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Severe maternal morbidity contributed by obstetric hemorrhage: Maryland, 2020-2022.
Am J Obstet Gynecol MFM
January 2025
Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St Suite E8527, Baltimore, MD 21205; Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St Suite E8527, Baltimore, MD 21205; Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, 550 North Broadway Baltimore, MD 21205.
Background: Obstetric hemorrhage is the leading cause of maternal mortality and severe maternal morbidity (SMM) in Maryland and nationally. Currently, through a quality collaborative, the state is implementing the Alliance for Innovation on Maternal Health (AIM) patient safety bundle on obstetric hemorrhage.
Objective: To describe SMM events contributed by obstetric hemorrhage and their preventability in Maryland.
Continuity of care as central theme in perinatal care: A systematic review.
Midwifery
December 2024
Leiden University Medical Center, Nursing Science, department of Internal Medicine, subsection Gerontology and Geriatrics, Albinusdreef 2, 2333 ZA Leiden, the Netherlands. Electronic address:
Problem: The global shortage of nurses is straining perinatal care, disrupting continuity of care and negatively affecting patient outcomes.
Background: Continuity of care is essential in perinatal care, where the complexity of maternal and infant needs requires coordinated care across the antenatal, intrapartum, and postpartum periods.
Aim: To provide an overview of the current literature on continuity of care in the interprofessional perinatal care from the perspective of nursing.
Complex cesarean section: Surgical approach to reduce the risks of intraoperative complications and postpartum hemorrhage.
Int J Gynaecol Obstet
January 2025
FIGO, London, UK.
The incidence of cesarean section is dramatically increasing worldwide, whereas the training opportunities for obstetrician/gynecologists to manage complex cesarean section appear to be decreasing. This may be attributed to changing working hours directives and the increasing use of laparoscopy for gynecological surgical procedures, including in gynecological oncology. Various situations can create surgical difficulties during a cesarean section; however, two of the most frequent are complications from previous cesarean (myometrial defects, with or without placental intrusion and peritoneal adhesions) and the high risk of postpartum hemorrhage (uterine overdistension, abnormal placentation, uterine fibroids).
View Article and Find Full Text PDFImproving apgar scores and reducing perineal injuries through midwife-led quality improvements: an observational study in Uganda.
BMC Public Health
January 2025
Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Solna, 171 77, Sweden.
Background: Globally, the quality of maternal and newborn care remains inadequate, as seen through indicators like perineal injuries and low Apgar scores. While midwifery practices have the potential to improve care quality and health outcomes, there is a lack of evidence on how midwife-led initiatives, particularly those aimed at improving the use of dynamic birth positions, intrapartum support, and perineal protection, affect these outcomes.
Objective: To explore how the use of dynamic birth positions, intrapartum support, and perineal protection impact the incidence of perineal injuries and the 5-min Apgar score within the context of a midwife-led quality improvement intervention.
Service preferences among postpartum women (non-)affected by different types of intimate partner violence: insights from the cross-sectional study INVITE.
BMC Public Health
January 2025
Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.
Background: Women in the postpartum period are at greater risk of intimate partner violence (IPV), which may cause physical, sexual, or psychological harm and have a long-lasting negative impact on mother and child. Seeking help in case of IPV in the postpartum period can be difficult.
Objective: The purpose of this study was to examine service preferences among postpartum women in Germany (non-)affected by IPV.
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