The rates of maternal morbidity and mortality in the United States demand a comprehensive approach to assessing pregnancy-related risks. Numerous medical and nonmedical factors contribute to maternal morbidity and mortality….
For the past 6 years, the Oklahoma Perinatal Quality Improvement Collaborative (OPQIC) has recognized hospitals that are creating a culture of excellence in perinatal care as Spotlight Hospitals. Because of…
Read More from OPQIC 2021 Recognition of Areas of Perinatal Excellence Released
The OPQIC team, along with our Patient Partner Network, has been working to gather resources to help women identify warning signs, communicate their needs, and connect them with others who…
Abstract Trauma is experienced throughout the life span, and traumatic experiences may be remote events or current and ongoing. The health care community continues to learn the many ways in…
Read More from ACOG Committee Opinion, Number 825: Caring for Patients Who Have Experienced Trauma
Maternal tolerance of the semiallogenic fetus necessitates conciliation of competing interests. Viviparity evolved with a placenta to mediate the needs of the fetus and maternal adaptation to the demands of…
Abstract Background/Significance: Intrauterine opioid drug exposure is associated with an increased risk of preterm birth. Preterm infants may not exhibit the same withdrawal symptoms as term infants diagnosed with neonatal…
ACOG’s Webinar on Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death is now available on demand online. Speakers addressed cardiac contributors to maternal mortality, differentiating normal cardiac changes…
ABSTRACT OBJECTIVE: To describe trends and factors associated with medication administration for opioid use disorder (OUD) and retention in treatment among pregnant women with OUD. METHODS: This is a retrospective,…
Abstract Background Pregnant and lactating women were excluded from initial COVID-19 vaccine trials; thus, data to guide vaccine decision-making are lacking. Objectives To evaluate the immunogenicity and reactogenicity of COVID-19…
Read More from AJOG: COVID-19 vaccine response in pregnant and lactating women
ABSTRACT OBJECTIVE: To compare the risk of intrauterine fetal death (20 weeks of gestation or later) and neonatal death among individuals who tested positive for severe acute respiratory syndrome coronavirus…
ABSTRACT BACKGROUND: Studies evaluating the safety and efficacy of currently available vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not include pregnant participants. No data are available to…
ABSTRACT OBJECTIVE: To implement a standardized universal substance use screening process in an outpatient prenatal clinic at an urban tertiary care hospital. METHODS: Using a quality-improvement framework that involved process…
ABSTRACT OBJECTIVE: To evaluate whether breastfeeding and its duration are associated with a reduced risk of low IQ scores or other neurodevelopmental problems. METHODS: We conducted a secondary analysis of…
Read More from ACOG Green Journal: Association of Breastfeeding and Child IQ Score at Age 5 Years
ABSTRACT OBJECTIVE: To assess the comparative effectiveness and potential harms of cervical ripening in the outpatient compared with the inpatient setting, or different methods of ripening in the outpatient setting…
Read More from ACOG Green Journal: Outpatient Cervical Ripening
Abstract American Indian and Alaska Native (AI/AN) populations have substantial health inequities, and most of their disease entities begin in childhood. In addition, AI/AN children and adolescents have excessive disease…
Read More from Pediatrics: Caring for American Indian and Alaska Native Children and Adolescents
During childbirth, a fourth-degree perineal laceration is a full-thickness tear that extends through the internal anal sphincter and into the rectal mucosa (see Figure 1). These lacerations differ from third-degree perineal…
Register now for the 1st AWHONN Regional Conference with OK and TX on April 8-10th. This will be a virtual conference, and you can earn CE’s. To register, click on…
MDs, DOs, PAs, APRNs (NP, CNM, CNS, CRNA) are eligible. Date: Saturday, April 10, 2021 Time: 7:00 am – 11:30 am What: Live portion of 8-hour MAT waiver course Sponsoring…
Focus Forward Oklahoma is a program of the Oklahoma Health Care Authority. They will be continuing the LARC Training Program. The program will offer training sessions in both Oklahoma City…
Read More from Register now for the free LARC Provider Training
ABSTRACT Coronavirus disease 2019 (COVID-19) vaccines have begun to be distributed across the United States and to be offered initially to priority groups including health care personnel and persons living…
ABSTRACT Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), uses two primary receptors, type II transmembrane serine protease and angiotensin-converting enzyme-2, for priming…
SOURCE: Bethany D. Kaemingk, Katherine Carroll, Megan J. Thorvilson, Karen S. Schaepe, Christopher A. Collura, Mar 2021, Uncertainty at the Limits of Viability: A Qualitative Study of Antenatal Consultations. Pediatrics, e20201865; DOI: 10.1542/peds.2020-1865 BACKGROUND AND OBJECTIVES: Antenatal consultation between a neonatologist and expectant…
SOURCE: Ryan et al., Mar 2021, Correlating Scores but Contrasting Outcomes for Eat Sleep Console Versus Modified Finnegan, Hospital Pediatrics, hpeds.2020-003665; DOI: 10.1542/hpeds.2020-003665 OBJECTIVES: The Modified Finnegan Neonatal Abstinence Scoring System (M-FNASS) and the…
SOURCE: Kamelia McRae, Theiju Sebastian, Matthew Grossman, Jaspreet Loyal. Mar 2021. Parent Perspectives on the Eat, Sleep, Console Approach for the Care of Opioid-Exposed Infants, Hospital Pediatrics, hpeds.2020-002139; DOI: 10.1542/hpeds.2020-002139 BACKGROUND: At our institution, the treatment of infants with neonatal abstinence syndrome…
Researchers studying 5,000 women have found that approximately 1 in 4 experienced high levels of depression symptoms at some point in the 3 years after giving birth OBJECTIVES: To identify…
Read More from Pediatrics: Trajectories of Maternal Postpartum Depressive Symptoms
SOURCE: Sprecher, et al., Feb 2021, Quality Improvement Approach to Reducing Admission Hypothermia Among Preterm and Term Infants, Hospital Pediatrics, hpeds.2020-003269; DOI: 10.1542/hpeds.2020-003269 BACKGROUND: Newborns, particularly premature newborns, are susceptible to hypothermia when transitioning from birth…
SOURCES: Gomersall, et al. ON BEHALF OF THE INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION NEONATAL LIFE SUPPORT TASK FORCE. Umbilical Cord Management at Term and Late Preterm Birth: A Meta-analysis. Pediatrics, Mar 2021, 147 (3) e2020015404; DOI: 10.1542/peds.2020-015404 Seidler, et al….
Read More from Pediatrics Meta-analysis: Umbilical Cord Management
Supporting women, families, and clinicians with information, emotional support, and health care resources should be part of an institutional response after a severe maternal event. A multidisciplinary approach is needed…