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Use of the antiepileptic drug valproate during pregnancy is associated with an increased risk for attention-deficit/hyperactivity disorder among offspring

Prenatal Valproate Exposure Linked to Increased ADHD Risk

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Maternal use of other antiepileptic drugs not tied to increased ADHD risk
Parity is associated with cardiovascular disease risk

Having Children Tied to Higher Risk for Cardiovascular Disease

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Significant link identified, with nonlinear J-shaped dose-response relationship for increasing parity
The American College of Obstetricians & Gynecologists has updated its guidance on the management of gestational hypertension and preeclampsia as well as chronic hypertension in pregnant women; the two practice bulletins were published in the January issue of Obstetrics & Gynecology.

ACOG Updates Guidelines for Gestational HTN, Preeclampsia

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Second bulletin provides recommendations for management of chronic hypertension in pregnancy
Providers should maximize women's health during the interpregnancy period

ACOG: Interpregnancy Period Should Maximize Women’s Health

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Components of postpartum care should be included as the initial components of interpregnancy care
For pregnant smokers

Vit C for Pregnant Smokers May Improve Newborn Lung Function

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Newborn lung function improved as measured by forced expiratory flow at three months of age
First-trimester ondansetron use is associated with a small increased risk for oral cleft but no increased risk for congenital malformations or cardiac malformations

Cardiac Malformations Not Up With First-Trimester Ondansetron

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No increased risk observed for congenital malformations; small increased risk seen for oral clefts
Chronic opioid use during pregnancy that causes neonatal abstinence syndrome is associated with smaller neonatal head circumference

Smaller Heads Related to Opioid-Related Neonatal Abstinence Syndrome

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Chronic opioid use in pregnancy resulting in NAS linked to smaller head circumference in neonates
From 2012 to 2016

2012 to 2016 Saw Increase in Syphilis Among Pregnant Women

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Overall, 49 percent of pregnant women with syphilis did not report any of 15 risk factors
Pregnant women commonly refuse vaccines

Pregnant Women Commonly Refuse Vaccines

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Providers believe stressing fetal protection is most effective strategy against refusal
The incidence of amphetamine and opioid use has increased among pregnant women

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

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Increase in amphetamine-, opioid-related deliveries disproportionate between rural vs. urban counties