SMJ Article | Original Article

CME Article: Rise in Neonatal Abstinence Syndrome Rate Is Associated with Increase in Buprenorphine Prescription Numbers

Objectives: Southern Appalachia is a region of the United States that is disproportionately affected by the opioid epidemic and by increasing rates of neonatal abstinence syndrome (NAS). NAS rates increased approximately 400% between 1999 and 2012. Buprenorphine prescriptions written to treat opioid use disorder also increased dramatically. The present study...

Posted in: Pregnancy26

SMJ Article | Original Article

CME Article: Survey of COVID-19 Vaccine Attitudes in Predominately Minority Pregnant Women

Objectives: Despite recommendations for coronavirus disease (COVID-19) vaccination during pregnancy, some pregnant women are concerned about COVID-19 vaccines and decline to be vaccinated. This study focuses on attitudes in a sample of mostly minority pregnant Hispanic and Black women that may influence vaccine hesitancy. Methods: This was a cross-sectional survey...

Posted in: Infectious Disease118 Pregnancy26

SMJ Article | Review Article

Comprehensive Review of Hypertensive Disorders Related to Pregnancy

Hypertensive disorder of pregnancy is a common complication during pregnancy that affects approximately 10% of pregnancies and is responsible for nearly 14% of maternal deaths worldwide. It affects the mother and the fetus simultaneously, sometimes putting the health of the mother and the fetus at odds with each other. It...

Posted in: Hypertension7 Pregnancy26

SMJ Article | Original Article

Open Access: Mediation Analysis of Maternal Smoking, Gestational Age, and Birth Weight on the Texas–Mexico Border

Objectives: Published data on the indirect effect of maternal smoking on birth weight as mediated by gestational age in Hispanic populations are lacking. Our goal was to conduct such a mediation analysis using data from El Paso County, Texas. Methods: El Paso County is located on the US−Mexico border. A...

Posted in: Pregnancy26 Family Planning & Reproductive Health12

SMJ Article | Original Article

Examination of a Stillbirth Workup: A Rural Statewide Experience

Key Points The frequency of the assessments after a stillbirth was 72% for placental pathology, 67% for genetic testing, 31% for fetal inspection at delivery, and 13% for fetal autopsy. All four stillbirth assessments were accomplished in 2% of stillbirth cases, three assessments in 27%, two assessments in 47%, one...

Posted in: Pregnancy26

SMJ Article | Original Article

Fetal Maturation and Intrauterine Survival in Asian American Women by Ethnicity

Objectives: Although there are multiple ethnic subgroups of the Asian race, this population is usually treated as homogenous in public health research and practice. There is a dearth of information on fetal maturation and perinatal outcomes among Asian American women compared with their non-Hispanic (NH) White counterparts. This study aimed...

Posted in: Obstetrics and Gynecology59 Pregnancy26

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 Metabolism13 Pregnancy26

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 Gynecology59 Pregnancy26

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 Gynecology59 Pregnancy26

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: Pregnancy26

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