SMJ // Obstetrics and Gynecology

SMJ Article | Original Article

Exploring Infant Feeding Experiences and Maternity Care Practices in Appalachia

Objectives: Our aim was to explore postpartum individuals’ experiences and perceptions of breastfeeding and International Board Certified Lactation Consultants’ (IBCLC) knowledge and perceptions of maternity care practices and perceived barriers to breastfeeding among their patient populations in Appalachia. Methods: Semistructured interviews were conducted with seven IBCLCs and seven postpartum individuals....

Posted in: Pregnancy28

SMJ Article | Original Article

Out-of-Hospital Birth in Medical Education: A Thematic Analysis of Question Banks for Medical Licensing Examinations in the United States

Objectives: This study assessed the content of US Medical Licensing Examination question banks with regard to out-of-hospital births and whether the questions aligned with current evidence. Methods: Three question banks were searched for key words regarding out-of-hospital births. A thematic analysis was then utilized to analyze the results. Results: Forty-seven...

Posted in: Obstetrics and Gynecology62 Pregnancy28

SMJ Article | Original Article

Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy

Objectives: The aims of this study were to describe the baseline estimated blood loss (EBL) in surgery and transfusion rate in patients undergoing cytoreductive surgeries for ovarian malignancy, and identify perioperative variables associated with blood loss and transfusion. Methods: A retrospective cohort study at a single institution was performed that...

Posted in: Ovarian Disorders And Female Reproductive Health3 Ovarian Disorders3

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: Pregnancy28

SMJ Article | Original Article

CME Article: Current Clinical Practice Patterns in Total Vaginal Hysterectomy

Objectives: There are no data on current surgical practice patterns for benign total vaginal hysterectomy (TVH) despite recently published guidelines. The objective was to determine gynecologic surgeon practice patterns regarding TVH perioperative interventions and to assess adherence to clinical practice guidelines. Methods: A survey to assess TVH practice patterns was...

Posted in: Obstetrics and Gynecology62

SMJ Article | Original Article

Patient Acceptance of Primary Care Behavioral Health in a Resident Obstetrics and Gynecology Clinic

Objectives: Primary care behavioral health (PCBH) is a patient care model in which a behavioral health consultant (BHC) works alongside the primary care provider to address behavioral components of health conditions. PCBH is well received in the primary care setting; however, little is known about acceptability of the service among...

Posted in: Obstetrics and Gynecology62

SMJ Article | Original Article

Real Time, Remote, and Recorded: Medical Student Experiences with Smart Glasses in Obstetrical Simulation

Objectives: The coronavirus disease 2019 pandemic generated the need for a teaching tool for enhancing remote education and evaluation of medical trainees. Smart glasses are being explored as a hands-free teaching tool for teleconferencing with hands-on demonstrations in addition to livestreaming capability. We wanted to understand the efficacy of such...

Posted in: Obstetrics and Gynecology62

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 Disease123 Pregnancy28

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 Pregnancy28

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: Pregnancy28 Family Planning & Reproductive Health12

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