A 64-year-old postmenopausal woman presented with a 1-day history of severe vaginal bleeding. She denied abdominal pain and dizziness. No signs or symptoms of high-output heart failure, except for 90…
Objective A large randomized trial showed that induction of labor between 39 0/7 weeks and 39 4/7 weeks in nulliparous low-risk women without medical indications for induction was associated with a…
Background Doppler ultrasound measurements of the peak systolic velocity of the middle cerebral artery can be used to noninvasively diagnose fetal anemia but are less precise following fetal blood transfusion…
Objective The transgender population is marginalized and underserved in medicine. Both clinicians and the transgender community agree that there are many barriers to accessing care, including lack of provider experience,…
Objective A growing number of researchers have recently discussed paternal factors as independent determinants of offspring health. For example, animal studies have shown that sperm carries an epigenetic cargo, allowing…
Background The mainstay of the management of opioid use disorder in pregnancy is with methadone or buprenorphine medication-assisted treatment. Methadone and buprenorphine are opioid agonist drugs. Naltrexone, an opioid antagonist,…
Background Preeclampsia and fetal growth restriction share some pathophysiologic features and are both associated with placental insufficiency. Fetal cardiac remodeling has been described extensively in fetal growth restriction, whereas little…
Background Although consensus guidelines on the management of cardiovascular disease in pregnancy reserve cesarean delivery for obstetric indications, there is a paucity of data to support this approach. Objective The…
Background Fetal environment has a substantial influence on an individual’s health throughout their life course. Animal models of hypertensive disease of pregnancy have demonstrated adverse health outcomes among offspring exposed…
Background Because nearly one-third of births in the United States are now achieved by cesarean delivery, comprising more than 1.27 million women each year, national organizations have recently published revised…
