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…
A new Oklahoma statute related to perinatal mental health went into effect November 1, 2019. This statute, from enrolled SB 419, requires Oklahoma hospitals and licensed health care professionals to…
Mishka Terplan, MD, MPH, is board certified in both obstetrics and gynecology and in addiction medicine. His primary clinical, research and advocacy interests lie along the intersection of reproductive and…
Read More from SAVE the DATE – Dinner in OKC on December 5th with Mishka Terplan, MD, MPH
The next OPQIC quarterly meeting is scheduled for November 19th in the Stephenson Cancer Center 5th Floor Conference Room. Polycom videoconferencing is available at: OU College of Medicine, Tulsa Schusterman…
Read More from Agenda for OPQIC Quarterly Meeting – November 19th
SOURCE: Jeffrey D. Colvin, & Rachel Y. Moon. The Pediatrician’s Role in Eliminating Racial and Ethnic Disparities in Sleep-Related Infant Deaths. Pediatrics, Oct 2019, 20192310; DOI: 10.1542/peds.2019-2310 In this commentary, Drs. Jeffrey Colvin and Rachel…
SOURCE: Raymond C. Stetson, Jennifer L. Fang, Christopher E. Colby and Robert M. Jacobson. Improving Infant Vaccination Status in a Level IV Neonatal Intensive Care Unit. Pediatrics, November 2019, 144…
SOURCE: Paterno, Mary T. et al. Evaluation of a Nurse-Led Program for Rural Pregnant Women With Opioid Use Disorder to Improve Maternal–Neonatal Outcomes. Journal of Obstetric, Gynecologic & Neonatal Nursing, Volume…
SOURCE: Dmitry Dukhovny, Madge E. Buus-Frank, Erika M. Edwards, Timmy Ho, Kate A. Morrow, Arjun Srinivasan, Daniel A. Pollock, John A.F. Zupancic, DeWayne M. Pursley, Donald Goldmann, Karen M. Puopolo,…
SOURCE: Newborn Antibiotic Exposures and Association With Proven Bloodstream Infection. Joseph Schulman, William E. Benitz, Jochen Profit, Henry C. Lee, Grace Dueñas, Mihoko V. Bennett, Maria A.L. Jocson, Roy Schutzengel, Jeffrey B. Gould. Pediatrics, Oct 2019, e20191105; DOI: 10.1542/peds.2019-1105 A companion commentary to this article can be found online at www.pediatrics.org/cgi/doi/10.1542/peds.2019-2576. OBJECTIVES:…
SOURCE: HHS Press Office: https://www.hhs.gov/about/news/2019/08/29/surgeon-general-releases-advisory-marijuana-damaging-effects.html August 29, 2019, Surgeon General Vice Adm. Jerome M. Adams, issued an advisory emphasizing the importance of protecting youth and pregnant women from the health…