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Almost one in four stillbirths are potentially preventable

Almost One in Four Stillbirths Potentially Preventable

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Placental insufficiency was cause of most cases of potentially preventable stillbirth
The incidence of obstetric anal sphincter injury is 4.9 percent

Overall Incidence of Obstetric Anal Sphincter Injury 4.9 Percent

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Risk factors include vacuum-assisted vaginal delivery, prolonged second stage of labor
There is urban and rural variation in fertility-related behavior among U.S. women

Urban, Rural Variation in Fertility-Related Behaviors for U.S. Women

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Younger average age at first intercourse in rural areas; more women in rural areas had ≥1 birth
For women undergoing vaginal delivery

Intrauterine Balloon Tamponade May Cut Invasive Procedures

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Associated with lower use of procedures for hemorrhage control in vaginal delivery
The use of a transcervical Foley catheter plus oxytocin does not shorten the time to delivery in women with prelabor rupture of membranes compared with oxytocin alone

Foley Catheter Plus Oxytocin Does Not Speed Delivery

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However, combination is associated with increased risk of clinical chorioamnionitis versus oxytocin alone
Between 2005 and 2014

Chronic Conditions Increasing Among Childbearing Women

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Identification of at least one chronic condition rose from 66.9 to 91.8 per 1,000 delivery hospitalizations
The addition of azithromycin to cephalosporin for cesarean delivery infection prophylaxis is cost-effective and leads to better maternal outcomes

Drug Combination Cost-Effective for Cesarean Prophylaxis

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Improved maternal outcomes when azithromycin is added to cephalosporin for infection prophylaxis
The American Academy of Pediatrics has released new information to guide pediatricians

AAP Releases Policy Statement on Cord Blood Banking

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Public cord blood banking recommended; physicians should be able to explain benefits and limitations
Recommendations have been developed for trial of labor after cesarean delivery for women who wish to achieve a vaginal birth after cesarean delivery

Recommendations Developed for Trial of Labor After C-Section

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Most women with one previous cesarean with low-transverse incision are candidates for TOLAC
For nulliparous women at term with a singleton cephalic presentation receiving epidural analgesia

More Vaginal Births With Lying Down in Second Stage of Labor

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For nulliparous women with epidural analgesia, fewer spontaneous vaginal births in upright position