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This Shanghai cohort study reveals that higher parental vitamin B12 and maternal postconception RBC folate levels associate with significantly lower birth defect prevalences, highlighting novel nutritional targets beyond maternal folic acid
Uterine surgery before first pregnancy is associated with increased risks of preterm birth and stillbirth, with risk magnifying after repeated procedures, highlighting the need for careful surgical decision-making and enhanced antenatal mon
This review synthesizes current evidence on the impact of continuing psychostimulant treatment during pregnancy on postpartum mental health outcomes among people with ADHD, highlighting key findings and clinical implications from recent lar
This feasibility study compares cervical screening at 6 and 12 weeks postnatal, assessing uptake, test performance, and patient experience, revealing high concordance and supporting early postnatal screening with some limitations for urine
The ICIQ-PPHSAQ questionnaire demonstrates robust validity and reliability for assessing pelvic floor dysfunction symptoms and risk factors during the perinatal period, supporting its application in English pelvic health services.
This study evaluates cardiovascular and bone health outcomes after bilateral oophorectomy during benign hysterectomy in postmenopausal women, highlighting increased risk for cardiovascular predisposition but no rise in clinical cardiovascul
Routine third-trimester ultrasound screening for suspected large-for-gestational-age fetuses shows limited accuracy, leads to increased obstetric interventions, and does not improve neonatal outcomes, suggesting a need for more individualiz
A Louisiana statewide perinatal quality collaborative significantly reduced severe maternal morbidity related to hemorrhage and hypertension, sustained improvements across initiatives, and narrowed racial disparities, demonstrating durable
A multicountry follow-up study found no significant improvement in neurodevelopmental outcomes at two years in infants with birth asphyxia whose mothers received a single 2 g oral dose of azithromycin during labor versus placebo.
This study reveals that gestational diabetes alters vaginal microbiota, increasing Gardnerella abundance, which correlates with maternal glucose levels and lower fetal birthweight percentiles.
This study investigates the association between peri- and post-menopausal hormone replacement therapy (HRT) and the risk of voice disorders, revealing transiently increased dysphonia risk within the first nine months but no sustained clinic
This article reviews a novel laparoscopic technique for rectal endometriosis involving mesentery preservation and nerve-sparing hand-sewn anastomosis, demonstrating feasibility and neurovascular protection compared to conventional stapled m
This study identifies short cervical length, early gestational age at intervention, and abnormal donor umbilical artery Doppler as significant preoperative predictors of six-month survival after fetoscopic laser ablation for twin-twin trans
Transcriptomic analysis reveals age-related differences in levator ani muscle recovery after vaginal delivery, highlighting molecular pathways potentially contributing to pelvic organ prolapse risk in older first-time mothers.
This study analyzes 720 genotyped uterine leiomyomas, revealing distinct clinical behaviors and treatment responses across molecular subtypes, with MRI aiding prognostic stratification to inform surgical and pharmacologic management.
A quality-improvement study found that implementing a high-dose oxytocin protocol during the third stage of labor significantly reduced postpartum hemorrhage rates, especially after vaginal births, suggesting potential for wider institution
This review examines the development, efficacy, and safety of combined oral contraceptives (COCs), highlighting the emergence of natural-estrogen-containing formulations and their role in optimizing contraceptive care.
This study explores the increased risk of type 2 diabetes among women with a history of infertility, highlighting specific infertility causes and implications independent of BMI.
This study elucidates how insulin sensitivity and glucose control in menstruating individuals with type 1 diabetes fluctuate across menstrual cycle phases, emphasizing gaps in current automated insulin delivery systems and guidelines.
This study finds no association between objectively measured maternal supine sleep during late pregnancy and customised birthweight centiles, suggesting mechanisms other than fetal growth underlie the risk of stillbirth with supine sleep po
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