Please follow @woccs.bsky.social our new Obstetric Critical Care resource and website WOCCS.org

UK population-based cohort study including 14 083 patients with hypertensive disorders of pregnancy. HDP associated with a doubling of the risk of developing dilated cardiomyopathy. Risk was increased with severity of preeclampsia, older maternal age & postpartum hypertension. ja.ma/3Fwf0n2

Asthma in pregnancy Study from the Albert Pregnancy Birth Cohort, incidence of asthma was 8.6% & maternal asthma associated with 15% higher risk of PTB, an 11% higher risk of LBW, and a 10% higher risk of C-section. Risk increased with active asthma www.jaci-inpractice.org/article/S221...

Detailed overview of “Pregnancy after cancer: FIGO Best practice advice” in IJGO, by Dr. Cindy Maxwell of @sinaihealth.bsky.social & international experts. obgyn.onlinelibrary.wiley.com/doi/10.1002/...

Mechanism of preeclampsia: fascinating talk @nasom-obmed.bsky.social 2025 by Dr. Surendra Sharma on the role of impaired autophagy related to tau protein aggregation, and treatable with trehalose pubmed.ncbi.nlm.nih.gov/38760513/

Top 5 articles in OB Medicine in 2024 presented at @nasom-obmed.bsky.social 2025 meeting

Jayson Potts opening the @nasom-obmed.bsky.social 2025 meeting in Newport, RI

New review on PlGF & sFlt1 in Obstetic care, by @sinaihealth.bsky.social leaders in the field. journals.sagepub.com/doi/10.1177/...

NASOM annual conference coming up April 25-26, Newport, Rhode Island Participate in person or virtually Program: nasom.org/wp-content/u... Register at: nasom.org/event-regist...

Catherine Nelson-Piercy is on BlueSky! @nelson-piercy.bsky.social

Smoking cessation drugs in pregnancy: large cohort study of 1st trimester exposure shows no significant increased risk of congenital malformations with nicotine replacement & varenicline. (similarly no increased risk for buproprion but limited data) jamanetwork.com/journals/jam...

Since @greenjrnl.bsky.social & @acog-org.bsky.social have recently joined Bluesky and - sadly - #measles is going to be ongoing public health crisis in 2025, I'd like to mention their resources on this topic #ObGynSky + #ReproSky + #MedSky. pmc.ncbi.nlm.nih.gov/articles/PMC...

New research examining subcapsular liver hematomas in preeclampsia and HELLP syndrome: ow.ly/M7vR50Vj7OR

Excellent podcast by Catherine Nelson-Piercy and Marie Teil discussing the challenges women with chronic medical diseases face in pregnancy, the lack of data to inform decisions, and the move towards including pregnant women in research studies scanmail.trustwave.com?c=8248&d=jaz...

Time to register for NASOM 2025 April 25-26, Newport, Rhode Island Or participate virtually! Early bird rate ends March 31st nasom.org/current-year...

I received one of the 232 NIH grant "terminations" sent to scientists at Columbia last night. My research focuses on improving maternal and child health in the US. Also affected: ongoing clinical trials, research training programs, and research centers that aim to improve the health of Americans.

Obstetrics & Gynecology, the Green Journal, has left Twitter and is now here! @greenjrnl.bsky.social

Letter from NASOM President, Jayson Potts, regarding the upcoming NASOM conference. - now a virtual option - added session on impact of political changes on women's health 𝙉𝙚𝙬𝙥𝙤𝙧𝙩, 𝙍𝙝𝙤𝙙𝙚 𝙄𝙨𝙡𝙖𝙣𝙙 𝙤𝙣 𝘼𝙥𝙧𝙞𝙡 25 & 26, 2025 Details & registration at: nasom.org/current-year...

Pregnancies in women after peri-partum cardiomyopathy #PPCM: global ESC EuroObservational Registry #CardioSky #CardioObstetrics academic.oup.com/eurheartj/ad... @escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social

Cystic fibrosis & pregnancy New data from American Cystic Fibrosis Foundation Patient Registry. Pregnancy assoc with: - reduced hazard of death compared to never-pregnant - no significant impact on lung function. www.sciencedirect.com/science/arti...

I never really thought much about where our fruit came from, but now that we buy non-American, these Italian & Israeli options are great! 🇨🇦

Comprehensive review of HLH in the N Engl J Med www.nejm.org/doi/full/10....

Another report of pregnancy associated HLH in @OBMedicine, with no driver identified. Important to also highlight the role of anakinra & the 3Fs (fever, falling counts & ⬆️ ferritin) as a quick screen. In the UK, also remember the HLH MDT & @NPEU_UKOSS study. journals.sagepub.com/doi/10.1177/...

External aortic compression in OB hemorrhage by Alvaro Nieto-Calvache. A simple maneuver to control bleeding and buy time www.ajog.org/article/S000... And video: www.ajog.org/cms/10.1016/...

Early warning scores in maternal sepsis Detailed evaluation of several EWS in a large WHO database of OB sepsis: - OB & sepsis specific scores performed better - none accurate enough for clinical use - incomplete data is a problem www.thelancet.com/journals/ecl...

Pregnancy in Adult Congenital Heart Disease #CardioObstetrics #ACHD #CardioSky #MedSky www.acc.org/Latest-in-Ca... @accintouch.bsky.social @shantelleb.bsky.social @isabellemalhame.bsky.social @csilvers.bsky.social @garimasharmamd.bsky.social @erinmichos.bsky.social @mchonig.bsky.social

Top Articles Collection 2024 We are looking for your 3 favorite articles in Obstetric Medicine for 2024. Submit these via the link below, and join us at our Annual Meeting in April for the presentation! www.surveymonkey.com/r/NASOMTAC24

Join us for our @northsidehosp.bsky.social #CardioObstetrics meeting “Heart of the Matter” Managing CV Risks in Pregnancy Atlanta, GA 📅 Feb 28-Mar 1, 2025 🔗 web.cvent.com/event/e466c6... #CardioSky #OBSky #ACCCardioOB @garimasharmamd.bsky.social @erinmichos.bsky.social @allisondupont.bsky.social

Valuable new paper - rare but very difficult when you see it: “Position statement on the diagnosis and management of acute leukaemia and aggressive lymphomas in pregnancy” by an 🇦🇺 group including @slobsmedsyd.bsky.social www.thelancet.com/journals/lan...

Suggested New Year's Resolution: more mindful prescribing of IV fluids 🫧 Far too often I see IV fluids thrown around with minimal consideration; meanwhile, we'll deliberate for hours about a dose of lasix 🤦‍♀️ Here are the 10 most common fluid prescription mistakes I see 🧵 #emimcc

We must continue to tell the stories of polio survivors. Reducing uptake of the polio vaccine will have devastating consequences for the entire world. @rotaryclubs.bsky.social @gatesfoundation.bsky.social @endpolionow.bsky.social time.com/7205614/we-n...

RCOG Green-top Guideline No. 64: Identification and management of maternal sepsis during and following pregnancy. Detailed discussion, including importance of - always considering sepsis - early escalation, senior input - IV antibiotics within 1 hr www.rcog.org.uk/guidance/bro...

Study on high-intensity exercise during pregnancy by Margie Davenport (not yet on the Blue): - measured maternal HR, BP, glucose, lactate - fetal HR, Doppler pre & post HIE well tolerated by both mother and fetus, including while using the Valsalva manoeuvre. bjsm.bmj.com/content/earl...

Luciano Gattinoni: a tribute to a pioneer in intensive care medicine #emimcc

Decolonisation of global conferences: unfinished business for women's health advocates Bodies like @womenlifthealth.bsky.social & International Confederation of Midwives are turning the tide by holding conferences in low-and-middle-income countries www.magonlinelibrary.com/doi/abs/10.1...

Systematic review of pregnant women with avian flu: - identified 30 patients - maternal mortality 90% - perinatal loss 87% Pregnant subjects need to be highlighted in pandemic planning and vaccine and treatment research!

OB Medicine Conference abstracts now online in the journal 𝘖𝘣𝘴𝘵𝘦𝘵𝘳𝘪𝘤 𝘔𝘦𝘥𝘪𝘤𝘪𝘯𝘦 (open access)! MOMS 2024 (UK meeting): journals.sagepub.com/doi/abs/10.1... ISOM/SOMANZ 2024: journals.sagepub.com/doi/full/10....

Another role for mRNA! Potentially interesting new approach to preeclampsia. In a mouse model, placenta-tropic lipid nanoparticles encapsulating VEGF mRNA resolved hypertension www.nature.com/articles/s41...

Homicide is one of the leading causes of death among pregnant women and new mothers in the US, and has been for years. Grateful for this story on this critical but underreported public health crisis. #ReproSky #MaternalHealth #IPV www.nytimes.com/interactive/...

Hypertensive Disorders of Pregnancy #HDP Increase Risk for Myocardial Infarction: A Population-Based Study #CardioObstetrics #CardioSky #MedSky #OBGYN #JACC #MINOCA @jaccjournals.bsky.social @accintouch.bsky.social @rajivxgulati.bsky.social www.jacc.org/doi/10.1016/...

Important study on mechanical ventilation in pregnancy from Argentina by Daniela Vasquez: Neonate f/u after COVID-19 during pregnancy: - Maternal SaO₂ < 95% not a significant risk factor - prem delivery (eg trying to improve mother) is a risk factor obgyn.onlinelibrary.wiley.com/doi/10.1002/...

Optimizing CV Health in Pregnancy: Strategies For Preventing Maternal Mortality & Adverse Pregnancy Outcomes in United States #CardioObstetrics #CardioSky #OBGYN @accintouch.bsky.social @cardioobdoc.bsky.social @garimasharmamd.bsky.social @csilvers.bsky.social www.acc.org/Latest-in-Ca...

Congratulations Dr. Briller, et al! We are so fortunate to learn from and work alongside a respected leader of the field 🤰🫀 #CardioObstetrics #MedicalEducation #WomenInMedicine

Our study found that nearly 40% (!) of 12-21 yo females are iron deficient. tinyurl.com/FeJAMA But did you know that in addition to many physical symptoms, iron deficiency is associated with multiple mental health issues? A #medsky #bluetorial 🧵1/

#Pregnancy, aortic events, and neonatal & maternal outcomes #CardioObstetrics #CardioSky #MedSky #EHJ academic.oup.com/eurheartj/ad...

Hypertensive disorders of pregnancy & risk of heart failure #CardioObstetrics #CardioSky #OBGYN #ESC #EHJ @cardioobdoc.bsky.social @garimasharmamd.bsky.social @erinmichos.bsky.social @csilvers.bsky.social onlinelibrary.wiley.com/doi/full/10....

Another #Bluestorial! Last I did oxygen targets in the critically ill pregnant patient. What about CO₂ targets? The normal PaCO₂ level in pregnancy is 28-32 mmhg (3.7 - 4.3 kPa) - do we need to ventilate down to these levels?

If you are pregnant, do NOT drink raw milk. It is not safe. 2-8% of raw milk contains listeria. Pregnant people are 10 times more likely to contract listeriosis, which increases risk for miscarriage, stillbirth, preterm birth, and neonatal death and disability