American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Aug 2018
Retraction Of PublicationWITHDRAWN: Time to move on from early cord clamping in preterm infants.
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Am. J. Obstet. Gynecol. · Aug 2018
Retraction Of PublicationWITHDRAWN: Early cord clamping is the experimental intervention not delayed cord clamping.
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Am. J. Obstet. Gynecol. · Aug 2018
Comparative StudyPlacenta percreta is associated with more frequent severe maternal morbidity than placenta accreta.
Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can cause poor to disastrous maternal outcomes. Most previous studies of peripartum management and maternal morbidity have included variable proportions of severe and less severe cases. ⋯ Severe maternal morbidity is much more frequent in women with placenta percreta than with placenta accreta, despite multidisciplinary planning, management in a referral center, and better antenatal suspicion.
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How race is associated with adverse outcomes in the setting of postpartum hemorrhage is not well characterized. ⋯ Black women were at higher risk for severe morbidity and mortality associated with postpartum hemorrhage.
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Am. J. Obstet. Gynecol. · Aug 2018
Femur-sparing pattern of abnormal fetal growth in pregnant women from New York City after maternal Zika virus infection.
Zika virus is a mosquito-transmitted flavivirus, which can induce fetal brain injury and growth restriction following maternal infection during pregnancy. Prenatal diagnosis of Zika virus-associated fetal injury in the absence of microcephaly is challenging due to an incomplete understanding of how maternal Zika virus infection affects fetal growth and the use of different sonographic reference standards around the world. We hypothesized that skeletal growth is unaffected by Zika virus infection and that the femur length can represent an internal standard to detect growth deceleration of the fetal head and/or abdomen by ultrasound. ⋯ An unusual femur-sparing pattern of fetal growth restriction was detected in the majority of fetuses with congenital Zika virus exposure. Fetal body ratios may represent a more sensitive ultrasound biomarker to detect viral injury in nonmicrocephalic fetuses that could impart long-term risk for complications of congenital Zika virus infection.