Publications by authors named "Jenna L Racine"
Objective: Many institutions implemented policy changes to protect patients and clinicians during the COVID-19 pandemic. This study examines how institutional policy changes and patient behaviors affected perinatal outcomes. We hypothesized that obstetric practice changes occurred and that these changes affected perinatal outcomes.
View Article and Find Full Text PDFWeight gain in pregnancy: can metformin steady the scales?
J Matern Fetal Neonatal Med
December 2022
Objective: Metformin has been associated with modest weight reduction in the non-pregnant population. Our hypothesis is that metformin exposure will lead to a higher incidence of appropriate weight gain during pregnancy.
Study Design: This was a retrospective cohort study in a single center between 2009 and 2019.
Article Synopsis
- ACOG recommends that hospitals disclose their level of maternal care (LOMC) to better categorize birthing center capabilities; however, only 44% of Wisconsin centers have done so voluntarily.
- A survey was conducted among 98 birthing centers to identify barriers to self-disclosure, revealing that 93% of respondents were unsure how to disclose and 73% found the process confusing.
- Most respondents were aware of ACOG's recommendations, but only 35% believed disclosing their LOMC would improve maternal care, indicating the need for better guidance and support for centers to enhance self-reporting efforts.
Objective: Metformin has been found to have a role in promoting vascular remodeling and angiogenesis which may reduce the risk of developing preeclampsia. Prior studies have shown a decrease in the incidence of hypertensive disorders of pregnancy in patients with type 2 and gestational diabetes taking metformin. We hypothesize metformin exposure decreases the risk of developing hypertension in patients with type 2 diabetes.
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