Onsite Contraceptive Services Curb Unintended Pregnancies in Women With Opioid Use Disorder

NEW YORK (Reuters Health) – For women with opioid use disorder (OUD) at risk for unintended pregnancy, onsite contraceptive services are likely more effective than usual care, but adding incentives to such services is the most cost-effective and beneficial intervention, researchers say. “Clinicians should be aware that many women with OUD are interested in more effective contraceptive methods, including long-acting […]

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Wrong Patient Orders Twice as Likely in OB Units as Med-Surg

Clinicians in obstetric units place nearly twice as many wrong-patient orders as their medical-surgical counterparts, based on a retrospective look at more than 1.3 million orders. These findings suggest that obstetric patients are at particular risk for this type of medical error, and that steps are needed to address obstetric clinical culture, work flow, and electronic medical record interfaces, reported […]

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Intersection of Trauma, Race in Pregnancy Calls for More Study

Black patients experienced more moderate to severe violent trauma during pregnancy than did non-Black patients at a single Baltimore institution, according to a small retrospective cohort study presented in a poster at the 2021 virtual meeting of the American College of Obstetricians and Gynecologists. “Trauma is the leading nonobstetric cause of death in pregnant women,” and Black communities are at […]

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No Link Found Between Epidural Use and Autism

Exposure to epidural analgesia during labor did not show a link to a later diagnosis of autism spectrum disorder (ASD) in a population-based cohort study published April 19 in JAMA Pediatrics. Though the initial analysis showed an association, adjustment for a wide range of demographic, medical, and birth factors eliminated the link. The authors note that their findings contrast with […]

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Ohio Can Enforce Ban on Down Syndrome Abortions: US Appeals Court

(Reuters) – A federal appeals court ruled on Tuesday that Ohio can enforce a 2017 law banning abortions when medical tests show that a fetus has Down syndrome. In a 9-7 decision, the 6th U.S. Circuit Court of Appeals in Cincinnati said the law did not create a substantial obstacle to obtaining abortions, was reasonably related to Ohio’s legitimate interests, […]

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Bedtime Soon After Meals Raises Reflux Risk in Pregnancy

A shorter period between eating and going to sleep increased the risk of GERD during pregnancy by approximately 12%, according to data from 400 women. Gastroesophageal reflux disease (GERD) is a common condition in pregnancy because of changes in gastrointestinal motility caused by hormonal changes, and a short meal-to-bed time (MTBT) also has been associated with increased GERD symptoms, but […]

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COVID-19 in pregnancy associated with adverse outcomes for mother and baby

Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in pregnancy is associated with preeclampsia, stillbirth, preterm birth and other adverse outcomes, found new research published in CMAJ (Canadian Medical Association Journal) . “Our findings suggest that pregnant people with COVID-19 have an increased risk of high blood pressure, stillbirth and preterm birth. Their newborns are more likely to need […]

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