NCHS Webinar Announcement: Final 2018 Mortality Data Release with a Special Highlight on Maternal Mortality
The National Center for Health Statistics (NCHS) will release the Final 2018 Mortality File and accompanying reports on Thursday, January 30, 2020. In addition to reports highlighting life expectancy and…
Pediatrics: Hepatitis C Testing Among Perinatally Exposed Infants
BACKGROUND: Hepatitis C virus (HCV) prevalence doubled among pregnant women from 2009 to 2014, reaching 3.4 per 1000 births nationwide. Infants exposed to HCV may acquire HCV by vertical transmission. National…
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Register now for Feb 6 webinar: Changing How We Treat Neonatal Abstinence Syndrome: A Quality Improvement
Oklahoma AIM Hospitals – Register now for training to enhance teamwork integration into AIM Maternal Safety Bundles on Feb 24 and Feb 25!
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…
Save the Date for OPQIC’s 7th Annual Summit, October 2, 2020!
Register for CMQCC’s Jan. 23 webinar: Introduction to “Improving Diagnosis and Treatment of Maternal Sepsis”, a Quality Improvement Toolkit
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…
ACOG: Racial Inequities in Preventable Pregnancy-Related Deaths in Louisiana, 2011–2016
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…
ACOG: Maternal Mortality Addressing Disparities and Measuring What We Value
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…
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Video Abstract from Pediatrics: Car Seat Tolerance Screening for Late-Preterm Infants
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…
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JOGNN: Effects of Dextrose Gel in Newborns at Risk for Neonatal Hypoglycemia in a Baby-Friendly Hospital
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…
PEDIATRICS: Updates on an At-Risk Population: Late-Preterm and Early-Term Infants
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…
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Video Abstract from Pediatrics: Distinct Populations of Sudden Unexpected Infant Death Based on Age
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…
ACOG Practice Bulletin, No. 216: Macrosomia
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…
ACOG Green Journal: Evaluation of Risk-Assessment Tools for Severe Postpartum Hemorrhage in Women Undergoing Cesarean Delivery
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…
AJOG: The physiology of intrapartum fetal compromise at term
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…
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Well-Child Care Adherence After Intrauterine Opioid Exposure
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….
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Commentary in Pediatrics: Redefining the Science and Policy of Early Childhood Intervention Programs
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…
Video Abstract in Pediatrics: Early-Life Predictors of Fetal Alcohol Spectrum Disorders
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 Oklahoma’s newest Baby-Friendly Hospital: The Children’s Hospital at OU Medicine!
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…
2019 American Heart Association Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
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…
ACOG Committee Opinion, no. 794: Quantitative Blood Loss in Obstetric Hemorrhage
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…
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Nursing for Women’s Health: A Proactive Approach to Quantification of Blood Loss in the Perinatal Setting
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…
ACOG Green Journal: Racial Disparities in Postpartum Pain Management
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…
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ACOG Green Journal: Racial and Ethnic Inequities in Postpartum Pain Evaluation and 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…
Quality Report in Pediatrics: A Collaborative Multicenter QI Initiative to Improve Antibiotic Stewardship in Newborns
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…
JOGNN: Systematic Review of Expected Weight Changes After Birth for Full-Term, Breastfed Newborns
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…
NIH: Umbilical cord milking may be linked to higher risk of brain bleeding in preterm infants
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,…
ACOG Green Journal: Maternal and Neonatal Morbidity After 4 and 6 Hours of Protracted Active Labor in Nulliparous Term Pregnancies
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…
Nursing for Women’s Health: Consolidation of Guidelines of Postpartum Care Recommendations to Address Maternal Morbidity and Mortality
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…