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Recommendations have been developed for managing heart disease during pregnancy; the "Pregnancy and Heart Disease" practice bulletin was published in the May issue of Obstetrics & Gynecology.

Guidance Issued for Managing Heart Disease in Pregnancy

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Race/ethnicity, age, hypertension, obesity are key risk factors for CVD-related maternal mortality
The prevalence of current cigarette smoking is lower among pregnant women

E-Cigarette Use Similar for Pregnant, Nonpregnant Women

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Prevalence of current cigarette smoking lower among pregnant women than nonpregnant women
Pregnant women with congenital heart defects are more likely to have comorbidities and experience adverse events during delivery

Maternal Comorbidity Higher for Women With Congenital Heart Defects

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Higher risk seen for comorbidities, adverse delivery events in pregnant women with congenital heart defects
The odds of having a child with a minor birth defect are about five times higher for women veterans deployed during the Gulf War versus nondeployed women veterans

Minor Birth Defects Up in Progeny of Female Gulf War Veterans

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Higher prevalence seen for minor birth defects, including eye and musculoskeletal anomalies
Approximately one in nine pregnant women report drinking alcohol in the past 30 days

CDC: Drinking Alcohol Not Uncommon Among Pregnant Women

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Among pregnant women who report consuming alcohol, one-third report binge drinking
The U.S. Preventive Services Task Force (USPSTF) recommends screening pregnant women for asymptomatic bacteriuria but not nonpregnant women or men. These recommendations form the basis of a draft recommendation statement published online April 23 by the USPSTF.

USPSTF Urges Asymptomatic Bacteriuria Screen in Pregnancy

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No evidence seen for benefits of screening nonpregnant women or men for asymptomatic bacteriuria
For women with type 1 diabetes

Preterm Birth Linked to Periconception HbA1c in T1DM

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Women whose HbA1c levels were consistent with target values also at increased risk for preterm birth
Universal ultrasound at 36 gestational weeks could virtually eliminate undiagnosed breech presentation in nulliparous women

Late-Pregnancy US Could Prevent Undiagnosed Breech Presentation

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Universal ultrasound at 36 weeks in nulliparous women would ID thousands of undetected cases
Cognitive behavioral therapy is an effective nonpharmacologic treatment for insomnia during pregnancy

Cognitive Behavioral Therapy Effective for Prenatal Insomnia

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Women in CBT group had greater reductions in insomnia severity, were likely to have remission
In pregnant women with polycystic ovary syndrome

Metformin May Cut Risk for Prematurity, Miscarriage in PCOS

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But no significant differences seen in gestational DM risk between metformin users, nonusers