BACKGROUND: Studies evaluating the safety and efficacy of currently available vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not include pregnant participants. No data are to counsel on vaccine potential neonatal passive immunity. CASE: A 34-year-old multigravid patient working in health care received Pfizer-BioNTech (BNT162b2) mRNA SARS-CoV-2 third trimester pregnancy. Uncomplicated spontaneous vaginal delivery a female neonate with Apgar scores 9 occurred at...

Abstract A case of hyperemesis gravidarum at 9 weeks’ gestation is described for which no cause could initially be found. Intravenous feeding was needed as a life preserving measure and following improvement on this regime the patient went into thyrotoxic crisis successfully diagnosed treated. The continuing pregnancy its outcome described. need practitioners to remember vomiting presenting sign thyrotoxicosis stressed.

Abstract Purpose Opioid use disorder (OUD) during pregnancy is associated with poor maternal and infant outcomes, including neonatal abstinence syndrome (NAS), both OUD NAS are increasing disproportionately among rural residents. This study describes the trajectory characteristics diagnosis of or residents who gave birth at different types hospitals based on rural/urban location teaching status. Methods Hospital discharge data from all‐payer National Inpatient Sample were used to describe...

In seven patients vomiting played an important part in the presentation of thyrotoxicosis. Vomiting does not always indicate severe thyroid disease, and diagnosis presenting with this symptom may be long delayed.

The objective of this study was to test the hypothesis that higher daily opioid dose is associated with presence and severity neonatal abstinence syndrome (NAS) in pregnant women sickle cell disease (SCD). This a retrospective SCD who required opioids. NAS evaluated using Finnegan scoring system classified as none, mild, severe. Severe defined score ≥ 8 on 3 consecutive tests. Thirty-four pregnancies were examined 30 SCD. Higher morphine percentage days hospital during pregnancy (P < 0.001)....

Abstract Background Cardiovascular disease (CVD) is the leading cause of death in women every major developed country and most emerging nations. Complications pregnancy, including preeclampsia, indicate a subsequent increase cardiovascular risk. There may be primary care provider knowledge gap regarding preeclampsia as risk factor for CVD. The objective our study to determine how often internists at an academic institution inquire about history compared smoking, hypertension diabetes, when...

The relative safety and efficacy of monthly extended-release buprenorphine (XR-BUP) has not been fully evaluated in pregnant persons.

A 25-year-old woman, gravida 3 para 2 at 12 weeks of gestation, with two prior cesarean deliveries, presents for prenatal care. She is in treatment opioid use disorder on extended-release naltrexone injection, a history overdose, relapse, and poor adherence methadone buprenorphine. asks, “Is it safe my baby if I continue this medication? How will you manage postoperative pain?”

Eating fish before and during pregnancy is important but care must be taken to choose which maximize developmental outcomes. Physicians, a trusted health information source, could provide this nuanced communication. This cross-sectional survey of representative sample 400 family medicine obstetrics gynecology (OB-GYN) physicians in Minnesota was designed understand physician behaviors beliefs about safe consumption, describe barriers physician-patient conversations consumption generally as...

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Introduction Early identification of at-risk alcohol use is key to preventing complications disorder (AUD). Obstetrics and gynecology (OB/GYN) providers are in a unique position screen for young female patients who may not otherwise seek traditional primary care. The purpose this study was learn how OB/GYN manage harmful their clinical Method We surveyed single health care system regarding they use. results were reported using descriptive statistics. Bivariate analysis assess the impact...

Objectives: The prevalence of opioid use disorder continues to rise in the United States, with a simultaneous increase diagnosis both during pregnancy and neonatal withdrawal syndrome. Despite these increases pregnancy-related care, little is known about hospital policy implementation related pregnancy. In addition, it unknown whether policies might differ rural or urban hospitals. To better examine issues, Minnesota hospitals were surveyed regarding existence any challenges had been...

INTRODUCTION: Mean maternal age continues to increase in the United States and more women are getting pregnant their forties or older. We aimed examine risk of adverse obstetric outcomes a diverse contemporary urban population very advanced age, defined as 40 years older at estimated date delivery (EDD). METHODS: This retrospective cohort study examined patients presenting for an Midwest academic healthcare system from 2016 2017. Women EDD (n=433) were compared with controls between 25 30...

INTRODUCTION: Cardiovascular disease (CVD) is the number one killer of American women. Since 2011, Heart Association has recognized that women with prior preeclampsia have an increased risk for CVD equal to diabetics and smokers, since 2013 College Obstetricians Gynecologists (the College) recommended early screening these patients. There are currently no guidelines in internal medicine literature preeclampsia, leading a provider knowledge gap missed opportunities screen high METHODS: We...

INTRODUCTION: Reports suggest an increase in bowel obstruction or delayed transit time preterm infants exposed to magnesium sulfate prior delivery, but there are limited data a later cohort. Delayed stooling may be the first sign of more severe dysfunction. Our goal was examine effect on stool 32 weeks 0 days and 33 6 gestational age. METHODS: A retrospective chart review delivered between age at academic medical center were examined from August 2012 December 2014. Time exposure studied 120...