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Delayed clamping of the umbilical cord benefits extremely premature newborns

Very Premature Infants Benefit From Later Cord Clamping

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Better blood pressure, less need for transfusions with delayed clamping
Polycystic ovary syndrome diagnosis is associated with increased risk of preterm delivery in twin pregnancies

PCOS Linked to Increased Risk of Preterm Delivery for Twins

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Risk particularly increased for spontaneous preterm delivery, very preterm birth
In low-risk pregnancies

Equally Safe Delivery for Low Risk by Family Doctors, Ob-Gyns

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But outcomes for high-risk are best at higher-volume, more specialized hospitals
Uterine artery pseudoaneurysm has been described after cesarean delivery and can result in life-threatening hemorrhage if untreated

Case Report of Uterine Artery Pseudoaneurysm After C-Section

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Should be considered for patients with postpartum hemorrhage, especially with significant bleeding
Certain patterns of vaginal microbiota are associated with higher risk of preterm delivery

Patterns of Vaginal Microbiota Linked to Preterm Delivery

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Findings have important implications for predicting premature labor, a major global health problem
Perinatal mortality and morbidity is significantly higher with planned vaginal breech delivery compared with planned cesarean delivery

Higher Mortality Tied to Planned Vaginal Breech Delivery

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Findings compared to planned cesarean delivery in large meta-analysis
Hospitals are increasingly employing laborists who are always at the hospital to handle births and obstetrical and gynecological emergencies

Increasing Trend Toward Use of ‘Laborists’ in Hospitals

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Trend increasing as hospitals seek to improve patient safety and more doctors want to be salaried
Cervical cerclage is a commonly performed obstetric procedure and its rate of use has remained steady in recent years

Cervical Cerclage Rates Remain Steady

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Multiple gestation, prior preterm birth are commonly associated with cerclage use
Episiotomy is associated with obstetric anal sphincter injuries during vacuum delivery

Questionable Benefit for Episiotomy in Vacuum Delivery

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Rate of obstetric anal sphincter injuries up in parous women with mediolateral, median episiotomy
The estimated facility cost for low-risk childbirths varies among hospitals by nearly $10

Facility Costs of Hospital Birth Vary by Nearly $10K Across U.S.

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Evaluation of hospital practices may offer opportunities for cost reduction