Publications by authors named "B Paek"
Background: TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery.
Methods: We conducted a mixed-methods trial of TeamBirth among eligible laboring patients and all clinicians (nurses, midwives, and obstetricians) at four high-volume hospitals during April 2018 to September 2019.
Article Synopsis
- During the early months of the COVID-19 pandemic, the risks of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pregnant women were unclear, highlighting the need for research on infection rates in this population.
- The study aimed to estimate SARS-CoV-2 infection rates among pregnant women in Washington State and assess disparities based on race, ethnicity, and English language proficiency.
- Researchers identified 240 pregnant patients with confirmed SARS-CoV-2 infections, with over 70% belonging to minority racial and ethnic groups, indicating notable disparities in infection rates.
Article Synopsis
- Pregnant patients with COVID-19 in Washington State showed increased risks of severe disease, hospitalization, and mortality, with 1 in 11 developing severe illness and 1 in 80 dying during the study period.
- Hospitalization rates for pregnant patients were significantly higher, at 10%, compared to 2.8% for similarly aged adults, indicating a 3.5-fold increase in risk.
- Those hospitalized were more likely to have underlying health conditions, such as asthma, hypertension, and obesity, revealing a link between pre-existing morbidities and severe COVID-19 outcomes in pregnancy.
Background: The impact of coronavirus disease 2019 on pregnant women is incompletely understood, but early data from case series suggest a variable course of illness from asymptomatic or mild disease to maternal death. It is unclear whether pregnant women manifest enhanced disease similar to influenza viral infection or whether specific risk factors might predispose to severe disease.
Objective: To describe maternal disease and obstetrical outcomes associated with coronavirus disease 2019 in pregnancy to rapidly inform clinical care.