Semiautonomous Treatment Algorithm for the Management of Severe Hypertension in Pregnancy.

Objective: To evaluate whether implementation of a semiautonomous treatment algorithm was associated with improved compliance with American College of Obstetricians and Gynecologists guidelines for rapid administration of antihypertensive therapy in the setting of sustained severe hypertension.

Methods: This was a single-center retrospective cohort study of admitted pregnant and postpartum patients treated for severe hypertension between January 2017 and March 2020. The semiautonomous treatment algorithm, which included vital sign monitoring, blood pressure thresholds for diagnosis of severe hypertension, and automated order sets for recommended first-line antihypertensive therapy were implemented between May 2018 and March 2019.

Adverse neonatal outcomes associated with pregestational diabetes mellitus in infants born preterm.

Background: Pregestational diabetes mellitus is associated with a higher risk of adverse pregnancy outcomes. Based on the available data, it is unclear whether infants born preterm to mothers with pregestational diabetes mellitus are at a higher risk of adverse outcomes than other preterm infants.

Objective: This study aimed to quantify the neonatal complications associated with pregestational diabetes mellitus in infants born preterm.

Outcomes of labor induction at 39 weeks in pregnancies with a prior cesarean delivery.

Background: The optimal timing of induction for those undergoing a trial of labor after cesarean section has not been established. The little data which supports the consideration of induction at 39 weeks gestation excludes those with a history of prior cesarean section.

Objective: To determine the risks and benefits of elective induction of labor (IOL) at 39 weeks compared with expectant management (EM) until 42 weeks in pregnancies complicated by one previous cesarean delivery.

Laparoscopic scissors: a subjective and objective comparison of three brands.

Background And Purpose: During laparoscopic surgery, scissors are used to cut a variety of tissue, including fibrotic or calcified tissue, sutures, and occasionally tissue containing staples. Disposable scissors may become dull and ineffective. The purpose of this study is to compare the durability and ergonomics of three different brands of laparoscopic scissors.