Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005416.84444.2f
J. Mccoy, Y.Y. Kim, A. Nyman, L.D. Levine
(Am J Obstet Gynecol. 2023;228(6):728.e1–728.e8) Congenital heart disease (CHD) is one of the most common types of birth defects and affects 8 to 9 per 1000 births. Many patients who have it are diagnosed in infancy, but some are not diagnosed until later in life. The number of patients with CHD who reach childbearing years has increased substantially. Pregnancy can pose difficult challenges, especially in labor and delivery. The physiologic changes that occur during delivery, including increased cardiac demand, rapid changes in intravascular volume, and blood loss, result in significant risk for patients with CHD. The European Registry of Pregnancy and Cardiac disease and the Cardiac Disease in Pregnancy 2 studies have demonstrated that the immediate postpartum period is the highest risk time for heart failure.
{"title":"Prolonged Labor and Adverse Cardiac Outcomes in Pregnant Patients With Congenital Heart Disease","authors":"J. Mccoy, Y.Y. Kim, A. Nyman, L.D. Levine","doi":"10.1097/01.aoa.0001005416.84444.2f","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005416.84444.2f","url":null,"abstract":"(Am J Obstet Gynecol. 2023;228(6):728.e1–728.e8)\u0000 Congenital heart disease (CHD) is one of the most common types of birth defects and affects 8 to 9 per 1000 births. Many patients who have it are diagnosed in infancy, but some are not diagnosed until later in life. The number of patients with CHD who reach childbearing years has increased substantially. Pregnancy can pose difficult challenges, especially in labor and delivery. The physiologic changes that occur during delivery, including increased cardiac demand, rapid changes in intravascular volume, and blood loss, result in significant risk for patients with CHD. The European Registry of Pregnancy and Cardiac disease and the Cardiac Disease in Pregnancy 2 studies have demonstrated that the immediate postpartum period is the highest risk time for heart failure.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"91 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005436.35108.8c
F. Zhou, M.C. Lindley, J.T. Lee, T.C. Jatlaoui
(Obstet Gynecol. 2023;141:563–569) Vaccines are safe and effective in preventing illness, including in mildly immunosuppressed individuals such as pregnant women. Influenza vaccines have been in use for decades and have been shown to be safe and effective at preventing illness in both mother and child, providing protection through the transplacental transfer of antibodies to infants too young to receive their own vaccination. Influenza presents increased risks to pregnant individuals as well as adverse outcomes for fetuses and infants. Annual influenza vaccinations are recommended for everyone 6 months and older, but rates of annual vaccinations are chronically low. This study was designed to evaluate the association between influenza vaccination during pregnancy and infant influenza vaccination.
{"title":"Association Between Influenza Vaccination During Pregnancy and Infant Influenza Vaccination","authors":"F. Zhou, M.C. Lindley, J.T. Lee, T.C. Jatlaoui","doi":"10.1097/01.aoa.0001005436.35108.8c","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005436.35108.8c","url":null,"abstract":"(Obstet Gynecol. 2023;141:563–569)\u0000 Vaccines are safe and effective in preventing illness, including in mildly immunosuppressed individuals such as pregnant women. Influenza vaccines have been in use for decades and have been shown to be safe and effective at preventing illness in both mother and child, providing protection through the transplacental transfer of antibodies to infants too young to receive their own vaccination. Influenza presents increased risks to pregnant individuals as well as adverse outcomes for fetuses and infants. Annual influenza vaccinations are recommended for everyone 6 months and older, but rates of annual vaccinations are chronically low. This study was designed to evaluate the association between influenza vaccination during pregnancy and infant influenza vaccination.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"6 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005432.81869.73
F. Cai, M. McCabe, S.K. Srinivas
(Am J Obstet Gynecol. 2023;228:592.e1–592.e10) Educational childbirth resources (including technology) can benefit pregnant women in several different ways. This includes lowering anxiety and fear around childbirth, decreasing perceptions of pain, and improving a sense of overall control throughout the birthing process. This study aimed to assess how educational podcasts can influence a pregnant woman’s labor experience, specifically through patient satisfaction and a sense of control during childbirth.
{"title":"A Randomized Trial Assessing the Impact of Educational Podcasts on Personal Control and Satisfaction During Childbirth","authors":"F. Cai, M. McCabe, S.K. Srinivas","doi":"10.1097/01.aoa.0001005432.81869.73","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005432.81869.73","url":null,"abstract":"(Am J Obstet Gynecol. 2023;228:592.e1–592.e10)\u0000 Educational childbirth resources (including technology) can benefit pregnant women in several different ways. This includes lowering anxiety and fear around childbirth, decreasing perceptions of pain, and improving a sense of overall control throughout the birthing process. This study aimed to assess how educational podcasts can influence a pregnant woman’s labor experience, specifically through patient satisfaction and a sense of control during childbirth.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"1 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005324.90871.73
N.D. Ford, C. L. DeSisto, R.R. Galang, E.V. Kuklina, L.S. Sperling, J.Y. Ko
(Ann Intern Med. 2023;176:472–479) Cardiac arrest is a rare but serious complication in the parturient and is associated with very poor outcomes. The objective of this study was to assess the incidence of cardiac arrest from 2017 to 2019 in the United States by patient demographics, co-morbidity, and type and size of hospital. This analysis can aid in identifying strategies to reduce pregnancy-related maternal morbidity and mortality.
{"title":"Cardiac Arrest During Delivery Hospitalization: A Cohort Study","authors":"N.D. Ford, C. L. DeSisto, R.R. Galang, E.V. Kuklina, L.S. Sperling, J.Y. Ko","doi":"10.1097/01.aoa.0001005324.90871.73","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005324.90871.73","url":null,"abstract":"(Ann Intern Med. 2023;176:472–479)\u0000 Cardiac arrest is a rare but serious complication in the parturient and is associated with very poor outcomes. The objective of this study was to assess the incidence of cardiac arrest from 2017 to 2019 in the United States by patient demographics, co-morbidity, and type and size of hospital. This analysis can aid in identifying strategies to reduce pregnancy-related maternal morbidity and mortality.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005392.38102.44
E. Bogdan-Lovis, J. Zhuang, J. Goldbort, S. Shareef, M. Bresnahan, K. Kelly-Blake, K. Elam
(Birth. 2023;50(2):310–318) There is discussion in the United States regarding the impact of race concordance between health care providers and patients on health outcomes. While there is evidence that provider-patient communication can benefit from concordance, there’s limited proof that concordance significantly improves health outcomes.
{"title":"Do Black Birthing Persons Prefer a Black Health Care Provider During Birth? Race Concordance in Birth","authors":"E. Bogdan-Lovis, J. Zhuang, J. Goldbort, S. Shareef, M. Bresnahan, K. Kelly-Blake, K. Elam","doi":"10.1097/01.aoa.0001005392.38102.44","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005392.38102.44","url":null,"abstract":"(Birth. 2023;50(2):310–318)\u0000 There is discussion in the United States regarding the impact of race concordance between health care providers and patients on health outcomes. While there is evidence that provider-patient communication can benefit from concordance, there’s limited proof that concordance significantly improves health outcomes.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"17 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005404.00620.ec
C.R. Palma Dos Reis, S. Brás, T. Meneses, A.S. Cerdeira, M. Vatish, A.T. Martins
(Acta Obstet Gynecol Scand. 2023;102:635–643) Both placental growth factor (PlGF) and tyrosine kinase 1 (sFlt1) are predicted to be factors in impaired placentation, which is known to lead to diseases such as pre-eclampsia and fetal growth restriction (FGR). Previous studies have shown fluctuations in the levels of PlGF and sFlt1 in patients with these diseases. This study aimed to determine the effects that high levels of PlGF and sFlt1 have on the deterioration of FGR in neonates.
{"title":"The sFlt1/PIGF Ratio Predicts Faster Fetal Deterioration in Early Fetal Growth Restriction: A Historical Cohort Study","authors":"C.R. Palma Dos Reis, S. Brás, T. Meneses, A.S. Cerdeira, M. Vatish, A.T. Martins","doi":"10.1097/01.aoa.0001005404.00620.ec","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005404.00620.ec","url":null,"abstract":"(Acta Obstet Gynecol Scand. 2023;102:635–643)\u0000 Both placental growth factor (PlGF) and tyrosine kinase 1 (sFlt1) are predicted to be factors in impaired placentation, which is known to lead to diseases such as pre-eclampsia and fetal growth restriction (FGR). Previous studies have shown fluctuations in the levels of PlGF and sFlt1 in patients with these diseases. This study aimed to determine the effects that high levels of PlGF and sFlt1 have on the deterioration of FGR in neonates.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005304.25006.96
J. Bussel, M. Hou, D. Cines
(N Engl J Med. 2023;389:540–548) Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by immunoglobulin G antiplatelet antibodies that lead to reduced platelet production and increased platelet clearance. It affects 1 in 3 people per 10,000 in the United States. ITP is more common in women of childbearing age, and during pregnancy, platelet counts may decrease, requiring special medical attention. Immunoglobulin G antiplatelet antibodies can also affect the fetus. The clinical variability of ITP complicates diagnosis and treatment, and uncertainty remains for many aspects of management. This article focuses on recent research on the risk assessment and management of primary ITP.
(N Engl J Med. 2023;389:540-548) 免疫性血小板减少症（ITP）是一种自身免疫性疾病，其特点是免疫球蛋白 G 抗血小板抗体导致血小板生成减少和血小板清除增加。在美国，每 10,000 人中就有三分之一的人患有此病。ITP在育龄妇女中更为常见，在怀孕期间，血小板计数可能会下降，需要特别的医疗护理。免疫球蛋白 G 抗血小板抗体也会影响胎儿。ITP 的临床变异性使诊断和治疗变得更加复杂，管理的许多方面仍存在不确定性。本文重点介绍有关原发性 ITP 风险评估和管理的最新研究。
{"title":"Management of Primary Immune Thrombocytopenia in Pregnancy","authors":"J. Bussel, M. Hou, D. Cines","doi":"10.1097/01.aoa.0001005304.25006.96","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005304.25006.96","url":null,"abstract":"(N Engl J Med. 2023;389:540–548)\u0000 Immune thrombocytopenia (ITP) is an autoimmune disorder characterized by immunoglobulin G antiplatelet antibodies that lead to reduced platelet production and increased platelet clearance. It affects 1 in 3 people per 10,000 in the United States. ITP is more common in women of childbearing age, and during pregnancy, platelet counts may decrease, requiring special medical attention. Immunoglobulin G antiplatelet antibodies can also affect the fetus. The clinical variability of ITP complicates diagnosis and treatment, and uncertainty remains for many aspects of management. This article focuses on recent research on the risk assessment and management of primary ITP.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"22 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1097/01.aoa.0000990340.44247.58
D. Wiseman, C. Simard, S.S. Yang, M. Koolian, H.A. Abenhaim, J. Lipes
(Can J Anesth/J Can Anesth. 2023;70:151–160) Amniotic fluid embolism (AFE) is a rare obstetric complication with a mortality rate ranging 20% to 60%. The pathophysiology of AFE is not well-defined. This study aimed to define the echocardiography findings in patients who suffer from AFE.
(Can J Anesth/J Can Anesth. 2023;70:151-160)羊水栓塞（AFE）是一种罕见的产科并发症，死亡率为 20% 至 60%。羊水栓塞的病理生理学尚未明确。本研究旨在确定羊水栓塞患者的超声心动图检查结果。
{"title":"Echocardiography Findings in Amniotic Fluid Embolism: A Systematic Review of the Literature","authors":"D. Wiseman, C. Simard, S.S. Yang, M. Koolian, H.A. Abenhaim, J. Lipes","doi":"10.1097/01.aoa.0000990340.44247.58","DOIUrl":"https://doi.org/10.1097/01.aoa.0000990340.44247.58","url":null,"abstract":"(Can J Anesth/J Can Anesth. 2023;70:151–160) Amniotic fluid embolism (AFE) is a rare obstetric complication with a mortality rate ranging 20% to 60%. The pathophysiology of AFE is not well-defined. This study aimed to define the echocardiography findings in patients who suffer from AFE.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"48 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1097/01.aoa.0000990324.51379.07
J. Sheikh, J. Allotey, T. Kew, B. Fernandez-Felix, J. Zamora, A. Khalil, S. Thangaratinam
(Lancet. 2022;400:2049–2062) Health disparities and inequalities for pregnant patients effect short-term and long-term outcomes, potentially for generations. Existing studies on the effects of race and ethnicity for parturients have been country specific. This study aimed to investigate the effects of health disparities and inequalities globally from under-represented and underserved ethnic and racial groups, especially those in high- and upper-middle-income countries, and to determine how disparities vary geographically.
{"title":"Effects of Race and Ethnicity on Perinatal Outcomes in High-income and Upper-middle-income Countries: An Individual Participant Data Meta-analysis of 2,198,655 Pregnancies","authors":"J. Sheikh, J. Allotey, T. Kew, B. Fernandez-Felix, J. Zamora, A. Khalil, S. Thangaratinam","doi":"10.1097/01.aoa.0000990324.51379.07","DOIUrl":"https://doi.org/10.1097/01.aoa.0000990324.51379.07","url":null,"abstract":"(Lancet. 2022;400:2049–2062) Health disparities and inequalities for pregnant patients effect short-term and long-term outcomes, potentially for generations. Existing studies on the effects of race and ethnicity for parturients have been country specific. This study aimed to investigate the effects of health disparities and inequalities globally from under-represented and underserved ethnic and racial groups, especially those in high- and upper-middle-income countries, and to determine how disparities vary geographically.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"64 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1097/01.aoa.0000990412.16560.13
A.C. Katheria, E. Clark, B. Yoder, G.M. Schmölzer, B. H. Yan Law, W. El-Naggar, D. Rittenberg, S. Sheth, M.A. Mohamed, C. Martin, F. Vora, S. Lakshminrusimha, M. Underwood, J. Mazela, J. Kaempf, M. Tomlinson, Y. Gollin, K. Fulford, Y. Goff, P. Wozniak, K. Baker, W. Rich, A. Morales, M. Varner, D. Poeltler, Y. Vaucher, J. Mercer, N. Finer, L. El Ghormli, M.M. Rice
(Am J Obstet Gynecol. 2023;228:217.e1–217.e14) Mortality rates among infants that need resuscitation after birth is high despite recent advancements in resuscitation technology. The potential consequences of the need for resuscitation include a host of neurological disorders and problems, which underscores the need for maximizing effectiveness of treatment to stabilize these infants. One method that has been shown to benefit newborns in the first few minutes after birth is delayed cord clamping; for infants who require resuscitation; however, this is typically foregone in favor of immediate efforts to help them breathe.
{"title":"Umbilical Cord Milking in Nonvigorous Infants: A Cluster-Randomized Crossover Trial","authors":"A.C. Katheria, E. Clark, B. Yoder, G.M. Schmölzer, B. H. Yan Law, W. El-Naggar, D. Rittenberg, S. Sheth, M.A. Mohamed, C. Martin, F. Vora, S. Lakshminrusimha, M. Underwood, J. Mazela, J. Kaempf, M. Tomlinson, Y. Gollin, K. Fulford, Y. Goff, P. Wozniak, K. Baker, W. Rich, A. Morales, M. Varner, D. Poeltler, Y. Vaucher, J. Mercer, N. Finer, L. El Ghormli, M.M. Rice","doi":"10.1097/01.aoa.0000990412.16560.13","DOIUrl":"https://doi.org/10.1097/01.aoa.0000990412.16560.13","url":null,"abstract":"(Am J Obstet Gynecol. 2023;228:217.e1–217.e14) Mortality rates among infants that need resuscitation after birth is high despite recent advancements in resuscitation technology. The potential consequences of the need for resuscitation include a host of neurological disorders and problems, which underscores the need for maximizing effectiveness of treatment to stabilize these infants. One method that has been shown to benefit newborns in the first few minutes after birth is delayed cord clamping; for infants who require resuscitation; however, this is typically foregone in favor of immediate efforts to help them breathe.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"26 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139256269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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