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Stillbirths and neonatal deaths in the US decreased 11.5% from 2007 to 2015 based on data from the CDC’s National Center for Health Statistics, according to a study in JAMA Pediatrics, and birth rates increased at the gestational age of 39 to 40 weeks while falling for other ranges. “A recent study presented at the Society for Maternal Fetal Medicine suggests that this is the optimal time for delivery … so it’s not surprising to see the number of deliveries during this time period increase,” said maternal-fetal medicine specialist Haywood Brown, the president of the American College of Obstetricians and Gynecologists.
CDC data show for every US woman who dies from childbirth another 70 almost die, resulting in more than 50,000 women who experience severe maternal morbidity, which can lead to infertility, brain damage from blood loss and cardiac problems. Treating these issues can cause a significant financial burden, and women can experience long-term emotional and psychological problems.
National Public Radio (5/10)
Women with a history of gestational diabetes that later progressed to diabetes were at an increased risk of having elevated urinary albumin-to-creatinine ratios, while those with women with a history of gestational diabetes history had higher estimated glomerular filtration rates, according to a study of 1,226 women in Diabetes Care. Researchers stressed the importance of watching for early-stage renal damage.
At least two days of maternal bleeding during the first trimester were associated with an average reduction of nearly 3 ounces in infant birth weight, according to a study in Obstetrics & Gynecology. The analysis of data for 2,307 women also found a 16% rate of babies born small for gestational age among women who had two or more days of bleeding in early pregnancy, compared with 8.5% among those who had no bleeding.
HealthDay News (5/10)
The Commonwealth Scientific and Industrial Research Organization’s Australian e-Health Research Center and staff at Redlands Hospital in Australia have developed a smartphone app that could help pregnant women and health care workers manage gestational diabetes.
ABC (Australia) (5/10)
A study presented at the Heart Rhythm Society’s annual meeting found women who were exposed to particulate matter less than 2.5 micrometers in diameter on cold days were at a significantly higher risk of sudden cardiac death. The findings were based on 112,061 participants in the Nurses’ Health Study.
A study in Pediatrics showed that the rate of parents with children ages 18 and younger at home who smoked cigarettes in the previous month declined from 27.6% in 2002 to 20.2% in 2015, while the rate of those who used cannabis rose from 4.9% to 6.8% during the same period. The findings, based on National Survey on Drug Use and Health data, also showed those who smoked cigarettes were four times as likely to use cannabis at home, compared with nonsmokers.
2 Minute Medicine (5/14)
Late-preterm infants born at 34 weeks’ gestation had a higher likelihood of developing jaundice and respiratory distress, as well as needing respiratory support, compared with those born at 35 weeks’ or 36 weeks’ gestation, while the causes of preterm delivery weren’t associated with neonatal complication risks, researchers reported at the Pediatric Academic Societies meeting. However, the findings showed the highest odds of hypoglycemia among those born at 36 weeks’ gestation.
WakeMed Physician Practices in North Carolina started the See You Now program for women who are fewer than eight weeks pregnant but have questions that won’t wait until their first prenatal visit, usually as late as the 12th week. Midwives and other providers meet with the women to answer questions about topics such as nutrition, exercise and wellness.
WRAL-TV (Raleigh, N.C.) (5/13)
Thirty years of data from the United Network for Organ Sharing show that women are placed on transplant waiting lists less often than men and wait longer for organs when they are listed. Stronger immune systems and smaller size can make finding an organ match for women more difficult than for men.
A study in the journal Menopause found postmenopausal treatment with low-dose vaginal estradiol for moderate-severe vulvovaginal symptoms was associated with greater improvements in menopause-related quality of life and improved sexual function compared with treatment with a dual placebo. The findings were based on data for 302 women.
A UNICEF report found the US, France and Ireland had the lowest rates of infants ever having been breastfed among high-income countries at 74.4%, 63% and 55%, respectively. The report showed that in high-income countries, more than 1 in 5 infants never breastfeed, compared with 1 in 25 babies in low-income and middle-income countries.
Babies born prematurely had significantly higher rates of hospital admissions for respiratory syncytial virus and bronchiolitis after the American Academy of Pediatrics revised guidance in 2014 allowing palivizumab prophylaxis only for those born before 29 weeks’ gestation and those with chronic illnesses, according to a study presented at the Pediatric Academic Societies annual meeting. Researchers also found that the rate of premature infants receiving palivizumab dropped by 93% between 2011-2014 and 2014-2017.
The Council on Patient Safety in Women’s Health Care is hosting a free webinar on Friday, May 18, at 1 p.m. EST. Speakers Heidi Koss, MA, LMHC, and Dawn Thompson discuss the impact of traumatic birth experiences from a patient’s perspective. There will be an open Q&A session following the presentation. Register for the webinar.