SMJ // Pregnancy

SMJ Article | Original Article

Efficacy of Prophylactic Policy–Driven Tranexamic Acid Administration during Cesarean Delivery in a Rural Healthcare Setting

Objectives: Postpartum hemorrhage (PPH) is a major contributor to maternal mortality worldwide and is a leading cause of pregnancy-related mortality in the United States. The American College of Obstetricians and Gynecologists, the Royal College of Obstetricians and Gynecologists, and the World Health Organization advocate for the early use of tranexamic...

Posted in: Pregnancy33

SMJ Article | Original Article

Maternal and Infant Outcomes in a Subset of Patients with Sickle Cell Disease in South Carolina

Objectives: Sickle cell disease (SCD), which disproportionately affects minorities, increases complications during pregnancy. Severe maternal mortality is increased in women with SCD, including morbidity related to the disease and other nondisease-related complications. It also can have devastating complications for fetuses, with increases in premature birth and low birth weight. This...

Posted in: Pregnancy33

SMJ Article | Original Article

Increased Prevalence of Skeletal Anomalies on Ultrasound Evaluation of Buprenorphine-Exposed Human Fetuses

Objectives: In this study, buprenorphine was the primary source of maternal opioid exposure at the time of initial prenatal evaluation. Current recommendations advise that level II ultrasounds be performed in patients with substance use disorders. For some patients, distance, transportation, and costs associated with obtaining ultrasounds from a specialist pose...

Posted in: Pregnancy33

SMJ Article | Original Article

Secondary Effects of the COVID-19 Pandemic on Pregnancy Intention

Objectives: The coronavirus disease 2019 (COVID-19) pandemic had many downstream effects, including, for some women, altering the wish to become pregnant. This study examines the effects on pregnancy intention and Edinburgh Postnatal Depression Scale (EPDS) score at the initiation of prenatal care in a low-income population during the COVID-19 pandemic....

Posted in: Infectious Disease134 Pregnancy33

SMJ Article | Original Article

Videolaryngoscopy during Urgent Cesarean Delivery: Association with Neonatal Intensive Care Unit Admission

Objectives: Parturients are at increased risk for difficult airway management with subsequent fetal complications. Videolaryngoscopy was opined to be the new standard of airway care to facilitate orotracheal intubation under urgent care conditions. We examined in parturients requiring general anesthesia for urgent cesarean delivery the association of the type of...

Posted in: Pregnancy33

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: Pregnancy33

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 Gynecology76 Pregnancy33

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: Pregnancy33

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 Disease134 Pregnancy33

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: Hypertension10 Pregnancy33

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