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Inadequate intrapartum antibiotic prophylaxis for group B streptococci is common

Inadequate Antibiotic Prophylaxis for Group B Strep Is Common

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Four of five cases deemed unavoidable even with perfect protocol adherence
Three themes have been identified as communication challenges in neonatal encephalopathy and therapeutic hypothermia

Communication Challenges ID’d in Neonatal Encephalopathy

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Fragmented communication, complex information, and uncertain prognosis difficult for parents
Late preterm and early term birth rates decreased from 2006 to 2014 in the United States and some other high-income countries

Late Preterm, Early Term Birth Rates Down in the United States

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Association between early term birth rates, decreasing clinician-initiated obstetric interventions
Inducing labor won't raise a pregnant woman's risk of having a child with autism

Induced Labor Not Associated With Autism Risk

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Previously observed link could be due to maternal characteristics or socioeconomic, genetic factors
A new case of Zika virus infection associated with a very high Zika viral load has renewed attention to Zika transmission

ACOG Addresses Obstetrical Services and Zika Transmission

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New case of Zika linked to high viral load highlights importance of research into Zika transmission
Postpartum readmission rates rose from 2004 to 2011

Postpartum Readmission Within Six Weeks of Delivery on the Rise

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Readmission more likely among black, publically insured patients with comorbidities
Recommendations have been developed for the prevention and repair of obstetric lacerations during vaginal delivery. The new Practice Bulletin was published in the July issue of Obstetrics & Gynecology.

Recommendations Developed for Managing Obstetric Lacerations

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Application of warm compresses to perineum during pushing, reduction in episiotomy recommended
Late-term infants have better cognitive outcomes but may have impaired physical outcomes compared with full-term infants

Late-Term Gestation Linked to Improved Cognitive Outcomes

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Performance up on three measures of cognitive function, down on one measure of physical function
The synthetic prostaglandin E1 analogue misoprostol has known severe side effects and should be considered in cases of postpartum hyperthermia

Misoprostol Should Be Considered in Postpartum Hyperthermia

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Report of 21-year-old with severe hyperthermia, rigors, tachycardia, transient encephalopathy
Most Danish obstetricians and midwives report having been involved in a traumatic childbirth

Doctors, Midwives Struggle With Guilt After Traumatic Childbirth

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Overall, 36% to 49% of respondents report feelings of guilt; half prompted to think about meaning of life