Home blood pressure readings matched clinic checks for women at high pre-eclampsia risk

The edition in brief

Remote blood pressure monitoring for women at high risk of pre-eclampsia was non-inferior to specialist clinic checks in a 270-woman Australian randomised trial (April 2026): the perinatal composite was unchanged (HR 1.0, 95% CI 0.57-1.76), antenatal visits fell, and any-cause admission was less likely (HR 0.54, 0.30-0.97). A narrative review in AJOG argues that contraceptive counselling should be routine whenever a GLP-1 receptor agonist is started, because interaction data are thin and fertility may rise with weight loss. A Michigan case study of 17 hospitals found that lower first-birth caesarean rates went with stronger leadership, collaboration and structured improvement processes. The pooled US uterus transplant experience (60 transplants, 2016-2025) reported live birth or ongoing pregnancy in 70% of recipients, reoperation in 28%, and preterm birth in 58% of 48 babies. A meta-analysis of seven observational studies found nominal associations between some maternal cytokines and offspring autism, but no robust biomarker. Pearl: aspirin prophylaxis for high pre-eclampsia risk works only if it starts early.