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Eight winning teams developed home-based and point-of-care diagnostics, wearables and other accessible technologies to improve postpartum health outcomes in regions that have limited access to maternity care.

Pregnant people who tested positive for cannabis use were at 27% higher risk for conditions related to poor placental function—including hypertensive disorders of pregnancy, stillbirth, and growth restriction relative to gestational age—than pregnant people who tested negative.

Depression in early and mid-pregnancy seems to age the placenta more rapidly than not experiencing depression during pregnancy. Premature placental aging could account for higher rates of low birth weight, preterm birth, blood pressure disorders, diabetes, and other complications linked to depression in pregnancy, underscoring the need to diagnose and treat depression in pregnant people.

For the first time, researchers were able to track development of the human placenta from the merging of placental cells with blood vessels in the uterus to a fully formed organ using new ultrasound technology that visualizes and measures blood flow through extremely small blood vessels. The images and data provide a reference for typical placental development to help with comparison studies, tracking, identification of placental disorders, and other complications.

Bacteria in the maternal digestive tract appear to stimulate blood vessel development of the placenta, suggests a mouse study. Studying the relationship between the mother’s microbiome and placental development may yield important insights into fetal and maternal health.

The risk for hypertensive disorders of pregnancy was higher for pregnant people with HIV if they had low CD4+ immune cell counts in the first or second trimester, or if they began taking antiretroviral drug regimens after 20 weeks of pregnancy, rather than at conception. The findings underscore the importance of getting HIV under control before becoming pregnant.

A new imaging technique that measures the ability of the placenta to supply blood to the fetus may predict the chances of impaired fetal growth as early as the 14th week of pregnancy. The new method seems to allow earlier diagnosis than the standard ultrasound technique, which can detect reductions in placental blood flow at 20 to 24 weeks. Earlier detection of fetal growth restriction and risk of small for gestational age fetuses may lead to strategies for treating these conditions.

NIH-funded technique enables automatic detection of placental compartments, oxygen status and structural abnormalities.

The National Institutes of Health is offering up to $8 million in cash prizes to accelerate development of technologies to improve maternal health outcomes for those who live in areas lacking access to maternity care.

The increase in pregnancy complications linked to air pollution exposure could result from the pollutants’ direct effects on the placenta, suggests a study in mice funded by the National Institutes of Health. Placentas of mice exposed to a mixture of common urban air pollutants before and during pregnancy were inflamed and had a loss of blood vessel cells. The study authors say the findings could provide insight into how air pollution might affect pregnancies and lead to strategies for preventing pregnancy complications.

The placenta supports pregnancy and influences the lifelong health of both mother and child. Yet it is the least understood, and least studied, of all human organs. In a guest post for the NIH Director’s Blog, Dr. Bianchi discusses work from NICHD’s Human Placenta Project to understand how the placenta functions in real time during pregnancy.

It just got easier to participate in the PregSource®: Crowdsourcing to Understand Pregnancy research project. The free app allows participants to track their weight, sleep, mood, and other features of their pregnancy in just a few taps.

Awarded projects seek to reduce pregnancy complications and prevent maternal deaths.

Dr. Grewal has been acting director of the division since February 2020.

NIH-supported program reduces maternal deaths, complications in rural Guatemalan communities.

Racial and ethnic disparities in maternal mortality in the United States may be larger than previously reported, suggests an NICHD-funded study.

The National Institutes of Health will award up to $400,000 to individuals or groups who design an effective method for analyzing a large data set of first-time pregnancies and identifying risk factors for adverse outcomes, such as hypertensive disorders, diabetes and infection. A total of $50,000 will be awarded to each of seven winners designing the most effective means to analyze the data. An additional $10,000 will be awarded to the top five winners whose methods identify risk factors in disadvantaged populations.

NICHD Director Dr. Diana Bianchi is joined by NIH Office of Research on Women’s Health Director Dr. Janine Clayton in assessing the growing maternal health crisis in the United States and describing NIH’s efforts to address it.

Pregnant people need to be protected through research rather than from research, the authors contend.

As the COVID-19 pandemic persists, SARS-CoV-2 vaccines offer the potential to halt the spread of the virus. Yet, we know very little about the effectiveness and safety of the vaccines during pregnancy.