Newborn Screening Tip of the Month January: Filling Out the Form Completely
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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…
AAP: FAQs: Management of Infants Born to Mothers with Suspected or Confirmed COVID-19
What is new in this update? The first AAP neonatal guidance was provided on April 2, 2020, shortly after the onset of the global pandemic, when it was apparent that…
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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…
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…
ACOG: Pharmacologic Treatment for Perinatal Mental Health Disorders
ABSTRACT A central question for patients and clinicians is whether potential benefits of pharmacologic treatments for perinatal mental health disorders outweigh potential harms. Given lack of consensus on best practices,…
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ACOG: Outpatient Cervical Ripening with Balloon Catheters
ABSTRACT OBJECTIVE: To evaluate whether outpatient cervical ripening with a balloon catheter results in a shorter amount of time in the labor and delivery unit when compared with use in…
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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…
ACOG: Using Longitudinally Linked Data to Measure Severe Maternal Morbidity
ABSTRACT OBJECTIVE: To assess whether application of a standard algorithm to hospitalizations in the prenatal and postpartum (42 days) periods increases identification of severe maternal morbidity (SMM) beyond analysis of…
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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…
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…
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…
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…
CDC: 2021 Breastfeeding Report Card
New from Centers for Disease Control & Prevention (CDC) As part of their 2021 Breastfeeding Report Card, the CDC has added a new feature to their statistics. They now offer a…
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…
PEDIATRICS: Accelerating Upstream Together: Achieving Infant Health Equity in the United States by 2030
Infant mortality, death in the first year of life, is a generally accepted barometer of the overall health and well-being of a population. In the United States, the infant mortality…
PEDIATRICS: Human Milk SARS-CoV-2 Antibodies up to 6 Months After Vaccination
ABSTRACT BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–specific antibodies have been detected in human milk up to 6 weeks post–coronavirus disease 2019 (COVID-19) vaccination. We evaluated SARS-CoV-2-specific antibodies, neutralization…
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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…
Oklahoma Breastfeeding Report from US Breastfeeding Committee (USBC)
The USBC has recently posted their 2021 Breastfeeding Reports for all 50 states which includes data from 2020. The reports feature important breastfeeding data, WIC program breastfeeding performance measurers, and information on…
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Register now for: eCQM Annual Update Webinar: Stroke/Perinatal Care (PC-05) eCQMs on Jan. 18
The Expert to Expert webinar series provides a deep-dive into measure intent, logic, and other clinical/technical aspects of eCQMs to assist hospitals in their efforts to improve data use for…
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…
ACOG: Current State and Future Direction of Postpartum Hemorrhage Risk Assessment
ABSTRACT In the United States, postpartum hemorrhage is a leading preventable cause of maternal mortality and morbidity. To reduce morbidity from postpartum hemorrhage, risk assessment is an important starting point…
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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…
ACOG: Risk of Recurrent Stillbirth in Subsequent Pregnancies
ABSTRACT OBJECTIVE: To compare the prospective risk of stillbirth between women with and without a stillbirth in their first pregnancy. METHODS: We conducted a cohort study using perinatal data from…
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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…
ACOG: Racial and Ethnic Inequities in Cesarean Birth and Maternal Morbidity in a Low-Risk, Nulliparous Cohort
ABSTRACT OBJECTIVE: To evaluate race and ethnicity differences in cesarean birth and maternal morbidity in low-risk nulliparous people at term. METHODS: We conducted a secondary analysis of a randomized trial…
ACOG: Management of Placental Transfusion to Neonates After Delivery
ABSTRACT This review summarizes high-quality evidence supporting delayed umbilical cord clamping to promote placental transfusion to preterm and term neonates. In preterm neonates, delayed cord clamping may decrease mortality and…
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