Articles Tagged With: delivery
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Report: No Risk-Free Birth Settings; Access to Quality Care Vital
A sweeping new analysis takes stock of U.S. maternal and neonatal care and includes recommendations for improvement.
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Infectious Disease Alert Updates
Lyme Carditis: Any AV Block of Concern; Syphilis Screening in Pregnancy a Must; Deferring INH Until Postpartum in HIV-Positive Women
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Delivering AEDs by Drone Shows Promise in Recent Trial
Investigators are looking for solutions to help cardiac patients in remote areas.
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Postpartum Emergencies
Postpartum emergencies may include a variety of clinical presentations, ranging from minor concerns to life-threatening emergencies. Common postpartum emergencies include pain, fever, hemorrhage, hypertension, preeclampsia, eclampsia, infection, and depression.
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Prophylactic Antibiotics Significantly Reduce the Risk of Infection Following Operative Vaginal Delivery
In a multicenter, randomized clinical trial, researchers found that a single dose of intravenous amoxicillin/clavulanic acid significantly reduced the risk of infection following operative vaginal birth (forceps or vacuum extraction) compared to placebo (180 of 1,619 [11%] vs. 306 of 1,606 [19%], respectively; P < 0.0001).
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The Emergency Department Management of Precipitous Delivery and Neonatal Resuscitation
Emergency department providers should be familiar with the correct procedures to manage pregnancies, births, and subsequent neonatal resuscitations when they occur unexpectedly in the ED.
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The Changing Face of Labor Management
Throught the years, clinicians' understanding of the conduct of labor has undergone periodic re-evaluation. In the 1950s, cesarean delivery was a major operation. Today, the procedures are shorter, accompanied by less surgical fanfare, and associated with fewer days in the hospital. Nevertheless, as the only other option to vaginal delivery, the operation, performed in 35% of cases for failure to progress, still should be considered “major” considering its potential for maternal complications.
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Test in Development to Detect Preterm Birth
Scientists at Brigham and Women’s Hospital have published early results of an investigative blood test designed to predict which women may be at increased risk and which ones may be at lower-than-average risk for spontaneous preterm delivery. The researchers have identified circulating microparticle proteins found in blood samples taken in the first trimester of pregnancy that may provide clues about the risk of spontaneous preterm birth.
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Injectable Implant Focus of HIV Treatment/ Prevention Research
Researchers with the University of North Carolina at Chapel Hill and the Centers for Disease Control and Prevention are examining a new drug delivery system that uses dolutegravir, an established HIV drug, in a potential longacting treatment and prevention system. The system has been tested in animal models.
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Are There Risks With Early-term Birth?
The authors of a multicenter study suggest that composite neonatal outcome is worse when pregnancy is interrupted in uncomplicated pregnancies at 37 to 38 weeks, even with documented fetal lung maturity, compared to pregnancies delivered at full term (39 to 40 weeks).