Publications by authors named "Mindy Foster"

Article Synopsis
  • The study aimed to compare the effectiveness of intrauterine balloon tamponade and vacuum-induced hemorrhage-control devices in managing postpartum hemorrhage across multiple hospitals using a standardized response protocol.
  • Data were collected from 65 hospitals over a 17-month period, involving nearly 123,000 deliveries, with postpartum hemorrhage reported in about 4.8% of cases.
  • Results showed that both devices had similar outcomes regarding blood loss, transfusion rates, and device failure, but earlier placement of these devices significantly reduced the need for blood transfusions and the likelihood of device failure.
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Objective:  Venous thromboembolism (VTE) is a major cause of maternal morbidity and mortality. Current expanded treatment recommendations result in the inclusion of a large percentage of the obstetric population, which has limited their adoption. The purpose of this study was to identify a population at high risk for VTE, with minimal impact on the number of patients that would qualify for expanded treatment.

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Objective: To evaluate the screening performance characteristics of existing tools for the diagnosis of sepsis during delivery admissions.

Methods: This was a case-control study using electronic health record data, including vital signs and laboratory results, for all delivery admissions of patients with sepsis from 59 nationally distributed hospitals. Patients with sepsis were matched by gestational age at delivery in a 1:4 ratio with patients without sepsis to create a comparison group.

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Objective: To evaluate the performance characteristics of existing screening tools for the prediction of sepsis during antepartum and postpartum readmissions.

Methods: This was a case-control study using electronic health record data obtained between 2016 and 2021 from 67 hospitals for antepartum sepsis admissions and 71 hospitals for postpartum readmissions up to 42 days. Patients in the sepsis case group were matched in a 1:4 ratio to a comparison cohort of patients without sepsis admitted antepartum or postpartum.

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Objective: To expand a hospital system's maternal mental health program to standardize screening for perinatal mood and anxiety disorders.

Design: Quality improvement initiative using a continuous Plan-Do-Study-Act (PDSA) cycle.

Setting/local Problem: In a hospital system consisting of 66 maternity care centers across the United States, there was significant variation in maternal mental health screening, referral, and education practices.

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