journal
https://read.qxmd.com/read/34237770/the-american-college-of-obstetricians-and-gynecologists-clinical-content-transformation-initiative-time-for-a-change
#1
Christopher M Zahn
No abstract text is available yet for this article.
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237769/disparities-in-access-to-high-volume-surgeons-within-high-volume-hospitals-for-hysterectomy
#2
Anne Knisely, Yongmei Huang, Alexander Melamed, Allison Gockley, Ana I Tergas, Caryn M St Clair, June Y Hou, Fady Khoury-Collado, Melissa Accordino, Dawn L Hershman, Jason D Wright
OBJECTIVE: To examine access to high-volume surgeons in comparison with low-volume surgeons who perform hysterectomies within high-volume hospitals and to compare perioperative morbidity and mortality between high-volume and low-volume surgeons within these centers. METHODS: Women who underwent hysterectomy in New York State between 2000 and 2014 at a high-volume (top quartile by volume) hospital were included. Surgeons were classified into quartiles based on average annual hysterectomy volume...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237768/promoting-diversity-equity-and-inclusion-in-the-selection-of-obstetrician-gynecologists
#3
Helen Kang Morgan, Abigail Ford Winkel, Erika Banks, Jessica L Bienstock, John L Dalrymple, David A Forstein, Karen E George, Nadine T Katz, William McDade, Christle Nwora, Maya M Hammoud
In the setting of long-standing structural racism in health care, it is imperative to highlight inequities in the medical school-to-residency transition. In obstetrics and gynecology, the percentage of Black residents has decreased in the past decade. The etiology for this troubling decrease is unknown, but racial and ethnic biases inherent in key residency application metrics are finally being recognized, while the use of these metrics to filter applicants is increasing. Now is the time for action and for transformational change to rectify the factors that are detrimentally affecting the racial diversity of our residents...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237767/influenza-complicating-delivery-hospitalization-and-its-association-with-severe-maternal-morbidity-in-the-united-states-2000-2018
#4
Timothy Wen, Brittany Arditi, Laura E Riley, Nasim C Sobhani, Mary Norton, Mary D'Alton, Alexander M Friedman, Kartik K Venkatesh
OBJECTIVE: To characterize trends of an influenza diagnosis at delivery hospitalization and its association with severe maternal morbidity. METHODS: We conducted a repeated cross-sectional analysis of delivery hospitalizations using the Nationwide Inpatient Sample from 2000 to 2018. We assessed the association between an influenza diagnosis at delivery hospitalization and severe maternal morbidity excluding transfusion per Centers for Disease Control and Prevention criteria...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237766/discrepancies-created-by-surgeon-self-reported-operative-time-and-the-effects-on-procedural-relative-value-units-and-reimbursement
#5
Shitanshu Uppal, Laurel W Rice, Ryan J Spencer
OBJECTIVE: To demonstrate discrepancies between operative times in the ACS NSQIP (American College of Surgeons National Surgical Quality Improvement Project) and self-reported operative time from the American Medical Association's Relative Value Scale Update Committee (RUC) and their effect on relative value units (RVU) determination. METHODS: This is a cross-sectional review of registry data using the ACS NSQIP 2016 Participant User File and the Centers for Medicare & Medicaid Services physician procedure time file for 2018...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237765/connect-the-dots-august-2021
#6
Morgan N Wilhoite, Alixandria F Pfeiffer, Sabrina Brunozzi, Dwight J Rouse
No abstract text is available yet for this article.
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237764/educational-video-on-pain-management-and-subsequent-opioid-use-after-cesarean-delivery-a-randomized-controlled-trial
#7
Neggin B Mokhtari, Haleema Saeed, Tetsuya Kawakita, Jim C Huang, Sara N Iqbal
OBJECTIVE: To evaluate whether viewing an educational video on pain management reduces opioid use after cesarean delivery. METHODS: We conducted a randomized, controlled trial of women aged 18 years or older who underwent cesarean delivery at a tertiary care center. Eligible women were randomized in a 1:1 ratio to usual discharge pain medication instructions plus an educational video on pain management or to usual discharge pain medication instructions alone. All women received the same opioid prescription at discharge: Twenty 5-mg oxycodone tablets...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237763/fighting-for-a-fair-day-s-wage
#8
Mark Shahram Shahin
No abstract text is available yet for this article.
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237762/wrong-patient-orders-in-obstetrics
#9
Adina R Kern-Goldberger, Jerard Kneifati-Hayek, Yelstin Fernandes, Jo R Applebaum, Clyde B Schechter, Jason S Adelman, Dena Goffman
OBJECTIVE: To compare rates of wrong-patient orders among patients on obstetric units compared with reproductive-aged women admitted to medical-surgical units. METHODS: This was an observational study conducted in a large health system in New York between January 1, 2016, and December 31, 2018. The primary outcome was near-miss wrong-patient orders identified using the National Quality Forum-endorsed Wrong-Patient Retract-and-Reorder measure. All electronic orders placed for eligible patients during the study period were extracted retrospectively from the health system data warehouse, and the unit of analysis was the order session (consecutive orders placed by a single clinician for a patient within 60 minutes)...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237761/challenges-changes-and-caring
#10
J Martin Tucker
No abstract text is available yet for this article.
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237760/top-10-pearls-for-the-recognition-evaluation-and-management-of-maternal-sepsis
#11
Andrea Shields, Viviana de Assis, Torre Halscott
Maternal sepsis is an obstetric emergency and a leading cause of maternal morbidity and mortality. Early recognition in a pregnant or postpartum patient can be a challenge as the normal physiologic changes of pregnancy may mask the signs and symptoms of sepsis. Bedside assessment tools may aid in the detection of maternal sepsis. Timely and targeted antibiotic therapy and fluid resuscitation are critical for survival in patients with suspected sepsis. Once diagnosed, a search for etiologies and early application of source control measures will further reduce harms...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237759/association-of-simulation-training-with-rates-of-medical-malpractice-claims-among-obstetrician-gynecologists
#12
Adam C Schaffer, Astrid Babayan, Jonathan S Einbinder, Luke Sato, Roxane Gardner
OBJECTIVE: To compare malpractice claim rates before and after participation in simulation training, which focused on team training during a high-acuity clinical case. METHODS: We performed a retrospective analysis comparing the claim rates before and after simulation training among 292 obstetrician-gynecologists, all of whom were insured by the same malpractice insurer, who attended one or more simulation training sessions from 2002 to 2019. The insurer provided malpractice claims data involving study physicians, along with durations of coverage, which we used to calculate claim rates, expressed as claims per 100 physician coverage years...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237758/reflections-on-the-asian-american-and-pacific-islander-experience-not-a-monolith-a-movement
#13
Victoria Wang, Michelle J Wang, Yeon Woo Lee
No abstract text is available yet for this article.
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237757/racial-disparities-in-the-risk-of-complications-after-nonobstetric-surgery-in-pregnancy
#14
Monique McKiever, Courtney D Lynch, Olubukola O Nafiu, Christian Mpody, David M O'Malley, Mark B Landon, Maged M Costantine, Timothy M Pawlik, Kartik K Venkatesh
OBJECTIVE: To examine whether there are racial and ethnic differences in postoperative complications after nonobstetric surgery during pregnancy in the United States. METHODS: We conducted a secondary analysis of the prospective ACS NSQIP (American College of Surgeons National Surgical Quality Improvement) program from 2005 to 2012. We assessed pregnant women 18-50 years without prior surgery in the preceding 30 days who underwent a nonobstetric surgery. Race and ethnicity were categorized as non-Hispanic Black, Hispanic, and non-Hispanic White (reference)...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237756/intraoperative-rupture-of-the-ovarian-capsule-in-early-stage-ovarian-cancer-a-meta-analysis
#15
Shayan Dioun, Jenny Wu, Ling Chen, Samantha Kaplan, Yongmei Huang, Alexander Melamed, Allison Gockley, Caryn M St Clair, June Y Hou, Ana I Tergas, Fady Khoury-Collado, Hiroko Machida, Mikio Mikami, Koji Matsuo, Dawn L Hershman, Jason D Wright
OBJECTIVE: To examine the effects of intraoperative ovarian capsule rupture on progression-free survival and overall survival in women who are undergoing surgery for early-stage ovarian cancer. DATA SOURCES: MEDLINE using PubMed, EMBASE (Elsevier), ClinicalTrials.gov, and Scopus (Elsevier) were searched from inception until August 11, 2020. METHODS OF STUDY SELECTION: High-quality studies reporting survival outcomes comparing ovarian capsule rupture to no capsule rupture among patients with early-stage epithelial ovarian cancer who underwent surgical management were abstracted...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34237755/characteristics-associated-with-treatment-failure-1-year-after-midurethral-sling-in-women-with-mixed-urinary-incontinence
#16
Vivian W Sung, Holly E Richter, Pamela Moalli, Alison C Weidner, John N Nguyen, Ariana L Smith, Gena Dunivan, Beri Ridgeway, Diane Borello-France, Diane K Newman, Donna Mazloomdoost, Benjamin Carper, Marie G Gantz
OBJECTIVE: To evaluate characteristics associated with treatment failure 1 year after midurethral sling in women with mixed urinary incontinence. METHODS: Four-hundred three women who participated in a randomized trial that compared midurethral sling and behavioral and pelvic floor muscle therapy (combined group) compared with midurethral sling alone for mixed incontinence with 1-year follow-up data were eligible for this planned secondary analysis. Overall treatment failure was defined as meeting criteria for subjective or objective failure or both...
July 8, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/34233345/pregnancy-outcomes-and-maternal-complications-during-the-second-wave-of-coronavirus-disease-2019-covid-19-in-india
#17
Niraj N Mahajan, Madhura Pophalkar, Sarika Patil, Bhagyashree Yewale, Itta Krishna Chaaithanya, Smita D Mahale, Rahul K Gajbhiye
No abstract text is available yet for this article.
July 7, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/33975329/severe-acute-respiratory-syndrome-coronavirus-2-sars-cov-2-vaccination-in-pregnancy-measures-of-immunity-and-placental-histopathology
#18
Elisheva D Shanes, Sebastian Otero, Leena B Mithal, Chiedza A Mupanomunda, Emily S Miller, Jeffery A Goldstein
No abstract text is available yet for this article.
May 11, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/33957657/high-dose-compared-with-standard-dose-oxytocin-regimens-to-augment-labor-in-nulliparous-women-a-randomized-controlled-trial
#19
Moeun Son, Archana Roy, Bethany T Stetson, Nancy Tunney Grady, Mary Clare Vanecko, Nicole Bond, Kate Swanson, William A Grobman, Emily S Miller, Alan M Peaceman
OBJECTIVE: To evaluate whether a high-dose oxytocin regimen reduces the risk for primary cesarean birth and other obstetric morbidities when compared with standard dosing. METHODS: In a double-blind randomized clinical trial of nulliparous women at or beyond 36 weeks of gestation who were undergoing augmentation of labor, participants were assigned to high-dose (initial and incremental rates of 6 milliunits/min) or standard-dose (initial and incremental rates of 2 milliunits/min) oxytocin regimens...
May 6, 2021: Obstetrics and Gynecology
https://read.qxmd.com/read/33957656/residing-in-this-moment
#20
Margaret Thorsen
No abstract text is available yet for this article.
May 6, 2021: Obstetrics and Gynecology
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