TeamBirth discussed in BIRTH – Issues in Perinatal Care – Implementation strategies within a complex environment

Abstract Background Shared decision-making (SDM) may improve communication, teamwork, patient experience, respectful maternity care, and safety during childbirth. Despite these benefits, SDM is not widely implemented, and strategies for implementing…

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ACOG: What Obstetrician–Gynecologists Should Know About Substance Use Disorders in the Perinatal Period

ABSTRACT Substance use in pregnancy is common; nearly one of five of pregnant individuals have past-month nicotine, alcohol, or illicit substance use, and more than one in 10 meet criteria…

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ACOG: Identifying Cases of Severe Maternal Morbidity – Moving Beyond the Delivery Hospitalization

Accounting for adverse events and outcomes related to maternity is fundamental to measuring the health of populations and the systems for delivering medical care. Traditionally, maternal mortality has been such…

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ACOG: Pregnancy-Associated Deaths Due to Drugs, Suicide, and Homicide in the United States, 2010–2019

ABSTRACT OBJECTIVE: To estimate the prevalence of pregnancy-associated deaths due to drugs, suicide, and homicide nationwide from 2010 to 2019. METHODS: Using U.S. death certificate records from 2010 to 2019…

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ACOG: Variations in Low-Risk Cesarean Delivery Rates in the United States Using the SMFM Definition

ABSTRACT OBJECTIVE: To assess variations in low-risk cesarean delivery rates in the United States using the Society for Maternal-Fetal Medicine (SMFM) definition of low-risk for cesarean delivery and to identify…

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AJOG: Preterm labor is a distinct process from term labor following computational analysis of human myometrium

ABSTRACT Background The onset of the term human parturition involves myometrial gene expression changes to transform the uterus from a quiescent to a contractile phenotype. It is uncertain whether the…

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AJOG: Trajectories of antenatal depression and adverse pregnancy outcomes

ABSTRACT Background Antenatal depression affects approximately 1 of 7 pregnancies, with an increasing prevalence across gestation. Data regarding the associations between antenatal depression and adverse pregnancy outcomes yielded conflicting results….

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AJOG: Timing of cesarean delivery in women with ≥2 previous cesarean deliveries

ABSTRACT Background The rate of cesarean delivery is continuously increasing with the leading indication being a previous cesarean delivery. For women with 1 previous cesarean delivery, it is generally agreed…

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AJOG: Fetal head descent assessed by transabdominal ultrasound: a prospective observational study

ABSTRACT Background Determining fetal head descent, expressed as fetal head station and engagement is an essential part of monitoring progression in labor. Assessing fetal head station is based on the…

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AJOG: Neonatal morbidity and mortality by mode of delivery in very preterm neonates

ABSTRACT Background The safest mode of delivery to use for very preterm infants is an ongoing topic of debate. There are many reasons to perform a cesarean delivery in cases…

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AJOG: In utero exposure to 17α-hydroxyprogesterone caproate and risk of cancer in offspring

ABSTRACT Background 17α-hydroxyprogesterone caproate is a synthetic progestogen initially approved in the 1950s to treat gynecologic and obstetrical conditions. Despite continued concerns about safety and short-term efficacy regarding the use…

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JOGNN: Scoping Review of Best Practice Guidelines for Care in the Labor and Birth Setting of Pregnant Women Who Use Methamphetamines

Abstract Objective To use a scoping review to explore the existing literature on best practice guidelines for safe, dignified, and compassionate care in the labor and birth setting for pregnant…

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Maternal and Child Health Journal: Measuring State-Level Racial Inequity in Severe Maternal Morbidity in the Medicaid Population

Abstract Objective: Severe maternal morbidity represents a “near miss” mortality and is an important measure of quality and safety. Racial inequity in maternal morbidity is stark and the reasons for…

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HHS Announces Efforts to Help Expand Nationwide Access and Coverage for High-quality Maternal Health Services Including Birthing Friendly Hospital Designation.

The Centers for Medicare & Medicaid Services (CMS), is taking steps to improve maternal health and support the delivery of equitable, high-quality care for pregnancy and postpartum care by proposing…

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ACOG: Association of Skin Incision Type With Postoperative Cesarean Delivery Complications in Morbidly Obese Patients

ABSTRACT OBJECTIVE: To assess whether Pfannenstiel skin incision compared with vertical skin incision was associated with postcesarean delivery wound complications in morbidly obese women. METHODS: We assembled a retrospective cohort…

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ACOG: Trends in and Factors Associated With Episiotomy in the Setting of Nonoperative Vaginal Delivery, 2000–2018

INTRODUCTION Episiotomy, an incision through the perineum to facilitate delivery, is a common obstetric procedure.1 For decades, evidence has shown that routine episiotomy has unclear benefit but substantial risk of…

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