Prior uterine evacuation and risk for preterm birth
We read with interest the meta-analysis by Saccone et al regarding the risk of preterm birth in women with a history of uterine evacuation. While the authors used rigorous methodology to…
Hospital delivery volume, severe obstetrical morbidity, and failure to rescue
Background In the setting of persistently high risk for maternal death and severe obstetric morbidity, little is known about the relationship between hospital delivery volume and maternal outcomes. Objective The objectives…
Perplexing presentation of uterine prolapse and a prolapsed pedunculated leiomyoma
Click Video under article title in Contents at ajog.org Case notes A 64-year-old female nurse, who was known to have a stable and reducible uterine prolapse, returned to her gynecologist’s…
Exercise during pregnancy and risk of cesarean delivery in nulliparous women: a large population-based cohort study
Background Vaginal delivery for the first birth is of great importance for further obstetric performance for the individual woman. Given the rising cesarean delivery rates worldwide over the past decades,…
Good eggs and bad eggs
In the 1971 film adaptation of Roald Dahl’s classic and disturbing book, Charlie and the Chocolate Factory , the spoiled child Veruca Salt is sent down an “Eggdicator” chute, followed…
The combination tocolytic effect of magnesium sulfate and an oxytocin receptor antagonist in myometrium from singleton and twin pregnancies
Background Preterm birth at <37 weeks of gestation is the most common and costly complication of pregnancy and remains the leading cause of neonatal morbidity, death, and reduced achievement in…
Early-onset preeclampsia appears to discourage subsequent pregnancy but the risks may be overestimated
Background Early-onset preeclampsia is associated with adverse maternal and perinatal outcomes. For women who consider another pregnancy after one complicated by early-onset preeclampsia, the likelihood of recurrence and the subsequent…
Medical and obstetric outcomes among pregnant women with tuberculosis: a population-based study of 7.8 million births
Background Worldwide, tuberculosis remains a major health concern, with an estimated 9.6 million people infected in the year 2014, of which one-third were women. Tuberculosis is estimated to be even…
The predictive value of quantitative fibronectin testing in combination with cervical length measurement in symptomatic women
Background The combination of the qualitative fetal fibronectin test and cervical length measurement has a high negative predictive value for preterm birth within 7 days; however, positive prediction is poor….
Fetal intrapericardial teratoma: natural history and management including successful in utero surgery
Background Intrapericardial teratoma is a rare, lethal tumor often detected in fetal life. Tumor mass and pericardial effusion cause cardiac tamponade that, if relieved, could be life-saving. Optimal timing of…
