Delivery, like all things in life, is a balancing act, especially in the case of pregnancies with complications. Depending on the complication, be it high blood pressure or diabetes, scheduled delivery earlier than labor starts naturally can be in everyone's best interest- if the risks & benefits balance. In the case of chronic hypertension, timing of delivery must balance the risks to the infant of being born too early with the risk of stillbirth as pregnancy continues. ACOG recommendations for timing of delivery for pregnancies complicated by chronic hypertension are broad (anywhere from 36 to 39 weeks), so a new study examined the risks and benefits of delivery at each week of gestation.
This week the Florida governor reported that Florida is now free of Zika transmission. Hopefully that statement holds true once winter is over. In the meantime, here are this week's Top 5 Women's Health Articles, covering vasopressin for cesarean section, odds of conception depending on age, effects on patients and doctors after stillbirth, progesterone for preterm labor, and the annual MD&M conference.