American Journal of Obstetrics & Gynecology Mfm最新文献

{"title":"Reply to the letter regarding \"systematic review on music interventions during pregnancy in favor of the well-being of mothers and eventually their offspring\".","authors":"Johanna Maul, Birgit Arabin","doi":"10.1016/j.ajogmf.2024.101588","DOIUrl":"10.1016/j.ajogmf.2024.101588","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101588"},"PeriodicalIF":3.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932878","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 editor regarding \"systematic review on music interventions during pregnancy in favor of the well-being of mothers and eventually their offspring\".","authors":"Qingyong Zheng, Yongjia Zhou, Jianguo Xu, Jinhui Tian","doi":"10.1016/j.ajogmf.2024.101587","DOIUrl":"10.1016/j.ajogmf.2024.101587","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":" ","pages":"101587"},"PeriodicalIF":3.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932835","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":"Evidence-based cesarean delivery: intraoperative management following placental delivery until skin closure (part 9)","authors":"Awathif Dhanya Mackeen MD, MPH ,&nbsp;Maranda V. Sullivan DO ,&nbsp;Vincenzo Berghella MD","doi":"10.1016/j.ajogmf.2024.101548","DOIUrl":"10.1016/j.ajogmf.2024.101548","url":null,"abstract":"<div><div>This expert review provides recommendations for the cesarean delivery technique after placental delivery to skin closure. After placental delivery sponge curettage may be omitted as it has not been shown to decrease the risk of retained products of conception. Uterine irrigation and mechanical cervical dilation cannot be recommended. Either intra-abdominal or extra-abdominal repair of the hysterotomy is acceptable, with some possible benefits, such as decreased postoperative pain and nausea/vomiting with intra-abdominal repair. There is insufficient evidence to recommend one uterine closure technique over the other with regards to suture type, continuous versus interrupted, locking or non-locking, and one versus two-layer closure. Double-layer uterine closure has been shown to be more beneficial with regards to residual myometrial thickness, and full thickness bites (including the endometrium) should be considered. Glove change by the surgical team is recommended after placental delivery and before closure of the abdominal wall. The following techniques are not recommended: intra-abdominal irrigation, use of adhesion prevention barriers, peritoneal closure, and rectus muscle reapproximation. Based on non–cesarean delivery evidence, fascial closure bites should be at least 5 × 5 mm, with monofilament suture for vertical incisions. As an adjunct to postoperative pain control, surgeons may consider wound infiltration with local anesthesia, either supra- or subfascial. Before closure, subcutaneous irrigation may be performed using saline solution, and routine use of subcutaneous drains is not recommended. Although closure of the subcutaneous layer can be considered in all patients, it should occur when the depth is ≥2 cm. A monofilament absorbable suture, such as poliglecaprone, should be used to close the cesarean skin incision. There is no level 1 evidence evaluating the potential benefit of additional skin adhesive or sterile strips after suture skin closure. If a dressing is preferred over the skin incision, the following approaches may be considered: a dialkylcarbamoyl chloride–impregnated dressing if available or a standard gauze dressing is appropriate. Prophylactic negative pressure wound therapy can be considered in patients with obesity. Vaginal seeding during cesarean delivery is not recommended.</div><div>El resumen está disponible en Español al final del artículo.</div></div>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101548"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639988","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":"‘Delivering insights through new perspectives, mentorship, and academic debate’ American Journal of Obstetrics & Gynecology MFM/ Volume 7, Issue 1 (2025) 101559","authors":"Emily S. Miller MD, MPH ,&nbsp;Suneet P. Chauhan MD ,&nbsp;Karin A. Fox MD, MEd ,&nbsp;Adam K. Lewkowitz MD, MPHS ,&nbsp;Tracy A. Manuck MD, MSCI ,&nbsp;Molly J. Stout MD, MS ,&nbsp;Terri-Ann Bennett MD ,&nbsp;Vincenzo Berghella MD","doi":"10.1016/j.ajogmf.2024.101559","DOIUrl":"10.1016/j.ajogmf.2024.101559","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101559"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928339","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":"The impact of obstetrics and gynecology journal podcasts on the dissemination of featured articles","authors":"Christina Maxey MD,&nbsp;John Hayden MD,&nbsp;Rebecca Schneyer MD,&nbsp;Kacey M. Hamilton MD,&nbsp;Gabriel Levin MD,&nbsp;Matthew T. Siedhoff MD,&nbsp;Kelly N. Wright MD,&nbsp;Raanan Meyer MD","doi":"10.1016/j.ajogmf.2024.101533","DOIUrl":"10.1016/j.ajogmf.2024.101533","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101533"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644065","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":"Does combining warm perineal compresses with perineal massage during the second stage of labor reduce perineal trauma? A randomized controlled trial","authors":"Raneen Abu Shqara MD ,&nbsp;Aya Binenbaum MD ,&nbsp;Sari Nahir Biderman MA ,&nbsp;Inshirah Sgayer MD ,&nbsp;Riva Keidar BA ,&nbsp;Nadir Ganim MD ,&nbsp;Lior Lowenstein MD ,&nbsp;Susana Mustafa Mikhail MD","doi":"10.1016/j.ajogmf.2024.101547","DOIUrl":"10.1016/j.ajogmf.2024.101547","url":null,"abstract":"<div><h3>Background</h3><div>Various interventions have been applied to reduce perineal trauma and obstetric anal sphincter injuries (OASIS). The efficacy of warm compresses during the second stage of labor for reducing the occurrence of perineal tears is controversial.</div></div><div><h3>Objective</h3><div>We aimed to compare rates of spontaneous perineal tears requiring suturing, between women who received warm compresses plus perineal massage vs perineal massage alone.</div></div><div><h3>Study design</h3><div>Women admitted to a single tertiary university-affiliated hospital between June 2023 and January 2024 were randomized to receive warm compresses and perineal massage (n=206) or perineal message only (n=206) during the second stage of labor. Excluded were women with a history of third-degree perineal tear, nut allergy, fetal death, Crohn's disease with perineal involvement, or delivery number &gt;5. Participant allocation was concealed until the second stage of labor. The allocated perineal management was implemented at the time of active fetal descent and when the participant felt the need to push. During active maternal pushing, gentle perineal massage with almond oil was performed in both study groups. In 1 group, warm compresses were applied between contractions, for a minimum of 10 minutes and a maximum of 30. The temperature of the warm compresses was kept in the range of 45°C to 59°C. The perineum was protected during delivery with a hands-on technique. After delivery, the perineum was assessed by an intervention-blinded senior midwife and rectal examination was performed for ruling out OASIS. The primary outcome was the rate of perineal tears requiring suturing. Secondary outcomes included the rates of OASIS and episiotomies. A sub-analysis according to parity and an intention-to-treat analysis were performed.</div></div><div><h3>Results</h3><div>Similar proportions of women treated and not treated with warm compresses had spontaneous perineal tears requiring suturing: 43.7% vs 45.1%, <em>P</em> value=.766. The groups did not differ in the proportions with first-degree tears, 22.8% vs 21.4%, <em>P</em> value=.722; second-degree tears, 21.4% vs 23.8%, <em>P</em> value=.566; and OASIS rates, 0.5% in each. In a sub-analysis according to parity, the proportion with perineal tears did not differ between the 2 groups.</div></div><div><h3>Conclusion</h3><div>For women treated during the second stage of labor with warm compresses and perineal massage, compared to perineal massage alone, the rate of spontaneous perineal tears requiring suturing was similar.</div><div>El resumen está disponible en Español al final del artículo.</div></div>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101547"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644087","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":"Evidence-based cesarean delivery: intraoperative management from skin incision until placental delivery (Part 8)","authors":"A. Dhanya Mackeen MD, MPH ,&nbsp;Maranda V. Sullivan DO ,&nbsp;Vincenzo Berghella MD","doi":"10.1016/j.ajogmf.2024.101576","DOIUrl":"10.1016/j.ajogmf.2024.101576","url":null,"abstract":"<div><div>The goal of standardizing the technique of the routine, uncomplicated cesarean delivery (CD) is to decrease maternal morbidity while optimizing neonatal outcomes. During the procedure, a family-oriented CD is recommended. The low transverse cesarean skin incision (created with either scalpel or diathermy) is preferred with either the Joel-Cohen or Pfannenstiel methods being acceptable. For patients with obesity (BMI <u>&gt;</u> 35kg/m²), surgeons may also elect either the Cohen (including supraumbilical) or Pfannenstiel (infraumbilical or infrapannus) technique as there are similar outcomes, however the Cohen approach has been associated with lower Apgar scores and decreased surgeon satisfaction related to the feasibility of the incision. Diathermy may be preferred for subcutaneous tissue opening as compared to sharp dissection. Though postoperative recovery outcomes may be improved with an extraperitoneal approach to CD, a transperitoneal technique is the current standard of care. The initial fascial incision is made sharply, further extension can be carried out either sharply or bluntly. Inferior dissection of the rectus muscle can be omitted and routine cutting of the muscles is not needed. If necessary, a Maylard modification is acceptable. Though based on limited data, blunt peritoneal entry and extension should be considered. With regards to uterine entry and delivery: bladder flap creation should be omitted, a low transverse hysterotomy is recommended with blunt cephalo-caudad expansion, and manual delivery of the fetal head should be performed. If the fetal head is impacted, then reverse breech extraction may be preferred for maternal benefit. Delayed cord clamping is recommended for at least 30 seconds and up to 120 seconds (recommended for preterm deliveries) with either routine or selected umbilical cord gas collection being considered. In areas where available, carbetocin is more effective in prevention of postpartum hemorrhage (PPH). Otherwise, the combination of oxytocin plus either misoprostol or methergine should be utilized. There is insufficient evidence regarding the effectiveness of uterine massage for PPH prevention. Spontaneous removal of the placenta with gentle cord traction is recommended.</div></div>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101576"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824646","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":"Substance use disorder and severe maternal morbidity: is there a differential impact?","authors":"Justine M. Keller MD ,&nbsp;Noor Al-Hammadi PhD, MBChB, MPH ,&nbsp;Sabel Bass MBChB, MPH ,&nbsp;Niraj R. Chavan MD, MPH, MSMS","doi":"10.1016/j.ajogmf.2024.101544","DOIUrl":"10.1016/j.ajogmf.2024.101544","url":null,"abstract":"<div><h3>Background</h3><div>Substance use disorder (SUD) is a disease characterized by behavior patterns of substance use leading to dysfunction in cognition, mood, and quality of life. The prevalence of perinatal SUD in the United States continues to rise and has adverse effects on the maternal-infant dyad. Mirroring the rise in SUD is an increasing prevalence of severe maternal morbidity (SMM). However, this relationship needs further examination.</div></div><div><h3>Objective(s)</h3><div>The primary objective of this study was to evaluate the association between perinatal SUD and SMM. We hypothesized that SUD would predict a significantly increased risk for SMM events, both as a composite and individually, in adjusted multivariable regression analyses.</div></div><div><h3>Study Design</h3><div>We conducted a cross-sectional analysis of inpatient pregnancy hospitalizations from the Healthcare Cost and Utilization Project National Inpatient Sample from 2016 to 2020. ICD-10 codes were used to identify patients with an SUD and/or a SMM event. SUD was defined as a composite. Our primary outcome was rate of SMM as defined by the Centers for Disease Control and Prevention. Multivariable logistic regression analyses were performed to predict the likelihood of SMM among pregnancy hospitalizations with and without SUD as well as to predict the likelihood of SMM for each individual type of SUD in a subgroup of hospitalizations with SUD and SMM.</div></div><div><h3>Results</h3><div>Of the 3672,932 inpatient pregnancy hospitalizations included in the analyses, 6.27% (230,110/3,672,932) had SUD diagnosis and 2.10% (77,021/3,672,932) had an SMM diagnosis. The prevalence of SMM was significantly higher among patients with SUD (7357/230,110%–3.20%) vs without SUD (69,664/3442,822–2.02%, <em>P</em>&lt;.0001). Patients with SUD were 1.5 times more likely to have a SMM event as compared to those without SUD (aOR 1.52; 95% CI 1.48–1.56). In subgroup analyses based on SUD type—the likelihood of SMM was strongest for stimulants (aOR 3.86; 95% CI 3.61–4.13) and sedatives (aOR 3.82; 95% CI 3.08–4.75). In subgroup analyses based on SMM event, SUD was a strong positive predictor for acute myocardial infarction (aOR 3.63; 95% CI 2.78–4.74) and aneurysm (aOR 6.28; 95% CI 2.77–14.21).</div></div><div><h3>Conclusion(s)</h3><div>Pregnant patients with SUD carry significantly increased risk of experiencing an SMM event. These events occur more readily in patients with certain patterns of SUD use—most notably sedatives and stimulants. Patients with SUD were most likely to experience a cardiovascular-related SMM event, thus informing care.</div></div>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101544"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591663","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":"A practical approach to diagnosing and managing long QT syndrome from pregnancy through postpartum","authors":"Antonio F. Saad MD, MBA ,&nbsp;Eunice Yang MD ,&nbsp;Andrew H. Nguyen DO ,&nbsp;Garima Sharma MD, MBBS, FACC ,&nbsp;Scott A. Sullivan MD ,&nbsp;George L. Maxwell MD ,&nbsp;Luis D. Pacheco MD ,&nbsp;George R. Saade MD","doi":"10.1016/j.ajogmf.2024.101577","DOIUrl":"10.1016/j.ajogmf.2024.101577","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101577"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824642","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":"Bridging personal and professional: the impact of birth trauma on a maternal-fetal medicine specialist's empathy and practice","authors":"Anna R. Whelan MD","doi":"10.1016/j.ajogmf.2024.101584","DOIUrl":"10.1016/j.ajogmf.2024.101584","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"7 1","pages":"Article 101584"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824643","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}