American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Oct 2015
Serious maternal complications after early preterm delivery (24-33 weeks' gestation).
We sought to describe the prevalence of serious maternal complications following early preterm birth by gestational age (GA), delivery route, and type of cesarean incision. ⋯ The risk of maternal complications after early preterm delivery is substantial, particularly in women who undergo cesarean delivery. Obstetricians need to be prepared to manage potential hemorrhage, infection, and intensive care unit admission for early preterm births requiring cesarean delivery.
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Am. J. Obstet. Gynecol. · Oct 2015
Postpartum contraceptive use among women with a recent preterm birth.
The objective of the study was to evaluate the associations between postpartum contraception and having a recent preterm birth. ⋯ During contraceptive counseling with women who had recent preterm births, providers should address an optimal pregnancy interval and consider that women with recent extreme preterm birth, particularly those whose infants died, may not use contraception because they want to get pregnant.
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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.