Antenatal Care
5Antenatal Care George Attilakos1 and Timothy G. Overton2 1 Fetal Medicine Unit, University College London Hospital NHS Foundation Trust, London, UK 2 St Michael’s Hospital, University Hospitals Bristol NHS Foundation…
GYNECOLOGY
Rare case of a massive uterine arteriovenous fistula
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…
The impact of induction of labor at 39 weeks in low-risk women on the incidence of stillbirth
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…
The utility of MRI for measuring hematocrit in fetal anemia
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…
Barriers to care and reproductive considerations for transmasculine gender affirming surgery
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,…
Paternal bias: The impact of not accounting for paternal confounders in reproductive epidemiological studies
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…
Use of naltrexone in treating opioid use disorder in pregnancy
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,…
Fetal cardiac remodeling and dysfunction is associated with both preeclampsia and fetal growth restriction
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…
Planned vaginal delivery and cardiovascular morbidity in pregnant women with heart disease
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…
Risks of cause-specific mortality in offspring of pregnancies complicated by hypertensive disease of pregnancy
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…
