obstetrics

Interactive tools may help patients make informed decisions about prenatal testsA computerized decision-support guide may help women make more informed choices about prenatal testing, according to results of a randomized trial published in JAMA. The findings, which require validation in other populations, suggest that, were women better educated about the technology, fewer prenatal tests would be done.
Multicountry study identifies ideal standards for fetal growthUsing ultrasound data from more than 4000 pregnancies in women in 8 countries, researchers have identified ideal standards of fetal growth and development.
Group intervention in obese women can curb pregnancy weight gainA behavioral program that includes group meetings can help reduce pregnancy weight gain in obese women and the prevalence of large-for-gestational-age (LGA) infants, according to the results of a study supported by the National Institute of Child Health and Human Development. The findings, from a randomized clinical trial (RCT), were published in Obesity.
USPSTF updates guidelines preeclampsia prophylaxisThe US Preventive Services Task Force (USPSTF) has issued a new report supporting prophylaxis with low-dose aspirin (81 mg/d) after 12 weeks’ gestation in women at high risk of preeclampsia.
The intangibles of medical training: No benchmark establishedIn this era of highly regulated medical training, most residency and fellowship programs establish rigorous educational objectives and procedural curricula for their trainees. Guided by the expectations set by ACOG and ABOG, Ob/Gyn training programs rely upon structured didactic sessions and guided reading recommendations to keep their residents in compliance with these benchmarks.
Noninvasive prenatal testing: A new standard of care?This first installment in a 2-part series summarizes the abilities of 4 commercially available technologies for noninvasive prenatal testing.
Rate of labor inductions on the declineA recent report from the Centers for Disease Control and Prevention shows that the number of induced deliveries is on the decline after almost 20 years of increases. The data are taken from the Natality Data File from the National Vital Statistics System and represent births in singleton deliveries, which are the majority of newborns.
SMFM Consult: Activity Restriction in PregnancyDespite its widespread use, activity restriction or bed rest during pregnancy is not supported by available data.
Neonatal brachial plexus palsy: Is prevention possible?A thorough ACOG task force report confirms that NBPP is difficult to predict and prevent.
Undiagnosed maternal infection—or prematurity?A case hinges on the causes of a child's developmental delays.