American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Oct 2017
Multicenter Study Comparative StudyNonmedically indicated induction in morbidly obese women is not associated with an increased risk of cesarean delivery.
The prevalence of morbid obesity (body mass index ≥40 kg/m2) in women aged 20-39 years was 7.5% in 2009 through 2010. Morbid obesity is associated with an increased risk of stillbirth compared with normal body mass index, especially >39 weeks' gestation. The data regarding increased risk of cesarean delivery associated with nonmedically indicated induction of labor compared to expectant management in morbidly obese women are limited. ⋯ In morbidly obese women without other comorbidity, nonmedically indicated induction was not associated with an increased risk of cesarean delivery.
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Am. J. Obstet. Gynecol. · Oct 2017
Multicenter StudyAssessing the potential impact of extending antenatal steroids to the late preterm period.
In 2016, guidance statements were issued by the Society for Maternal-Fetal Medicine and the American Congress of Obstetricians and Gynecologists about extending antenatal steroid use to selected late preterm singleton pregnancies. ⋯ Careful consideration of which pregnancies should receive late preterm antenatal steroids and how to identify these pregnancies is important to optimize benefits and mitigate potential risks of this intervention.