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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
Use of a clinical pathway-specific Maternal Early Warning Trigger tool can reduce maternal morbidity

Early Warning Trigger Tool Could Help Reduce Maternal Morbidity

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Use of tool cuts severe maternal morbidity and composite morbidity; no change in ICU admissions
Postpartum hemorrhage risk is significantly elevated with a third-stage labor duration of 20 minutes or more

Definition of Prolonged Third-Stage Labor May Be Outdated

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Significantly increased postpartum hemorrhage risk with third stage of labor duration of 20 min or more
More women in the United States are choosing to deliver their babies at home or in birth centers

More U.S. Women Opting for Out-of-Hospital Births

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Most tended to be low-risk pregnancies, and Pacific Northwest saw greatest increase