Ideal gestational weight gain varies by pre-pregnancy BMI in twin pregnancy
For people giving birth to twins, the gestational weight gain range with the lowest risk for adverse perinatal outcomes was similar among those with a pre-pregnancy BMI of underweight or normal weight. However, the ideal range for gestational weight gain (GWG) for twin pregnancy decreased with each successively higher BMI category, data in JAMA Network Open showed. The data suggest that the current United States Institute of Medicine GWG recommendations should be lower.Source: Healio
Yale Department of Obstetrics, Gynecology & Reproductive Sciences Response to Roe v. Wade Supreme Court decision
The Yale Department of Obstetrics, Gynecology, & Reproductive Sciences has a long history of championing access to comprehensive reproductive health care. In 1965, a faculty member and chair of the Yale department, C. Lee Buxton, MD, was one of two named appellants in the landmark Griswold v. Connecticut US Supreme Court opinion. This decision, which came after a decade of advocacy work by Dr. Buxton, struck down a Connecticut state law prohibiting administration of contraception as it violated the constitutional right to marital privacy. The court affirmed that reproduction is a private decision, which should be free of government interference. Griswold v. Connecticut set a precedent that is credited with protecting reproductive rights and allowing the Roe v. Wade Supreme Court decision.
Major Funding Award Supports Yale Efforts to Address Maternal Health Inequities
A team of Yale researchers, working collaboratively with Yale New Haven Hospital, community partners and two regional hospitals, is exploring ways to improve health outcomes among pregnant and postpartum women in priority populations that have been historically underserved and experience systemic racism. A $20.4 million funding award from the Patient-Centered Outcomes Research Institute (PCORI) will support the study.
Late Hysterectomy Start Times Tied to Longer Hospital Stays
Later Hysterectomy Start Times May Be Associated With Lengthened Hospital Stays, Increased Blood Loss, Researchers Posit. MedPage Today (11/18, D'Ambrosio) reports, “Among patients who underwent a hysterectomy for benign indications, a later surgical start time lengthened hospital stay and increased blood loss,” researchers concluded in a study that “included around 2,900 patients; approximately 1,900 hysterectomies were performed before noon, and 984 were performed after noon.” The findings of the “retrospective cohort study” were presented virtually at the American Association of Gynecologic Laparoscopists annual meeting.Source: Medpage Today
Obesity Negatively Affected Outcomes in Minimally Invasive Hysterectomy
Obesity appeared to have a negative impact on clinical and financial outcomes for patients undergoing minimally invasive hysterectomies, according to a retrospective cohort study. Le Neveu and colleagues analyzed all adult patients who underwent a minimally invasive hysterectomy from 2013 to 2019 at five hospitals affiliated with the Johns Hopkins system. They found that higher BMI is linked to longer operating times, greater blood loss, and increased costs.Source: Medpage Today
New study: Asymptomatic coronavirus infections among pregnant women may be less common than feared
A new study suggests that asymptomatic coronavirus infections among pregnant women may be less common than previously feared – at least outside of New York City. An earlier report found that more than 13% of admitted pregnant patients at two New York City hospitals had asymptomatic infections, which made the case for universal testing of women before childbirth. The new study, though, looked at more than 750 pregnant women who were admitted to hospitals in southern Connecticut without symptoms in April. 22 of those women tested positive for the virus.Source: CNN
Carocari Gift to Support Dr. Schwartz’s Ovarian Cancer Research
Deborah Carocari was only 36 when she was diagnosed with a rare form of advanced but low-grade ovarian cancer. At that time she received a prognosis of several months to a year from her physician, Peter Schwartz, MD, now the John Slade Ely Professor of Obstetrics, Gynecology, and Reproductive Sciences and Vice Chair, Gynecology. Debbie went on to defy those odds and battle the cancer for the next two decades. Although she ultimately succumbed to the disease, a generous gift from her estate is now making possible further ovarian cancer research by Dr. Schwartz.