Tag: obstetrics

1. Breastfeeding was recommended as a first-line neonatal analgesic for procedures done in non-tertiary care in Kenya. 2. When breastfeeding is unavailable, expressed breastmilk was recommended as a first-line analgesic, with oral sugar as a second-line analgesic. Evidence Rating Level: 1 (Excellent) Study Rundown: In low and middle income countries (LMICs), painful...

1. Approximately 41.4% of neonates born to COVID-19-positive women in Wuhan, China presented with radiological findings of pneumonia 2. Limited sample size and comparisons limit interpretations, but intrauterine or intrapartum transmission may be possible. Evidence Rating Level: 3 (Average) Coronavirus disease 2019 (COVID-19) has surged over the course of several months, with...

1. In a phase III clinical trial, women taking drospirenone-only pills were significantly less likely to have unscheduled bleeding compared to those taking desogestrel pills. 2. This improvement in bleeding profile seen with women taking drospirenone-only pills could improve both quality of life and compliance in those seeking an estrogen-free...

1. Among preterm infants, the delaying of cord clamping for 60 seconds was associated with an increased hematocrit when compared to clamping at 30 seconds. 2. The greatest absolute increase in hematocrit between the two groups was seen among infants born at less than 31 weeks. Evidence Level Rating: 2 (Good) Delayed...

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Intracranial Atherosclerosis on 7T MRI and Cognitive Functioning – the SMART-MR study 1. Among patients with vascular disease, high burden of atherosclerotic lesions in the posterior circulation as well as the posterior cerebral artery was associated with poorer memory and executive functioning. Evidence Rating Level: 2 (Good) The individual and societal burden...

1. A modestly lower carbohydrate diet neither increased ketonemia nor improved glycemic control in pregnant women Evidence Rating Level: 2 (Good) Although meta-analyses have shown significant improvements in HbA1c and greater weight loss with low-carbohydrate diets in the context of type 2 diabetes and obesity, there is a lack of consensus...

1. Women with migraines are at an increased risk of stroke during and after pregnancy compared to those without migraines. Evidence Rating Level: 2 (Good) Increased risk of maternal stroke is associated with migraines during the perinatal period, with the belief that hypertension and related disorders mediate this relationship. However,...

Migraines During Pregnancy and the Risk of Maternal Stroke 1. Women with migraines are at an increased risk of stroke during and after pregnancy compared to those without migraines. Evidence Rating Level: 2 (Good) Increased risk of maternal stroke is associated with migraines during the perinatal period, with the belief that...

1. Ability to stay on parents’ insurance plan through the Affordable Care Act (ACA) was associated with a modest reduction in preterm births, though there were no changes in cesarean delivery rates, low birth weight, or NICU admissions. 2. Women under 26 years old on ACA had increased private insurance...