O & G Open: Evaluating Bias and Racism in a Risk-Factor–Based Drug Testing Policy in the Labor and Delivery Department

Article Link OBJECTIVE:  To assess bias in and consent before drug testing during prenatal care and birth in a hospital system with a risk-factor–based drug testing policy. METHODS:  This retrospective…

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AAP: Fetal, Infant, and Child Death Review: A Public Health Approach to Reducing Mortality and Morbidity

https://publications.aap.org/pediatrics/article/154/Supplement%203/e2024067043B/199733/Fetal-Infant-and-Child-Death-Review-A-Public?nbd=39656959124&nbd_source=campaigner?autologincheck=redirected Fetal, infant, and child death reviews are a longstanding public health effort to understand the circumstances of individual deaths and use individual and aggregate findings to prevent future fatalities…

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JOGNN: Protocol to Support Skin-to-Skin Care and Closeness Between Parents and Neonates in the NICU

https://www.jognn.org/article/S0884-2175(24)00295-8/fulltext?fbclid=IwY2xjawGbGCxleHRuA2FlbQIxMAABHW0q5tuyzIBUoTXsWyZso__nNBogRzhrfbhFg98vNSv5JjDc4AzAATmE1Q_aem_kZwKixkvmMdyDVnQYCrxZQ Abstract Skin-to-skin care (SSC) is essential, can help to prevent separation of parents and the neonate in the NICU, and should be a standard practice. It can safely be…

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AJOG: Maternal body mass index, maneuvers, and neonatal morbidity associated with shoulder dystocia

https://www.ajog.org/article/S0002-9378(24)01109-8/abstract Abstract Background Shoulder dystocia is associated with neonatal morbidity. Higher maternal prepregnancy body mass index is an established risk factor for shoulder dystocia, yet the relationship between maternal prepregnancy…

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AHA: Hypertensive Disorders of Pregnancy and Brain Health in Midlife: The CARDIA Study

https://pubmed.ncbi.nlm.nih.gov/39162043 Abstract Background: To understand the role of hypertensive disorders of pregnancy (HDP), including preeclampsia and gestational hypertension (GH), in brain health earlier in life, we investigated the association of HDP…

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AJOG: Posttraumatic stress disorder 2 months after cesarean delivery: a multicenter prospective study

https://www.sciencedirect.com/science/article/abs/pii/S000293782400440X Background The prevalence and risk factors of posttraumatic stress disorder after cesarean delivery, outside high-risk contexts, remain unclear. Objective This study aimed to assess posttraumatic stress disorder prevalence and risk factors at 2 months…

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ACOG: Changes in Prenatal Cannabis Use Among Pregnant Individuals From 2012 to 2022

https://journals.lww.com/greenjournal/fulltext/2024/10000/changes_in_prenatal_cannabis_use_among_pregnant.17.aspx Abstract This population-based cross-sectional study analyzed electronic health record data of pregnant individuals in an integrated health care delivery system in California to examine changes in prenatal cannabis use…

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ACOG: Addressing Social and Structural Determinants of Health in the Delivery of Reproductive Health Care

ACOG Committee Statement No. 11 https://journals.lww.com/greenjournal/fulltext/2024/11000/addressing_social_and_structural_determinants_of.27.aspx Abstract Social and structural determinants of health include historical, social, political, and economic forces, many of which are rooted in racism and inequality, that…

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AAP: Survival of Infants Born at 22 to 25 Weeks’ Gestation Receiving Care in the NICU: 2020–2022

https://publications.aap.org/pediatrics/article-abstract/154/4/e2024065963/199459/Survival-of-Infants-Born-at-22-to-25-Weeks OBJECTIVE To provide contemporary data on infants inborn at 22 to 25 weeks’ gestation and receiving care at level 3 and 4 neonatal intensive care units in the United…

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AAP: Developmental Milestones for Children With Down Syndrome

https://publications.aap.org/pediatrics/article/154/4/e2023065402/199353/Developmental-Milestones-for-Children-With-Down OBJECTIVES The American Academy of Pediatrics recommends that children and adolescents with Down syndrome receive anticipatory guidance regarding development and behavior. However, few tools provide specific guidance on developmental…

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AAP: Improving Admission Temperature in Infants ≥34 Weeks’ Gestation: A Quality Improvement Initiative

https://publications.aap.org/hospitalpediatrics/article-abstract/14/11/890/199720/Improving-Admission-Temperature-in-Infants-34 BACKGROUND NICU admission for hypothermia is a problem worldwide, with associated morbidity, mortality, and financial costs. Many interventions have been studied for smaller infants, but there has been little…

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AAP: Mothers Falling Asleep During Infant Feeding

https://publications.aap.org/pediatrics/article-abstract/doi/10.1542/peds.2024-066072/199817/Mothers-Falling-Asleep-During-Infant-Feeding?autologincheck=redirected BACKGROUND AND OBJECTIVES: Falling asleep while feeding (FAF) infants is common. Our primary objectives were to examine (1) maternally reported prevalence of FAF and if planned; (2) association between…

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NWH: Perceptions of Supportive Factors for Reducing Risk of Maternal Mortality Among Women With Substance Use Disorders in a Rural Setting

https://www.nwhjournal.org/article/S1751-4851(24)00128-4/abstract Abstract Objective To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting. Design Qualitative descriptive…

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NWH: Educating Nurses to Improve Awareness and Use of a Human Milk Feeding Care Pathway for Opioid-Exposed Neonates

https://www.nwhjournal.org/article/S1751-4851(24)00162-4/abstract Abstract Objective To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge…

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NWH: A Quality Improvement Project Evaluating the Effects of Eat, Sleep, Console on Nurses and on Neonates With Neonatal Abstinence Syndrome

https://www.nwhjournal.org/article/S1751-4851(24)00127-2/abstract Objective To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates…

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AJPH: A Quality Improvement Project in Family Medicine Residency Training: Improving Preeclampsia Prevention Through Risk Factor Screening and Low-Dose Aspirin

https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2024.307667 Abstract Providing aspirin during pregnancy is a critical intervention proven to reduce the rates of preeclampsia in patients at risk. This quality improvement project prepared family medicine residents to…

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AJOG: Placental differences between severe fetal growth restriction and hypertensive disorders of pregnancy requiring early preterm delivery: morphometric analysis of the villous tree supported by artificial intelligence

https://www.ajog.org/article/S0002-9378(24)00370-3/abstract Background The great obstetrical syndromes of fetal growth restriction and hypertensive disorders of pregnancy can occur individually or be interrelated. Placental pathologic findings often overlap between these conditions, regardless…

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AJOG: Delivery at an inadequate level of maternal care is associated with severe maternal morbidity

https://www.ajog.org/article/S0002-9378(24)00421-6/abstract Abstract Background Implementing levels of maternal care is one strategy proposed to reduce maternal morbidity and mortality. The levels of maternal care framework outline individual medical and obstetrical comorbidities,…

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ACOG: Long-Term Risk of Type 2 Diabetes After Preterm Delivery or Hypertensive Disorders of Pregnancy

https://journals.lww.com/greenjournal/abstract/2024/11000/long_term_risk_of_type_2_diabetes_after_preterm.14.aspx OBJECTIVE:  To examine long-term diabetes risk after preterm delivery or hypertensive disorders of pregnancy in a large population-based cohort. METHODS:  This retrospective cohort study included all women with a…

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ACOG: Continuous Glucose Monitoring for Management of Type 2 Diabetes and Perinatal Outcomes

https://journals.lww.com/greenjournal/fulltext/2024/11000/continuous_glucose_monitoring_for_management_of.12.aspx OBJECTIVE:  To evaluate the association between continuous glucose monitoring in pregnant people with type 2 diabetes and perinatal outcomes. METHODS:  This was a retrospective cohort study of pregnant people…

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ACOG: Association Between Metformin Use in Early Gestational or Type 2 Diabetes in Pregnancy and Preterm Preeclampsia

https://journals.lww.com/greenjournal/abstract/2024/11000/association_between_metformin_use_in_early.18.aspx OBJECTIVE:  To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS:  This is a planned secondary…

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JOGNN: Reconsidering Breastfeeding Recommendations in the Context of Cannabis Use to Support Health Equity

https://www.jognn.org/article/S0884-2175(24)00256-9/fulltext In the United States, despite national efforts to increase breastfeeding initiation and continuation in recent decades, suboptimal breastfeeding rates persist and include continued disparities for people of color and…

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JOGNN: Intersecting Substance Use Disorder and Unmet Social Needs in Rural Pregnant Women

https://www.jognn.org/article/S0884-2175(24)00073-X/abstract Abstract Objective To describe the unique challenges faced by rural pregnant women with intersecting substance use disorder (SUD) and unmet social needs. Design Secondary qualitative data analysis with an…

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AJOG: First trimester risk of preeclampsia and rate of spontaneous birth in patients without preeclampsia

https://www.ajog.org/article/S0002-9378(24)00022-X/abstract Abstract Background First-trimester screening for preeclampsia using a combination of maternal risk factors and mean arterial pressure, uterine artery pulsatility index, and placental growth factor, as proposed by the…

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