American Journal of Obstetrics & Gynecology Mfm最新文献

{"title":"Accreta Program Surgeon Inclusivity: Reply to “Letter to the Editor regarding ‘Perioperative Outcomes of Maternal Fetal Medicine Specialist as Primary Surgeon for Placenta Accreta Spectrum Hysterectomies’”","authors":"Alexandra Forrest MD, Torre Halscott MD, MS, Anna Beavis MD, Theresa Boyer MS, MSPH, Kristin Martin MD, Debra Eluobaju MD, Erin Gomez MD, Jamie Murphy MD, Nicole Gavin MD, Gregory Kirschen MD, PhD, Amanda Finney MHS, Laura Prichett MHS, PhD, Edward Tanner MD, Christopher Novak MD, Arthur Vaught MD","doi":"10.1016/j.ajogmf.2026.101922","DOIUrl":"10.1016/j.ajogmf.2026.101922","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101922"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843875","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":"Navigating uncharted waters: obstetric outcomes and antibiotic management in patients with neobladders and neurogenic bladders","authors":"Shelby A. Crants MD, Ryan A. Crants BS, Jennifer A. Johnson MD, Nicole A. Smith MD, MPH","doi":"10.1016/j.ajogmf.2026.101918","DOIUrl":"10.1016/j.ajogmf.2026.101918","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101918"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843984","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":"Letter to the editor regarding “Artificial intelligence in academic research publishing: updates, controversies, and considerations for pregnancy and perinatal research”","authors":"Shigeki Matsubara MD, PhD","doi":"10.1016/j.ajogmf.2026.101915","DOIUrl":"10.1016/j.ajogmf.2026.101915","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101915"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843897","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":"Letter to the Editor regarding “Perioperative outcomes of maternal fetal medicine specialist as primary surgeon for placenta accreta spectrum hysterectomies”","authors":"Brett D. Einerson MD, MPH, Michelle P. Debbink MD, PhD, Daniela A. Carusi MD, MSc, Yalda Afshar MD, PhD, J.M. Newton MD, PhD, Alireza A. Shamshirsaz MD, Lisa Zuckerwise MD, Jennifer Gilner MD, PhD, Sebastian R. Hobson MD, PhD, MPH, Karin A. Fox MD Med, On behalf of the Pan-American Society for Placenta Accreta Spectrum (PAS2)","doi":"10.1016/j.ajogmf.2026.101921","DOIUrl":"10.1016/j.ajogmf.2026.101921","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101921"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843951","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":"Absence of double-level cerclage in current guidelines: an evidence gap in emergency cerclage","authors":"Moon-Il Park MD, PhD","doi":"10.1016/j.ajogmf.2025.101888","DOIUrl":"10.1016/j.ajogmf.2025.101888","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101888"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843868","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":"Authors reply to letter to the editor regarding “Selective serotonin reuptake inhibitor use during pregnancy and maternal depression: a nationwide birth cohort study on risks to the mother and the newborn”","authors":"Heli Malm MD, PhD, Keely Cheslack-Postava PhD, Ian W. McKeague PhD","doi":"10.1016/j.ajogmf.2026.101933","DOIUrl":"10.1016/j.ajogmf.2026.101933","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101933"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843910","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":"Retraction notice to “Oxytocin with calcium vs. oxytocin for induction of labor in women with term premature rupture of membranes: A randomized controlled trial” [AM J Obstet Gynecol MFM 6 (2024) 101502]","authors":"Ruixiang Cai, Lingyan Chen, Yunguang Xing, Yuguo Deng, Juan Li, Fangfang Guo, Li Liu, Cuihua Xie, Jinying Yang","doi":"10.1016/j.ajogmf.2026.101960","DOIUrl":"10.1016/j.ajogmf.2026.101960","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"8 5","pages":"Article 101960"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844045","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":"Implementation of a Protocol for Postpartum Diabetes Medication Management: Effect on Inpatient Efficiency and Glycemic Outcomes.","authors":"Drew Hensel, Katherine Massa, Kelley Williams, Cynthia Herrick, Amanda Zofkie, Sydney M Thayer, Nandini Raghuraman, Megan Lawlor","doi":"10.1016/j.ajogmf.2026.101970","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2026.101970","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy is a state of insulin resistance. After delivery, insulin sensitivity rapidly increases, and total insulin requirements decline dramatically. This leaves obstetric clinicians with the difficult task of insulin dose reduction immediately following delivery. If postpartum insulin doses are not reduced sufficiently postpartum, then patients are at high-risk of hypoglycemia. These complex medical decisions can lead to delays in postpartum transfers. From February 2023 to February 2024, our institution observed increasing rates of delayed postpartum transfers and hypoglycemic events in postpartum patients due to overaggressive insulin regimens. In response to these observations, a postpartum medication protocol was designed to aid clinicians in the creation of postpartum insulin plans for patients with diabetes.</p><p><strong>Objective: </strong>The objective of this study was to evaluate whether a postpartum medication protocol improved efficiency in postpartum patient transfers, inpatient glycemic control, and outpatient follow up rates for patients with diabetes.</p><p><strong>Study design: </strong>This was a two-cohort pre post intervention study with time series analysis at a tertiary-care academic hospital. The study included all delivering patients with pre-existing diabetes separated into two cohorts: pre- (Feb 2023-Feb 2024) and post- (Apr 2024-April 2025) protocol implementation. The primary outcome was delayed postpartum transfer, defined as postpartum transfer time exceeding one SD above the mean postpartum transfer time for our unit (post-delivery time on Labor and Delivery > 3.66 hours). To account for possible temporal variation within our data, an interrupted time series analysis was performed. Outcomes were compared between cohorts using bivariate analyses and logistic regression. Multivariable logistic regression with a backward stepwise selection was used to adjust for confounding variables.</p><p><strong>Results: </strong>There were 124 patients in each cohort, with 31% of patients in each cohort having type 1 diabetes. The time series analysis demonstrated an immediate decrease in the number of delayed postpartum transfers following protocol implementation (p-value 0.04). The post-protocol implementation cohort had decreased odds of delayed postpartum transfer compared to the pre-protocol implementation cohort after adjusting for automatic insulin delivery (AID) system use (OR: 0.65 [0.37-1.13], aOR: 0.50 [0.27-0.93]).</p><p><strong>Conclusion: </strong>Through this protocol implementation, we were able to improve efficiency of patient care delivery and improve patient outcomes in the postpartum period. This protocol serves as a model for other practices to potentially adopt or adapt to improve inpatient efficiency and to better serve their patients with diabetes.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101970"},"PeriodicalIF":3.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783779","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":"Factors Associated with Failed Induction of Labor After Cesarean with an Unfavorable Cervix at Term.","authors":"Hannah S Foster, Holly W Cummings, Lisa D Levine","doi":"10.1016/j.ajogmf.2026.101977","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2026.101977","url":null,"abstract":"<p><strong>Background: </strong>With increasing rates of labor induction and trial of labor after cesarean, induction of labor after cesarean (IOLAC) is becoming more common. However, predictors of success among patients undergoing IOLAC, particularly those with an unfavorable cervix, remain unclear.</p><p><strong>Objective: </strong>To identify risk factors associated with failed IOLAC in patients with unfavorable Bishop scores.</p><p><strong>Study design: </strong>This retrospective cohort study of patients at two academic hospitals who underwent IOLAC in 2024 included full-term patients with one prior cesarean delivery and an unfavorable Bishop score (<8) at the time of induction. The primary outcome was failed IOLAC, defined as repeat cesarean delivery (rCD). Associations between delivery mode and clinical characteristics were evaluated using univariate analyses and multivariable stepwise regression.</p><p><strong>Results: </strong>The cohort included 201 patients, with an overall vaginal birth after cesarean (VBAC) rate of 66.2%. Successful IOLAC was more likely among patients with a prior vaginal delivery before cesarean (p=0.015) or prior VBAC (p<0.001), and among those with higher Bishop scores (p<0.001). Prior cesarean for failed induction and arrested labor were associated with a 56% (RR 1.56, 95% CI 1.01-2.39) and 90% (RR 1.90, 95% CI 1.24-2.91) increased risk of rCD, respectively. (RR 1.56, 95% CI 1.01-2.39). Cesarean for malpresentation was associated with lower rCD risk (RR 0.51, 95% CI 0.27-0.89).</p><p><strong>Conclusion: </strong>Prior VBAC and higher Bishop score predict IOLAC success, while prior cesarean for labor arrest or failed induction increases rCD risk in those with unfavorable cervices. These findings may guide counseling and future research.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101977"},"PeriodicalIF":3.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783804","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":"Household income and adverse childhood outcomes after prenatal myelomeningocele repair.","authors":"Ashish Premkumar, Nkechinyelum Q Ogu, Abhinav Reddy, Henry David, Bakhtiar Yamini, Arthur J Dipatri, Sarah A Sobotka, Jessica T Fry, Aimen F Shaaban","doi":"10.1016/j.ajogmf.2026.101974","DOIUrl":"https://doi.org/10.1016/j.ajogmf.2026.101974","url":null,"abstract":"<p><strong>Background: </strong>Prenatal myelomeningocele repair is an option to improve childhood health outcomes. Little is known about the impact of social determinants of health on neurodevelopmental and neurosurgical outcomes.</p><p><strong>Objective: </strong>To understand the relationship between household income during prenatal myelomeningocele repair and adverse childhood neurodevelopmental outcomes, as well as the need for postnatal neurosurgical interventions.</p><p><strong>Study design: </strong>This was an unplanned secondary analysis of children, at both toddler (i.e., 30 months) and school ages (i.e., 7-10 years), who underwent prenatal myelomeningocele repair in the Management of Myelomeningocele Study. The primary exposure was participant household income, reported in U.S. dollars/year. The primary outcomes at toddler age were ventriculoperitoneal shunt placement or death by 1 year of life and Bayley Scales of Infant Development-II (\"Bayley\") scores. For school age, the primary outcomes were Vineland Adaptive Behavior Scales (\"Vineland\") scores. Secondary outcomes were neurosurgical interventions and measures of neurodevelopment at both time points. The parent trial is registered with ClinicalTrials.gov (NCT00060606).</p><p><strong>Results: </strong>91 children were available for toddler outcomes; 79 of these were available for school-age outcomes. 66% were in a household with an income ≥ $50,000. For the primary outcomes at toddler age, there was no difference in the combined frequency of ventriculoperitoneal shunt placement or death. Those residing in households with lower income had lower Bayley Mental and Psychomotor scores. At school age, children residing in households with lower incomes had lower Vineland Communication and Daily Living scores. For secondary outcomes, children from lower-income households were more likely to experience worse motor functioning in relation to their anatomic lesion at toddler age, as well as more tethered cord release and Chiari decompression at school age. School-age quality of life was also reported to be lower among children living in lower-income households.</p><p><strong>Conclusions: </strong>Household income below $50,000 at the time of prenatal myelomeningocele repair is associated with worse neurodevelopmental outcomes and a higher frequency of neurosurgical interventions.</p>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101974"},"PeriodicalIF":3.1,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783844","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}