Register now for a free 1-day Obstetric specific TeamSTEPPS training integrated into the AIM clinical bundles to provide safer care to our patients! Oklahoma is 1 of the first 2…
Join in on Thursday, January 23rd as CMQCC introduces “Improving Diagnosis and Treatment of Maternal Sepsis” Toolkit. Objectives: Know the importance of maternal sepsis on morbidity and mortality Understand the…
ABSTRACT OBJECTIVE: To examine preventable pregnancy-related deaths in Louisiana by race and ethnicity and maternal level of care to inform quality improvement efforts. METHODS: We conducted a retrospective observational descriptive…
The apparent rise and high levels of maternal mortality in the United States have been the subjects of considerable attention in the national press and in the realms of public…
Read More from ACOG: Maternal Mortality Addressing Disparities and Measuring What We Value
BACKGROUND: The belief that late-preterm infants have similar cardiorespiratory maturity to term infants has led many institutions to limit car seat tolerance screens (CSTSs) to those born early preterm. The…
Read More from Video Abstract from Pediatrics: Car Seat Tolerance Screening for Late-Preterm Infants
OBJECTIVE: To describe the effects of the introduction of dextrose gel to the neonatal hypoglycemia (NH) protocol on exclusive breastfeeding rates at discharge and NICU admission rates among clinically well…
Abstract The American Academy of Pediatrics published a clinical report on late-preterm (LPT) infants in 2007 that was largely based on a summary of a 2005 workshop convened by the…
Read More from PEDIATRICS: Updates on an At-Risk Population: Late-Preterm and Early-Term Infants
OBJECTIVES: In most recent studies, authors combine all cases of sudden infant death syndrome, other deaths from ill-defined or unknown causes, and accidental suffocation and strangulation in bed as a single…
Abstract Suspected macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the newborn increases. The…
ABSTRACT OBJECTIVE: To examine and compare the validity of three known risk-assessment tools (CMQCC [California Maternal Quality Care Collaborative], AWHONN [Association of Women’s Health, Obstetric and Neonatal Nurses], and NYSBOH…
ABSTRACT Uterine contractions in labor result in a 60% reduction in uteroplacental perfusion, causing transient fetal and placental hypoxia. A healthy term fetus with a normally developed placenta is able…
Read More from AJOG: The physiology of intrapartum fetal compromise at term
BACKGROUND AND OBJECTIVES: For children with intrauterine opioid exposure (IOE), well-child care (WCC) provides an important opportunity to address medical, developmental, and psychosocial needs. We evaluated WCC adherence for this population….
Read More from Well-Child Care Adherence After Intrauterine Opioid Exposure
By Lewis First, MD, MS, Editor in Chief, Pediatrics November 20, 2019 If you have not yet gotten caught up in the debate between the merit of selected versus universal home…
SOURCE: Wendy O. Kalberg, Philip A. May, David Buckley, Julie M. Hasken, Anna-Susan Marais, Marlene M. De Vries, Heidre Bezuidenhout, Melanie A. Manning, Luther K. Robinson, Margaret P. Adam, Derek…
Congratulations to The Children’s Hospital at OU Medicine for being designated as Oklahoma’s 10th Baby-Friendly hospital! The Children’s Hospital at OU Medicine is the Oklahoma’s largest hospital to achieve this…
ABSTRACT: This 2019 focused update to the American Heart Association neonatal resuscitation guidelines is based on 2 evidence reviews recently completed under the direction of the International Liaison Committee on…
ABSTRACT Postpartum hemorrhage causes approximately 11% of maternal deaths in the United States and is the leading cause of death that occurs on the day of birth. Importantly, 54–93% of…
Read More from ACOG Committee Opinion, no. 794: Quantitative Blood Loss in Obstetric Hemorrhage
Abstract Objective To educate nurses and physicians on changing practice from visual estimation of blood loss to quantification of blood loss (QBL) and to replace estimation of blood loss with…
ABSTRACT OBJECTIVE: To evaluate racial and ethnic differences in women’s postpartum pain scores, inpatient opioid administration, and discharge opioid prescriptions. METHODS: We conducted a retrospective cohort study of all deliveries at a…
Read More from ACOG Green Journal: Racial Disparities in Postpartum Pain Management
ABSTRACT OBJECTIVE: To evaluate whether the frequency of pain assessment and treatment differed by patient race and ethnicity for women after cesarean birth. METHODS: We performed a retrospective cohort study of all…
OBJECTIVES: To determine if NICU teams participating in a multicenter quality improvement (QI) collaborative achieve increased compliance with the Centers for Disease Control and Prevention (CDC) core elements for antibiotic…
ABSTRACT Objective To summarize the findings of recent studies on neonatal weight changes that occur in the early weeks of life among full-term, breastfed newborns. Data Sources Using the keywords…
Milking the umbilical cord — gently squeezing the cord and pushing the contents into the newborn’s abdomen before clamping the cord — could increase the risk for severe intraventricular hemorrhage,…
ABSTRACT OBJECTIVE: To evaluate whether women with protracted active phase labor longer than 6 hours have an increased risk of adverse maternal and neonatal outcomes after the implementation of new labor…
Abstract Rates of maternal morbidity and mortality in the United States represent an urgent crisis. The purpose of this article is to consolidate current postpartum care guidelines to provide a…
ABSTRACT OBJECTIVE: To test the hypothesis that a longer length of time between diagnosis of hypertensive disorders of pregnancy and delivery is associated with increased risk of cardiovascular morbidity in…
ABSTRACT OBJECTIVE: To provide U.S. case-based preeclampsia health care cost estimates for mothers and infants from a U.S. payer perspective, with comparisons with both uncomplicated and hypertensive pregnancies. METHODS: Electronic health record…
Read More from ACOG Green Journal: Maternal and Infant Health Care Costs Related to Preeclampsia
U.S. Preterm Birth Rate Rises for 4th Year in a Row, Rates Worsening in 30 States New Expanded Report Examines State of Maternal and Infant Health in States and Cities…
Read More from March of Dimes Releases Report Card – Oklahoma’s Grade Worsens
Following publication of the results of the PROLONG trial, The American College of Obstetricians and Gynecologists (ACOG) and the Society of Maternal Fetal Medicine Specialists (SMFM) have each released statements…