Abstract More than 290 million people worldwide, and almost 2 million people in the United States, are infected with hepatitis B virus, which can lead to chronic hepatitis B, a vaccine-preventable communicable disease. The prevalence of chronic hepatitis B infection in pregnancy is estimated to... Continue Reading
Abstract Pregnant individuals with sickle cell disease have an increased risk of maternal and perinatal morbidity and mortality. However, pre-pregnancy counseling and multidisciplinary care can lead to favorable maternal and neonatal outcomes. In this Consult, we summarize what is known about... Continue Reading
This replaces SMFM Consult Series #47: Sepsis during pregnancy and the puerperium. The American College of Obstetricians and Gynecologists (ACOG) endorses this document. Abstract Maternal sepsis is a significant cause of maternal morbidity and mortality, and is a potentially preventable cause... Continue Reading
Abstract The rate of solid organ transplant in reproductive-aged patients has increased in the past 3 decades. Concurrently, the range of medical immunosuppressive agents has increased, making it safer for reproductive-aged individuals who have received transplants to attempt and continue a... Continue Reading
Abstract The American Association of Gynecologic Laparoscopists (AAGL) and the American College of Obstetricians and Gynecologists (ACOG) endorse this document. Cerclage is the mainstay of treatment for cervical insufficiency. Although transabdominal cerclage may have advantages over... Continue Reading
Abstract The American College of Obstetricians and Gynecologists (ACOG) endorses this document. Systemic lupus erythematosus (SLE) is a chronic, multisystem, inflammatory autoimmune disease characterized by relapses (commonly called “flares”) and remission. Many organs may be... Continue Reading
The American College of Obstetricians and Gynecologists (ACOG) and the Society of Family Planning endorse this document. The American Society for Reproductive Medicine supports this document. This document replaces SMFM Consult Series #49: Cesarean scar pregnancy (May 2020). Cesarean scar... Continue Reading
Abstract The Centers for Disease Control and Prevention define social determinants of health as “the conditions in the places where people live, learn, work, and play” that can affect health outcomes. Systemic racism is a root cause of the power and wealth imbalances that affect... Continue Reading
Abstract Pregnancy in individuals with a mechanical heart valve has been classified as very high risk because of a substantially increased risk of maternal mortality or severe morbidity. Lifelong therapeutic anticoagulation is a principal component of the medical management of mechanical heart... Continue Reading
Abstract The use of assisted reproductive technology has increased in the United States in the past several decades. Although most of these pregnancies are uncomplicated, in vitro fertilization is associated with an increased risk for adverse perinatal outcomes primarily caused by the increased... Continue Reading
Abnormalities of the genitourinary system are among the most common fetal structural malformations. Such anomalies range from mild (eg, mild urinary tract dilation) to severe life-threatening anomalies (eg, bilateral renal agenesis). This consult series reviews the ultrasonographic diagnosis,... Continue Reading
This Consult has been endorsed by the American College of Obstetricians and Gynecologists (ACOG). The administration of antenatal corticosteroids has been widely adopted as the standard of care in the management of pregnancies at risk for preterm delivery before 37 weeks of gestation, with the... Continue Reading
