Publications by authors named "J Illuzzi"
Persistent racial and ethnic disparities exist in severe maternal and neonatal morbidity, which may be due in part to differences in labor and delivery unit practices across hospitals. We used data collected from 184 hospitals in California (2015-2018) to assess whether nulliparous individuals with low-risk pregnancies differ by race and ethnicity in giving birth at hospitals that tend to use lower-interventional labor and delivery unit practices, and whether such differences contribute to disparities in severe maternal and neonatal morbidity. We classified labor and delivery units as higher- or lower-interventional based on a latent class analysis of survey responses about the frequency of using lower-interventional practices.
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- - The study assessed how well obstetric providers at an academic medical center followed labor arrest and failed induction of labor (IOL) criteria in cesarean deliveries involving first-time mothers and measured the effects of an educational initiative aimed at improving adherence to these criteria.
- - Using electronic health records, researchers compared cesarean deliveries before and after the educational intervention, revealing that adherence significantly improved after the initiative was implemented.
- - Results indicated that while Maternal-Fetal Medicine physicians initially adhered better to the criteria than generalist obstetricians, the educational intervention helped bridge that gap, leading to similar adherence rates post-intervention.
Introduction: The J9 Plus (J9) maternal-child accompaniment program is based on four pillars: group antenatal care (GANC), group pediatric care, psychosocial support, and community-based care. We aimed to evaluate the impact of the J9 model of care on perinatal outcomes.
Methodology: We conducted a convergent mixed methods study of maternal-newborn dyads born in 2019 at Hôpital Universitaire de Mirebalais.
Article Synopsis
- The 2023 update on neonatal resuscitation guidelines is informed by four extensive systematic reviews managed by the International Liaison Committee on Resuscitation Neonatal Life Support Task Force.
- The reviews focused on key topics such as umbilical cord management for different types of newborns and the best devices for providing ventilation during resuscitation.
- New recommendations include practices like umbilical cord milking and guidelines on selecting appropriate devices for effective positive-pressure ventilation.
Article Synopsis
- - This 2023 update to neonatal resuscitation guidelines is based on recent systematic reviews conducted by a specialized task force focused on newborn care.
- - The task force reviewed scientific literature regarding umbilical cord management for different types of newborns, as well as devices for providing positive-pressure ventilation during resuscitation.
- - New recommendations include guidance on milking intact umbilical cords, choosing the right devices for ventilation, and introducing an additional primary interface for resuscitation.