- General anaesthesia during caesarean sections: implications for the mother, foetus, anaesthetist and obstetrician. [Journal Article]Curr Opin Obstet Gynecol 2019CO
- CONCLUSIONS: This review will outline the different stages of a general anaesthetic and highlight the risks. This summary will allow a better understanding of anaesthetic risks. This will allow obstetricians to have a more informed conversation with an anaesthetist as to form of anaesthetic required (general anaesthetic versus spinal or epidural top-up). The review will also allow obstetricians to give more informed consent to mothers and be aware of the postoperative risks.
- Obstetrician-gynecologists' practice patterns related to opioid use during pregnancy and postpartum-United States, 2017. [Journal Article]J Perinatol 2019JP
- CONCLUSIONS: Evidence suggests that efforts are needed to enhance physician confidence to manage pregnant and postpartum patients who use opioids, which may increase optimal care of this patient population.
- PREVALENCE OF POTENTIALLY PATHOGENIC MICROBIOLOGICAL AGENTS IN VAGINAL EXUDATES OF ASYMPTOMATIC PREGNANT WOMEN, BARRANQUILLA, COLOMBIA, 2014-2015. [Journal Article]Rev Colomb Obstet Ginecol 2019; 70(1):49-56RC
- CONCLUSIONS: Substantial colonization of the lower genital tract by potentially pathogenic germs is found in pregnant women between 35 and 37 weeks of gestation. Further studies are required in order to determine the benefit of population screening in terms of avoiding poor maternal and perinatal out- comes, and the impact on the resulting overcosts.
- Comparison of Midwifery and Obstetric Care in Low-Risk Hospital Births. [Journal Article]Obstet Gynecol 2019OG
- CONCLUSIONS: In low-risk pregnancies, midwifery care in labor was associated with decreased intervention, decreased cesarean and operative vaginal births, and, in multiparous women, an increased risk for shoulder dystocia. Greater integration of midwifery care into maternity services in the United States may reduce intervention in labor and potentially even cesarean delivery, in low-risk pregnancies. Larger research studies are needed to evaluate uncommon but important maternal and newborn outcomes.
- An Analytical Mobile App for Shared Decision Making About Prenatal Screening: Protocol for a Mixed Methods Study. [Journal Article]JMIR Res Protoc 2019; 8(10):e13321JR
- CONCLUSIONS: This study will result in a validated analytical app that will provide pregnant women and their partners with up-to-date information about prenatal screening options and their risks and benefits. It will help them clarify their values and enable them to weigh the options to make informed choices consistent with their preferences and values before meeting face-to-face with their health care professional. The app will be easy to update with the latest information and will provide women with a user-friendly experience using their smartphones or tablets. This study and the resulting app will contribute to high-quality SDM between pregnant women and their health care team.
- Utility of the modified myocardial performance index in growth-restricted fetuses. [Journal Article]Echocardiography 2019E
- CONCLUSIONS: The utility of the Mod-MPI in FGR remains unclear. Future studies with larger populations are needed to determine the utility of the Mod-MPI as a predictor of cardiac compromise in FGR.
- The Rise of Nontenured Faculty in Obstetrics and Gynecology by Sex and Underrepresented in Medicine Status. [Journal Article]Obstet Gynecol 2019; 134 Suppl 1:34S-39SOG
- CONCLUSIONS: The substantial rise in the number of obstetrics and gynecology faculty was largely among those who were nontenured, regardless of sex or underrepresented in medicine status. This finding signals the essential need for examining career development and academic accomplishment for promoting nontenured faculty.
- Spontaneous, Grassroots Initiative Brings Niagara Health's New Purpose, Vision and Values to Life. [Journal Article]Healthc Q 2019; 22(2):68-74HQ
- The purpose (or mission) of Niagara Health is Extraordinary Caring. Every Person. Every Time. Staff and physicians across the large, multi-site hospital organization are challenged to embrace this purpose in all of their day-to-day interactions. One Niagara Health team with no direct role in patient care (IT) spontaneously and independently created an Acts of Kindness campaign. They set a goal fo…
The purpose (or mission) of Niagara Health is Extraordinary Caring. Every Person. Every Time. Staff and physicians across the large, multi-site hospital organization are challenged to embrace this purpose in all of their day-to-day interactions. One Niagara Health team with no direct role in patient care (IT) spontaneously and independently created an Acts of Kindness campaign. They set a goal for the number of Acts of Kindness they would do and tracked the results. This simple response inspired 32 additional teams to launch similar initiatives, with more than 30,000 Acts of Kindness recorded and celebrated as of August 2019.
- Healthcare professionals' perspectives on identifying and managing perinatal anxiety: a qualitative study. [Journal Article]Br J Gen Pract 2019BJ
- CONCLUSIONS: Awareness and understanding of PNA among HCPs is variable, with debate over what is 'normal' anxiety in pregnancy. HCPs suggested that PNA can be challenging to identify, with mixed views on the use and value of case-finding tools. Opportunistic identification was noted to be significant to aid diagnosis. Care for women diagnosed with PNA was reported to be fragmented and interprofessional communication poor. Potential solutions to improve care were identified.
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- Universal access to contraception: women, families, and communities benefit. [Journal Article]Am J Obstet Gynecol 2019AJ
- Universal access to contraception benefits society: unintended pregnancies, maternal mortality, preterm birth, abortions, and obesity would be reduced by increasing access to affordable contraception. Women should be able to choose when and whether to use contraception, choose which method to use, and have ready access to their chosen method. State and national government should support unrestric…
Universal access to contraception benefits society: unintended pregnancies, maternal mortality, preterm birth, abortions, and obesity would be reduced by increasing access to affordable contraception. Women should be able to choose when and whether to use contraception, choose which method to use, and have ready access to their chosen method. State and national government should support unrestricted access to all contraceptives. As obstetrician-gynecologists, we have a critical mandate, based on principle and mission, to step up with leadership on this vital medical and public health issue, to improve the lives of women, their families, and society. The field of Obstetrics and Gynecology must provide the leadership for moving forward. The American Gynecological and Obstetrical Society (AGOS), representing academic and public policy leaders from across all disciplines of Obstetrics and Gynecology, is well positioned to serve as a unifying organization, focused on developing a strong unified advocacy voice to fight for accessible contraception for all in the United States.