SMJ // Obstetrics and Gynecology

SMJ Article | Original Article

CME Article: Pregnancy-Associated Diabetes Mellitus and Stillbirths by Race and Ethnicity among Hospitalized Pregnant Women in the United States

Objectives: Racial disparities in preexisting diabetes mellitus (PDM) and gestational diabetes mellitus (GDM) remain largely unexplored. We examined national PDM and GDM prevalence trends by race/ethnicity and the association between these conditions and fetal death. Methods: This was a retrospective cross-sectional analysis of 69,539,875 pregnancy-related hospitalizations from 2002 to 2017...

Posted in: Endocrinology, Diabetes, and Metabolism10 Pregnancy20

SMJ Article | Original Article

CME Article: Implementation of a Postpartum Note Reminder and Factors Associated with Postpartum Glucose Tolerance Screening

Objectives: Although reminder systems are used to increase provider adherence, we are not aware of any real-time reminder systems for provider adherence to postpartum glucose tolerance testing. We studied whether a reminder in the electronic medical records affects provider ordering of a postpartum glucose tolerance test. We also studied whether...

Posted in: Obstetrics and Gynecology45 Pregnancy20

SMJ Article | Original Article

Analysis of Airway Management for Cesarean Delivery: Use of Risk and Proportion Differences

Objectives: Securing the parturient airway is essential during general anesthesia for cesarean delivery. The purpose of this study was to compare inferior airway views provided by the use of three commonly available laryngoscopy blades—Macintosh, Miller, or Glidescope Mac-Style—to the incidence of difficult orotracheal intubation. Methods: Following institutional review board approval,...

Posted in: Obstetrics and Gynecology45 Pregnancy20

SMJ Article | Original Article

Ultrasound-Measured Urethral Length Does Not Change following Minimally Invasive Sacrocolpopexy for Pelvic Organ Prolapse

Objectives: To compare urethral length (UL), as measured by three-dimenstional transvaginal ultrasound, before and after minimally invasive sacrocolpopexy (SCP). Methods: Secondary analysis of a prospective cohort study of women undergoing SCP for prolapse beyond the hymen with or without a concomitant anti-incontinence procedure. Participants underwent ultrasound at baseline and 14...

Posted in: Obstetrics and Gynecology45

SMJ Article | Original Article

CME Article: Peripartum Hypertensive Crisis Simulation and Education Initiative among Rural Emergency Departments

Objective: To determine whether the introduction of hypertensive bundles through simulation and education would result in the timely assessment and treatment of a simulated patient in a peripartum hypertensive crisis. Methods: This prospective observational pilot study evaluates the use of simulation and education on hypertension bundled care for peripartum patients...

Posted in: Obstetrics and Gynecology45 Hypertension3

SMJ Article | Original Article

Patient Experiences at California Crisis Pregnancy Centers: A Mixed-Methods Analysis of Online Crowd-Sourced Reviews, 2010–2019

Objectives: Crisis pregnancy centers (CPCs) are nonprofit antiabortion organizations that claim provision of pregnancy resources. With the Reproduction Freedom, Accountability, Comprehensive Care, and Transparency Act repealed, CPCs are no longer mandated to share information on state-funded family planning and abortion services. As patients increasingly seek healthcare guidance online, we evaluated...

Posted in: Pregnancy20

SMJ Article | Original Article

Body Image and Sexual Function Improve after Both Myomectomy and Hysterectomy for Symptomatic Fibroids

Objectives: To determine the factors that influence the choice of myomectomy, uterine fibroid embolization (UFE), or hysterectomy in women with symptomatic uterine fibroids and to assess women’s perception of body image and sexual functioning before and after treatment. Methods: In this prospective observational cohort pilot study, women scheduled to undergo...

Posted in: Family Planning & Reproductive Health7

SMJ Article | Original Article

Prevalence of Planned Abdominal Binder Use after Vaginal Delivery

Objectives: Pregnancy and vaginal delivery are risk factors for pelvic floor dysfunction. Abdominal binder use may increase intraabdominal pressure, affecting pelvic floor healing or function in recently traumatized postpartum pelvic floor muscle. This study assesses the prevalence of postpartum abdominal binder use, timing, and reasons for use. Methods: In this...

Posted in: Obstetrics and Gynecology45 Pregnancy20

SMJ Article | Original Article

Effects of Gestational Weight Gain on Delivery Outcomes in an Obese, Low-Income Population

Objective: To examine the effects of weight gain/loss on delivery outcomes stratified by class of obesity in an obese, low-income, predominantly minority population. Methods: A retrospective review of a cohort of 1428 women receiving care at a large Medicaid clinic from 2013 to 2016 with pregravid body mass index ≥30...

Posted in: Obstetrics and Gynecology45 Pregnancy20

SMJ Article | Original Article

CME Article: Investigating Barriers to Completion of Postpartum Tubal Ligation: A Retrospective Chart Review

Objectives: To identify the completion rate for postpartum tubal ligation (PPTL) and predictors of noncompletion of PPTL in a central New Jersey population. Methods: We conducted a retrospective chart review at a tertiary care center in New Jersey for patients delivering during an 18-month period. We used the electronic medical...

Posted in: Obstetrics and Gynecology45

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