Evaluating the maternal and perinatal sequelae of severe gestational hypertension

Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality metric

“…Some studies have found that longer lengths of stay are associated with lower postpartum readmission rates, 30,45 but others have found no such association. 42,60,71 Moreover, even if increasing the average length of stay by 1 day reduced the postpartum readmission rate from 2% to 0%, this would probably not be costeffective because 100 additional inpatient days during the birth hospitalization would be needed to prevent 2 postpartum readmissions.…”

Use of Race, Ethnicity, and National Origin in Studies Assessing Cardiovascular Risk in Women With a History of Hypertensive Disorders of Pregnancy

“…A total of 524 records were obtained from our second search for recently published primary studies. After excluding records that did not meet our eligibility criteria, a total of 124 primary studies 3 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , …”

“…Among those that did (k = 45), the highest number of race and/or ethnic groups reported in a single study was 7, which was noted in 2 studies published in 2018 132 and 2020. 171 Two other recently published studies 53 , 112 reported that participants belonged to 1 of 6 different race and/or ethnic groups, and 7 studies 64 , 75 , 85 , 93 , 116 , 135 , 157 reported that participants belonged to 1 of 5 different race and/or ethnic groups, 5 of which 64 , 75 , 93 , 116 , 157 were published in 2015 or later. The median/mean number of race and/or ethnic categories reported generally increased over time.…”

Trial of Intrapartum Extended-Release Nifedipine to Prevent Severe Hypertension Among Pregnant Individuals With Preeclampsia With Severe Features

“…3 However, acute blood pressure treatment is not without maternal or fetal risk, as about 10% of pregnant patients treated with parenteral labetalol or hydralazine develop symptomatic hypotension, which often leads to nonreassuring fetal status and urgent cesarean delivery. 4 Therefore, a gradual decrease in blood pressure, using long-acting medications, is safer for both the patient and the fetus, with less risk for maternal hypotension or fetal distress. However, optimal management of severe blood pressure during induction of labor for the diagnosis of preeclampsia with severe features has not been described.…”

“…2 In its severe form, preeclampsia is associated with increased perinatal and maternal mortality and morbidity. 1,3,4 Since delivery is recommended at 34 0/7 weeks gestation, or at the time of diagnosis if, after 34 0/7 weeks, maternal diagnosis of preeclampsia with severe features is responsible for a significant proportion of preterm birth. Overall, preeclampsia is thought to be responsible for up to 19% population attributable fraction of preterm birth and a combination of ischemic placental disease (preeclampsia, fetal distress, small for gestational age, and placental abruption) are implicated in >50% of medically indicated preterm births and 25% of spontaneous preterm births.…”