Category Archives: Birth

Physicians Weigh in on Study in The Lancet on Use of Antenatal Corticosteroids in Prevention of Pre-term Birth

The Society for Maternal-Fetal Medicine (organization representing physicians specializing in high-risk pregnancy) weighed in on the Antenatal Corticosteroids Trial that was published in yesterday’s issue of The Lancet. The study was designed to test whether a multifaceted intervention consisting of provider training, tools to identify women at increased risk for preterm birth, and corticosteroids given to the mother improves outcomes of the baby over usual care in these settings.

While giving corticosteroids to the mother in the U.S. has been shown to improve outcome of preterm babies, the Trial showed no benefit and maybe even some harm. SMFM has reviewed the evidence and concluded that the results of the Trial should not alter practice in the U.S. The Trial was specific to the health care settings involved in the study and would not be applicable to the settings in the U.S. There are several reasons why corticosteroids would be of benefit in the U.S. but not in low-resource settings. The technology and neonatal care available in the U.S. was not available to the Trial and would have likely changed the results. For example, women in the Trial did not have access to ultrasound, most delivered in a non-hospital setting, and neonatal intensive care was not available.

The Society for Maternal-Fetal Medicine commends the National Institute of Child Health and Development for supporting studies in low-resource settings and the investigators for completing such a complex study. It is important to evaluate treatments in the specific practice settings where they will be used rather than applying what has been proven beneficial in other settings. While this trial should inform practice and recommendations in similar settings to the ones included, it should not alter the management of women at risk for preterm birth in the US. Antenatal administering of corticosteroids to these women remains one of the most important measures to decrease neonatal mortality and morbidity in the U.S. Until further evidence becomes available from ongoing studies (e.g. Antenatal Late Preterm Steroid),
the use of antenatal corticosteroids should be limited to women at risk for preterm birth who are less than 34 weeks’ gestation.

To view The Lancet study, go to: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2961651-2/fulltext

Society for Maternal-Fetal Medicine Recognizes Need to Reduce America’s Infant Mortality Rate

WASHINGTON,  Sept. 10, 2014—In recognition of September as National Infant Mortality Awareness Month, the Society for Maternal-Fetal Medicine encourages its members, U.S. policymakers and citizens to recognize the need to reduce America’s infant mortality rate. Despite recent declines, the rates of infant mortality in the U.S. remain at the bottom of the list of developing countries.

 

One key factor that will improve SMFM’s goals of reducing infant mortality is to reduce preterm birth –the leading cause of infant morbidity and mortality. Preterm birth accounts for nearly 70 percent of infant deaths, and women in the U.S. suffer among the highest preterm birth rates in the world: one in nine babies born in the United States (11.5 percent) is delivered before 37 completed weeks of gestation.  While babies born before 32 weeks represent only 2 percent of all births, they result in half (54 percent) of infant deaths.  The rate of infant mortality for babies born very low birth weight (less than 1,500 grams) is 100 times higher than that for babies born weighing more than 2,500 grams.

 

Reducing infant mortality starts with preventing pregnancy complications that result in preterm birth, including preterm labor, preeclampsia, and placental dysfunction. SMFM  strongly believes that wider implementation of guidelines on the use of progesterone and cervical cerclage to reduce preterm birth as published in 2012 by SMFM, the American Congress of Obstetricians and Gynecologists  and American College of Nurse-Midwives would go a long way to reducing infant mortality rates in this country. Along those lines, SMFM, along with ACOG and ACNM sent a letter on August 13 to U.S. Department of Health and Human Services Secretary Sylvia Mathews Burwell regarding this very issue.

 

Other areas for improvement include wider use of low dose aspirin to prevent preeclampsia, strategies for smoking cessation, appropriate use of antibiotics to prevent neonatal Group B Strep sepsis, timely corticosteroid administration to accelerate fetal lung maturity, Doppler ultrasound for management of fetal growth restriction, and strategies to prolong pregnancy in women with preterm premature rupture of the membranes. Any initiative to decrease infant mortality by improving pregnancy outcomes should address racial and ethnic health disparities as well as improving pre-pregnancy health and access to prenatal and inter-pregnancy care. While these approaches should decrease infant mortality to some degree, reducing it further will require investment in more research in order to improve our understanding of the etiology, prevention, and management of these pregnancy complications.

 

As high-risk pregnancy doctors and caregivers to those most vulnerable women and their babies, SMFM members are in the unique position to deal with obstetrical conditions that, in aggregate, have the largest impact on infant mortality. Those include preterm birth, preeclampsia, congenital anomalies, perinatal infections and utero-placental insufficiency. SMFM is committed to ensuring that our nation’s mothers and babies are the healthiest they can be.

 

###

The Society for Maternal-Fetal Medicine (est. 1977) is the premiere membership organization for obstetricians/gynecologists who have additional formal education and training in maternal-fetal medicine.  The society is devoted to reducing high-risk pregnancy complications by sharing expertise through continuing education to its 2,000 members on the latest pregnancy assessment and treatment methods. It also serves as an advocate for improving public policy, and expanding research funding and opportunities for maternal-fetal medicine. The group hosts an annual meeting in which groundbreaking new ideas and research in the area of maternal-fetal medicine are shared and discussed.  For more information visit www.smfm.org.

Study Suggests That Genetic Predisposition to Brain Injury After Preterm Birth is Sex-Specific

In a study to be presented on February 14 between 1:15 p.m., and 3:30 p.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report that variation in a gene involved in inflammation is associated with developmental problems after preterm birth in females, but not males.

Largest Population Based Study Finds Better Outcome for Frozen Embryo Replacement vs. IVF

In a study to be presented on February 14 between 1:15 p.m., and 3:30 p.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, California, researchers will present findings showing perinatal outcomes of frozen/thawed embryo replacement (FER) have better outcomes compared to fresh in vitro fertilization (IVF), but worse outcomes compared to the non-IVF general population.

Study Suggests Around-the-Clock Labor Coverage is Associated with a Higher Likelihood of Trial of Labor for Women who Previously had Cesarean Delivery

In a study to be presented on February 16 between 8 a.m., and 10 a.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report findings that suggest around-the-clock labor and delivery coverage decreased the odds of cesarean delivery.

Study Finds That Planned C-Sections Provide No Advantage Over Planned Vaginal Birth of Twins

In a study to be presented on February 14 between 8 a.m., and 10 a.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report findings that suggest that planned birthing of twins at 32-38 weeks by cesarean section does not decrease perinatal or neonatal death compared to planned vaginal birth.

MOD Award Abstract: Study Shows Progesterone Shots Do Not Reduce Preterm Delivery in Twin Pregnancies

In a study to be presented on February 14 between 8 a.m. and 10 a.m. PST, at the Society for Maternal-Fetal Medicine’s 33rd annual meeting, The Pregnancy Meeting ™, researchers will report findings that suggest that 17P, a form of progesterone, is not effective in preventing preterm birth among women with twin pregnancies — and may possibly be harmful.

Differences in Obstetric Outcomes and Care Related to Race and Ethnicity

In a study to be presented on February 14 between 1:15 p.m., and 3:30 p.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, California, researchers will present data showing racial and ethnic disparities exist for adverse obstetric outcomes.

Study Suggests Tightening up of Criteria For Definition Of Intrauterine Growth Restriction

In a study to be presented on February 14 between 1:15 p.m., and 3:30 p.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report that the practice of using an arbitrary Estimated Fetal Weight (EFW) less than the 10th centile may not be an efficient practice for defining true Intrauterine Growth Restriction (IUGR).

Study Shows New Model of “Laborist” Obstetrical Care Improves Pregnancy Outcomes

In a study to be presented on February 16 between 8 a.m., and 10 a.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report findings that suggest shifting from a traditional model of obstetrical care to a laborist model improves pregnancy outcomes.

Policy Changes in Elective Delivery Proven Successful

In a study to be presented on February 14 between 1:15 p.m., and 3:30 p.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, California, researchers will present data showing changes in elective delivery policy have been successful in reducing elective deliveries prior to 39 weeks.

Study Confirms Recurrence of Small-for-Gestational-Age Pregnancies

In a study to be presented on February 16 between 8 a.m., and 10 a.m. PST, at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in San Francisco, researchers will report findings that suggest women whose babies are small-for-gestational-age (SGA) in their first pregnancy have a strongly increased risk for SGA in a second pregnancy.

Society for Maternal Fetal Medicine Recognizes Medical Advancements on World Prematurity Day

Improved screening and effective treatments for prevention of preterm birth are saving infants

In the last five years, multiple medical advancements have led to a decline in the nation’s premature birthrate. On Nov. 17, the Society for Maternal-Fetal Medicine (SMFM) will celebrate World Prematurity Awareness Day to raise global awareness of the problems with premature birth

Study Finds Massively Parallel Sequencing Can Detect Fetal Aneuploidies, Including Down Syndrome

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Finds Massively Parallel Sequencing Can Detect Fetal Aneuploidies, Including Down Syndrome

In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that massively parallel sequencing can be used to diagnose fetal aneuploidies, including Down syndrome, Edwards syndrome, Patau syndrome and Turner syndrome.

Study Weighs Risks and Benefits of Birthing Facilities

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Weighs Risks and Benefits of Birthing Facilities

In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that the risk of obstetric intervention is lower for women who deliver or intend to deliver outside of hospitals, but there are some higher risks for newborns intended for home births compared to hospital births.

Study Finds Preterm Labor Diagnostic Markers Not Universal, Diagnosis and Interventions Should Not Be Generalized

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Finds Preterm Labor Diagnostic Markers Not Universal, Diagnosis and Interventions Should Not Be Generalized

In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that preterm birth interventions should be tailored for underlying risk factors and pathways.

Study Finds in Women with Prior Cesarean, Optimal Gestational Age for Elective Delivery is Week 39

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Finds in Women with Prior Cesarean, Optimal Gestational Age for Elective Delivery is Week 39

In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that indicate that for women with prior delivery via cesarean section the optimal timing of elective delivery for mother and baby is 39 weeks even after consideration of the risk with continuing pregnancy.

2012 March of Dimes Award Abstract: New research shows that C-Section not always best for babies

NEW RESEARCH SHOWS C-SECTION NOT ALWAYS BEST FOR BABIES

Findings Challenge Conventional Wisdom

The widely-held assumption that a cesarean delivery has no health risks for the baby is being challenged today by new research that found the procedure did not help some preterm babies who were small for gestational age, and may even have contributed to their breathing problems.

Study Finds Pregnant Women with Prior Cesarean Choose the Delivery Method Preferred by Their Doctor

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Finds Pregnant Women with Prior Cesarean Choose the Delivery Method Preferred by Their Doctor

 In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that women who have undergone one prior delivery via cesarean section appear to know little about the risks and benefits associated with undergoing either a second cesarean or trial of labor to attempt a vaginal delivery, and that the preference of their medical provider strongly affects their selection between the two options.

Study Finds In Utero Surgery Preferable to Surgery After Birth for Children with Spina Bifida

Full abstract at the bottom of the page. Click Here to view all 2012 abstracts.

Study Finds In Utero Surgery Preferable to Surgery After Birth for Children with Spina Bifida

In a study to be presented today at the Society for Maternal-Fetal Medicine’s annual meeting, The Pregnancy Meeting ™, in Dallas, Texas, researchers will report findings that show that, for children with spina bifida, surgery conducted while the fetus is still in utero as opposed to surgery on a newborn is more cost effective due to the costs associated with caring for a child with significant deficits.

Powered by WordPress | Designed by: seo service | Thanks to seo company, web designers and internet marketing company