Pregnancy and Birth: Maternity Care, Midwives, Postpartum — 2026-09-10

Top developments

Minnesota leads nation in obstetric unit closures

New data released in early September reveals that Minnesota is one of only eight states to have lost more than 20 percent of its hospital-based labor and delivery units since 2010. This trend reflects a broader national crisis where rural hospitals are shuttering obstetric services due to high costs and low volume, forcing pregnant women to travel significantly longer distances for care.

Planned birth at 39 weeks linked to lower mortality

A population-based cohort study published in eClinicalMedicine found that planned birth at 39+0–39+6 weeks in low-risk women is associated with lower odds of perinatal mortality and other severe adverse outcomes compared to expectant management. The reduction in adverse outcomes was particularly notable following scheduled caesarean sections compared to induction of labour, offering clearer guidance for timing elective deliveries.

FDA Tylenol pregnancy label update remains stalled

Nearly a year after the FDA announced plans to add a warning regarding acetaminophen (Tylenol) use during pregnancy, the federal label record still displays the old wording. This delay creates uncertainty for clinicians and patients navigating pain management during pregnancy, despite the agency's previous indication that changes would be implemented by September 2025.

Tdap vaccination shows no impact on infant growth

A large-scale analysis of 42,758 health records indicates that maternal Tdap vaccination does not negatively affect infant growth or emergency room visits. Despite this reassurance, only 55.4% of US pregnancies currently include the vaccine, highlighting a gap between safety evidence and uptake rates.

Local view

French IGAS report challenges maternity closure logic

The French Inspectorate General of Social Affairs (IGAS) has concluded that there is no justification for closing additional maternity units based on current safety data. The report contradicts the prevailing argument that distance to a maternity unit directly increases maternal mortality, suggesting that other factors may be more critical in perinatal outcomes.

1 sources

blogdesbourians.fr

blogdesbourians.fr

"Maternal Penalty" report highlights career impacts

The High Council for Equality (HCE) in France released a report on September 9 detailing how motherhood significantly hinders women's careers and income, a phenomenon termed the "maternal penalty." While focused on socioeconomic impacts, this report adds pressure on healthcare systems to provide better postpartum support and return-to-work accommodations.

Context & numbers

Postpartum Coverage Expansion: As of mid-2026, multiple states have extended Medicaid postpartum coverage from 60 days to 12 months, following options provided by the American Rescue Plan Act. This policy shift aims to address maternal health disparities by ensuring continuous insurance coverage during the critical first year after birth.

Midwifery Workforce in Africa: Maternal deaths in Africa have dropped 40% since 2000, but progress is uneven. The International Press Service notes that the survival of mothers and newborns in the region heavily depends on the availability of trained midwives, who remain the backbone of the workforce in many areas.

On the radar

• RSV Vaccine Safety Reviews: A new review published in npj Vaccines and covered by Bioengineer.org continues to evaluate maternal RSV vaccine efficacy and safety, with recent data suggesting no increased risk of preterm birth but calling for further monitoring of hypertensive disorders.
• Postpartum Care Trends: Industry guides for 2026 highlight a surge in demand for "fourth trimester" care packages, including doula coverage and specialized recovery products, signaling a shift toward holistic postpartum support models.