American journal of perinatology
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Antenatal Corticosteroid Administration in Late Preterm Singleton Pregnancies: A Propensity Score-Weighted Analysis of Neonatal Outcomes

May 7, 2026

The authors aimed to evaluate the impact of antenatal corticosteroid exposure on neonatal outcomes in late preterm singleton pregnancies (34+0 to 36+6 weeks). Their analysis of 1,012 deliveries found that exposure did not significantly reduce the odds of requiring initial respiratory support at birth, suggesting that the routine administration of corticosteroids may not be warranted and should be considered on a case-by-case basis. Additionally, the study highlights the need for individualized risk assessment and monitoring for potential neonatal complications.

Disproportionate Rise in Congenital Syphilis Compared with Adult Syphilis Trends in Texas: A Population-Based Analysis, 2016-2023

May 6, 2026

The authors aimed to compare the trends in congenital syphilis with those of adult primary and secondary syphilis in Texas from 2016 to 2023. Their analysis revealed a dramatic 12.6-fold increase in congenital syphilis incidence, significantly outpacing the 113% rise in adult syphilis, indicating potential failures in prenatal care and screening rather than solely increased community transmission.

Life course perspectives of adverse pregnancy outcomes in Kersa, Eastern Ethiopia: Accelerated Cohort Design

May 6, 2026

This study investigates generational disparities in adverse pregnancy outcomes (APOs) among women in Kersa, Eastern Ethiopia, using an accelerated cohort design to analyze data from 7,286 women across three birth cohorts. The authors aim to understand how factors such as maternal nutrition, education, and socioeconomic status influence the risk of APOs over time. The findings reveal significant variations in pregnancy outcomes across generations, emphasizing the need for targeted strategies to address social determinants of maternal health.

Exploring the effects of obesity on postpartum hemorrhage risk

May 6, 2026

This study investigates the relationship between body mass index (BMI) and the risk of postpartum hemorrhage by analyzing data from 4,493 deliveries in two urban hospitals. The findings indicate that patients with Class 3 obesity have a significantly higher risk of postpartum hemorrhage, with a 57% increased risk compared to those with a healthy weight, while no significant risk was found for overweight and Class 2 obesity categories. The results suggest a need for targeted interventions to address postpartum hemorrhage, particularly among obese patients.

It's Best to Test in Hospital: Improved Testing Rates with Immediate Postpartum Diabetes Testing in Patients with Gestational Diabetes in a Community-Academic Medical Center

May 5, 2026

The authors aimed to evaluate the impact of immediate postpartum diabetes (IPD) testing on the completion rates and outcomes for patients with gestational diabetes mellitus (GDM) at a community-academic medical center. They found that implementing IPD testing significantly increased testing completion rates nearly fivefold and identified a high prevalence of persistent dysglycemia immediately postpartum. The study suggests that hospitals should adopt IPD testing to enhance postpartum care and early intervention for GDM patients.

Neonatal Intensive Care Unit Cultural Familiarity Shows Limited Impact on Outcomes Among Asian American, Native Hawaiian, and Pacific Islander Very Low Birth Weight infants

May 4, 2026

The authors aimed to determine whether the cultural familiarity of neonatal intensive care units (NICUs), as indicated by the volume of Asian American, Native Hawaiian, and Pacific Islander (AANHPI) patients, affects care processes and outcomes for very low birth weight (VLBW) infants. Their analysis of over 43,000 infants revealed that while higher AANHPI patient volumes were associated with improved feeding outcomes, such as increased human milk use and growth velocity, there was no significant impact on neonatal morbidity and mortality rates.

Risk Factors, Trends, and Outcomes Associated with Anorexia Nervosa and Bulimia Nervosa Diagnoses during Delivery Hospitalizations

May 1, 2026

The authors aimed to evaluate the trends, risk factors, and outcomes associated with diagnoses of anorexia and/or bulimia nervosa during delivery hospitalizations in the United States from 2000 to 2022. They found a significant increase in such diagnoses over the study period, which were linked to higher risks of adverse obstetrical outcomes, including transfusions, severe maternal morbidity, and preterm deliveries.

The Effect of Delivery Timing on Cesarean Delivery Rate in Pregnancies Complicated by Pregestational Diabetes and Large-for-Gestational-Age Neonate

Apr 30, 2026

The authors aimed to evaluate the impact of delivery timing on cesarean delivery rates in pregnancies complicated by pregestational diabetes mellitus (PGDM) and large-for-gestational-age (LGA) fetuses. Their findings indicate that planned delivery after 39 weeks is associated with lower odds of cesarean delivery compared to expectant management, while planned delivery before 38 weeks may lead to higher cesarean rates and neonatal morbidity. This suggests that careful consideration is needed when managing these pregnancies beyond 38 weeks.

Factors Associated with Non-adherence to ACOG Guidelines for Labor Arrest Disorders

Apr 30, 2026

The authors aimed to identify factors associated with non-adherence to ACOG guidelines for cesarean delivery in cases of labor arrest disorders. Their retrospective study found that provider coverage, maternal obesity, and fetal monitoring status significantly influenced adherence, with non-adherence being more common in cases of arrest of descent and less common in failed inductions. The findings suggest that addressing modifiable factors could enhance guideline adherence and potentially reduce cesarean delivery rates.

Maternal Hyperglycemia and Adult Offspring Overweight and Obesity: Is Birthweight a Mediator?

Apr 28, 2026

The authors aimed to investigate whether birthweight mediates the relationship between maternal hyperglycemia during pregnancy and the risk of overweight and obesity in adult offspring of women with insulin-dependent diabetes mellitus (IDDM). Their findings indicate that while higher birthweight is associated with increased adult obesity risk, it does not mediate the effects of maternal glycemic patterns on offspring weight outcomes. This underscores the need for further exploration of how trimester-specific glycemic control influences long-term metabolic risks in offspring.