Births: Provisional Data for 2020

Mapping Intimacies ◽

10.15620/cdc:104993 ◽

2021 ◽

Author(s):

Brady Hamilton ◽

Joyce Martin ◽

Michelle Osterman

Keyword(s):

Cesarean Delivery ◽

Preterm Births ◽

Hispanic Origin ◽

Provisional Data

Presents provisional 2020 data on U.S. births, shown by age and race and Hispanic origin of mother. Also presents data on cesarean delivery and preterm births.

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Association of Trial of Labor After Cesarean Delivery With Adverse Outcomes Among Late Preterm Births [05P]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000663964.95773.4b ◽

2020 ◽

Vol 135 ◽

pp. 168S-169S

Author(s):

Rodney Anthony McLaren ◽

Viktoriya London ◽

Nelli Fisher ◽

Howard Minkoff

Keyword(s):

Cesarean Delivery ◽

Preterm Births ◽

Adverse Outcomes ◽

Late Preterm ◽

Trial Of Labor

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Pregnancy in Systemic Sclerosis: Results of a Systematic Review and Metaanalysis

The Journal of Rheumatology ◽

10.3899/jrheum.181460 ◽

2019 ◽

Vol 47 (6) ◽

pp. 881-887 ◽

Cited By ~ 1

Author(s):

Jelena Blagojevic ◽

Khitam Abdullah AlOdhaibi ◽

Aly M. Aly ◽

Silvia Bellando-Randone ◽

Gemma Lepri ◽

...

Keyword(s):

Systemic Sclerosis ◽

Birth Weight ◽

Low Birth Weight ◽

Cesarean Delivery ◽

Intrauterine Growth Retardation ◽

Gestational Hypertension ◽

Preterm Births ◽

Fetal Outcomes ◽

Intrauterine Growth ◽

Definition Of

Objective.Through a systematic literature search (SLR) and metaanalysis, to determine maternal and fetal outcomes in pregnancies involving systemic sclerosis (SSc), to analyze the effect of pregnancy on disease activity, and to examine predictors of fetal and maternal outcomes.Methods.An SLR was performed for articles on SSc and pregnancy published between 1950 and February 1, 2018. Reviewers double-extracted articles to obtain agreement on > 95% of predefined critical outcomes.Results.Out of 461 publications identified, 16 were included in the metaanalysis. The metaanalysis showed that pregnancies involving SSc were at higher risk of miscarriage (OR 1.6, 95% CI 1.22–2.22), fetuses with intrauterine growth retardation (IUGR; OR 3.2, 95% CI 2.21–4.53), preterm births (OR 2.4, 95% CI 1.14–4.86), and newborns with low birth weight (OR 3.8, 95% CI 2.16–6.56). Patients with SSc had a 2.8 times higher chance of developing gestational hypertension (HTN; OR 2.8, 95% CI 2.28–3.39) and a 2.3 times higher chance of cesarean delivery compared to controls (OR 2.3, 95% CI 1.37–3.8). The definitions of disease worsening/new visceral organ involvement were too inexact to have any confidence in the results, although worsening or new disease manifestations during pregnancy in 44/307 cases (14.3%) and 6 months postpartum in 32/306 cases (10.5%) were reported. The data did not permit definition of predictors of disease progression and of maternal and fetal outcomes.Conclusion.Pregnancies involving SSc have increased frequency of miscarriages, IUGR, preterm deliveries, and newborns with low birth weight compared to healthy controls. Women with SSc were more prone to develop gestational HTN and to undergo cesarean delivery. Disease manifestations seem to remain stable or improve in most patients.

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Reasons for cesarean and medically indicated deliveries in pregnancies in women with systemic lupus erythematosus

Lupus ◽

10.1177/0961203317720525 ◽

2017 ◽

Vol 27 (3) ◽

pp. 351-356 ◽

Cited By ~ 11

Author(s):

A M Eudy ◽

M Jayasundara ◽

T Haroun ◽

L Neil ◽

A H James ◽

...

Keyword(s):

Preterm Birth ◽

Pregnant Women ◽

Cesarean Delivery ◽

Lupus Erythematosus ◽

Preterm Labor ◽

Preterm Births ◽

High Rate ◽

Premature Rupture Of Membranes ◽

Exact Test ◽

Key Drivers

Objective To determine reasons for cesarean and medically indicated deliveries in a registry of pregnant women with SLE compared to RA. Methods Pregnant women with SLE or RA were prospectively followed, and pregnancy outcomes were collected, including whether labor was spontaneous or medically indicated and delivery was vaginal or cesarean. Preterm birth was defined as a birth <37 weeks gestation. Differences in reasons for cesarean delivery and indication of delivery between term and preterm births were determined by Fisher’s exact test. Results Compared to RA pregnancies, SLE pregnancies had modestly higher rates of preterm birth (24% SLE vs 14% RA), pre-eclampsia (15% SLE vs 7% RA), and cesarean delivery (48% SLE vs 30% RA). The majority of preterm births among women with SLE were indicated (70%), most commonly for pre-eclampsia or the health of the infant or mother. The majority of preterm births among women with RA, however, were spontaneous, primarily due to premature rupture of membranes. Conclusion Pre-eclampsia and maternal SLE activity appear to be the key drivers for the high rate of preterm birth and medically indicated delivery in SLE. This contrasts with RA, where preterm labor is most often due to spontaneous onset of labor.

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