Disproportionate Preterm Delivery Among Black Women: a State-Level Analysis.

Preterm delivery occurs at extraordinarily higher rates among Black women than among women of any other race or ethnicity. For those children who survive, many face a lifetime of health and developmental challenges as well as difficulties in school and life. Previous studies have provided substantive evidence that the preterm delivery disparity experienced by Black women is associated with ongoing distress caused by racism.

Sustaining and spreading quality improvement: Decreasing intrapartum malpractice risk.

Background: Malpractice liability is an ongoing problem in obstetrics. However, developing, sustaining, and spreading effective interventions is challenging. The aim of this study is to examine the spread and sustainability of a multilevel integrated practice and coordinated communication model 66 months after its original implementation.

Population-Based Risk Factors for Shoulder Dystocia.

Objective: To re-examine the risk factors for shoulder dystocia given the increasing rates of obesity and diabetes in pregnant women.

Design: Retrospective observational study.

Setting: Five hospitals located in Wisconsin, Florida, Maryland, Michigan, and Alabama.

Changing Labor and Delivery Practice: Focus on Achieving Practice and Documentation Standardization with the Goal of Improving Neonatal Outcomes.

Objective: To establish multifactorial shoulder dystocia response and management protocol to promote sustainable practice change.

Data Sources/study Setting: Primary data collection was conducted over 3 years. Implementation of the protocol spanned 13 months.

Consent and enrollment process: achieving high enrollment rates for obstetric research.

Aim: The aim was to study the development, design, and implementation of a patient consent and enrollment initiative to identify strategies that enhanced participation.

Background: Consent and enrollment of patients, especially pregnant women, remains a challenge in healthcare research. Although many barriers have been identified, strategies to consistently improve consent and enrollment are less defined.

Recruitment of asthmatic ethnic minorities into a methacholine research study: factors influencing participation.

Background: How to recruit minority participants into research studies has been an issue since 1993, when NIH funding guidelines required minorities to be included as research participants.

Objective: The purpose of this analysis was to determine what factors affected recruitment of asthmatic minorities into a large bronchoconstrictor study involving African-Americans, Hispanics/Mexican Americans, Asian/Pacific Islanders, and whites with mild asthma (forced expiratory volume in the first second of expiration > or = 70%).

Methods: Ethnic minorities were recruited for 3 years.

Ethnic differences in methacholine responsiveness and word descriptors in African Americans, Hispanic-Mexican Americans, Asian-Pacific Islanders, and Whites with mild asthma.

Objective: There is little asthma research that compares ethnic differences in airway responsiveness and word descriptors among African Americans, Hispanic-Mexican Americans, Asian-Pacific Islanders, and Whites. Thus, identifying ethnic differences in symptom descriptors and airway responsiveness may improve health outcomes by educating health professionals about treatment decisions that are culturally and ethnically sensitive.

Methods: Specific Inclusion criteria-forced expiratory volume in one second (FEV(1)) >or= 70% predicted normal; provocative concentration causing a 30% fall in FEV(1) (PC(30)) View Article and Find Full Text PDF