Clinician Perspectives on Telemedicine: Observational Cross-sectional Study.

Background: Since the COVID-19 pandemic onset, telemedicine has increased exponentially across numerous outpatient departments and specialties. Qualitative studies examining clinician telemedicine perspectives during the pandemic identified challenges with physical examination, workflow concerns, burnout, and reduced personal connection with patients. However, these studies only included a relatively small number of physicians or were limited to a single specialty, and few assessed perspectives on integrating trainees into workflows, an important area to address to support the clinical learning environment.

Growth of Ambulatory Virtual Visits and Differential Use by Patient Sociodemographics at One Urban Academic Medical Center During the COVID-19 Pandemic: Retrospective Analysis.

Background: Despite widespread interest in the use of virtual (ie, telephone and video) visits for ambulatory patient care during the COVID-19 pandemic, studies examining their adoption during the pandemic by race, sex, age, or insurance are lacking. Moreover, there have been limited evaluations to date of the impact of these sociodemographic factors on the use of telephone versus video visits. Such assessments are crucial to identify, understand, and address differences in care delivery across patient populations, particularly those that could affect access to or quality of care.

Patients Undergoing Cesarean Delivery After Exposure to Oxytocin During Labor Require Higher Postpartum Oxytocin Doses.

Background: Experts recommend postpartum oxytocin to prevent uterine atony and hemorrhage, but oxytocin may be associated with dose-dependent adverse effects, and the correct dose of postpartum oxytocin has yet to be determined. The effective dose in 90% of patients (ED90) of oxytocin after cesarean delivery may be higher in patients exposed to oxytocin during labor compared to patients unexposed. We therefore undertook this study to compare postpartum oxytocin requirements in patients exposed to oxytocin prior to cesarean delivery versus those not exposed, when all were treated according to a specific institutional protocol.

Pain and Analgesia During Labor and Delivery Between 16 0/7 and 22 6/7 Weeks of Gestation.

Objective: To describe severity of pain during labor at previable estimated gestational age and to determine the effectiveness of various methods of analgesia in this population.

Methods: In this retrospective review of the records of women undergoing induction or augmentation of labor between 16 0/7 and 22 6/7 weeks of gestation, we examined pain scores (numeric rating scale 0-10) documented throughout labor and analgesia method (none, systemic, or neuraxial). We compared relevant patient and labor characteristics such as gestational age, fetal weight, time interval from induction to delivery as well as pain data including analgesia type and pain scores before and after analgesia.