Tag: obstetrics

1. Greater distanced travelled for abortion services were associated with reduced abortion rates. 2. There is an unmet need for abortion care services across the US with higher distance travelled presenting an important barrier to access.  Evidence Rating Level: 2 (Good) 25% of women in the United States will have an abortion...
1. There was no significant difference with regard to diagnosis and treatment of pre-eclampsia, fetal growth restriction, and gestational diabetes between the telehealth integrated care and conventional models. 2. A significant reduction in the incidence of pre-term births among women in high-risk pregnancies was seen (-0.68% change per week). Evidence Rating...
1. More Indigenous mothers travelled 200km or more to give birth compared to non-Indigenous mothers based on proximity to birthing care. 2. Indigenous pregnant people are disproportionately affected by healthcare inequities due to disparities in geographic access.  Evidence Rating Level: 3 (Average) Study Rundown: Previous studies have demonstrated the importance of...
1. Using a restrictive fluid resuscitation strategy for early to mild post-partum hemorrhage yielded similar hemodynamic outcomes as a liberal fluid resuscitation strategy. Evidence Rating Level: 1 (Excellent) Postpartum hemorrhage (PPH) is a leading cause of maternal death internationally. Currently, the PPH guidelines set by the Royal College of Obstetricians and...
Relation of severe COVID-19 in Scotland to transmission-related factors and risk conditions eligible for shielding support: REACT-SCOT case-control study 1. Very high risk individuals that qualified for shielding interventions from COVID-19 were still at elevated risk for developing a severe infection. 2. Recent hospital exposures were the greatest risk factor for...
1. Caregivers reported good health related quality of life of New Zealand children despite their shorter gestational periods 2. Neurodevelopmental impairment and socio-economic deprivation were found to be associated with lower health related quality of life (HRQoL).  Evidence Rating Level: 2 (Good)  Children born with shorter gestational periods have been found to...
Evidence Rating Level: 1 (Excellent)  1. There were no language ability differences among 2-year-old children of women taking epileptic medication during pregnancy compared to children of healthy women not taking medication.  2. Anti-seizure medications taken in the third trimester of pregnancy had insignificant teratogenic effects on the developing fetal brain and...
Postpartum mental illness during the COVID-19 pandemic: a population-based, repeated cross-sectional study 1. Clinical visits for postpartum mental health illness increased in the first 9 months of the COVID-19 pandemic comparatively to pre-pandemic rates, peaking between 0 and 90 days after birth.  2. In Ontario, Canada, postpartum people living in low...
1. Cognitive behavioral therapy (CBT)-based counseling significantly improved perceived stress, anxiety, and quality of life among women with primary infertility. 2. Measures of depression suggested minimal effects of CBT-based counseling on these symptoms, based on this sample. Evidence Rating Level: 1 (Excellent) It is estimated that infertility impacts 11 to 51 million...
1. Among obese and overweight pregnant women, risk of early childhood obesity was not reduced by maternal dietary and lifestyle interventions during pregnancy. Evidence Rating Level: 3 (Average) It is well-known that maternal obesity increases the risk of childhood obesity and that dietary interventions during pregnancy can reduce gestational weight gain....