Our fellows & faculty had an amazing time at #SMFM2025, showcasing their research! Dr. Rana also led a roundtable on the new #Hypertension in #Pregnancy Change Package, tackling racial & ethnic disparities, key insights & real-world strategies. 💡 #MaternalHealth #OBGYN
The Society for Maternal-Fetal Medicine's annual meeting in Denver was a success. Congratulations to our MFM Fellows, research assistants, and medical students on #SMFM2025! 🌟
UNC Maternal-Fetal Medicine proudly represented @unchealth.bsky.social
& UNC School of Medicine!
Tocolysis for preterm labor: It’s time to stop. It’s past the time to stop.
Otherwise, how many more RCTs are we going to need?
#SMFM2025 #MedSky
www.medpagetoday.com/meetingcover...
Training the next generation of Maternal Fetal Medicine specialists is a literally life-saving endeavor
#SMFM2025
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In a secondary analysis of the MOMPOD trial, metformim use was associated with decreased fat-free mass in neonates born to patients with T2DM on metformin #SMFM2025
Table comparing high-intensity breastfeeding to not among patients with GDM.
Breastfeeding was associated with improved lipid profiles in a prospective cohort of Japanese patients with GDM. (HIB = high intensity breastfeeding on the slides.) #SMFM2025
There is a stepwise increase in long term risk of T2DM for each value above normal on a 3 hour GTT in pregnancy (even if you only have one elevated value and don’t meet criteria for GDM!) #SMFM2025
In a secondary analysis of the MOMPOD trial, there was no association between antenatal metformin use and breastfeeding at 30 days postpartum among trial participants with pregestational diabetes. There was no difference in incidence of delayed lactogenesis. #SMFM2025
Skipping rescreening for GDM in the third trimester in the s/o polyhydramnios or LGA EFW was noninferior to rescreening she examining neonatal outcomes #SMFM2025
For the 2nd year, appreciation to MedPageToday for covering the #SMFM2025 meeting and the critical new obstetrics research presented here from around the world.
In the months and years to come, our medical media will become more important than ever
#MedSky
www.medpagetoday.com/meetingcover...
RCT in India comparing oral iron bid to a single dose of IV iron (ferric derisomaltose [FDM] or ferric carboxymaltose [FCM]) in the second trimester showed a reduction in low birthweight in the FCM arm and reduced need for transfusion in both FCM and FDM arms #SMFM2025
RCT comparing CGM for 7 days to traditional two-step GDM screening (Carpenter-Coustan criteria, 1 hr cutoff 135 mg/dL) showed no difference in composite or individual outcomes when using CGM to diagnose GDM #SMFM2025
Scouring the #SMFM2025 hashtag to find bluesky obgyns to follow on here…
Tight BP control during the postpartum period—using the ACC goal of <130/80—was associated with a 68% drop on ED visit for severe HTN in a propensity matched cohort #SMFM2025
Prophylactic Methergine after cord clamping in planned twin cesarean delivery at 34+ weeks is associated with lower blood loss, lower rate of PPH, and a smaller drop in Hgb on POD#1 than placebo in a double blind RCT. #SMFM2025
Annual #SMFM2025 Cleveland / CWRU alumni gathering with current and former residents and fellows, ping pong night at downtown Denver’s Ace Eat Serve
Secondary analysis of the MFMU TXA trial does not support prophylactic TXA administration for patients with HTN undergoing cesarean delivery (the main trial also didn’t support it overall) #SMFM2025
#SMFM2025: Many “negative” result studies from large and well conducted trials - always disappointing but this is also exactly how medicine advances.
We need the “negative” studies to show what does not work, which stones have already been overturned
Kudos to all the teams
Metformin was paradoxically associated with increased insulin resistance in a pregnant rhesus macaques model #SMFM2025
#SMFM2025: An RCT of Atosiban tocolysis for preterm labor demonstrated no benefit
Another RCT of another tocolytic without benefit
Authors: “This questions the widespread use of tocolytics in many countries”
In Cleveland we stopped using tocolytics years ago
It’s time to stop
#MedSky
AI software aided in the detection of major congenital heart defects during anatomy ultrasounds in a validation model of 200 ultrasounds. When broken down by interpreter, results were significant when scans were read by generalist OB/GYNs but not when read by MFMs. #SMFM2025
Fetal fraction amplification for cell-free fetal DNA screening for aneuploidy can yield reliable results as early as 8 weeks gestation #SMFM2025
#SMFM2025: Researchers from UT Houston presenting their data on patients with pre-viable membrane rupture in Texas after the abortion ban.
Maternal sepsis tragically increased four fold
$MedSky
There was an increase in maternal morbidity in patients with previable PPROM following SB8 in TX, especially regarding sepsis #SMFM2025
RCT or antenatal late preterm steroids in twins show reduction in respiratory morbidity but an increase in hypoglycemia. No change in maternal morbidity. #SMFM2025
Incredible day of #medED sharing the world of #MFM with a great crew of high school students as part of #SMFM2025 at #CFCC! @docohms.bsky.social thanks for being a part of it all!
A #SMFM2025 old-Twitter, pre-X/Musk tradition was introducing new attendees & mentees:
Welcome to SMFM Dr. Peyton Johnston, our 3rd yr resident at University Hospitals Cleveland, applying in this cycle
Friday afternoon poster #1096 on racial differences in IAI Dx
Who else on here is new?
Attending #SMFM2025? 🌟 Stop by our poster with Swedish Medical Center to learn how we developed a circulating endothelial cell (CEC) assay to measure maternal blood CEC numbers, exploring differences in pregnancies complicated by preeclampsia and fetal growth restriction.
📍Abstract #502
