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Writing an effective work restriction note is important for protecting pregnant women's jobs

Work Restriction Notes Should Be Carefully Written

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Case vignette illustrates consequences of poorly written note for pregnant patient
Unique presentation of herpes simplex virus infection in pregnancy can be misdiagnosed as premature rupture of membranes

Herpes Simplex Virus Can Mimic Premature Rupture of Membranes

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Case vignette describes woman with leakage of clear fluid, despite normal amniotic fluid volume
New research provides more evidence of a possible link between selective serotonin reuptake inhibitor antidepressant use early in pregnancy and a small increased risk of birth defects. The study appears online July 8 in The BMJ.

Another Study Shows Link Between SSRIs and Birth Defects

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But finding doesn't prove medications caused increased risk of birth defects
Maternal hyperglycemia seems not to be a risk factor for obesity in offspring aged 5 to 7 years after adjustment for maternal body mass index

Maternal Hyperglycemia Not Linked to Obesity in Offspring

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Higher maternal fasting plasma glucose not linked to obesity after adjustment for maternal BMI
Prenatal exposure to H2 blockers or proton pump inhibitors is associated with a small but significantly increased risk of asthma in offspring

Prenatal Exposure to H2 Blockers, PPIs Ups Asthma Risk

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Small but significantly increased risk of asthma in offspring; higher risk with greater exposure
When systemic lupus erythematosus is under control

Pregnancy Outcomes Good for Women With Controlled SLE

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Blacks, Hispanics face greater odds of complications; reasons why are unclear
Doctors should discourage women from using marijuana during pregnancy and breastfeeding

ACOG: Doctors Should Urge Against Prenatal Marijuana Use

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Recommendation notes evidence has shown it can affect infant brain development
The unique immunologic status of pregnant women might alter the presentation and progression of Ebola virus disease

Case Report: Pregnancy Could Mask Symptoms of Ebola

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Suppressed immune response might delay symptoms, experts say
Maternal stress-induced changes in the vaginal microbiota impact vaginal immunity and metabolic processes

Maternal Stress-Linked Changes in Vaginal Microbiota Explored

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Changes in vaginal microbiota impact vaginal immunity, metabolic processes in mouse model
Twenty-nine percent of pregnancies identified as low risk have unexpected complications necessitating nonroutine obstetric or neonatal care

Unexpected Problems in 29 Percent of Low-Risk Pregnancies

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Higher risk of some complications such as vacuum and forceps delivery among low-risk pregnancies