https://www.nwhjournal.org/article/S1751-4851(24)00162-4/abstract Abstract Objective To increase nurses’ awareness and use of a human milk feeding (HMF) and opioid use disorder (OUD) standardized care pathway to improve rates of HMF at discharge…
https://www.nwhjournal.org/article/S1751-4851(24)00127-2/abstract Objective To improve neonatal outcomes through the implementation of an eat, sleep, console (ESC) assessment and change in hospital policy regarding the monitoring requirements for pharmacologic treatment of neonates…
https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2024.307667 Abstract Providing aspirin during pregnancy is a critical intervention proven to reduce the rates of preeclampsia in patients at risk. This quality improvement project prepared family medicine residents to…
https://www.sciencedirect.com/science/article/pii/S0884217524002971?dgcid=author#bib24 To address the current maternal health crisis and to ensure that all patients receive high-quality care that is responsive to their needs, members of the multidisciplinary health care team…
Read More from JOGNN: Evidence-Based Education Programs to Improve Maternal Outcomes
https://www.ajog.org/article/S0002-9378(24)00370-3/abstract Background The great obstetrical syndromes of fetal growth restriction and hypertensive disorders of pregnancy can occur individually or be interrelated. Placental pathologic findings often overlap between these conditions, regardless…
https://www.ajog.org/article/S0002-9378(24)00421-6/abstract Abstract Background Implementing levels of maternal care is one strategy proposed to reduce maternal morbidity and mortality. The levels of maternal care framework outline individual medical and obstetrical comorbidities,…
https://journals.lww.com/greenjournal/abstract/2024/11000/long_term_risk_of_type_2_diabetes_after_preterm.14.aspx OBJECTIVE: To examine long-term diabetes risk after preterm delivery or hypertensive disorders of pregnancy in a large population-based cohort. METHODS: This retrospective cohort study included all women with a…
https://journals.lww.com/greenjournal/fulltext/2024/11000/continuous_glucose_monitoring_for_management_of.12.aspx OBJECTIVE: To evaluate the association between continuous glucose monitoring in pregnant people with type 2 diabetes and perinatal outcomes. METHODS: This was a retrospective cohort study of pregnant people…
https://journals.lww.com/greenjournal/abstract/2024/11000/association_between_metformin_use_in_early.18.aspx OBJECTIVE: To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS: This is a planned secondary…
https://www.jognn.org/article/S0884-2175(24)00256-9/fulltext In the United States, despite national efforts to increase breastfeeding initiation and continuation in recent decades, suboptimal breastfeeding rates persist and include continued disparities for people of color and…
https://www.jognn.org/article/S0884-2175(24)00073-X/abstract Abstract Objective To describe the unique challenges faced by rural pregnant women with intersecting substance use disorder (SUD) and unmet social needs. Design Secondary qualitative data analysis with an…
https://www.ajog.org/article/S0002-9378(24)00022-X/abstract Abstract Background First-trimester screening for preeclampsia using a combination of maternal risk factors and mean arterial pressure, uterine artery pulsatility index, and placental growth factor, as proposed by the…
https://www.ajog.org/article/S0002-9378(24)01047-0/abstract Background Postpartum hemorrhage is the leading cause of maternal mortality worldwide. Quantitative blood loss assessment at the time of cesarean delivery is a more accurate measure of blood loss…
Read More from AJOG: The Impact of Indication for Cesarean on Blood Loss
https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2824356 Abstract Importance The incidence of severe maternal morbidity (SMM)—and particularly cardiovascular SMM (cvSMM), the first cause of pregnancy-related mortality—has been rising in North America. Although hypertensive disorders of pregnancy (HDP)…
https://ajph.aphapublications.org/doi/epdf/10.2105/AJPH.2024.307805?fbclid=IwY2xjawF1JWhleHRuA2FlbQIxMAABHeyQzq7S004wrycC_0dvmCjvi47up-GaClIsKYowkJtzF5XDSd_CluMVaQ_aem_NFJWvJ3ZqeF2207T74035g Objectives To assess the relationship between doula utilization and health outcomes of females enrolled in Medicaid-affiliated plans in the United States. Methods In this retrospective, observational cohort study, we…
https://publications.aap.org/pediatrics/article-abstract/154/2/e2023064431/197682/Quality-Improvement-Interventions-to-Prevent OBJECTIVES Quality improvement may reduce the incidence and severity of intraventricular hemorrhage in preterm infants. We evaluated quality improvement interventions (QIIs) that sought to prevent or reduce the severity…
Guideline for Practice, 4th ed. https://journals.lww.com/advancesinneonatalcare/fulltext/2024/08000/nann_neonatal_peripherally_inserted_central.2.aspx BACKGROUND AND SIGNIFICANCE The National Association of Neonatal Nurses (NANN) has been a forerunner in its commitment to recognizing the importance of consistent care…
Read More from NANN: Neonatal Peripherally Inserted Central Catheters – Clinical Practice Update
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2822293 Abstract Importance Pregnancy may contribute to the development or exacerbation of obstructive sleep apnea (OSA) and increase the risk of gestational complications. Continuous positive airway pressure (CPAP) is the first-line…
https://publications.aap.org/pediatrics/article/154/3/e2024068026/199038/Phototherapy-to-Prevent-Severe-Neonatal?autologincheck=redirected OBJECTIVE To summarize the principles and application of phototherapy consistent with the current 2022 American Academy of Pediatrics “Clinical Practice Guideline Revision for the Management of Hyperbilirubinemia in the…
https://publications.aap.org/pediatrics/article-abstract/154/4/e2023065267/199446/Update-to-the-Neonatal-Early-Onset-Sepsis?autologincheck=redirected BACKGROUND AND OBJECTIVES The Kaiser Permanente Neonatal Early-Onset Sepsis (EOS) Calculator has been an effective tool for risk stratification to safely reduce newborn antibiotic exposure. The calculator was derived…
https://journals.lww.com/greenjournal/abstract/9900/screening_for_gestational_and_pregestational.1074.aspx Abstract This Clinical Practice Update reviews current data on screening and diagnostic criteria for pregestational and gestational diabetes mellitus during pregnancy and type 2 diabetes mellitus postpartum. This document…
https://journals.lww.com/greenjournal/abstract/9900/pre_existing_diabetes_and_stillbirth_or_perinatal.1125.aspx OBJECTIVE: Despite the well-recognized association between pre-existing diabetes mellitus and stillbirth or perinatal mortality, there remain knowledge gaps about the strength of association across different populations. The primary objective…
https://journals.lww.com/greenjournal/abstract/9900/association_between_metformin_use_in_early.1144.aspx OBJECTIVE: To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS: This is a planned secondary…
https://journals.lww.com/greenjournal/abstract/9900/association_between_novel_antiphospholipid.1154.aspx OBJECTIVE: To investigate the value of anti-β2 glycoprotein-I domain 1 (aD1) and antiphosphatidylserine–prothrombin antibodies for predicting adverse pregnancy outcomes in an at-risk population and to describe the relationship among…
https://www.jognn.org/article/S0884-2175(24)00073-X/fulltext?dgcid=raven_jbs_etoc_email Abstract Objective To describe the unique challenges faced by rural pregnant women with intersecting substance use disorder (SUD) and unmet social needs. Design Secondary qualitative data analysis with an…
https://www.jognn.org/article/S0884-2175(24)00069-8/fulltext?dgcid=raven_jbs_etoc_email Abstract Objective To investigate mode of birth in relation to onset of labor and Bishop score. Design Retrospective observational cohort design. Setting A 434-bed Magnet redesignated community hospital. Participants…
Read More from JOGNN: Relationships Among Mode of Birth, Onset of Labor, and Bishop Score
https://www.nwhjournal.org/article/S1751-4851%2824%2900163-6/fulltext Abstract Objective To describe the experiences of women with a mental health diagnosis with making and using a pregnancy relapse prevention plan (PRPP) in an effort to prevent mental…
https://www.ajog.org/article/S0002-9378(24)00089-9/abstract Abstract Background Stillbirth occurs more commonly among pregnant people with comorbid conditions and obstetrical complications. Stillbirth also independently increases maternal morbidity and imparts a psychosocial hazard when compared with…
Read More from AJOG: Postpartum readmission risk: a comparison between stillbirths and live births
https://pubmed.ncbi.nlm.nih.gov/39243594 Abstract Problem: There is a limited knowledge base available to midwives, obstetricians and women planning vaginal birth after caesarean (VBAC), impeding their ability to make informed choices regarding planned place…
https://journals.lww.com/greenjournal/fulltext/2024/08000/magnesium_sulfate_before_preterm_birth_for.7.aspx OBJECTIVE: To systematically review the evidence for the effectiveness and safety of magnesium sulfate as a fetal neuroprotective agent when given to individuals at risk of preterm birth. DATA…