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Editor-in-Chief eMediNexus – Dr KK Aggarwal
10th August 2018
Inducing labor at 39 weeks may prevent cesarean births

Dr KK Aggarwal, Recipient of Padma Shri

In what could be viewed as a practice changing result, a study has found that compared with expectant management, elective induction of labor at 39 weeks in low-risk nulliparous women reduced the chances of cesarean births. Also, infants born to women induced at 39 weeks were no more likely to experience stillbirth, newborn death or other severe complications, compared to infants born to the expectant management group.

The multicenter study enrolled more than 6,000 pregnant women at 41 hospitals participating in the NICHD-supported Maternal-Fetal Medicine Units Network. Low-risk nulliparous women who were at 38 weeks 0 days to 38 weeks 6 days of gestation to labor induction at 39 weeks 0 days to 39 weeks 4 days or to expectant management.

The primary outcome was a composite of adverse perinatal events, which included perinatal death, newborn’s need for respiratory support, Apgar ≤3 at 5 minutes, seizures, infection (confirmed sepsis or pneumonia), birth trauma (injury) or hemorrhage, meconium aspiration syndrome and other birth complications. more

Top News

Today is National Deworming Day: Worm free children are healthy children

Today is the second phase of National Deworming Day. All children will be administered the chewable deworming tablet at all schools and Anganwadis free-of-cost. Unregistered and out-of-school will be dewormed at the Anganwadis. Children who could not be dewormed on national ... read more

Morning Medtalks

Morning MEDTalks with Dr KK Aggarwal 10th August 2018

Breaking News: Induced labor at 39 weeks may reduce likelihood of C-section Elective induction at 39 weeks also linked to lower risk of maternal high blood pressure disorders. Healthy first-time mothers whose labor was induced in the 39th week of pregnancy were less likely to deliver by cesarean section, compared to those who waited for labor to begin naturally, according to a study funded by the National Institutes of Health. Researchers also found that infants born to women induced at 39 weeks were no more likely to experience stillbirth, newborn death or other severe complications, compared to infants born to uninduced women. The study results are published in the New England Journal of Medicine... read more

Practice Updates

FDA approves first generic drug under new pathway aimed at enhancing market competition for sole source drugs

The U.S. Food and Drug Administration today approved several strengths of potassium chloride oral solution as the first generic drugs to receive a Competitive Generic Therapy (CGT) designation. This new approval pathway was created to expedite the development and review of a generic drug for products that lack competition. Potassium chloride is an oral treatment that is ... read more

Physical activity helps older adults to lower their risk of heart disease

Adults in their early 60s, especially women, who spend less time sitting and more time engaged in light to vigorous physical activity, benefit with healthier levels of heart and vessel disease markers, according to new research Aug. 8, 2018 in Journal of the American Heart Association. ... read more

A new injectable treatment for two rare types of non-Hodgkin lymphoma

The US Food and Drug Administration today approved Poteligeo (mogamulizumab-kpkc) injection for intravenous use for the treatment of adult patients with relapsed or refractory mycosis fungoides (MF) or Sézary syndrome after at least one prior systemic therapy. This is the first FDA ... read more

AAP guidance for physicians in coordinating care of a hospitalized child

In a new clinical report on the role of physicians in coordinating care of a hospitalized child, the American Academy of Pediatrics (AAP) recommends that physicians responsible for the hospital admission coordinate the patient’s care throughout the stay and upon discharge through direct.. read more

ARMD, glaucoma and diabetic retinopathy identified as risk factors for Alzheimer's disease

Patients with age-related macular degeneration (ARMD), diabetic retinopathy, or glaucoma were at 40-50% greater risk of developing Alzheimer's disease compared to those without these eye conditions, says a study reported August 8, 2018 in Alzheimer's & Dementia, the journal of the ... read more

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Lifestyle Updates
Inspirational Story 1: An interesting story
Inspirational Story 2: Reaction vs Response
Happy marriage equals to better health for partners
Adjustment, talking it out, and caring are some ways to avoid possible issues
Euphoria, reactions, adjustment, liking and loving are the stages
New Delhi, 9th August 2018: As per a new study, a stressful marriage may be unhealthy, especially for men. In fact, for some people it may be as bad as smoking. Some conflicting topics that affected health include children, money, in-laws, and recreational activities. Over time, a stress-filled marriage can have adverse effects – from hampering heart function to the body’s ability to fight diseases.

People in a stressful relationship can have damaging inflammation, extreme changes in appetite and increased levels of stress hormones. Conflict can be particularly damaging for health if spouses are hostile or defensive during disagreements. Arguing about the same topic over and over again without finding a solution can prove detrimental.

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