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Women undergoing vaginal birth after cesarean are more likely to have adverse maternal birth-related complications and perinatal outcomes

Adverse Outcomes Up for Vaginal Birth After Previous C-Section

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However, women with planned VBAC more likely to breastfeed at birth, discharge, and six to eight weeks
The presence of presumed postdural puncture headache after neuraxial anesthesia (epidural or spinal) in childbirth is associated with an increased risk for being diagnosed with an intracranial subdural hematoma

Headache From Epidural for Labor May Up Subdural Hematoma Risk

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Presumed postdural puncture headache tied to greater risk for intracranial subdural hematoma
The enhanced recovery after surgery program

Cesarean Section Quality Initiative Cuts Opioid Use

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Preoperative and postoperative process changes lead to faster recovery without increased pain
Blood transfusions received postpartum are associated with an increased risk for transfusion reactions

Transfusion Reactions Up With Postpartum Blood Transfusion

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Preeclampsia the single most important risk factor for transfusion reactions in this patient population
Since 2008

Opioid Prescribing, New Persistent Use Down After Childbirth

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Strongest modifiable factor linked to new persistent use after delivery was filling Rx before delivery
With cesarean deliveries

Tissue Adhesive, Sterile Strips Similar After Cesarean Section

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No difference seen between groups in risk for wound complications after closure of Pfannenstiel incision
From 2000 to 2015

Rates of Depression Up in U.S. Women at Hospital to Give Birth

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U.S. rate of depressive disorders recorded during delivery hospitalization increased from 2000 to 2015
Overall

Medicaid Expansion Cuts Racial Disparities in Preterm Births

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Overall rates of low birth weight unchanged, but reduction seen in disparities for black infants
A single dose of a prophylactic antibiotic is beneficial after operative vaginal birth and reduces the risk for confirmed or suspected maternal infection

Prophylactic Antibiotic Cuts Infection Risk After Operative Vaginal Birth

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Benefits seen following operative vaginal birth at 36 weeks of gestation or later

American College of Obstetricians and Gynecologists, May 3-6

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The 67th Annual Clinical Meeting of the American College of Obstetricians and Gynecologists The annual meeting of the American College of Obstetricians and...