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A liposomal bupivacaine incisional block at the time of cesarean delivery does not improve pain scores in the first 48 hours postoperatively

Liposomal Bupivacaine Block No Aid for Cesarean Pain

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Pain scores, opioid use in the first 48 hours post-surgery were similar compared to placebo
Opioid use disorder rates at delivery more than quadrupled nationally from 1999 to 2014

CDC: Rates of Opioid Use Disorder Seen at Time of Delivery Up

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Rate of opioid use disorder at time of delivery quadrupled from 1999 to 2014
Inducing labor at 39 weeks may decrease the risk of cesarean section

Inducing Labor at Term Appears to Reduce Cesarean Risk

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Elective induction at 39 weeks also linked to lower risk of maternal high blood pressure disorders
For women after vaginal birth

For Postpartum Hemorrhage, Carbetocin Similar to Oxytocin

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Heat-stable carbetocin non-inferior for preventing blood loss of ≥500 ml, use of other uterotonic agents
Women in New Zealand who experienced severe maternal morbidity often do not receive information

Follow-up Lacking for Women With Severe Maternal Morbidity

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In New Zealand, large proportion did not receive event debrief, referral to social support or specialist
Recommendations for managing postpartum pain have been developed and published in a Committee Opinion online May 17 in Obstetrics & Gynecology.

Recommendations Developed for Managing Postpartum Pain

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Impact of medications on mother-infant dyad should be considered, as many women breastfeed
Birth characteristics largely explain the higher child mortality in England versus Sweden

Birth Factors Mostly Explain England’s Child Mortality Rate

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Socioeconomic conditions also contribute to the excess child mortality in England versus Sweden
The rates of severe maternal and neonatal morbidity and mortality are elevated with attempted vaginal delivery after single prior cesarean delivery

Adverse Outcomes Up for Vaginal Birth After Previous C-Section

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Temporal worsening for link between vaginal birth after C-section, serious neonatal morbidity, mortality
Postpartum care should become an ongoing process rather than a single visit in order to optimize the health of women and infants

ACOG Committee Recommends Better, Ongoing Postpartum Care

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Provider contact within three weeks, comprehensive follow-up by 12 weeks rather than single visit
About half of pregnant women with HIV infection underwent cesarean delivery between 1998 and 2013

About Half of Pregnant Women With HIV Have C-Sections

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Increase in cesarean delivery among HIV-infected pregnant women from 1998 to 2013