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After childbirth

Delivery Mode Tied to Pelvic Floor Disorder Risk Post-Childbirth

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Larger genital hiatus tied to higher pelvic organ prolapse risk, regardless of delivery mode
Guidelines have been developed for use of opioids for uncomplicated spontaneous vaginal birth; the draft consensus guidelines were published online Dec. 4 in Obstetrics & Gynecology.

Guidelines Developed for Opioid Use in Vaginal Birth

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Guidelines include use of lowest effective dose, smallest quantity of opioids needed for expected pain
Both pregnancy losses and a history of at least five live births are associated with an increased risk for cardiovascular disease

Pregnancy Losses Linked to Risk for Cardiovascular Disease

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Women with five or more live births at increased risk for coronary heart disease, hospitalized MI
The increased risk for breast cancer that occurs after childbirth can last more than 20 years

Higher Risk for Breast Cancer After Childbirth May Last 20+ Years

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Risk peaks five years after childbirth but continues until 24 years postbirth
Higher staffing levels in maternity units reduce the rate of cesarean deliveries

Higher Staffing Linked to Lower C-Section Rates

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Findings based on staffing of obstetricians and midwives in France
Compared with physician models of care

Midwifery Care Cuts Poor Birth Outcomes Versus Physician Care

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Rates of preterm birth, low-birth weight lower among low-income women
During 2007 to 2017

Fertility Rates Down for Each Urbanization Level 2007 to 2017

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Fertility rates decreased from 2007 to 2017 with larger decreases in metro versus rural counties
Women of color have higher rates of severe birth-related health issues compared with non-Hispanic white women

Minority Women at Higher Risk for Severe Maternal Morbidity

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Higher risk for problems seen among black women, women with other health conditions
Global cesarean section rates are increasing

Global Rates of Cesarean Section on the Rise Since 2000

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Articles discuss effects of C-section on health of mothers and children, interventions to reduce use
For nulliparous women receiving neuraxial analgesia

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

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Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes