosteroids and Magnesium Sulfate Therapy With Neurodevelopmental Outcome in Extremely Preterm Children.
CONCLUSION: In children born between 22 0/7 and 26 6/7 weeks of gestation, exposure to both antenatal corticosteroids and magnesium sulfate was associated with lower rates of severe neurodevelopmental impairment or death and death compared with exposure to antenatal corticosteroids alone. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT00063063. PMID: 32459430 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Gentle SJ, Carlo WA, Tan S, Gargano M, Ambalavanan N, Chawla S, Bell EF, Bann CM, Hintz SR, Heyne RJ, Tita A, Higgins RD, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Neonatal Research Network Tags: Obstet Gynecol Source Type: research

Antenatal Corticosteroids and Outcomes in Preterm Twins.
CONCLUSION: Antenatal corticosteroid treatment in twins was associated with a beneficial effect on short-term neurologic outcomes only, without improvement in other short-term and medium-term outcomes. There was no difference related to chorionicity. PMID: 32459431 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Ushida T, Kotani T, Sadachi R, Hirakawa A, Hayakawa M, Moriyama Y, Imai K, Nakano-Kobayashi T, Kikkawa F, Neonatal Research Network of Japan Tags: Obstet Gynecol Source Type: research

Factors Associated With Maternal and Neonatal Interventions at the Threshold of Viability.
CONCLUSION: Maternal and neonatal interventions occur frequently at the threshold of viability, especially at 23 weeks of gestation where the occurrence of interventions exceeds 50%. This study identifies sociodemographic and medical factors associated with using interventions with periviable deliveries. These data elucidate observed practice patterns in the management of periviable births and may assist providers in the counseling of women at risk of periviable birth. PMID: 32459432 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Hajdu SA, Rossi RM, DeFranco EA Tags: Obstet Gynecol Source Type: research

Perioperative Use of Cefazolin and Indomethacin for Physical Examination-Indicated Cerclages to Improve Gestational Latency.
CONCLUSION: Perioperative use of cefazolin and indomethacin prophylaxis during physical examination-indicated cerclage placement is associated with a significant prolongation in gestational latency without an increase in incidence of chorioamnionitis. PMID: 32459433 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Premkumar A, Sinha N, Miller ES, Peaceman AM Tags: Obstet Gynecol Source Type: research

Neonatal Seizures Among Low-Risk Pregnancies at Term: Risk Factors and Adverse Outcomes.
CONCLUSION: We identified modifiable maternal risk factors associated with neonatal seizures among low-risk pregnancies at term. Though infrequent, neonatal seizures are associated with higher risk of adverse outcomes in neonatal-maternal dyads. PMID: 32459434 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Doty MS, Chen HY, Chauhan SP Tags: Obstet Gynecol Source Type: research

Vanishing Twins Conceived Through Fresh In Vitro Fertilization: Obstetric Outcomes and Placental Pathology.
CONCLUSION: In vitro fertilization pregnancies affected by vanishing twin syndrome did not have significant differences in obstetric or perinatal outcomes as compared with twin or singleton gestations. However, early twin loss was potentially associated with differences in placental development associated with a higher rate of small placentas and other anatomic pathologies. PMID: 32459435 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Harris AL, Sacha CR, Basnet KM, James KE, Freret TS, Kaimal AJ, Yeh J, Souter I, Roberts DJ, Toth TL Tags: Obstet Gynecol Source Type: research

Internal Version Compared With Pushing for Delivery of Cephalic Second Twins.
erche en Obstétrique et Gynécologie (GROG) Abstract OBJECTIVE: To assess neonatal morbidity and mortality according to whether cephalic second twins were born after internal version followed by total breech extraction or after instructions to push. We hypothesized that interval version would result in shorter intertwin delivery intervals and lower cesarean delivery rates for the second twin and therefore better neonatal outcomes. METHODS: These planned analyses of the JUMODA (JUmeaux MODe d'Accouchement) cohort, a national prospective population-based study of twin deliveries, examined births of...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Pauphilet V, Goffinet F, Seco A, Azria E, Cordier AG, Deruelle P, Kayem G, Rozenberg P, Sananès N, Sénat MV, Sentilhes L, Vayssière C, Winer N, Korb D, Schmitz T, JUmeaux MODe dʼAccouchement (JUMODA) Study Group and the Groupe de Recherche en Obstétr Tags: Obstet Gynecol Source Type: research

Tuberculosis in Pregnancy.
Abstract Tuberculosis (TB) in pregnancy poses a substantial risk of morbidity to both the pregnant woman and the fetus if not diagnosed and treated in a timely manner. Assessing the risk of having Mycobacterium tuberculosis infection is essential to determining when further evaluation should occur. Obstetrician-gynecologists are in a unique position to identify individuals with infection and facilitate further evaluation and follow up as needed. A TB evaluation consists of a TB risk assessment, medical history, physical examination, and a symptom screen; a TB test should be performed if indicated by the TB evaluat...
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Miele K, Bamrah Morris S, Tepper NK Tags: Obstet Gynecol Source Type: research

Fetal Bradycardia in Response to Maternal Hypothermia.
CONCLUSION: A possible cause for fetal bradycardia with a stable baseline and moderate variability is maternal hypothermia, a pattern not indicative of fetal hypoxia. Delivery is not indicated, and maternal warming results in FHR baseline normalization. PMID: 32459438 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Spires BP, Towers CV Tags: Obstet Gynecol Source Type: research

Executive Summary of the Early-Onset Breast Cancer Evidence Review Conference.
This article summarizes the relevant literature, existing guidance, and validated tools to guide health care providers in the prevention, early detection, and special considerations of early-onset breast cancer. Substantive knowledge gaps were noted and summarized to provide guidance for future research. PMID: 32459439 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Chelmow D, Pearlman MD, Young A, Bozzuto L, Dayaratna S, Jeudy M, Kremer ME, Scott DM, OʼHara JS Tags: Obstet Gynecol Source Type: research

Closure.
PMID: 32459440 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Nelson DM Tags: Obstet Gynecol Source Type: research

Connect the Dots-June 2020.
PMID: 32459441 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Authors: Cochrane C, Wise M, Crosland BA, Chescheir NC Tags: Obstet Gynecol Source Type: research

Adjuvant Human Papillomavirus Vaccine to Reduce Recurrent Cervical Dysplasia in Unvaccinated Women: A Systematic Review and Meta-analysis: Correction.
Authors: PMID: 32459442 [PubMed - in process] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 29, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Perinatal Palliative Care.
PMID: 32443065 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: James R Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32443066 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Miller RS, Ralston SJ, Macauley R, Cummings JJ, Zahn CM Tags: Obstet Gynecol Source Type: research

Opioid Analgesia for Medical Abortion: A Randomized Controlled Trial.
PMID: 32443067 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Feld ZM, Etemadi K, Creinin MD Tags: Obstet Gynecol Source Type: research

Opioid Analgesia for Medical Abortion: A Randomized Controlled Trial.
PMID: 32443068 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Clure C, Guiahi M Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32443069 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Colwill AC, Bayer LL, Bednarek P, Garg B, Jensen JT, Edelman AB Tags: Obstet Gynecol Source Type: research

Relative Risk of Cervical Neoplasms Among Copper and Levonorgestrel-Releasing Intrauterine System Users.
a Mİ PMID: 32443070 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Sel G, Yaşar O, Aynali B, Dinçer F, Novruzova K, Darka İ, Akdemir AY, Harma M, Harma Mİ Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32443071 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Spotnitz ME, Natarajan K, Ryan PB, Westhoff CL Tags: Obstet Gynecol Source Type: research

Fetal Heart Rate Monitoring: Still a Mystery More Than Half a Century Later.
PMID: 32443072 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Schifrin BS Tags: Obstet Gynecol Source Type: research

In Reply.
PMID: 32443073 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Authors: Andrews WW, Tita ATN Tags: Obstet Gynecol Source Type: research

Dietary Supplement Use and Its Micronutrient Contribution During Pregnancy and Lactation in the United States: Correction.
Authors: PMID: 32443074 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Acute Herpes Simplex Virus Hepatitis in Pregnancy: Correction.
Authors: PMID: 32443075 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

ACOG Publications: June 2020.
Authors: PMID: 32443076 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin Summary, Number 222.
Authors: Abstract Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths. Although maternal mortality is much lower in high-income countries than in developing countries, 16% of maternal deaths can be attributed to hypertensive disorders (). In the United States, the rate of preeclampsia increased by...
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Thyroid Disease in Pregnancy: ACOG Practice Bulletin Summary, Number 223.
Authors: Abstract Both thyrotoxicosis and hypothyroidism are associated with adverse pregnancy outcomes. There also is concern about the effect of overt maternal thyroid disease on fetal development. In addition, medications that affect the maternal thyroid gland can cross the placenta and affect the fetal thyroid gland. This document reviews the thyroid-related pathophysiologic changes that occur during pregnancy and the effects of overt and subclinical maternal thyroid disease on maternal and fetal outcomes. This Practice Bulletin has been updated with information on the diagnosis and the management of thyroid ...
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222.
Authors: Abstract Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths. Although maternal mortality is much lower in high-income countries than in developing countries, 16% of maternal deaths can be attributed to hypertensive disorders (). In the United States, the rate of preeclampsia increased by...
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Thyroid Disease in Pregnancy: ACOG Practice Bulletin, Number 223.
Authors: Abstract Both thyrotoxicosis and hypothyroidism are associated with adverse pregnancy outcomes. There also is concern about the effect of overt maternal thyroid disease on fetal development. In addition, medications that affect the maternal thyroid gland can cross the placenta and affect the fetal thyroid gland. This document reviews the thyroid-related pathophysiologic changes that occur during pregnancy and the effects of overt and subclinical maternal thyroid disease on maternal and fetal outcomes. This Practice Bulletin has been updated with information on the diagnosis and the management of thyroid ...
Source: Obstetrics and Gynecology - May 24, 2020 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Testing of Patients and Support Persons for Coronavirus Disease 2019 (COVID-19) Infection Before Scheduled Deliveries.
CONCLUSION: We found that more than 15% of asymptomatic maternity patients tested positive for SARS-CoV-2 infection despite having screened negative with the use of a telephone screening tool. Additionally, 58% of their asymptomatic, screen-negative support persons also tested positive for SARS-CoV-2 infection. Alternatively, testing of the support persons of women who had tested negative for COVID-19 infection had a low yield for positive results. This has important implications for obstetric and newborn care practices as well as for health care professionals. PMID: 32433448 [PubMed - as supplied by publisher] (Sourc...
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Bianco A, Buckley AB, Overbey J, Smilen S, Wagner B, Dinglas C, Loudon H, Garely A, Brodman M, Stone J Tags: Obstet Gynecol Source Type: research

Clinical Implications of Universal Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Testing in Pregnancy.
PMID: 32433449 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Miller ES, Grobman WA, Sakowicz A, Rosati J, Peaceman AM Tags: Obstet Gynecol Source Type: research

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Universal Testing Experience on a Los Angeles Labor and Delivery Unit.
PMID: 32433450 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Naqvi M, Burwick RM, Ozimek JA, Greene NH, Kilpatrick SJ, Wong MS Tags: Obstet Gynecol Source Type: research

Lymphopenia and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection Among Hospitalized Obstetric Patients.
PMID: 32433451 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Duffy CR, Hart JM, Modest AM, Hacker MR, Golen T, Li Y, Zera C, Shainker SA, Mehrotra P, Zash R, Wylie BJ Tags: Obstet Gynecol Source Type: research

Is Universal Testing for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Needed on All Labor and Delivery Units?
PMID: 32433452 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Metz TD Tags: Obstet Gynecol Source Type: research

Clinical Findings and Disease Severity in Hospitalized Pregnant Women With Coronavirus Disease 2019 (COVID-19).
CONCLUSION: In our cohort, one in five women hospitalized with COVID-19 infection delivered urgently for respiratory compromise or were admitted to the ICU. None, however, died. Increased pregestational BMI and abnormal heart and respiratory rates on admission were associated with severe disease. PMID: 32433453 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 19, 2020 Category: OBGYN Authors: Savasi VM, Parisi F, Patanè L, Ferrazzi E, Frigerio L, Pellegrino A, Spinillo A, Tateo S, Ottoboni M, Veronese P, Petraglia F, Vergani P, Facchinetti F, Spazzini D, Cetin I Tags: Obstet Gynecol Source Type: research