ACOG Green Journal: Elective Induction at 39 Weeks of Gestation and the Implications of a Large, Multicenter, Randomized Controlled Trial

ABSTRACT: On August 8, 2018, Grobman et al published the findings from the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) trial, a large randomized controlled trial of elective…

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The Council on Patient Safety in Women’s Health Care has announced the 5th cycle of the Council’s National Improvement Challenge

The Council on Patient Safety in Women’s Health Care has announced the 5th cycle of the Council’s National Improvement Challenge – Combination Project: Reduction of Peripartum Racial/Ethnic Disparities + Any…

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Article in Pediatrics Shows Newborns in Rural Counties at Highest Risk for Abuse Hospitalizations

REFERENCE: Henry T. Puls, James D. Anderst, Jessica L. Bettenhausen, Nicholas Clark, Molly Krager, Jessica L. Markham, Matthew Hall. Newborn Risk Factors for Subsequent Physical Abuse Hospitalizations. Pediatrics, Feb 2019, 143 (2)…

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Meta-Analysis in PEDIATRICS: Survival and Impairment of Extremely Premature Infants

Reference: Hilde Tinderholt Myrhaug, Kjetil Gundro Brurberg, Laila Hov, Trond Markestad. (2019). Survival and Impairment of Extremely Premature Infants: A Meta-analysis. Pediatrics, Feb 2019, 143 (2) e20180933; DOI: 10.1542/peds.2018-0933 CONTEXT: Survival…

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ACOG Committee Opinion No. 765 Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities

ABSTRACT: There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the risk of adverse outcomes…

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Study in PEDIATRICS: Quality Improvement Project to Decrease Delivery Room Intubations in Preterm Infants

SOURCE: Venkatakrishna Kakkilaya, Ihab Jubran, Vaishali Mashruwala, Emma Ramon, Valerie N. Simcik, Marjory Marshall, L. Steven Brown, Mambarambath A. Jaleel, Vishal S. Kapadia. Quality improvement project to decrease delivery room intubations in preterm infants. Pediatrics, Jan 2019, e20180201; DOI: 10.1542/peds.2018-0201 BACKGROUND AND OBJECTIVES: Avoidance of delivery room intubation (DRI) reduces death or bronchopulmonary dysplasia…

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Patterns of Prenatal Alcohol Use That Predict Infant Growth and Development

SOURCE: Gretchen Bandoli, Claire D. Coles, Julie A. Kable, Wladimir Wertelecki, LyubovYevtushok, Natalya Zymak-Zakutnya, Alan Wells, Irina V. Granovska, Alla O.Pashtepa, Christina D. Chambers, the CIFASD. Patterns of prenatal alcohol use that predict infant growth and development. Pediatrics, Jan 2019, e20182399; DOI: 10.1542/peds.2018-2399 BACKGROUND: Previous studies have had inconsistent findings regarding the quantity and frequency…

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ACOG Green Journal: Obstetrician–Gynecologists’ Strategies to Address Vaccine Refusal Among Pregnant Women

OBJECTIVE: To describe 1) obstetrician–gynecologists’ (ob-gyns’) perceptions of the frequency of vaccine refusal among pregnant patients and perceived reasons for refusal and 2) ob-gyns’ strategies used when encountering vaccine refusal and…

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ACOG Green Journal: Evaluation of a Quality Improvement Intervention That Eliminated Routine Use of Opioids After Cesarean Delivery

OBJECTIVE: To evaluate the effects of eliminating the routine use of oral opioids for postcesarean delivery analgesia on postcesarean opioid consumption. METHODS: At a tertiary care center, we implemented a quality improvement…

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The Centers for Disease Control and Prevention’s 2018 national survey of Maternity Practices in Infant Nutrition and Care (mPINC) has launched

Screening calls are made on a rolling basis by Battelle Health and Analytics, on behalf of the CDC. As of last week, 97% of birthing hospitals had received a screening…

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Pediatrics Commentary: Fetal Opioid Exposure and Smaller Birth Head Circumference: Cause for Concern?

Mark Hudak, MD and Kartikeya Makker, MD offer commentary on the concurrently released study in Pediatrics, Neonatal Head Circumference in Newborns With Neonatal Abstinence Syndrome, in which infants of mothers undergoing…

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The Joint Commission Will Begin Publicly Reporting NTSV Cesarean Section Rates by July 2020

The Joint Commission will begin publicly reporting hospitals with consistently high NTSV cesarean birth rates on Quality Check® by July 1, 2020, using data reported by hospitals during the calendar…

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CMQCC to offer webinar on PC-06: Unexpected Complications in Term Newborns. Mandatory reporting begins Jan. 1

Beginning with January 1, 2019 discharges, hospitals that are Joint Commission accredited with >300 annual deliveries will be required to report the perinatal care measure, PC-06: Unexpected Complications in Term…

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