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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Definition of Prolonged Third-Stage Labor May Be Outdated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
Elective early-term deliveries may not be associated with increased risk of adverse neonatal outcomes

Early-Term Delivery May Not Up Adverse Neonatal Outcomes

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Those delivered after elective induction at 37 to 38 weeks don't have increased sepsis, NICU admission
For older women

Induction of Labor Seems Safe for Women of Advanced Maternal Age

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No increase in rate of C-section, adverse maternal or neonatal outcomes with induction at 39 weeks
The increasingly common practice of "vaginal seeding" in infants born by cesarean section is not without risks

No Evidence for Benefits of ‘Vaginal Seeding’

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Practice is increasingly common, but no evidence of benefit, or indication that procedure is safe
For women undergoing cesarean delivery

SMFM: Chlorhexidine-Alcohol Best for Pre-Op Skin Antisepsis

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Superior to iodine-alcohol for the prevention of surgical-site infection after cesarean delivery
For women at risk for late preterm delivery

SMFM: Betamethasone Shows Benefit in Late Preterm Cases

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Significantly reduced rate of neonatal respiratory complications seen
Exposure to maternal vaginal fluids at birth can partially restore vaginal microbiomes for cesarean section-born infants

Partial Restoration of Microbiomes for C-Section Infants

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Exposure to vaginal fluid at birth partially restores microbiota during first 30 days of life
Few cases of severe brain damage in newborns are due to errors made during delivery

Errors During Delivery Rarely Cause Newborn Brain Damage

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Findings suggest closer scrutiny needed during the two hours following birth