Study suggests “Previously recommended national target rates for cesarean deliveries may be too low.”
“In a study involving 540 patients with osteogenesis imperfecta – the largest study of any on this topic – the team found that cesarean delivery was not associated with decreased fracture rate in the newborns.”
Among the major findings:
- Infants born at 23 and 24 weeks survived in greater numbers over the 20-year period. Of those born at 24 weeks, for example, only 52 percent survived in 1993 while 65 percent survived in 2012.
- A higher number of premature infants survived without major illnesses. For infants born at 27 weeks, for example, survival without major illness increased from 29 percent in 1993 to 47 percent in 2012.
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“Even though a new treatment or technology may appear promising, it really isn’t possible to know whether it provides any benefits unless it’s tested in a research study,” Dr. Reddy said. “Our study didn’t find any benefit for ECG ST monitoring in term births.”
Oral nifedipine versus intravenous labetalol for severe hypertension during pregnancy: a systematic review and meta-analysis.
Oral nifedipine is as efficacious and safe as intravenous labetalol and may have an edge in low resource settings.
SOGC issues Guidelines for the Management of a Pregnant Trauma Patient
Study finds vaginal progesterone therapy in twin pregnancies with a CL ≤2.5 cm associated with an increased risk of preterm delivery.
SMFM has provided guidelines and consultation on use of cfDNA, including a joint Committee Opinion with the American College of Obstetricians and Gynecologists (ACOG), a rapid response statement following a high profile article in the Boston Globe, and a recent SMFM Consult Series document published in AJOG
Maternal morbidity was not consistently increased in a study of women with one prior cesarean delivery who were attempting a trial of labor and who were induced between 37 and 40 weeks, according to a secondary analysis of data from the National Institutes of Health Consortium on Safe Labor.
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