Article Link Abstract Background Standardization of procedures improves outcomes. Though systematic reviews have summarized the evidence-based steps of cesarean delivery, their bundled implementation has not been investigated. Objective In this…
Article Link Abstract Background The rising trend in maternal mortality over the past 3 decades sets the United States apart from all other high-income countries. Multidisciplinary state and city Maternal Mortality…
Article Link Abstract Background The United States suffers from an increasing rate of severe maternal morbidity, paired with a wide disparity in maternal health by race. Doulas are posited to…
Article Link OBJECTIVE: To evaluate whether cannabis use during pregnancy was associated with depressive symptoms and whether ongoing use beyond the first trimester and higher amounts of cannabis use were…
Read More from ACOG: Prenatal Cannabis Use and Depressive Symptoms
Article Link Abstract Substance use and substance use disorders among pregnant and postpartum individuals have risen dramatically, necessitating enhanced clinician education and intervention strategies. This expert review offers obstetricians and…
Read More from AJOG: Substance use and use disorders during pregnancy and the postpartum period
Article Link OBJECTIVE: To assess the association between the Social Vulnerability Index (SVI) and racial disparities in pregnancy outcomes across U.S. counties and to quantify these racial disparities. METHODS: This…
Article Link Abstract Objective Type 2 diabetes (T2D) now accounts for the majority of pre-existing diabetes affecting pregnancy in the UK. Our aim was to determine its impact on pregnancy…
Read More from AJOG: Pregnancy outcomes in type 2 diabetes: a systematic review and meta-analysis
Article Link ABSTRACT Little is known about the fetal–neonatal pharmacokinetics of maternally administered, weight-based vancomycin dosing for group B streptococcus (GBS) intrapartum antibiotic prophylaxis. Our objective was to quantify vancomycin…
Read More from ACOG: Vancomycin Concentrations in Umbilical Cord Blood After Intrapartum Exposure
Article Link OBJECTIVE Although newborn screening (NBS) programs were expanded with the implementation of tandem mass spectrometry in the late 1990s, the impact on long-term clinical and cognitive outcomes of…
Article Link Position The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) maintains that nurses have the right to work in safe and respectful environments free from workplace violence,…
Read More from JOGNN: Nursing Safety on the Job: Workplace Violence and Personal Protection
Article Link Abstract Objective To explore how women who used substances during the perinatal period perceived the care they received from interprofessional perinatal care providers. Design Appreciative inquiry. Setting Interprofessional…
Article Link Abstract Objective To assess consent rates and reasons for refusing consent after the introduction of peer navigators into the Outcomes of Babies With Opioid Exposure (OBOE) Study. Design…
Read More from JOGNN: Integration of Peer Navigators Into Longitudinal Research
Article Link ABSTRACT To address the current maternal health crisis and to ensure that all patients receive high-quality care that is responsive to their needs, members of the multidisciplinary health…
Read More from JOGNN: Evidence-Based Education Programs to Improve Maternal Outcomes
Article Link Abstract Background Risk management in maternity care aims to reduce incidents and harm to women and babies, contributing to quality care. However, there is growing concern that risk…
Article Link OBJECTIVE: To assess whether the modifications to the U.S. Preventive Services Task Force (USPSTF) and American College of Obstetricians and Gynecologists (ACOG) guidelines that emphasize “lower income” status…
Article Link Summary Background Maternal mortality is not on track to meet Sustainable Development Goal (SDG) target 3.1 of a global maternal mortality ratio below 70 per 100 000 livebirths by…
Article Link Abstract Pain management in pregnant and postpartum people with an opioid use disorder requires a balance among the risks associated with opioid tolerance, including withdrawal or return to…
Article Link Objective: In medical training, the dogma is this: the leading causes of maternal mortality are bleeding, infection, hypertension, and cardiovascular disease. This is only true when violence against…
Article Link Abstract Introduction Preeclampsia is a leading cause of maternal morbidity and mortality worldwide. While screening guidelines exist to identify patients at increased risk of preeclampsia, those currently recommended…
Article Link OBJECTIVE: To describe the presentation, outcomes, and management strategies for cases of subcapsular liver hematoma associated with preeclampsia, eclampsia, or HELLP (hemolysis, elevated liver enzymes, and low platelet…
Article Link OBJECTIVE: To assess trends in risk for obstetric venous thromboembolism (VTE). METHODS: This retrospective cohort study analyzed data from the 2008–2019 Merative MarketScan Commercial Claims and Encounters and…
Read More from ACOG:Trends in Antepartum, Delivery, and Postpartum Venous Thromboembolism
Article Link OBJECTIVE: To evaluate the effect of administering postpartum heparin-based pharmacologic thromboprophylaxis on the incidence of postpartum venous thromboembolism (VTE) and complications. METHODS: This was a multicenter retrospective cohort…
Article Link ABSTRACT The purpose of this review is to serve as an update on congenital cytomegalovirus (CMV) evaluation and management for obstetrician–gynecologists and to provide a framework for counseling…
Read More from ACOG: Evaluation and Management of Congenital Cytomegalovirus Infection
Article Link Abstract Importance: Hypothermia begun less than 6 hours after birth reduces death or disability in infants with encephalopathy due to hypoxia-ischemia at 36 or more weeks’ gestation. Trials of…
Article Link Abstract Objectives The study aimed to determine whether obstetrician-led lecture- and simulation-based training improves Emergency Medicine (EM) residents’ comfort in managing complicated obstetric conditions. Methods Residents from Mercy…
Article Link OBJECTIVE The Eat, Sleep, Console (ESC) model of care is an innovative care approach for infants diagnosed with neonatal abstinence syndrome, improving patient and health system outcomes for…
Read More from AAP: Implementing the Eat, Sleep, Console Model of Care: A Scoping Review
Article Link ABSTRACT Let us imagine a medical problem for which there is a new, effective treatment. This treatment reduces length of hospitalization, decreases medication use, and lowers health care…
Article Link Between 2007 and 2017, rates of neonatal opioid withdrawal syndrome (NOWS) have drastically increased. Although current evidence suggests that chronic prenatal opioid exposure may result in adverse neurodevelopmental…
Article Link OBJECTIVE To evaluate the effectiveness and risks of probiotics among infants born before 34 weeks’ gestation and with a birth weight less than 1000 g. METHODS A population-based retrospective cohort…
Read More from AAP: Effectiveness and Risks of Probiotics in Preterm Infants
Article Link ABSTRACT Antibiotic stewardship in the neonatal intensive care unit (NICU) has drawn much attention over the last decade following reports of antibiotic overuse and unexplained prescribing variation1,2 and reports…