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Pregnant women with eclampsia have a higher relative risk of a future seizure disorder compared with women without a hypertensive disorder of pregnancy, but the overall risk is very low, according to a study in Obstetrics & Gynecology. The absolute risk was one seizure per 2,200 person-years.
A population-based study from Canada found having an anxiety or mood disorder during the two years before becoming pregnant raised a woman’s risk of gestational diabetes, compared with not having the condition. Researchers analyzed the data and found that using a more specific algorithm to define anxiety and mood disorder within one year before pregnancy attenuated the overall rate of the disorders, according to the study in Diabetic Medicine.
Reflex DNA screening detected 95% of pregnancies with Down, Edwards or Patau syndromes with a 0.2% error rate, according to a study in Genetics in Medicine. False positives were fewer and costs were less with reflex DNA screening, compared with current tests.
BioNews (U.K.) (11/13)
Exposure to higher levels of the chemical perchlorate was associated with lower levels of free thyroxine in pregnant women, researchers reported at the Society for Endocrinology BES conference. “These findings are important because we know that optimum thyroid hormone levels during pregnancy are essential for normal fetal brain development, and this study shows that this common pollutant may be adversely affecting brain development in children,” said Bijay Vaidya of the Royal Devon and Exeter NHS Foundation Trust in the UK.
A study in The Journal of Infectious Diseases found that the rate of Australian youths with juvenile-onset recurrent respiratory papillomatosis, a rare, chronic respiratory disease caused by mother-to-child transmission of human papillomavirus type 6 or 11, declined from 0.16 per 100,000 people in 2012 to 0.02 per 100,000 in 2016, which researchers attributed to the success of a nationwide quadrivalent HPV immunization program. The findings should prompt similar studies from other high-income countries with high HPV vaccination rates, according to an accompanying editorial.
HealthDay News (11/9), Healio (free registration)/Infectious Disease News (11/9)
A study in Menopause found postmenopausal women who stopped taking estrogen, particularly those younger than 60 years, had an elevated risk of stroke-related and cardiovascular deaths a year after hormone therapy cessation. The findings were based on 40,000 Finnish women. Cardiovascular Business online (11/9)
New guidelines from the American Heart Association and 10 other medical groups reduce the hypertension threshold from 140 mm Hg systolic over 90 mm Hg to 130 over 80, meaning 46% of US adults would be diagnosed with high blood pressure. The guidelines, published in the Journal of the American College of Cardiology and in Hypertension, call for patients already being treated for high blood pressure to work toward the lower goal and for adults to address early hypertension with lifestyle changes rather than medication.
Infants whose mothers took medications for attention-deficit/hyperactivity disorder during pregnancy were more likely to be admitted to a NICU and develop central nervous system disorders and had increased odds of being born moderately preterm and large for gestational age, compared with those whose mothers didn’t receive ADHD treatment and those whose mothers received treatment before or after pregnancy, researchers reported in Pediatrics. However, the findings showed similar neonatal mortality risk and congenital malformation frequency across all groups.
2 Minute Medicine (11/10)
A shortage of nurses going into education, in addition to people not choosing nursing as a career, adds to the problem of nursing shortages, experts say. Anna Kent, a nurse practitioner and certified nurse-midwife in Martinsburg, W.Va., says she would love to spend more time teaching because it pushes her to “stay on top of what’s new and what’s best,” but disincentives such as low pay keep her from doing so.
TORONTO, November 13, 2017 (LifeSiteNews) — Leadership of the Association of Ontario Midwives is lobbying the Liberal government to change … Lifesite (11/13)
She was told she should talk to her midwife and consider whether to terminate the pregnancy, he said. She was so upset she did not remember … New Zealand Herald (11/14)