Complications of Pregnancy
RSSArticles
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Treatment and Prevention of Preeclampsia
A recent study suggested that sildenafil could temporarily stabilize patients with preeclampsia, while improving blood flow to and from the placenta.
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Preterm Premature Rupture of Membranes: When to Deliver?
A recent large multicenter, randomized clinical trial has shown that delivering patients with premature preterm rupture of membranes at 34 weeks, rather than pursuing a watchful waiting approach until 37 weeks, does not afford greater protection against neonatal sepsis.
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Pessaries in Patients with Short Cervices
The largest multicenter, randomized, controlled trial so far has found no significant benefit of pessaries to prevent preterm birth or to decrease neonatal morbidity in patients with short cervices.
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Low-dose Aspirin and Preeclampsia
A study comparing outcomes before and after offering low-dose aspirin to patients who were deemed to be high risk by a first trimester protocol showed a decrease in preterm birth prior to 34 weeks and a decrease in early-onset preeclampsia.
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Recurrence Rate for Placental Abruption
A study from the Netherlands involving more than 1 million patients has shown that recurrence of placental abruption happens more frequently in those patients whose first abruption occurred at term and/or in their first pregnancy, as well as in those with a history of hypertension.
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Are We on the Threshold of a New Approach to Evaluating Women with Recurrent Pregnancy Loss?
A small retrospective cohort study raises the possibility that advanced genetic techniques can be used to analyze the products of conception in women with recurrent pregnancy loss to identify those most likely to have treatable reasons for their miscarriages.
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Progesterone and Indomethacin and PTL
One recent study has questioned the efficacy of the ability of 17 alpha-hydroxyprogesterone caproate to prevent preterm birth, and the other suggests that indomethacin, used to stop preterm labor, may have unwanted neonatal consequences.
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Quality Family Planning (QFP) — Put it into practice
“Providing Quality Family Planning Services — Recommendations of CDC and the U.S. Office of Population Affairs” is the newest member in the “suite” of family planning recommendations from the Centers for Disease Control and Prevention. -
Use of Cervical Length and Fetal Fibronectin in Preterm Labor
SYNOPSIS: A large 10-center study has validated the concept of screening all patients who are presenting with preterm contractions in the third trimester with cervical length examinations by transvaginal sonography and using fetal fibronectin selectively only in those with cervical lengths between 1.5 and 3.0 cm.
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Preventing Pertussis: Are Your Patients and Their Families Cocooning
SYNOPSIS: Prior vaccination of both parents with Tdap (¡°cocooning¡±) protects newborn infants from contracting pertussis.