American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Mar 2020
Meta AnalysisThe impact of occupational activities during pregnancy on pregnancy outcomes: a systematic review and metaanalysis.
Data: An increasing number of studies suggest that exposure to physically demanding work during pregnancy could be associated with increased risks of adverse pregnancy outcomes, but the results remain conflicted and inconclusive. The purpose of this study was to examine the influence of occupational activities during pregnancy on maternal and fetal health outcomes. ⋯ Physically demanding work during pregnancy is associated with an increased risk of adverse pregnancy outcomes.
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Am. J. Obstet. Gynecol. · Mar 2020
The impact of maternal prepregnancy impaired fasting glucose on preterm birth and large for gestational age: a large population-based cohort study.
The impact of maternal prepregnancy impaired fasting glucose on preterm birth and large for gestational age has been poorly understood. ⋯ Our data suggest that maternal prepregnancy impaired fasting glucose increases the risk of preterm birth, large for gestational age, and severe large for gestational age. Data also suggest that the World Health Organization cut point of impaired fasting glucose is too restrictive, and lower levels of fasting glucose also increase the risk of large for gestational age and severe for severe gestational age in the Chinese population. Further investigation is warranted to determine whether and how counseling and interventions for women with prepregnancy impaired fasting glucose could reduce the risk of preterm birth and large for gestational age.
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Am. J. Obstet. Gynecol. · Mar 2020
Family planning training at Catholic and other religious hospitals: a national survey.
Catholic and other faith-based hospitals often restrict family planning service provision based on institutional doctrine. Approximately 11% of US accredited obstetrics and gynecology residency programs occur at such hospitals, creating a challenge to educational leaders who must ensure comprehensive family planning training. ⋯ Although Catholic and other restrictive, faith-based obstetrics and gynecology residency training programs have developed strategies in response to institutional restrictions, many report ongoing deficiencies, and almost one-half reported they were noncompliant with abortion training requirements. Programs with deficient trainings may benefit from strategic approaches, including enhanced onsite education and collaborations with off-site facilities.