{"title":"Letter to Editor regarding 'The association between uterine fibroid number and size and risk of preterm birth'.","authors":"Wei-Zhen Tang, Yue Tang, Tai-Hang Liu","doi":"10.1016/j.ajogmf.2024.101573","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101573","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101573"},"PeriodicalIF":3.8,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vincenzo Berghella, Emily S Miller, Molly Stout, Adam K Lewkowitz, Terri-Ann Bennett, Karin A Fox
{"title":"How the history of midwifery and obstetrics still affects what you do today in pregnancy care: the American Journal of Obstetrics & Gynecology MFM starts a new \"Obstetrical history\" series.","authors":"Vincenzo Berghella, Emily S Miller, Molly Stout, Adam K Lewkowitz, Terri-Ann Bennett, Karin A Fox","doi":"10.1016/j.ajogmf.2024.101514","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101514","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101514"},"PeriodicalIF":3.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aspirin dosage for preeclampsia prophylaxis: an argument for 162 mg dosing.","authors":"Maura E Jones Pullins, Kim A Boggess","doi":"10.1016/j.ajogmf.2024.101564","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101564","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101564"},"PeriodicalIF":3.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vaginal progesterone for prevention of preterm birth in women with a history of preterm birth regardless of cervical length: an argument for use: An argument.","authors":"Charlette E Williams, Rupsa C Boelig","doi":"10.1016/j.ajogmf.2024.101565","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101565","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101565"},"PeriodicalIF":3.8,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PPROM in the late preterm period: an argument against expectant management.","authors":"Ghamar Bitar, Baha M Sibai","doi":"10.1016/j.ajogmf.2024.101562","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101562","url":null,"abstract":"<p><p>Preterm premature rupture of membranes (PPROM), defined as leaking of amniotic fluid through the cervical os before 37 weeks and prior to the onset of labor, complicates nearly 3% of deliveries and 30% of indicated late preterm deliveries[1]. Current management of PPROM which occurs between 34 to 36 weeks' gestation has pivoted from recommending delivery to recommending either delivery or expectant management because of a large trial which evaluated these management strategies. The potential neonatal benefits of expectant management, reducing complications of prematurity, must be weighed with the maternal risks (and therefore attached neonatal risks) of prolonging the gestation under close surveillance. We recommend immediate delivery for PPROM occurring at or later than 34 weeks of gestation, given higher risk of maternal complications, specifically hemorrhage and infection, associated with expectant management. Furthermore, limited evidence exists to prove increased risks of adverse neonatal outcomes, including sepsis or composite neonatal morbidity, with immediate delivery when compared to expectant management.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101562"},"PeriodicalIF":3.8,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lorena Carolina Martinez-King, Leah M Savitsky, Sherill Rose, Catherine Albright
{"title":"Non-severe hypertensive disorders of pregnancy and oral antihypertensive medications: An argument in favor of use: Treatment of Gestational Hypertension.","authors":"Lorena Carolina Martinez-King, Leah M Savitsky, Sherill Rose, Catherine Albright","doi":"10.1016/j.ajogmf.2024.101561","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101561","url":null,"abstract":"<p><p>Hypertensive disorders of pregnancy are a common complication of pregnancy and a major contributor to both immediate and long-term morbidity and mortality. Recent data support the treatment of chronic hypertension during pregnancy to a blood pressure goal of <140/90 mmHg. Treatment of severe range blood pressures (≥160/110 mmHg) in the setting of gestational hypertension is recommended to prevent severe morbidity and mortality; however, there remains clinical equipoise regarding treatment of gestational hypertension with blood pressures ≥140/90 but <160/110. While there is limited data to support the treatment of gestational hypertension, we believe that treatment of gestational hypertension to a blood pressure of <140/90, similar to the recommendations for chronic hypertension, will lead to a reduction in severe maternal and neonatal morbidity and mortality related to hypertensive disorders of pregnancy. In this expert review, we summarize the available data regarding the treatment of gestational hypertension and offer recommendations for the treatment of gestational hypertension based on our clinical experience.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101561"},"PeriodicalIF":3.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vaginal progesterone for prevention of preterm birth in women with a history of preterm birth regardless of cervical length: an argument against use.","authors":"Anthony Melendez Torres, Sarahn Wheeler","doi":"10.1016/j.ajogmf.2024.101571","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101571","url":null,"abstract":"<p><p>Preterm birth, defined as birth before 37 weeks of gestation, has a significant public health impact as the most frequent cause of neonatal death, and second most frequent cause of infant death at age <5 years. Given the unclear and likely multifactorial etiologic nature of preterm birth, interventions to address this condition have been elusive. Progesterone supplementation was once thought to be a promising strategy to reduce preterm birth among patients with a history of prior preterm birth. However, more recent data suggesting limited efficacy led the US Food and Drug Administration to revoke approval of 17-alpha hydroxyprogesterone caproate (17-OHPC). Vaginal progesterone supplementation remains controversial. Recently published meta-analyses evaluating large, pre-registered randomized controlled trials at low risk of bias and selective outcome reporting, have found recurrent preterm birth rates are not significantly reduced by vaginal progesterone supplementation in patients with a singleton gestation and prior history of spontaneous preterm delivery. Furthermore, studies reporting any benefit from vaginal progesterone in this patient population are noted to have smaller sample sizes, higher risk of bias and selective outcome reporting, and low external validity. As such, we argue against the universal use of vaginal progesterone supplementation for the prevention of recurrent preterm birth. VIDEO ABSTRACT.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101571"},"PeriodicalIF":3.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"Inpatient pharmacological thromboprophylaxis in the antepartum period: an argument for universal thromboprophylaxis\".","authors":"Julia Burd, Amanda Zofkie","doi":"10.1016/j.ajogmf.2024.101566","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2024.101566","url":null,"abstract":"<p><p>Venous thromboembolism (VTE), a largely preventable condition, accounts for almost 15% of maternal mortalities. The physiologic changes of pregnancy, including quantitative changes in coagulation factors and compression of vasculature by the gravid uterus, cause an increase in risk of VTE, including deep vein thromboembolism (DVT), pulmonary embolism (PE), and stroke (CVA). Long term antepartum admission for preeclampsia, preterm prelabor rupture of membranes (PPROM) or other high-risk pregnancy needs present additional risk factors for VTE due to the patient's medical condition and their inpatient status. Given the near-universal support for anticoagulation in patients with a history of venous thromboembolism or high-risk thrombophilia, we will focus this work on patients generally considered low or moderate risk. As outpatients, we do not recommend anticoagulation for this lower risk population. However, with the increase in risk factors for VTE with prolonged admission, it is our general practice to discuss the risks, benefits, and alternatives of chemical VTE prophylaxis 72 hours after admission and recommend administration to all patients unless they have active vaginal bleeding or are at risk for imminent delivery. Here, we will argue why this strategy of universal VTE prophylaxis during antepartum admission with unfractionated heparin (UFH) or low-molecular weight heparin (LMWH) is ultimately in the best interest of patient safety.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101566"},"PeriodicalIF":3.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}