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The U.S. Preventive Services Task Force recommends that clinicians provide or refer counseling interventions for pregnant or postpartum women at increased risk for perinatal depression. This recommendation forms the basis of a final recommendation statement published in the Feb. 12 issue of the Journal of the American Medical Association.

USPSTF Recommends Counseling to Prevent Perinatal Depression

Clinicians should provide counseling or referral to high-risk pregnant, postpartum women
Patients with inflammatory bowel disease (IBD) report low rates of IBD-reproductive health counseling

Reproductive Health Counseling Inadequate in IBD

Only 30 percent of patients reported prior counseling; most interested in receiving more information
Women with infertility-treated pregnancy have an increased risk for severe maternal morbidity or maternal death

Severe Maternal Morbidity, Mortality Up With Infertility Tx

Likelihood of having three or more severe maternal morbidity indicators greater with invasive infertility tx
Four maternal characteristics can predict 12-month trajectories for women with postpartum depression with 72.8 percent accuracy

Maternal Factors Predict Postpartum Depression Trajectory

Parity, education, baseline global functioning, depression severity predict chronic severe trajectory
In utero exposure to higher levels of maternal glucose is associated with higher glucose levels and insulin resistance during childhood

Maternal Glucose in Pregnancy Tied to Child’s Glucose Outcomes

Maternal fasting plasma glucose is positively associated with FPG and A1C in childhood
Discontinuing tumor necrosis factor inhibitors before gestational week 20 in women with well-controlled rheumatoid arthritis or juvenile idiopathic arthritis is not associated with disease worsening in late pregnancy

Discontinuing TNFi Before Gestational Week 20 Is Feasible

No clinically meaningful disease worsening among women with well-controlled RA, juvenile arthritis
It is important to discuss family planning and pregnancy proactively in women of childbearing age who have multiple sclerosis

Management of MS in Pregnancy Reviewed in U.K. Guideline

Pros and cons of continuing treatment throughout pregnancy should be discussed individually
Long periods of undisturbed sleep during pregnancy are associated with late stillbirth

Undisturbed Maternal Sleep Tied to Higher Risk for Late Stillbirth

Maternal sleep patterns have been overlooked as indicators of maternal, newborn health
The American Gastroenterological Association report

New Guidelines Introduced for Inflammatory Bowel Disease in Pregnancy

Guidance explains best practices for managing patients across continuum of care and pregnancy
Delayed contraceptive initiation is associated with unwanted pregnancy within three months of sexual debut

Delayed Contraception Leads to Early Unwanted Pregnancy

More African-American, Hispanic, low-income respondents report delayed contraceptive initiation