Pub Date : 2024-02-22DOI: 10.1097/01.aoa.0001005420.04368.36
P.P. Potnuru, C. Ganduglia, C.M. Schaefer, M. Suresh, H.K. Eltzschig, Y. Jiang
(J Clin Anesth. 2022;82:110915) Cesarean deliveries are the most common major abdominal surgeries performed in the United States, at a rate of 31.8% of all deliveries. While rates of cesarean deliveries are rising on a global level, maternal or neonatal mortality or morbidity are not decreasing. As such, experts all over the world have pushed to decrease cesarean delivery rates.
{"title":"Impact of Cesarean Versus Vaginal Delivery on the Risk of Postpartum Acute Kidney Injury: A Retrospective Database-Controlled Study in 116,876 Parturients","authors":"P.P. Potnuru, C. Ganduglia, C.M. Schaefer, M. Suresh, H.K. Eltzschig, Y. Jiang","doi":"10.1097/01.aoa.0001005420.04368.36","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005420.04368.36","url":null,"abstract":"(J Clin Anesth. 2022;82:110915)\u0000 Cesarean deliveries are the most common major abdominal surgeries performed in the United States, at a rate of 31.8% of all deliveries. While rates of cesarean deliveries are rising on a global level, maternal or neonatal mortality or morbidity are not decreasing. As such, experts all over the world have pushed to decrease cesarean delivery rates.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"13 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438955","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.0001005424.74086.b1
S. Thierens, A. van Binsbergen, B. Nolens, T. van den Akker, K. Bloemenkamp, M.J. Rijken
(BJOG. 2023;130(6):586–598) Prolonged second-stage labor poses a significant risk for increased perinatal and maternal adverse outcomes. Two common interventions to expedite delivery during this stage are vacuum extraction (VE) and second-stage cesarean section (SSCS). The occurrence of each intervention procedure varies globally. This systematic review aimed to compare outcomes for both mother and baby associated with VE and SSCS.
{"title":"Vacuum Extraction or Cesarean Section in the Second Stage of Labor: A Systematic Review","authors":"S. Thierens, A. van Binsbergen, B. Nolens, T. van den Akker, K. Bloemenkamp, M.J. Rijken","doi":"10.1097/01.aoa.0001005424.74086.b1","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005424.74086.b1","url":null,"abstract":"(BJOG. 2023;130(6):586–598)\u0000 Prolonged second-stage labor poses a significant risk for increased perinatal and maternal adverse outcomes. Two common interventions to expedite delivery during this stage are vacuum extraction (VE) and second-stage cesarean section (SSCS). The occurrence of each intervention procedure varies globally. This systematic review aimed to compare outcomes for both mother and baby associated with VE and SSCS.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"60 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440390","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.0001005388.40807.13
M. Auerbach, M.G. Munro
(Obstet Gynecol. 2023;141(6):1046–1048) Iron deficiency is the most common micronutrient deficiency in the world and affects more than half of pregnancies. Ferrous sulfate is an effective treatment for subsidizing iron intake and is readily available in many formulations. This article is an editorial examining accumulated evidence about iron deficiency during pregnancy and the efficacy of treatments.
{"title":"Iron Deficiency in Pregnancy and Postpartum: It is Time for a Change","authors":"M. Auerbach, M.G. Munro","doi":"10.1097/01.aoa.0001005388.40807.13","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005388.40807.13","url":null,"abstract":"(Obstet Gynecol. 2023;141(6):1046–1048)\u0000 Iron deficiency is the most common micronutrient deficiency in the world and affects more than half of pregnancies. Ferrous sulfate is an effective treatment for subsidizing iron intake and is readily available in many formulations. This article is an editorial examining accumulated evidence about iron deficiency during pregnancy and the efficacy of treatments.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"8 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440736","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.0001005476.74231.11
R. Bala, D. Budhwar, V. Kumar, S. Singhal, P. Kaushik, J. Sharma
(Int J Obstet Anesth. 2023:54:103637) Improper airway management is one of the leading causes of death for pregnant individuals. An ultrasound of the airway is a noninvasive tool that can be used to assess a patient’s airway and evaluate the risk of severe complications. This study aimed to compare the airways of pregnant and nonpregnant individuals using both a physical exam and an ultrasound exam.
{"title":"Clinical and Ultrasonographic Assessment of Airway Indices Among Nonpregnant, Normotensive Pregnant, and Pre-eclamptic Patients: A Prospective Observational Study","authors":"R. Bala, D. Budhwar, V. Kumar, S. Singhal, P. Kaushik, J. Sharma","doi":"10.1097/01.aoa.0001005476.74231.11","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005476.74231.11","url":null,"abstract":"(Int J Obstet Anesth. 2023:54:103637)\u0000 Improper airway management is one of the leading causes of death for pregnant individuals. An ultrasound of the airway is a noninvasive tool that can be used to assess a patient’s airway and evaluate the risk of severe complications. This study aimed to compare the airways of pregnant and nonpregnant individuals using both a physical exam and an ultrasound exam.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"17 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440995","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.0001005260.66566.3d
S. Hamwi, H. Barros, E. Lorthe
(Anesth Analg. 2023;137(4):870–881) Neuraxial analgesia (NA) is highly effective for labor pain relief, but its use varies among countries and is influenced by factors like ethnicity and region of origin. This study investigated how language proficiency affected NA utilization and satisfaction with labor pain management in migrant women compared to native women. Data came from the baMBINO study in Portuguese public hospitals, including migrant and native women. The study involved interviews conducted in various languages and excluded certain cases, resulting in a sample of 3697 women with singleton vaginal deliveries. This research aimed to explore the impact of language barriers on disparities in labor pain management.
{"title":"Migrant-Native Disparities in Obstetric Neuraxial Analgesia Use: The Role of Host-Country Language Proficiency","authors":"S. Hamwi, H. Barros, E. Lorthe","doi":"10.1097/01.aoa.0001005260.66566.3d","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005260.66566.3d","url":null,"abstract":"(Anesth Analg. 2023;137(4):870–881)\u0000 Neuraxial analgesia (NA) is highly effective for labor pain relief, but its use varies among countries and is influenced by factors like ethnicity and region of origin. This study investigated how language proficiency affected NA utilization and satisfaction with labor pain management in migrant women compared to native women. Data came from the baMBINO study in Portuguese public hospitals, including migrant and native women. The study involved interviews conducted in various languages and excluded certain cases, resulting in a sample of 3697 women with singleton vaginal deliveries. This research aimed to explore the impact of language barriers on disparities in labor pain management.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438592","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.0001005428.39579.ac
L. Hulsbosch, M. Boekhorst, P. Lodder, E. S. Potharst, I. Nyklíček, V. Bergink, S.G. Oei, C.J.M. Verhoeven, V.J.M. Pop
(BJOG. 2023;130(5):495–505) Many factors contribute to postpartum mental health difficulties. Positive experiences during childbirth are associated with better postpartum mental health outcomes. It is unknown, however, how comorbid symptoms of anxiety and depression affect birth experiences or how poor mental health before delivery affects birth experiences. The aim of this study was to assess whether symptom trajectories of comorbid anxiety and depression were negatively associated with unassisted vaginal delivery.
{"title":"Association Between High Levels of Comorbid Anxiety and Depressive Symptoms and Decreased Likelihood of Birth Without Intervention: A Longitudinal Prospective Cohort Study","authors":"L. Hulsbosch, M. Boekhorst, P. Lodder, E. S. Potharst, I. Nyklíček, V. Bergink, S.G. Oei, C.J.M. Verhoeven, V.J.M. Pop","doi":"10.1097/01.aoa.0001005428.39579.ac","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005428.39579.ac","url":null,"abstract":"(BJOG. 2023;130(5):495–505)\u0000 Many factors contribute to postpartum mental health difficulties. Positive experiences during childbirth are associated with better postpartum mental health outcomes. It is unknown, however, how comorbid symptoms of anxiety and depression affect birth experiences or how poor mental health before delivery affects birth experiences. The aim of this study was to assess whether symptom trajectories of comorbid anxiety and depression were negatively associated with unassisted vaginal delivery.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"17 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438716","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.0001005296.00926.cf
S. Villarreal
(Obstet Gynecol. 2023;141(4):674–675) Crisis pregnancy centers are distinct and different from pregnancy resource centers and women’s clinics. This article gives perspective to define the differences and encourages the offering of resources to vulnerable individuals, as well as advocating voting against funding allocations that support their dangerous practices.
{"title":"Crisis Pregnancy Centers","authors":"S. Villarreal","doi":"10.1097/01.aoa.0001005296.00926.cf","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005296.00926.cf","url":null,"abstract":"(Obstet Gynecol. 2023;141(4):674–675)\u0000 Crisis pregnancy centers are distinct and different from pregnancy resource centers and women’s clinics. This article gives perspective to define the differences and encourages the offering of resources to vulnerable individuals, as well as advocating voting against funding allocations that support their dangerous practices.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438934","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.0001005408.54602.a3
T. Chaiworapongsa, R. Romero, F. Gotsch, M. Suksai, D.M. Gallo, E. Jung, A. Krieger, P. Chaemsaithong, O. Erez, A. Tarca
(Am J Obstet Gynecol. 2023;228:569.e1–569.e24) Pre-eclampsia, a complex and multisystemic disorder affecting a significant percentage of pregnancies worldwide, is a leading cause of preterm birth and maternal mortality. This condition is not uniform and can be classified into different subtypes based on gestational age and underlying pathophysiological mechanisms. Understanding these subtypes is crucial for predicting maternal and fetal outcomes and developing targeted therapeutic strategies.
{"title":"Preeclampsia at Term Can Be Classified Into Two Clusters With Different Clinical Characteristics and Outcomes Based on Angiogenic Biomarkers in Maternal Blood","authors":"T. Chaiworapongsa, R. Romero, F. Gotsch, M. Suksai, D.M. Gallo, E. Jung, A. Krieger, P. Chaemsaithong, O. Erez, A. Tarca","doi":"10.1097/01.aoa.0001005408.54602.a3","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005408.54602.a3","url":null,"abstract":"(Am J Obstet Gynecol. 2023;228:569.e1–569.e24)\u0000 Pre-eclampsia, a complex and multisystemic disorder affecting a significant percentage of pregnancies worldwide, is a leading cause of preterm birth and maternal mortality. This condition is not uniform and can be classified into different subtypes based on gestational age and underlying pathophysiological mechanisms. Understanding these subtypes is crucial for predicting maternal and fetal outcomes and developing targeted therapeutic strategies.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"68 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140439962","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.0001005372.78994.cb
T. Inder, J. Volpe, P. Anderson
(N Engl J Med. 2023; 389:441–53) Approximately 15 million babies are born prematurely (before 37 wk gestation) each year, making prematurity the leading cause of neonatal deaths. Despite advancements in perinatal health care, preterm survivors still face a high risk of long-term issues, especially neurological and developmental disabilities. While severe cerebral palsy rates have decreased in the past 2 decades, cognitive impairment and social-emotional challenges among preterm children and young adults remain prevalent. Very preterm children (born <32 wk) typically exhibit lower intelligence quotient scores, with more significant deficits in those born before 26 weeks. The variability in outcomes reflects the extent of brain injury and dysmaturation, with earlier births carrying a risk that is more significant. New insights from advanced neuroimaging and developmental neuroscience emphasize that both brain injury and impaired brain development contribute to adverse neurodevelopmental outcomes. This review explores the major forms of brain injury, subsequent dysmaturation, mediating factors, and their impact on preterm infant neurodevelopment and aims to guide neonatal clinicians in implementing future neuroprotective strategies for better long-term outcomes.
{"title":"Defining the Neurologic Consequences of Preterm Birth","authors":"T. Inder, J. Volpe, P. Anderson","doi":"10.1097/01.aoa.0001005372.78994.cb","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005372.78994.cb","url":null,"abstract":"(N Engl J Med. 2023; 389:441–53)\u0000 Approximately 15 million babies are born prematurely (before 37 wk gestation) each year, making prematurity the leading cause of neonatal deaths. Despite advancements in perinatal health care, preterm survivors still face a high risk of long-term issues, especially neurological and developmental disabilities. While severe cerebral palsy rates have decreased in the past 2 decades, cognitive impairment and social-emotional challenges among preterm children and young adults remain prevalent. Very preterm children (born <32 wk) typically exhibit lower intelligence quotient scores, with more significant deficits in those born before 26 weeks. The variability in outcomes reflects the extent of brain injury and dysmaturation, with earlier births carrying a risk that is more significant. New insights from advanced neuroimaging and developmental neuroscience emphasize that both brain injury and impaired brain development contribute to adverse neurodevelopmental outcomes. This review explores the major forms of brain injury, subsequent dysmaturation, mediating factors, and their impact on preterm infant neurodevelopment and aims to guide neonatal clinicians in implementing future neuroprotective strategies for better long-term outcomes.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"28 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441244","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.0001005396.47592.ba
N. Simons, A. D. de Ruigh, J. van’t Hooft, C. Aarnoudse-Moens, M. van Wely, D. P. van der Ham, A. V. van Teeffelen, T. J. Roseboom, B. W. Mol, A. Leemhuis, E. Pajkrt
(Am J Obstet Gynecol. 2023;228:588.e1–588.e13) Managing late preterm prelabor rupture of membranes (PPROM) between 34+0 and 36+6 weeks’ gestation helps balance the advantages of extending the pregnancy with the risk of intra-amniotic infection. Two Dutch PPROM Expectant Management Versus Induction of Labor (PPROMEXIL) trials were conducted between 2007 and 2011. These randomized controlled studies analyzed induction of labor (IOL) compared to expectant management (EM) in pregnant women with late PPROM. While neonatal sepsis risks were similar between both groups, children at 2 years of age did show slightly higher neurodevelopmental delays with EM compared to IOL. Long-term data on child development beyond age 2 in children born after late PPROM are lacking. The aim of this PPROMEXIL follow-up study was to evaluate the effects of IOL versus EM on child outcomes.
{"title":"Childhood Outcomes After Induction of Labor or Expectant Management for Preterm Prelabor Rupture of Membranes: A 10-Year Follow-up of the PPROMEXIL Trials","authors":"N. Simons, A. D. de Ruigh, J. van’t Hooft, C. Aarnoudse-Moens, M. van Wely, D. P. van der Ham, A. V. van Teeffelen, T. J. Roseboom, B. W. Mol, A. Leemhuis, E. Pajkrt","doi":"10.1097/01.aoa.0001005396.47592.ba","DOIUrl":"https://doi.org/10.1097/01.aoa.0001005396.47592.ba","url":null,"abstract":"(Am J Obstet Gynecol. 2023;228:588.e1–588.e13)\u0000 Managing late preterm prelabor rupture of membranes (PPROM) between 34+0 and 36+6 weeks’ gestation helps balance the advantages of extending the pregnancy with the risk of intra-amniotic infection. Two Dutch PPROM Expectant Management Versus Induction of Labor (PPROMEXIL) trials were conducted between 2007 and 2011. These randomized controlled studies analyzed induction of labor (IOL) compared to expectant management (EM) in pregnant women with late PPROM. While neonatal sepsis risks were similar between both groups, children at 2 years of age did show slightly higher neurodevelopmental delays with EM compared to IOL. Long-term data on child development beyond age 2 in children born after late PPROM are lacking. The aim of this PPROMEXIL follow-up study was to evaluate the effects of IOL versus EM on child outcomes.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438502","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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