There are few bigger surprises than learning that you are pregnant with twins. We can all picture the shocked mother and father looking at an ultrasound of two growing babies with wide eyes. The incidence of twins is on the rise, mostly due to the increased utilization of ART. With this increase, researchers have taken another look at the mechanisms that lead to twins, both "typical" and "atypical." This week, we cover the traditional and some new models for how twins form.
Medical students on their OBGYN rotations have long memorized the corticosteroid rule: If delivery is imminent in the next week, before 34 weeks gestational age, give corticosteroids for lung maturity. Two doses, 24 hours apart have been shown to improve respiratory outcomes in strong, randomized clinical trials. However, what about the 70% of preterm deliveries that occur between 34 weeks and 36 weeks 6 days? Do these infants benefit from corticosteroids? The Society for Maternal Fetal Medicine is spreading the word about the new ALPS study on this very topic.
This week marked the annual World Prematurity Day (Nov. 17) in which parents, providers, researchers and others come together to work towards advancements in preventing preterm births. As the number one cause of neonatal death, prematurity is one of the biggest challenges facing obstetrics. Read on for the Top Five facts about prematurity from this week.
I'm trying out a new feature for the Friday blog post this week in the hopes that I can pack more cutting edge women's health updates into your inbox! Four times a day I feature highlights from the top women's health stories on Twitter @elmtreemedical. Here, I'll feature the top 5 most interesting and loved stories from the week with a brief summary for your skimming pleasure. This week's topics include: over-screening risks of mammography, acupressure for labor induction, no-strings-attached prenatal financial support, Kaiser's quiet digital health revolution, and timing of delivery for vasa previa. I hope you enjoy the new format!