Every Week STILL Counts – 2019 Update
Every Week Counts ended in 2014, but the effort to eliminate early elective deliveries continues. As an annual update, the Office of Perinatal Quality Improvement created a report sent to…
Council on Patient Safety in Women’s Health Care launches new Voices of Impact video
The goal of the Voices of Impact video series is to elevate the voices of women and families who have experienced severe maternal events. By putting voices to the numbers,…
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Save the Date! OPQIC & Preparing for a Lifetime Summit, September 20, 2019
Please join us on September 20, 2019, as OPQIC is partnering with the Oklahoma State Department of Health to combine the OPQIC Summit and the Preparing for a Lifetime Summit…
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Video Abstract from Pediatrics: Maternal Smoking Before and During Pregnancy and the risk of Sudden Unexpected Infant Death
OBJECTIVES: Maternal smoking during pregnancy is an established risk factor for sudden unexpected infant death (SUID). Here, we aim to investigate the effects of maternal prepregnancy smoking, reduction during pregnancy, and…
ACOG: Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery Rates
OBJECTIVE: To evaluate maternal and neonatal safety measures in a large-scale quality improvement program associated with reductions in nulliparous, term, singleton, vertex cesarean delivery rates. METHODS: This is a cross-sectional study of…
ACOG: Multimodal Stepwise Approach to Reducing In-Hospital Opioid Use After Cesarean Delivery – A Quality Improvement Initiative
OBJECTIVE: To evaluate the association of a standardized, structured approach to in-hospital postcesarean delivery pain management with maternal opioid use after cesarean delivery. METHODS: We conducted a retrospective cohort study of women…
ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy
ABSTRACT: The American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women….
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ACOG: Neonatal and Maternal Morbidity Among Low-Risk Nulliparous Women at 39–41 Weeks of Gestation
OBJECTIVE: To use a large national database to compare composite maternal or neonatal morbidity among low-risk, full-term women. METHODS: This cohort study, using the U.S. vital statistics datasets (2011–2015), evaluated low-risk…
ACOG: Maternal Immunization
ABSTRACT: Vaccines administered to women during pregnancy can provide protection against serious infectious diseases for the mother, for the newborn, or both. Maternal immunization boosts the concentration of maternal antibodies…
ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia
Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to…
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Sign up for the free LARC Provider trainings
Focus Forward Oklahoma is a program of the Oklahoma Health Care Authority. They will be continuing the LARC Training Program. The program will offer training sessions in both Oklahoma City…
Registration for the 2019 AWHONN Oklahoma Section Conference (April 4-5) is now open for Norman Regional Education Center
The AWHONN Oklahoma Section Conference will be April 4-5, 2019 at the Norman Regional Education Center. Register early to take advantage of the early registration through March 16, 2019. For…
PEDIATRICS: Antibiotic Stewardship in the Neonatal Intensive Care Unit: Lessons From Oxygen
The introduction of oxygen therapy was in many ways a panacea for clinicians caring for preterm infants in the early 20th century. These pediatricians (the term “neonatologist” was not coined…
ACOG Green Journal: In Pursuit of Value-Based Maternity Care
ABSTRACT: Value-based care has become the new paradigm for clinical practice, with significant implications for maternity services, where there is a large opportunity to provide better care at lower cost….
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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…
Upcoming Webinar March 14, 2019 NPIC: The ARRIVE Trial – Discussion of Results and Implementation
ft. William Grobman, MD, MBA Northwestern Memorial Prentice Women’s Hospital The purpose of this activity is to enable the learner to have an understanding of the results and implications of…
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…
OSU Center for Health Sciences & OSU Center for Wellness and Recovery is offering Buprenorphine Waiver Training
“OSU Center for Health Sciences is committed to taking a leading role in battling the opioid addiction epidemic afflicting Oklahomans and their families.” – Dr. Kayse Shrum, President, OSU Center…
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)…
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…
ACOG Committee Opinion No. 764 Medically Indicated Late-Preterm and Early-Term Deliveries
ABSTRACT: The neonatal risks of late-preterm and early-term births are well established, and the potential neonatal complications associated with elective delivery at less than 39 0/7 weeks of gestation are well…
ACOG Practice Bulletin No. 205 Vaginal Birth After Cesarean Delivery
Abstract: Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome….
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ACOG Practice Bulletin No. 204 Fetal Growth Restriction
Abstract: Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a…
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JOGNN: Initiative to Improve Exclusive Breastfeeding by Delaying the Newborn Bath
Abstract Objective To examine whether delayed newborn bathing would increase rates of in-hospital exclusive breastfeeding and plans to use human milk at discharge. Results Of 996 mother–newborn couplets, 448 were…
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ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2–8% of pregnancies globally (1). In Latin…
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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…
AJOG Obstetric Care Consensus #8: Interpregnancy Care
Interpregnancy care aims to maximize a woman’s level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is…
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Major Study in Circulation Powered by Preeclampsia Survivors Answers and Important Question
A major research study using data and DNA samples from The Preeclampsia Registry helps explain the connection between preeclampsia and heart disease. Entitled “Preeclampsia and Cardiomyopathy: Shared Genetics?” this paper was…
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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