American journal of obstetrics and gynecology
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This study examined maternal and neonatal outcomes that are associated with pancreatitis in pregnancy, in particular preeclampsia. ⋯ We found that pancreatitis in pregnancy was associated with several adverse maternal outcomes; in particular, a strong association existed with preeclampsia, which has its own implications and complications surrounding pregnancy management. Pancreatitis in pregnancy was also associated with increased risk for preterm delivery but not neonatal or infant death, which is consistent with the literature.
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Am. J. Obstet. Gynecol. · Oct 2015
Variation in childbirth services in California: a cross-sectional survey of childbirth hospitals.
The objective of the study was to describe the resources and activities associated with childbirth services. ⋯ Childbirth services varied widely across California hospitals. Cognizance of this variation and linkage of these data to childbirth outcomes should assist in the identification of key resources and activities that optimize the hospital environment for pregnant women and set the groundwork for identifying criteria for the provision of maternal risk-appropriate care.
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Am. J. Obstet. Gynecol. · Oct 2015
Cross-sectional survey of California childbirth hospitals: implications for defining maternal levels of risk-appropriate care.
Measures of maternal mortality and severe maternal morbidity have risen in the United States, sparking national interest regarding hospitals' ability to provide maternal risk-appropriate care. We examined the extent to which hospitals could be classified by increasingly sophisticated maternal levels of care. ⋯ Childbirth services varied widely across California hospitals, and most hospitals did not fit easily into proposed levels. Cognizance of this existing variation is critical to determining the optimal configuration of services for basic, intermediate, and regional maternal levels of care.
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Am. J. Obstet. Gynecol. · Oct 2015
Cost-effectiveness of transvaginal ultrasound cervical length screening in singletons without a prior preterm birth: an update.
We sought to reevaluate the cost-effectiveness of universal transvaginal ultrasound (TVU) cervical length (CL) screening in singleton pregnancies without prior spontaneous preterm birth. ⋯ Despite the reduced incidence and efficacy used in this model, universal TVU CL continues to be cost-effective when compared to routine care in singletons without prior preterm birth.
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Am. J. Obstet. Gynecol. · Oct 2015
Trends in timing of prenatal diagnosis and abortion for fetal chromosomal abnormalities.
Our objective was to evaluate changes in the timing of prenatal diagnosis and abortion for chromosomal abnormalities over the past 10 years. ⋯ Since 2005, the gestational ages at prenatal diagnosis and abortion for Down syndrome have declined significantly. These changes are likely attributable to improvements in early screening that leads to higher rates of chorionic villus sampling.