• Society of Maternal-Fetal Medicine, Feb. 3-8

    The Society of Maternal-Fetal Medicine's 33rd Annual Meeting -- The Pregnancy Meeting (https://www.smfm.org/the-pregnancy-meeting )
    The annual meeting of the Society of Maternal-Fetal Medicine was held from Feb. 3 to 8 in New Orleans and attracted more than 2,000 participants from around the world, including obstetricians/gynecologists and other clinical practitioners who specialize in maternal-fetal medicine. The conference highlighted recent advances in maternal-fetal medicine, with presentations and abstracts focusing on reducing high-risk pregnancy complications through pregnancy assessment and management.
    In one study, Mary E. Norton, M.D., of the University of California in San Francisco, and colleagues evaluated the number and type of chromosomal abnormalities that were detected in women who had a traditional screening test that indicated a high risk for Down syndrome.
    "We found that Down syndrome accounted for only about half of the total abnormalities in such women. All in all, about 83 percent of the abnormalities that were found by invasive testing could have been detected if noninvasive prenatal testing (NIPT) with cell-free DNA had been done instead," said Norton. "In the other 17 percent, a variety of less common chromosomal abnormalities were identified which are not targets of NIPT and therefore would have been missed."
    According to Norton, NIPT is not a replacement for amniocentesis in high-risk women, because although Down syndrome is the most common aneuploidy, amniocentesis detects many more abnormalities than just Down syndrome and the other common trisomies.
    "Patients (and providers) need to understand the trade-off between different prenatal genetic tests," Norton added. "NIPT is very accurate for the common trisomies, but traditional screening can indicate risk for much more than just these common anomalies, and amniocentesis can detect many more chromosomal anomalies than NIPT."
    Press Release (http://www.smfmnewsroom.org/2014/01/study-finds-noninvasive-prenatal-testing-detects-more-than-eighty-percent-of-chromosomal-abnormalities/ )
    In another study, Liv Freeman, M.D., of Leiden University Medical Center in the Netherlands, and colleagues assessed patient satisfaction regarding pain relief with remifentanil as compared to epidural analgesia during labor.
    "The main focus of the study was satisfaction with pain relief. We showed that this satisfaction, or the pain appreciation, is not comparable," said Freeman. "So our main conclusion is that women with epidural analgesia have higher scores on pain appreciation. The impact of this conclusion on clinical practice is that remifentanil patient-controlled analgesia cannot be used as a substitute for epidural analgesia because of lower patient satisfaction. Future research and analysis of additional trial data should reveal more about specific subgroups of women that might benefit from remifentanil patient-controlled analgesia."
    Press Release (http://www.smfmnewsroom.org/2014/01/study-finds-remifentanil-patient-controlled-analgesia-not-as-effective-as-epidural-analgesia-in-managing-pain-relief-during-labor/ )
    Tracy Manuck, M.D., of the University of Utah Health Sciences Center in Salt Lake City, and colleagues found that there are some key genetic differences between women who respond to progesterone for recurrent preterm birth prevention and those who have a recurrent preterm birth at a similar gestational age in pregnancy. The investigators used a new analytic approach which enabled them to scan all parts of the genome that encode genes to look for differences both in individual genes as well as larger networks of genes.
    "Our results suggest that someday the hope of being able to create a 'response panel,' which would enable us to test women at the beginning of pregnancy to see if they will respond to progesterone shots, may become a reality," said Manuck. "Our study was based on a small group of women and should be verified and validated in a larger group of women prior to being integrated into clinical practice. However, this study helps provide direction for future studies and analyses."
    Press Release (http://www.smfmnewsroom.org/2014/01/march-of-dimes-award-winning-study-identifies-new-approach-to-personalize-prevention-of-preterm-birth/ )
    SMFM: Increased Neonatal Mortality Rates for Home Births
    MONDAY, Feb. 3, 2014 (HealthDay News) -- Despite a higher neonatal mortality rate, home births have increased over the past decade, and the increased risk is associated with the location of a planned birth, rather than the credentials of the person delivering the baby, according to a study presented at the annual meeting of the Society for Maternal-Fetal Medicine, held from Feb. 3 to 8 in New Orleans.
    Abstract (http://www.ajog.org/article/S0002-9378(13)01155-1/fulltext )More Information (https://www.smfm.org/the-pregnancy-meeting )
    SMFM: Major Congenital Anomaly Risk Down for Older Moms
    MONDAY, Feb. 3, 2014 (HealthDay News) -- Advanced maternal age is associated with decreased risk for major fetal congenital anomalies, according to a study presented at the annual meeting of the Society for Maternal-Fetal Medicine, held from Feb. 3 to 8 in New Orleans.
    Abstract (http://www.ajog.org/article/S0002-9378(13)01132-0/fulltext )More Information (https://www.smfm.org/the-pregnancy-meeting )
  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.