OSDH partners with Oklahoma Perinatal Quality Improvement Collaborative to increase access to perinatal mental health support for Oklahoma families
OKLAHOMA CITY (May 3, 2021) — Perinatal depression and anxiety are the most common complication from pregnancy. The Oklahoma State Department of Health’s Maternal and Child Health Service has partnered…
ACOG Green Journal: Maternal Mortality in the United States – Recent Trends, Current Status, and Future Considerations
ABSTRACT Rigorous studies carried out by the National Center for Health Statistics show that previously reported increases in maternal mortality rates in the United States were an artifact of changes…
ACOG Green Journal: Individual-Level and Neighborhood-Level Risk Factors for Severe Maternal Morbidity
ABSTRACT OBJECTIVE: To investigate the association between individual-level and neighborhood-level risk factors and severe maternal morbidity. METHODS: This was a retrospective cohort study of all pregnancies delivered between 2010 and…
ACOG Green Journal: Racial and Ethnic Disparities in Death Associated With Severe Maternal Morbidity in the United States
ABSTRACT OBJECTIVE: To analyze racial and ethnic disparities in failure to rescue (ie, death) associated with severe maternal morbidity and describe temporal trends. METHODS: This was a retrospective cohort study…
JAMA: Hospital Quality Improvement Interventions, Statewide Policy Initiatives, and Rates of Cesarean Delivery for Nulliparous, Term, Singleton, Vertex Births in California
Abstract Importance Safe reduction of the cesarean delivery rate is a national priority. Objective To evaluate the rates of cesarean delivery for nulliparous, term, singleton, vertex (NTSV) births in California…
NEJM: Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons
Abstract Background Many pregnant persons in the United States are receiving messenger RNA (mRNA) coronavirus disease 2019 (Covid-19) vaccines, but data are limited on their safety in pregnancy. Methods From…
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Pediatrics: Explaining Sudden Unexpected Infant Deaths, 2011–2017
BACKGROUND: Sudden unexpected infant death (SUID) represents a broad group of explained and unexplained infant deaths (<1 year old). Explaining why SUID occurs is critical to understanding etiology and prevention….
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Pediatrics: Commentary – The Call to Translate Data Into Action to Prevent Infant Death
In this issue of Pediatrics, Parks et al1 analyze rates of sudden unexpected infant death (SUID) by explained and unexplained categories and identify demographic and medical factors associated with SUID…
Pediatrics: Breastfeeding, Physical Growth, and Cognitive Development
ABSTRACT BACKGROUND AND OBJECTIVES: Breastfeeding is an evidence-based recommendation for all countries, but breastfeeding rates have been declining in many middle-income settings. One reason behind this decline is the perception…
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Pediatrics: Beyond Statistics: Uncovering the Roots of Racial Disparities in Breastfeeding
Racial disparities in breastfeeding are similar to those that persist in other facets of health, including infant mortality. According to the Centers for Disease Control and Prevention (CDC), only 25.6%…
Pediatrics: Intrapartum Group B Streptococcal Prophylaxis and Childhood Allergic Disorders
Abstract OBJECTIVES: To determine if maternal intrapartum group B Streptococcus (GBS) antibiotic prophylaxis is associated with increased risk of childhood asthma, eczema, food allergy, or allergic rhinitis. METHODS: Retrospective cohort…
Society for Maternal-Fetal Medicine Special Statement: Checklist for initial management of amniotic fluid embolism
Amniotic fluid embolism is a rare syndrome characterized by sudden cardiorespiratory collapse during labor or soon after delivery. Because of its rarity, many obstetrical providers have no experience in managing…
Society for Maternal-Fetal Medicine Consult Series #54: Assessing the risk of maternal morbidity and mortality
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….
Update! Save the Date for OPQIC’s 8th Annual Summit, November 5, 2021
OPQIC 2021 Recognition of Areas of Perinatal Excellence Released
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…
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OPQIC’s New Patient Resources Page
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…
ACOG Committee Opinion, Number 825: Caring for Patients Who Have Experienced Trauma
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…
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AJOG: An integrated model of preeclampsia: a multifaceted syndrome of the maternal cardiovascular-placental-fetal array
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…
Advances in Neonatal Care: Neonatal Abstinence Syndrome and Preterm Infants – A Look at Current Practice
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
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…
ACOG Green Journal: Predictors of Initiation of Medication for Opioid Use Disorder and Retention in Treatment Among U.S. Pregnant Women, 2013–2017
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,…
AJOG: COVID-19 vaccine response in pregnant and lactating women
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…
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ACOG Green Journal: Adverse Pregnancy Outcomes Among Individuals With and Without Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
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…
ACOG Green Journal: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Antibodies in Neonatal Cord Blood After Vaccination in Pregnancy
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…
ACOG Green Journal: Implementation of a Universal Screening Process for Substance Use in Pregnancy
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…
ACOG Green Journal: Association of Breastfeeding and Child IQ Score at Age 5 Years
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…
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ACOG Green Journal: Outpatient Cervical Ripening
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…
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Pediatrics: Caring for American Indian and Alaska Native Children and Adolescents
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…
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JOGNN: Effects of Fourth-Degree Perineal Lacerations on Women’s Physical and Mental Health
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…