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…
Have you registered for the upcoming virtual AWHONN OK/TX Regional Conference on April 8-10?
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…
Register now for the FREE MAT Waiver Course with Live Webinar, Saturday, April 10, 2021.
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…
Newborn Screening Tip of the Month March: Multiple Birth Order
Register now for the free LARC Provider Training
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…
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ACOG Green Journal: Coronavirus Disease 2019 (COVID-19) Vaccines and Pregnancy: What Obstetricians Need to Know
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…
ACOG Green Journal: Sex, Hormones, Immune Functions, and Susceptibility to Coronavirus Disease 2019 (COVID-19)–Related Morbidity
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…
Pediatrics Article: Uncertainty at the Limits of Viability: A Qualitative Study of Antenatal Consultations
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…
Hospital Pediatrics: Correlating Scores but Contrasting Outcomes for Eat Sleep Console Versus Modified Finnegan
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…
Hospital Pediatrics: Parent Perspectives on the Eat, Sleep, Console Approach for the Care of Opioid-Exposed Infants
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…
Pediatrics: Trajectories of Maternal Postpartum Depressive Symptoms
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…
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Hospital Pediatrics: QI Approach to Reducing Admission Hypothermia Among Preterm and Term Infants
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…
Pediatrics Meta-analysis: Umbilical Cord Management
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….
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JOGNN Expert OPINION: National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event
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…