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

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 With the Reproduction Freedom, Accountability, Comprehensive Care, and Transparency Act repealed, CPCs are no longer mandated to share information on state-funded family planning and abortion services.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

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

Cesarean Delivery Management of Stillbirth: In-Depth Analysis of 75 Cases in a Rural State

Objective: To analyze the characteristics surrounding women who underwent cesarean delivery for stillbirth management in the rural, southern US state of Arkansas. Methods: This was a planned secondary analysis of a retrospective descriptive study evaluating mode of delivery following the stillbirth of singleton pregnancies without anomalies or aneuploidy delivered in...

Posted in: Pregnancy20

SMJ Article | Review Article

Evidence for Prophylactic Transfusion during Pregnancy for Women with Sickle Cell Disease

The objective of this study was to examine prior studies on maternal and neonatal outcomes with prophylactic compared with emergent blood transfusion in pregnant women with sickle cell disease. A review of the literature was performed. Twenty-one articles were identified and included in the analysis. A generalized linear mixed-effects model...

Posted in: Pregnancy20

SMJ Article | Original Article

Enhancing Patient–Provider Breastfeeding Conversations: Breastfeeding Intention and Prenatal Breastfeeding Self-Efficacy among a Sample of Pregnant Women

Objectives: The purpose of this study was to investigate and identify which sociodemographic factors may be associated with breastfeeding intention and breastfeeding self-efficacy among pregnant women. Methods: Pregnant women at a medical center in Alabama completed a cross-sectional survey. The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale (PREP...

Posted in: Pregnancy20

SMJ Article | Original Article

Pregnancy Risk Screening and Counseling for Women Veterans: Piloting the One Key Question in the Veterans Healthcare Administration

Objectives: Women veterans have a high prevalence of comorbidities that increase the risk of adverse pregnancy outcomes. Screening for pregnancy desires in primary care provider (PCP) visits offers an opportunity to optimize preconception health. This pilot quality improvement initiative sought to assess Veterans Healthcare Administration provider preferences on One Key...

Posted in: Pregnancy20

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