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The U.S. Preventive Services Task Force recommends hepatitis B virus infection screening in pregnant women at their first prenatal visit. These findings form the basis of a draft recommendation statement published online Jan. 8 by the task force.

USPSTF Affirms Guidance for Hep B Screening at First Prenatal Visit

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Evidence convincing that universal prenatal screening reduces perinatal transmission of HBV
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