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Exposure to several chemicals before and after birth appears to be associated with a decrease in lung function later in childhood

Environmental Exposures Before, After Birth Tied to Lung Function

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Exposure to parabens, phthalates, and perfluoroalkyl substances tied to lung function at ages 6 to 12 years
Several unique characteristics are linked with depression at different time points before and after giving birth

Some Characteristics Unique to Depression Before, After Birth

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Background traits tied to chronic depression; delivery experience tied to early postpartum depression
Mothers with a history of having a child taken into care by child protection services have an increased risk for inadequate prenatal care in a future pregnancy

Prenatal Care Inadequate for Moms With Child Taken Into Care

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Moms whose first child is placed in care have higher rates of inadequate prenatal care in next pregnancy
Women who undergo cholecystectomy during the third trimester of pregnancy experience worse outcomes than women who wait until after delivery

Cholecystectomy in Pregnancy Tied to Worse Outcomes

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Undergoing procedure during pregnancy tied to longer hospital stays, increased readmissions, higher preterm delivery rates
The U.S. Preventive Services Task Force recommends that clinicians provide or refer counseling interventions for pregnant or postpartum women at increased risk for perinatal depression. This recommendation forms the basis of a final recommendation statement published in the Feb. 12 issue of the Journal of the American Medical Association.

USPSTF Recommends Counseling to Prevent Perinatal Depression

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Clinicians should provide counseling or referral to high-risk pregnant, postpartum women
Patients with inflammatory bowel disease (IBD) report low rates of IBD-reproductive health counseling

Reproductive Health Counseling Inadequate in IBD

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Only 30 percent of patients reported prior counseling; most interested in receiving more information
Women with infertility-treated pregnancy have an increased risk for severe maternal morbidity or maternal death

Severe Maternal Morbidity, Mortality Up With Infertility Tx

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Likelihood of having three or more severe maternal morbidity indicators greater with invasive infertility tx
Four maternal characteristics can predict 12-month trajectories for women with postpartum depression with 72.8 percent accuracy

Maternal Factors Predict Postpartum Depression Trajectory

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Parity, education, baseline global functioning, depression severity predict chronic severe trajectory
In utero exposure to higher levels of maternal glucose is associated with higher glucose levels and insulin resistance during childhood

Maternal Glucose in Pregnancy Tied to Child’s Glucose Outcomes

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Maternal fasting plasma glucose is positively associated with FPG and A1C in childhood
Discontinuing tumor necrosis factor inhibitors before gestational week 20 in women with well-controlled rheumatoid arthritis or juvenile idiopathic arthritis is not associated with disease worsening in late pregnancy

Discontinuing TNFi Before Gestational Week 20 Is Feasible

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No clinically meaningful disease worsening among women with well-controlled RA, juvenile arthritis