Timing of Catheter Removal and Effect on Urinary Retention After Cesarean Birth.

Objective: To determine the association between timing of indwelling catheter removal and urinary retention after cesarean.

Design: Retrospective cohort study.

Setting: Eight hospitals in suburban, rural, and urban Colorado and Montana.

A Comparative Account of Institutional Approaches to Addressing Campus-Based Sexual Violence in Australia and Aotearoa New Zealand.

Sexual violence is prevalent on university campuses globally. In this article, we report a qualitative insider research study examining practices for addressing sexual violence at four universities across Australia and Aotearoa New Zealand. We collected, analysed, and synthesised descriptive information about the practices at each institution.

OB HUB: Remote Electronic Fetal Monitoring Surveillance.

Objective: The purpose of this project was to implement a remote fetal surveillance unit with increased vigilance and timelier responses to electronic fetal monitor tracings to improve neonatal outcomes and increase safety.

Methods: A pilot project, OB HUB, facilitated implementation of a centralized remote fetal surveillance unit including artificial intelligence software and nurse experts dedicated to fetal monitoring interpretation. A telemetry room was established.

A Mixed-Methods Study of the Effect of Abdominal Binders on Opioid Use and Postoperative Pain After Cesarean Birth.

Objective: To compare levels of postoperative oxycodone use and incisional pain between two randomized groups-an intervention and a control.

Design: Mixed-methods design; quantitative data achieved via a randomized controlled trial, with qualitative data collected on binder use. The primary variable was oxycodone (in milligrams) required during the first 48 hours after birth, and the secondary variable was incisional pain levels measured on Postoperative Days 1 and 2.

Low-Intervention Birth Suites Within a Community Hospital: An Innovative Approach to Perinatal Services.

Perinatal care leaders at a community hospital located in the Denver, Colorado metropolitan area searched for an innovative way to provide a low-intervention option that promoted physiologic birth for women seeking intrapartum care. This reasonably priced project focused on the transformation of traditional labor and delivery rooms into birth suites and included installation of birth slings, full-size beds with home-like mattresses, new sleep sofas for the partners, and the removal of computer screens and electronic fetal monitors. In addition, the team wrote a specific birth suite policy, provided nurse education focused on intermittent auscultation and labor support techniques, and developed a birth suite curriculum for patient education.

Pathways to service access for pre-eclampsia and eclampsia in rural Bangladesh: Exploring women's care-seeking.

Background: While women in low- and middle-income countries face a range of barriers to accessing care for hypertensive disorders of pregnancy, there is little understanding of the pathways taken to overcome these constraints and reach the services they need. This study explores the perspectives of women and communities on the influences that impact care-seeking decisions and pathways to health services.

Methods: To understand individual perspectives, we conducted 22 in-depth interviews (IDIs) with pre-eclampsia and eclampsia survivors (PE/E) in a tertiary hospital, where they received care after initiating PE/E services in different parts of the country.

Multisite Randomized Controlled Trial of Bladder Management in Labor With Epidural Analgesia/Anesthesia.

Objective: To compare the effects of continuous indwelling catheterization with those of intermittent catheterization during labor with epidural analgesia/anesthesia on mode of birth and incidence of urinary tract infection (UTI) symptoms in the postpartum period.

Design: Randomized clinical trial.

Setting: Labor and delivery units at three metropolitan hospitals in the Western United States.

Exploring survivor perceptions of pre-eclampsia and eclampsia in Nigeria through the health belief model.

Background: In Nigeria, hypertensive disorders have become the leading cause of facility-based maternal mortality. Many factors influence pregnant women's health-seeking behaviors and perceptions around the importance of antenatal care. This qualitative study describes the care-seeking pathways of Nigerian women who suffer from pre-eclampsia and eclampsia.

Reducing the Primary Cesarean Birth Rate: A Quality Improvement Project.

Introduction: Research continues to support vaginal birth as the safest mode of childbirth, but despite this, cesarean birth has become the most common surgical procedure performed on women. The rate has increased 500% since the 1970s without a corresponding improvement in maternal or neonatal outcomes. A Colorado community hospital recognized that its primary cesarean birth rate was higher than national and state benchmark levels.

Hydrocortisone Cream to Reduce Perineal Pain after Vaginal Birth: A Randomized Controlled Trial.

Purpose: To determine if the use of hydrocortisone cream decreases perineal pain in the immediate postpartum period.

Study Design And Methods: This was a randomized controlled trial (RCT), crossover study design, with each participant serving as their own control. Participants received three different methods for perineal pain management at three sequential perineal pain treatments after birth: two topical creams (corticosteroid; placebo) and a control treatment (no cream application).

Comparison of delayed versus immediate pushing during second stage of labor for nulliparous women with epidural anesthesia.

Objective: To determine if the use of delayed pushing after the onset of the second stage of labor decreases the time of active pushing and decreases maternal fatigue.

Design: Randomized clinical trial.

Setting: Labor and delivery unit of a not-for-profit community hospital.

Compartment syndrome of the foot after calcaneal fracture.

Background: Compartment syndrome of the foot as a result of a calcaneal fracture has received only occasional consideration in the recent Emergency Medicine literature, yet it remains a challenging diagnosis to make. The devastating consequences of untreated compartment syndrome of the foot include clawing of the lesser toes, stiffness, chronic pain, motor weakness, neurovascular dysfunction, and fixed deformities of the foot. In addition to decreased quality of life, this also leads to lost time at work and lost wages.