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Vitamin D Deficiency and COVID-19 Infection
Investigators found the relative risk of testing positive for COVID-19 was higher for patients who likely are vitamin D deficient.
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Understanding the Utility of Hemoglobin A1c in Diagnosing Gestational Diabetes in Early Pregnancy
In this retrospective cohort study of 243 pregnant women who had combined hemoglobin A1c (HbA1c) and a two-step oral glucose tolerance testing at less than 21 weeks of gestation, median values of HbA1c were higher in women with gestational diabetes compared to nondiabetics (5.8% compared to 5.3%; P < 0.001). The predictive probability of using HbA1c in diagnosing diabetes in early pregnancy was high compared to two-step testing (area under the curve, 0.8), with an optimal diagnostic threshold of 5.6%. Although a HbA1c level of > 6.5% is diagnostic of early gestational diabetes, a lower diagnostic threshold might be justified during pregnancy.
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Outpatient Foley Catheter for Induction of Labor in Nulliparous Women
In this randomized controlled trial among nulliparous patients with low Bishop scores, outpatient placement of a Foley catheter the day prior to scheduled admission, when compared to inpatient placement, showed a decreased mean time from admission to delivery.
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Maternal Sepsis: Risk Factors that Could Lead to Postpartum Readmission
In this analysis of California deliveries between 2008 and 2011, risk factors for maternal readmission for sepsis were found to include preterm birth, hemorrhage, obesity, and a primary cesarean delivery.
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Prenatal Care Visits During COVID-19
In this nested case-control study in the Boston area, there was no association between testing positive for COVID-19 during pregnancy or on admission to labor and delivery and the number of in-person prenatal care visits.
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Intermittent Fasting, Pesco-Mediterranean Diet Can Improve Health
Meta-analysis reveals pattern of better cardiovascular health among those who consume more seafood, vegetables, and fruit vs. those who live on red meat-heavy diets.
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U.S. Obesity Rates on the Rise
News arrives on the heels of several recently published papers that indicate obesity can exacerbate COVID-19.
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What Is the Cause of This Regular WCT?
The ECG in the figure was obtained from an older woman who presented with hypotension. What is the rhythm?
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Clascoterone Cream 1% (Winlevi)
Clascoterone should be prescribed to treat acne vulgaris in patients age 12 years and older.
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Respiratory Syncytial Virus: Effective Prevention Still Needed
Prevention of respiratory syncytial virus infection is needed but challenging. New studies show some favorable effectiveness on infant outcomes with both vaccination of healthy pregnant women and passive single-dose immunization of prematurely born babies.