For Contemporary OB/GYN, Dr Bobby Lazzara looks at the question of whether reducing term births before 39 weeks' gestation leads to a significant increase in the rate of stillbirths and how it may impact practice.
Prior to the 1980s, because labor after a previous cesarean delivery was believed to be dangerous, many obstetricians recommended repeat cesareans for all subsequent births to women with a previous such delivery. Since then, TOLAC has been advocated as a reasonable alternative for women with a previous cesarean delivery via a low transverse uterine incision.
The CDC offers new guidance on Zika virus and the labor and delivery unit. Plus: How are out-of-hospital trends moving? Also, a look at whether or not planned cesareans mean poorer outcomes for children.
A new study wonders if allowing a longer labor could help reduce rates of cesarean delivery. Plus: Does placing a cervical pessary prevent preterm birth? Also, a look at why teenaged LARC users aren't using condoms for STI prevention.
The American Academy of Pediatrics has issued a policy statement updating guidelines for releasing healthy term newborns from the hospital. The new guidelines aim to ensure that both baby and mother are ready to go home based on their unique situation.