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The Impact of Pregestational Diabetes on Maternal Morbidity and Mortality: Trends, Challenges, and Future Directions.
Am J Perinatol
December 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Inova Fairfax Medical Campus, Falls Church, Virginia.
Article Synopsis
- * Pregestational diabetes affects 1-2% of pregnancies and is associated with higher risks of severe complications, contributing to 17% of the increase in maternal mortality from 1997 to 2012.
- * There are significant disparities in pregnancy outcomes, particularly affecting non-Hispanic Black women, who are 2.5 times more likely to experience maternal mortality, highlighting the need for targeted research and interventions to improve care and reduce risks.
Higher pregestational systolic blood pressure negatively affects live birth rate in normotensive patients undergoing in vitro fertilization/intracytoplasmic sperm injection conceptions.
Fertil Steril
October 2024
Obstetric Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, University of Bologna, Bologna, Italy.
When Are Pregnant Patients Receiving Tranexamic Acid during Delivery Hospitalization in the United States?
Am J Perinatol
July 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
Objective: The World Health Organization recommends tranexamic acid (TXA) in the management of postpartum hemorrhage (PPH). However, the role of TXA in PPH prevention and the optimal timing of TXA administration remain unknown. Our objective was to describe the timing of TXA administration, differences in timing of TXA administration by mode of delivery, and current trends in TXA administration in the United States.
View Article and Find Full Text PDFTrends in gestational diabetes in Iceland before and after guideline changes in 2012: a nationwide study from 1997 to 2020.
Eur J Public Health
August 2024
Centre of Public Health Sciences, School of Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Article Synopsis
- * Between 1997-2000, GDM prevalence was 0.6%, which skyrocketed to 16.2% by 2017-2020, demonstrating a 380% increase after 2012, particularly among women under 25 years (473% increase).
- * The risk of GDM was highest in women over 34 years (with a prevalence ratio of 19.46 in 2017-2020) and consistently increased across all age groups,
Perinatal mortality among pregnant undocumented migrants in Norway 1999-2020: A register-based population study.
Soc Sci Med
July 2024
Department of Public Health Science, Institute of Health and Society, University of Oslo, Norway.
Background: Irregular legal status is a recognized health risk factor in the context of migration. However, undocumented migrants are rarely included in health surveys and register studies. Adverse perinatal outcomes are especially important because they have long-term consequences and societal risk factors are modifiable.
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