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Category: Pediatrics | Monthly Briefing

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November 2012 Briefing - Pediatrics

Last Updated: December 03, 2012.

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for November 2012. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

ACOG: Delaying Cord Clamping Advised for Preterm Infants

FRIDAY, Nov. 30 (HealthDay News) -- Evidence supports the benefits of delayed umbilical cord clamping for preterm infants, while for term infants, the evidence is unclear, according to a Committee Opinion published in the December issue of Obstetrics & Gynecology.

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Even Short Smoke Exposures Up Non-Smoker Pollutant Levels

FRIDAY, Nov. 30 (HealthDay News) -- Even a short, 10-minute exposure to secondhand smoke (SHS) in the back of a vehicle results in increased exposure to polycyclic aromatic hydrocarbons (PAH) and fine particulates (PM2.5), according to a study published online Nov. 21 in Tobacco Control.

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Materialism, Impulsiveness Impact Technology Addictions

FRIDAY, Nov. 30 (HealthDay News) -- For young adults, materialism and impulsiveness contribute to cell phone and instant messaging addiction, according to a study published online Nov. 17 in the Journal of Behavioral Addictions.

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Model Predicts Flu Season Peak Seven Weeks in Advance

FRIDAY, Nov. 30 (HealthDay News) -- Using a technique commonly applied in weather prediction, peaks of influenza season can be predicted seven weeks in advance, according to a study published online Nov. 26 in the Proceedings of the National Academy of Sciences.

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Analysis Seeks True Magnitude of Cryptorchidism Malignancy Risk

THURSDAY, Nov. 29 (HealthDay News) -- For boys with isolated cryptorchidism, there is an almost three-fold increased relative risk of testicular malignancy, according to a meta-analysis published online Nov. 28 in the Archives of Disease in Childhood.

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School Posture Education Improves Healthy Backpack Use

THURSDAY, Nov. 29 (HealthDay News) -- A postural education program can significantly improve healthy backpack use habits among school children, according to a study published in the November issue of the European Spine Journal.

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Researchers Estimate Sleep Norms for U.S. Children

THURSDAY, Nov. 29 (HealthDay News) -- National sleep norms indicate that U.S. children are generally getting the recommended amounts of sleep, according to research published online Nov. 26 in the Archives of Pediatrics & Adolescent Medicine.

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Possible Link for Autism, Traffic-Related Air Pollution

WEDNESDAY, Nov. 28 (HealthDay News) -- Autism may be linked to exposure to traffic-related air pollution during pregnancy and the first year of life, according to a study published online Nov. 26 in the Archives of General Psychiatry.

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Political Leaders Face Voter Opposition to Medicare Cuts

WEDNESDAY, Nov. 28 (HealthDay News) -- The majority of those who voted for President Obama in the 2012 election favor implementing the Affordable Care Act (ACA), while those who voted for Republican officeholders are likely to oppose parts or all of the implementation of the ACA; both sides oppose cuts to Medicare as a means to balance the budget, according to an analysis of newly released polls published as a Special Report online Nov. 28 in the New England Journal of Medicine.

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State Cost of Affordable Care Act's Medicaid Expansion Modest

WEDNESDAY, Nov. 28 (HealthDay News) -- Implementation of the Affordable Care Act's (ACA) Medicaid expansion will likely result in modest state costs by 2022, but will gain health care coverage for more than 20 million uninsured Americans, according to report published by the Kaiser Family Foundation.

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Pediatricians Play Collaborative Role in Bipolar Management

WEDNESDAY, Nov. 28 (HealthDay News) -- Pediatricians should play a collaborative role in the care of adolescents with bipolar disorder by maintaining familiarity with diagnostic guidelines and providing assistance in monitoring and managing medications, according to a clinical report from the American Academy of Pediatrics (AAP) published online Nov. 26 in Pediatrics.

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Study Confirms Waning Immunity With Time Post-Pertussis Vaccine

WEDNESDAY, Nov. 28 (HealthDay News) -- The odds of contracting whooping cough increase with time since the final diphtheria, tetanus, and acellular pertussis (DTaP) vaccine dose, according to a study published in Nov. 28 issue of the Journal of the American Medical Association.

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CDC: New HIV Infections Disproportionate in Youths

TUESDAY, Nov. 27 (HealthDay News) -- Young people made up more than a quarter of new HIV infections in the United States in 2010, but only a relatively small proportion of youths have been tested, and more than half who have HIV are unaware that they have the virus, according to research published in the Nov. 27 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Doc Earnings Growth Lags Behind Other Health Professionals

TUESDAY, Nov. 27 (HealthDay News) -- Compared with other health professionals, in the last 15 years there has been considerably less growth in the earnings of physicians in the United States, according to a research letter published in the Nov. 28 issue the Journal of the American Medical Association.

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U.S. Primary Care Doctors Gaining Ground on Health IT

TUESDAY, Nov. 27 (HealthDay News) -- While primary care physicians in the United States and other countries are gaining ground on health information technology use, there continues to be access-to-care barriers and breakdowns in coordination issues with other health care professionals, according to a Commonwealth Fund report published online Nov. 15 in Health Affairs.

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Parental Chronic Pain Impacts Pain in Teens, Young Adults

TUESDAY, Nov. 27 (HealthDay News) -- Parental chronic nonspecific pain significantly impacts pain in adolescent and young adult offspring, according to a study published online Nov. 19 in the Archives of Pediatrics & Adolescent Medicine.

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TBI Incidence in New Zealand Higher Than Previously Thought

MONDAY, Nov. 26 (HealthDay News) -- The burden of traumatic brain injury (TBI) in New Zealand appears to be greater than previously estimated, according to a population-based study published online Nov. 22 in The Lancet Neurology.

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Health Officials Issue Support Against Infant Sleep Positioners

MONDAY, Nov. 26 (HealthDay News) -- Infant sleep positioners are associated with increased rates of unintentional infant suffocation, offering support to the American Academy of Pediatrics' recommendations against the use of such items, according to research published in the Nov. 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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AAP Addresses Emergency Contraception for Teens

MONDAY, Nov. 26 (HealthDay News) -- The importance of emergency contraception for preventing unintended pregnancy among teenagers is emphasized in a policy statement issued by the American Academy of Pediatrics (AAP) and published online Nov. 26 in Pediatrics.

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AAP Provides Grief Counseling Guidance for Pediatricians

MONDAY, Nov. 26 (HealthDay News) -- Pediatricians have an important role in supporting parents and siblings following the death of a child, according to a clinical report published online Nov. 26 in Pediatrics.

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Pediatric Inflatable Bouncer-Related Injuries Up in U.S.

MONDAY, Nov. 26 (HealthDay News) -- In recent years, the number and rate of inflatable bouncer-related injuries in children have increased rapidly in the United States, according to a study published online Nov. 26 in Pediatrics.

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Prevalence of Diabetes in U.S. Youth Set to Rise Considerably

THURSDAY, Nov. 22 (HealthDay News) -- Projected estimates suggest considerable increases in the prevalence of type 1 and 2 diabetes among youth by 2050, according to research published in the December issue of Diabetes Care.

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Obama Administration Moving Forward With Health Care Law

WEDNESDAY, Nov. 21 (HealthDay News) -- Three rules have been proposed by the Obama administration to further facilitate implementation of the Affordable Care Act, according to a Nov. 20 press release from the U.S. Centers for Medicare & Medicaid Services.

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Mortality Risk Up for Teen Boys With Low Muscle Strength

WEDNESDAY, Nov. 21 (HealthDay News) -- Adolescents with low muscle strength are at an increased risk of all-cause premature death, according to a study published online Nov. 20 in BMJ.

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HIV Screening Recommended for All 15- to 65-Year Olds

TUESDAY, Nov. 20 (HealthDay News) -- New recommendations propose HIV screening for all individuals aged 15 to 65 years, and for all pregnant women, according to a draft recommendation statement issued Nov. 20 by the U.S. Preventive Services Task Force (USPSTF).

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Novel Device Benefits Type 3 Osteogenesis Imperfecta

TUESDAY, Nov. 20 (HealthDay News) -- In children with type 3 osteogenesis imperfecta (OI) and thoracic insufficiency syndrome (TIS), thoracic elongation surgery using a novel expandable spino-thoracic fixation device significantly improves pulmonary function, weight gain, and spinal deformities, without significant complications, according to a study published online Nov. 7 in Spine.

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Birth Weight Linked to Brain Development Later in Childhood

TUESDAY, Nov. 20 (HealthDay News) -- Birth weight seems to have a strong influence on subsequent brain development, according to a study published online Nov. 19 in the Proceedings of the National Academy of Sciences.

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Research Supports Role of BMI in Incident Asthma in Children

TUESDAY, Nov. 20 (HealthDay News) -- Overweight and obese children have a significantly increased risk of incident asthma, with evidence of a dose-response effect of elevated body mass index (BMI), according to a meta-analysis published online Nov. 12 in Obesity Reviews.

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More Support for Vitamin D As Protective Factor in MS

MONDAY, Nov. 19 (HealthDay News) -- There is an inverse association between levels of 25-hydroxyvitamin D (25[OH]D) and the risk of multiple sclerosis (MS), but no association between gestational levels of 25(OH)D and offspring risk of MS, according to a study published in the Nov. 20 issue of Neurology.

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Obesity More Common Among Children With Psoriasis

MONDAY, Nov. 19 (HealthDay News) -- Children with psoriasis are more likely to be obese, particularly if they have severe disease or live in the United States, according to a study published online Nov. 19 in the Archives of Dermatology.

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More Adolescents Are Engaging in Muscle-Enhancing Behavior

MONDAY, Nov. 19 (HealthDay News) -- More adolescent boys and girls are engaging in muscle-enhancing behaviors than previously thought, with these behaviors more common among boys, according to a study published online Nov. 19 in Pediatrics.

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Pediatrician Adoption of EHR Systems Lagging Behind

MONDAY, Nov. 19 (HealthDay News) -- Pediatricians' adoption of fully functional electronic health record (EHR) systems is lagging and fraught with financial and productivity concerns, according to a study published online Nov. 19 in Pediatrics.

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Relative Student Age Affects Academic Performance, ADHD Rx

MONDAY, Nov. 19 (HealthDay News) -- Younger students in each grade are at an increased risk of lower academic performance, and are significantly more likely to be prescribed attention-deficit/hyperactivity disorder (ADHD) medications compared with older students in the same grade, according to a study published online Nov. 19 in Pediatrics.

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Mental Illness, Job Stress Both Factors in Physician Suicides

FRIDAY, Nov. 16 (HealthDay News) -- The presence of mental illness or job problems may make physicians more vulnerable to suicide than non-physicians, according to a study published online Nov. 5 in General Hospital Psychiatry.

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Flame Retardant Adversely Affects Child Neurodevelopment

FRIDAY, Nov. 16 (HealthDay News) -- Both prenatal and childhood exposures to polybrominated diphenyl ether flame retardants (PBDEs) are linked to adverse effects on child neurobehavioral development, according to a study published online Nov. 15 in Environmental Health Perspectives.

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Ten-Valent Pneumococcal Conjugate Vaccine Effective

FRIDAY, Nov. 16 (HealthDay News) -- The pneumococcal conjugate vaccine containing 10 serotype-specific polysaccharides conjugated to Haemophilus influenza protein D, tetanus toxoid, and diphtheria toxoid as the carrier proteins (PHiD-CV10) is effective against invasive pneumococcal disease, including in infants using a 2+1 schedule, according to a study published online Nov. 16 in The Lancet.

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Parents Offer Advice for Parenting Overweight Teens

FRIDAY, Nov. 16 (HealthDay News) -- Parents of overweight or obese teens have identified challenges faced and practical advice that may be beneficial for other parents, according to a study published in the November issue of the Journal of Nutrition Education and Behavior.

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Gene Variants Impact Child IQ With In-Utero Alcohol Exposure

THURSDAY, Nov. 15 (HealthDay News) -- Variants in genes involved in alcohol metabolism in children and their mothers correlate with child IQ at age 8, with the association only present for mothers who drink during pregnancy, according to a study published online Nov. 14 in PLoS One.

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Child Prodigies Show Links with Autism

THURSDAY, Nov. 15 (HealthDay News) -- There is an over-representation of autism among child prodigies and their families, with child prodigies exhibiting exceptional working memory and attention to detail, according to a study published in the September-October issue of Intelligence.

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White Matter Microstructural Integrity Altered in T1DM

THURSDAY, Nov. 15 (HealthDay News) -- Youth with type 1 diabetes mellitus (T1DM) exhibit a pattern of regional diffusion tensor imaging differences that is suggestive of axonal injury or degeneration and may be related to episodes of severe hypoglycemia, according to a study published online Nov. 8 in Diabetes.

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Earlier Menarche Linked to Overall Adiposity

WEDNESDAY, Nov. 14 (HealthDay News) -- Earlier menarche is associated with overall adiposity, according to a study published online Oct. 23 in the Journal of Clinical Endocrinology & Metabolism.

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Lack of Resources ID'd in Peds Concussion Management

TUESDAY, Nov. 13 (HealthDay News) -- Pediatric primary care and emergency medicine providers frequently care for patients with concussion, but may lack adequate training and resources for appropriate management, according to a study published online Nov. 12 in Pediatrics.

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Massage Therapy May Enhance Immunity in Preterm Infants

TUESDAY, Nov. 13 (HealthDay News) -- For stable, preterm infants, daily massage therapy (MT) is positively associated with higher natural killer (NK) cell cytotoxicity and weight gain, according to a study published online Nov. 12 in Pediatrics.

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Dance Improves Self-Rated Health for Teen Girls

TUESDAY, Nov. 13 (HealthDay News) -- For teenage girls with internalizing problems, a dance intervention can improve self-rated health scores, according to a study published online Nov. 12 in the Archives of Pediatrics & Adolescent Medicine.

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Many Smoking Parents Expose Their Children to Smoke in Cars

MONDAY, Nov. 12 (HealthDay News) -- Many smoking parents expose their children to tobacco smoke in cars, but few parents are advised by pediatricians to implement a smoke-free car policy, according to a study published online Nov. 12 in Pediatrics.

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Study Looks at Autism and Possible Pregnancy Risk Factors

MONDAY, Nov. 12 (HealthDay News) -- Although there is some evidence to suggest that maternal influenza, prolonged febrile episodes, and antibiotic use during pregnancy may be associated with an increased risk of autism spectrum disorder (ASD)/infantile autism, further research is required to elucidate these associations, according to a study published online Nov. 12 in Pediatrics.

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Link ID'd for Introduction of Fish, Childhood Wheeze

MONDAY, Nov. 12 (HealthDay News) -- The introduction of fish between the ages of 6 and 12 months, but not consumption afterward, correlates with a reduction in the risk of wheezing in children at age 48 months, according to a study published online Nov. 12 in Pediatrics.

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Early-Life Stress Impacts Female Teen Brain Connectivity

MONDAY, Nov. 12 (HealthDay News) -- For females, early-life stress (ELS) correlates with increased cortisol levels; this predicts reduced functional connectivity in the amygdala-ventromedial prefrontal cortical (vmPFC) circuit in adolescence, which is inversely linked to anxiety, according to a study published online Nov. 11 in Nature Neuroscience.

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Social Network Profile May Harm Medical Applicants

MONDAY, Nov. 12 (HealthDay News) -- Social networking profiles may harm an applicant's chances of admission to medical school or a residency program, according to a study published online Nov. 8 in the Postgraduate Medical Journal.

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Predrinking Linked to Heavier Alcohol Consumption

FRIDAY, Nov. 9 (HealthDay News) -- Predrinking, drinking before going out, is linked to heavier alcohol consumption and increased adverse outcomes, according to a study published online Nov. 8 in Alcoholism: Clinical & Experimental Research.

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Socially Anxious Parents Show Specific Parenting Pattern

THURSDAY, Nov. 8 (HealthDay News) -- Parents with social anxiety disorder (SAD) are more likely to engage in a specific pattern of parenting behavior involving less warmth and more criticism, according to a study published in the September issue of Child Psychiatry & Human Development.

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Online and Offline Sexual Risk Behaviors Related in Teens

MONDAY, Nov. 5 (HealthDay News) -- Although a minority of adolescents are at high risk for online sexual risk behaviors (OnSRB), these teenagers appear to also be at risk for offline sexual risk behaviors (OffSRB), according to research published online Nov. 5 in Pediatrics.

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Fewer Meals Eaten in Front of Television After Intervention

MONDAY, Nov. 5 (HealthDay News) -- A brief primary care intervention for preschool-aged children and their parents reduces the number of meals eaten in front of the television but does not reduce overall screen time or body mass index (BMI), according to research published online Nov. 5 in Pediatrics.

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Third MMR Vaccine Dose Can Curtail Mumps Outbreak

MONDAY, Nov. 5 (HealthDay News) -- Administering a third dose of the measles-mumps-rubella (MMR) vaccine reduced the village-wide attack rate by about 75 percent in a community experiencing a large mumps outbreak despite a high rate of previous MMR vaccination, according to research published online Nov. 5 in Pediatrics.

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Altered Neural Activation in Children Exposed to Fetal Alcohol

FRIDAY, Nov. 2 (HealthDay News) -- There is evidence of impaired behavioral and neural processing of sequential information in fetal alcohol spectrum disorders, according to a study published online Oct. 24 in Alcoholism: Clinical & Experimental Research.

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Playing Videos Reduces Anxiety Before Pediatric Surgery

FRIDAY, Nov. 2 (HealthDay News) -- Children who watch a video clip of their choice during induction of inhaled anesthesia are less anxious than children who receive traditional distraction methods, according to a study published in the November issue of Anesthesia & Analgesia.

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Single C-Peptide As Good As Full Mixed-Meal Tolerance Test

FRIDAY, Nov. 2 (HealthDay News) -- For children and adolescents with type 1 diabetes, the 90-minute mixed-meal tolerance test (MMTT)-stimulated C-peptide (CP; 90CP) is a highly sensitive and specific measure of area under the curve (AUC) and peak CP and may be used as an alternative to a full MMTT, according to a study published online Oct. 30 in Diabetes Care.

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CDC: Diabetes Mortality Declining in Youths

THURSDAY, Nov. 1 (HealthDay News) -- Medical care for people with diabetes has vastly improved over the last several decades, which is reflected by an improvement in survival rates among children; however, there is still room for improvement, according to research published in the Nov. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Mumps Outbreak Focused Within Male Orthodox Jewish Schools

THURSDAY, Nov. 1 (HealthDay News) -- A mumps outbreak largely among vaccinated, Orthodox Jewish male adolescents may have been transmitted by intense exposure, particularly among boys in schools, according to research published in the Nov. 1 issue of the New England Journal of Medicine.

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Optimal Delivery Time for Twins Is 38 Weeks or Later

THURSDAY, Nov. 1 (HealthDay News) -- To minimize perinatal morbidity and mortality, the optimal time for delivery of twins is at 38 weeks of gestation or later, according to a study published in the November issue of the American Journal of Obstetrics & Gynecology.

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