Complications of Pregnancy
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Spacing Childbirth Is Better for Women’s and Children’s Health
Women’s health benefits from waiting at least two years after a live birth before the next pregnancy. The results of a recent study reveal that women are more likely to space out childbearing after participating in a two-year intervention that includes providing women with access to family planning counselors, free transportation to a high-quality family planning clinic, referrals for services, consultations, and financial reimbursement for family planning services.
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Study of Epidural Analgesia Stirs Controversy
Several groups stand in strong opposition to a group of researchers’ recent conclusion about possible connection to autism risk.
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Teen Pregnancy Part 2: Obstetrical Complications in Adolescents
Teen pregnancies are at high risk of obstetrical complications with an increased rate of adverse maternal and fetal outcomes. Acute care clinicians should be familiar with, and adept at, caring for the common or emergent obstetrical complications that may occur in a pregnant teenager.
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Opioids May Lower Conception Odds, Cause Pregnancy Loss
Researchers urge careful pain management planning among this patient population.
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Teen Pregnancy Part 1: The First Trimester
Acute care providers will frequently encounter an adolescent with a new diagnosis of pregnancy or a known pregnancy (complicated or uncomplicated). The unique features of teenage pregnancy are critical to be familiar with, so as not to miss the diagnosis of pregnancy or identify a complication and initiate timely, appropriate management.
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Study Reveals Low Rate of Contraceptive Use in Women with Recent Preterm Births
Medicaid claims data among a North Carolina cohort show that women were less likely to fill a contraceptive claim within 90 days after preterm birth. Investigators theorized it would be harder for women to access contraception after a preterm birth because they would be caring for a medically fragile infant. Also, women who deliver preterm experience shorter pregnancies, which means there is less time for a conversation with their healthcare providers about contraception.
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Study Finds High Prevalence of STIs in Pregnant Adolescents
A new study revealed that teenagers who give birth have a higher-than-expected risk of sexually transmitted infections and high rates of preterm births and chorioamnionitis.
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Rheumatology Association Issues Its First Reproductive Health Guidelines
The 2020 Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases is the first set of evidence-based recommendations regarding contraception and other reproductive health issues from the American College of Rheumatology.
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17P to Prevent Recurrent PTB in Singleton Gestations: The PROLONG Study
In this large, double-blind, placebo-controlled, international trial, pregnant women at risk for preterm birth (PTB) between 16-36 weeks gestational age were randomized to an intramuscular weekly injection of either 17-hydroxyprogesterone caproate (17P) or placebo. There was no difference in rates of PTB or neonatal morbidity between these two groups. In comparison to the Meis trial published in 2003, the findings of the PROLONG trial question the use of intramuscular 17P injection as the cornerstone of PTB prevention.
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Adverse Perinatal Outcomes Related to Intrahepatic Cholestasis of Pregnancy
While a diagnosis of intrahepatic cholestasis of pregnancy is associated with an increased risk for stillbirth, preterm birth, and neonatal respiratory issues, consensus on management within the obstetrics community has not been reached.