Pregnancy Archive

Research from Denmark found an association between the use of hormonal birth control and an increased likelihood of depression. While the risk of depression among women using hormonal forms of birth control was clearly increased, the overall number of women affected was small and was found to be highest in women under 20.

Many women may plan to start using birth control at their six-week postpartum checkup, but as many as 40% of women do not go to a follow-up appointment. The American Congress of Obstetricians and Gynecologists advocates for offering women the option of long-acting, implantable contraceptives in the period immediately following giving birth, before leaving the hospital. It’s safe, effective, and eliminates the need for an outpatient visit during a hectic time. Making postpartum contraception easily available and a covered benefit is essential to reduce unintended pregnancy and rapid, repeat pregnancy rates.

A major controlled clinical trial indicates that taking progesterone doesn’t prevent miscarriage in women at elevated risk.

Miscarriages can be devastating — especially for women who experience recurrent miscarriage, defined as three or more in a row. Doctors used to give these women supplements of progesterone, a hormone that helps maintain a healthy pregnancy. However, a recent study has confirmed that these supplements don’t improve pregnancy outcomes. For those who experience recurrent miscarriage, the best solution may be to simply keep trying.

Ask the doctors

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Q. My daughter is 38 years old and pregnant with her first child. Her due date is in two weeks, and her doctor has recommended that she have labor induced a week early. Why can't she just allow nature to take its course?

A. Having a baby when you're "older" can have some advantages—women may feel more secure with them-selves, their relationships, or their careers. However, expectant moms 35 or older—and their babies—have some increased pregnancy-related risks.

For women having children over age 35, the decision to induce labor is usually based on an increased risk of stillbirth. The duration of labor also factors into the decision, as does the possibility that induction could increase the chance of a cesarean birth, though current medical evidence does not necessarily support this assertion.

The CDC recently advised all sexually active women of childbearing age, and who aren’t on birth control, to avoid alcohol completely because of potential harmful effects to an unborn child. The science behind the recommendation is sound, but the way it was delivered has raised quite a few eyebrows. In this piece, Dr. Ricciotti examines where the message fell short and describes how she emphasizes shared decision-making and autonomy when she counsels her patients.