Purpose Of Review: To show that advocacy on behalf of an individual or organization has improved the practice of obstetrics and maternal-fetal medicine.
Recent Findings: Advocacy by an individual or a large group aims to influence public policy and resource allocation decisions within political, economic, and social systems and institutions. For obstetrician-gynecologists and maternal-fetal medicine physicians, there is a health policy medical practice intersection that may be often overlooked. In the areas of research, reimbursement, federal policies surrounding maternity care, and quality improvement, physician leaders have influenced the policymaking process and can improve upon it in the future.
Summary: Because of advocacy efforts by organizations whose members may include physicians and patients, pregnant women will have access to better quality of care, and physicians will be better off. Also, quality measures that will be implemented will make sense to those who must comply with them because of expert involvement. Advocacy is an investment for the future of the practice of obstetrics and maternal-fetal medicine - to ensure that the workforce is strengthened and that the care of women and their babies is the best it can be.
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Association Between Preterm Birth and Fulfillment of Desired Permanent Contraception.
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Department of Obstetrics and Gynecology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Objectives: In cases of preterm delivery, the Medicaid sterilization policy mandates a signed consent form at least 72 h before surgery for permanent contraception, which is less than the 30 day minimum waiting period for term births. This study evaluated the association between preterm birth and fulfillment of planned permanent contraception.
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J Hand Microsurg
January 2025
Department of Obstetrics and Gynecology, Olympia Hospital & Research Centre, 47, 47A Puthur High Road, Puthur, Trichy, Tamilnadu, 620017, India.
Brachial plexus birth palsy, a devastating injury affecting newborns, has long been a source of contention and misunderstanding. This article aims to dispel the myth that healthcare providers are solely responsible for these injuries, presenting evidence that highlights the complex interplay of maternal, fetal, and biological factors in their causation. By shifting the narrative away from blame and towards a more comprehensive understanding, we can foster a more supportive and informed approach to childbirth.
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Am J Perinatol
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Center for Advanced Research Training and Innovation, Center for Birth Defects Research, University of Maryland School of Medicine, Baltimore, Maryland.
This study aimed to assess the strengths, limitations, opportunities, and threats presented by diabetes-in-pregnancy. We review the improvements in maternal and fetal mortality since the advent of insulin therapy, evaluate current health challenges, and identify opportunities for preventing increased mortality due to diabetes-in-pregnancy. Prior to 1922, women with type 1 diabetes mellitus (T1DM) of childbearing age were discouraged from becoming pregnant as the maternal and fetal/neonatal mortality rates were extremely high.
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Center of Reproductive Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
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Cureus
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Pediatrics, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Extreme prematurity involves a series of complications that a multidisciplinary team should manage. Taking into account the risks related to premature newborns, such as maternal-fetal infections, intrauterine growth restriction, and certain comorbidities associated with young gestational age, our objective is to highlight the importance of a multidisciplinary team in approaching cases with an unfavorable prognosis. This is a case report of an extremely preterm newborn who came from a high-risk pregnancy and needed long-term hospitalization in the Neonatal Intensive Care Unit (NICU) and mechanical ventilation.
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