Beware the scar
Case notes A 36-year-old G4P2012 at 6 weeks by last menstrual period presented to the emergency department with abdominal pain and vaginal bleeding. On examination, she had normal vital signs…
GYNECOLOGY
Environmental variables as potential modifiable risk factors of preterm birth in Philadelphia, PA
Objective To examine whether variation in neighborhood context is associated with preterm birth (PTB) outcomes and gestational age (GA) at delivery in Philadelphia, and to determine whether these associations might persist when…
Early and total neonatal mortality in relation to birth setting in the United States, 2006-2009
The recent study by Grünebaum et al demonstrated statistically significant, although incremental, increases in the unadjusted rates of total neonatal mortality in midwife-attended birth center births (0.59 per 1000; n = 39,523)…
April 2012 (vol. 206, no. 4, page 300)
Berkley E, Chauhan SP, Abuhamad A. Doppler assessment of the fetus with intrauterine growth restriction. Am J Obstet Gynecol 2012;206:300-8. In a 2012 SMFM Clinical Guideline on Doppler assessment of…
Increased glucose and placental GLUT-1 in large infants of obese nondiabetic mothers
Objective Obese women are at increased risk to deliver a large infant, however, the underlying mechanisms are poorly understood. Fetal glucose availability is critically dependent on placental transfer and is…
The risk of prelabor and intrapartum cesarean delivery among overweight and obese women: possible preventive actions
Methods Study population We used data from the French National Perinatal Survey, which was conducted in 2010. The National Perinatal Surveys are routine surveys designed to monitor perinatal health, medical…
The persistence of active smooth muscle in the female rat cervix through pregnancy
Objective A controversy exists as to whether functional smooth muscle exists in the cervix before and during pregnancy, potentially continuous with the uterus. We hypothesized that cervical smooth muscle persists…
Is universal cervical length screening indicated in women with prior term birth?
Objective To determine whether universal transvaginal ultrasound (TVU) cervical length (CL) screening is indicated in women with prior term births. Study Design We conducted a prospective cohort study from Jan….
The impact of adoption of the International Association of Diabetes in Pregnancy Study Group criteria for the screening and diagnosis of gestational diabetes
Materials and Methods Study population This was a retrospective cohort study involving all pregnant women who underwent screening for GDM at St Michael’s Hospital in Toronto, ON, Canada, a tertiary…
Mode of delivery and postpartum depression: the role of patient preferences
Materials and Methods The “Mode of Delivery Preferences among Diverse Populations of Women” study was conducted at the University of California, San Francisco, from 2008-2012. Details of this study have…
