Publications by authors named "O M Grechukhina"
To understand obstetric provider perspectives on child protective services (CPS)-mandated reporting requirements and how they affect care for pregnant and postpartum patients with opioid use disorder (OUD). Key informant interviews were conducted virtually with obstetricians, nurse practitioners, and social workers caring for obstetric patients ( = 12). Providers were asked about their experience as mandated reporters working with patients with OUD.
View Article and Find Full Text PDFArticle Synopsis
- * Methods: Researchers analyzed data from pregnant individuals who delivered between June 2015 and February 2020, comparing those who received nitrous oxide for pain relief during labor to those who had no analgesia, excluding other pain relief methods.
- * Results: Among the 6,047 births studied, nitrous oxide users had a lower NICU admission rate (6.4% vs. 8.1%) but a higher rate of neonatal hyperbilirubinemia, while no differences were found in other outcomes like Apgar scores at 1 or 5 minutes.
Article Synopsis
- A formal review process for severe maternal morbidity (SMM) was established at Yale-New Haven Hospital, analyzing cases over a 4-year period.
- Out of 156 SMM cases, the SMM rate was found to be 0.49%, with leading causes being hemorrhage (44.9%) and nonintrauterine infection (14.1%).
- Two-thirds of the cases were considered preventable, primarily due to issues linked to healthcare professionals (79.4%) and systemic factors (58.8%), prompting changes to improve care practices.
Background Our objective was to assess new chronic hypertension 6 to 12 months postpartum for those with hypertensive disorder of pregnancy (HDP) compared with normotensive participants. Methods and Results We performed a prospective cohort study of participants with singleton gestations and no known preexisting medical conditions who were diagnosed with HDP compared with normotensive women with no pregnancy complications (non-HDP). Participants underwent cardiovascular risk assessment 6 to 12 months after delivery.
View Article and Find Full Text PDFBackground: Ultrasound training is a vital component of maternal-fetal medicine fellowships in the United States. Of the 18 months of core clinical training, the American Board of Obstetrics and Gynecology currently requires a minimum of 3 months to be dedicated to ultrasound to be eligible for board certification. However, the experience and degree of hands-on training differ among the fellowship programs and have not been reassessed for nearly a decade.
View Article and Find Full Text PDF