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OPQIC – Oklahoma Perinatal Quality Improvement …

Details: Our mission is to provide leadership and engage interested stakeholders in a collaborative effort to improve the health outcomes for Oklahoma women and infants using evidence-based practice guidelines and quality improvement processes.

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Every Baby Counts – Newborn Screening

Details: OPQIC has partnered with the Oklahoma State Department of Health’s “Every Baby Counts” quality improvement program, aiming to improve the processes for timely collection and submission of newborn screening (NBS) specimens. Delayed testing, due to improper specimen collection or prolonged transit time, deters early detection and

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AJOG Study: Defining Failed Induction of Labor

Details: This study is based on data from an obstetric cohort of women delivering at 25 US hospitals from 2008 through 2011. Nulliparous women who had a term singleton gestation in the cephalic presentation were eligible for this analysis if they underwent a labor induction. Consistent with prior studies, the latent phase was determined to begin once

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AJOG: Guidelines for Antenatal, Preoperative, and

Details: AJOG has published a two-part article on the Enhanced Recovery After Surgery (ERAS) Guidelines for perioperative care in cesarean delivery that provides best practice, evidenced-based, recommendations for preoperative, intraoperative, and postoperative …

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ACOG Committee Opinion #782: Prevention of Group B

Details: Approximately 50% of women who are colonized with GBS will transmit the bacteria to their newborns. Vertical transmission usually occurs during labor or after rupture of membranes. In the absence of intrapartum antibiotic prophylaxis, 1–2% of those newborns will develop GBS EOD. Other risk factors include gestational age of less than 37 weeks

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AAP Releases Updated Guidance on Neonates with Suspected or …

Details: AAP Press Release: The American Academy of Pediatrics offers new guidance on diagnosing and managing serious infections in infants born at less than 34 weeks gestation and those born at more than 34 weeks of gestation in two clinical reports published in the December 2018 issue of Pediatrics.The reports (published online Nov. 19) are titled, “Management of Neonates Born at ≥35 …

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AWHONN Clinical Practice Guideline: Analgesia and Anesthesia in …

Details: The purpose of this Guideline is to provide evidence-based clinical practice recommendations for nursing assessment and management of women in the intrapartum period choosing various types of analgesia/anesthesia for pain management. Guidelines for assessment and management of the woman and her fetus, including an assessment of pain relief

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Revised: AWHONN Position Statement on Fetal Heart Monitoring

Details: In June 2015, the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) revised their position statement, Fetal Heart Monitoring. The position statement includes: “During the last decade, more evidence has emerged about normal labor progress and the influence of assessment of labor progress based on cervical status on route

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AWHONN Position Statement: Fetal Heart Monitoring

Details: The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) maintains that the availability of registered nurses (RNs) and other health care professionals who are skilled in fetal heart monitoring (FHM) techniques, including auscultation and electronic fetal monitoring (EFM), is essential to maternal and fetal well-being during

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QUANTITATIVE BLOOD LOSS

Details: QUANTITATIVE BLOOD LOSS Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity & mortality. PPH is cumulative blood loss greater than or equal to 1,000 ml, accompanied by signs of hypovolemia within 24 hours of birth, regardless of route of

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ACOG Practice Bulletin 173: Fetal Macrosomia

Details: ACOG Practice Bulletin 173: Fetal Macrosomia. Abstract: Suspected fetal macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the neonate increases. The purpose of this document is to quantify those risks, address the

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ACOG: Accuracy of Three Screening Tools for Prenatal Substance …

Details: Accuracy of Three Screening Tools for Prenatal Substance Use. Journal of Obstetrics & Gynecology, May 2019; 133: 952-961. DOI: 10.1097/AOG.0000000000003230. ABSTRACT. OBJECTIVE: To compare and evaluate the accuracy of three screening tools in identifying illicit drug use and prescription drug misuse among a diverse sample of pregnant women.

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The Joint Commission: New Standards for Perinatal Safety

Details: The Joint Commission, the nation’s largest accrediting body for hospitals and healthcare providers, has incorporated recommended best practices for treatment of preeclampsia and hemorrhage into their accreditation standards. These new standards for perinatal safety will go into effect in July 2020. Hospital can adopt AIM’s patient safety

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NRP Epinephrine Update

Details: NRP Epinephrine Update. As of May 1, 2016, the U.S. Pharmacopeia (USP) and FDA no longer allowed drug manufacturers to use ratio expressions on any epinephrine container labels except for local anesthetics with epinephrine. So, as inventory of the old epinephrine packaging is depleted, the former 1:1,000 and 1:10,000 ratio expressions won’t

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Events for July 3, 2022

Details: Contact OPQIC | Subscribe to Newsletter 405-271-7777 920 Stanton L Young Blvd G. Rainey Williams Pavilion, Room WP-2230 Oklahoma City, OK 73104 © 2014-2021 Oklahoma

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INFANT CAR SEAT CHALLENGE

Details: education & place in vehicle when being discharged. Avoid leaving infant unattended in infant car seat Parents may opt to have additional adult to ride next to infant while traveling home. Remove infant from car seat when arriving at destination. Utilize car seats for travel only Utilize community resources for car seat safety checks

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ACOG: Intrapartum Glucose Management in Women With …

Details: ABSTRACT. OBJECTIVE: To assess the effect of tight compared with liberalized intrapartum maternal glucose management on neonatal hypoglycemia risk in pregnancies complicated by gestational diabetes mellitus (GDM). METHODS: This was a randomized controlled trial of women with singleton gestations and GDM attempting vaginal delivery. After written informed consent, women …

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ACOG Committee Opinion, Number 825: Caring for Patients Who …

Details: Obstetrician–gynecologists should become familiar with the trauma-informed model of care and strive to universally implement a trauma-informed approach across all levels of their practice with close attention to avoiding stigmatization and prioritizing resilience. ACOG Committee Opinion, Number 825: Caring for Patients Who Have Experienced

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Maternal Mental Health Hotline

Details: FREE, confidential, 24/7 mental health support for moms and their families before, during, and after pregnancy.English- and Spanish-speaking counselors are available. TTY Users can use a preferred relay service or dial 711 and then 1-833-943-5746. Parents and their loved ones who contact the Hotline will speak to professional counselors.

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ACOG Practice Bulletin: Ultrasound in Pregnancy

Details: ACOG Practice Bulletin: Ultrasound in Pregnancy. Obstetric ultrasonography is an important and common part of obstetric care in the United States. The purpose of this document is to present information and evidence regarding the methodology of, indications for, benefits of, and risks associated with obstetric ultrasonography in specific

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Event Registration

Details: Please select the meeting you want to register for. July 19, 2022; 5 PM - 7 PM Sign up to be added to all upcoming quarterly meetings (recurring Outlook meeting invite will be sent) Participant Name *. First Last. Participant Email *. We will send your registration confirmation and event correspondence to …

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ACOG Green Journal: Guidance for Evaluation and Management of …

Details: ACOG Green Journal: Guidance for Evaluation and Management of Blunt Abdominal Trauma in Pregnancy. Reference: Greco, Patricia S. MD; Day, Lori J. MD; Pearlman, Mark D. MD. (2019) Guidance for Evaluation and Management of Blunt Abdominal Trauma in Pregnancy. Obstetrics & Gynecology, 134 (6); p1343-1357; DOI: 10.1097/AOG.0000000000003585.

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ACOG Clinical Expert Series: Abnormal Placentation

Details: ACOG Clinical Expert Series: Abnormal Placentation. Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are

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ACOG Practice Bulletin No. 183: Postpartum Hemorrhage

Details: The purpose of this Practice Bulletin is to discuss the risk factors for postpartum hemorrhage as well as its evaluation, prevention, and management. In addition, this document will encourage obstetrician–gynecologists and other. obstetric care providers to play key roles in implementing standardized bundles of care (eg, policies, guidelines

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Hypertension in Pregnancy Codes (ICD 10)

Details: Pre-existing hypertension complicating pregnancy, childbirth and the puerperium O10.011 O10.012 O10.013 O10.019 O10.02 O10.03 O10.111 O10.112 O10.113 O10.119

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ACOG Practice Bulletin No. 202: Gestational Hypertension and

Details: Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2–8% of pregnancies globally ().In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths.

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ACOG Green Journal: Syphilis in Pregnancy

Details: ACOG Green Journal: Syphilis in Pregnancy. Despite a national plan to eliminate syphilis by 2005, recent trends have reversed previously achieved progress in the United States. After a nadir between 2000 and 2013, rates of primary and secondary syphilis among women and congenital syphilis rose by 172% and 185% between 2014 and 2018, respectively.

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ACOG Practice Bulletin #178: Shoulder Dystocia

Details: ACOG Practice Bulletin #178: Shoulder Dystocia. Abstract. Shoulder dystocia is an unpredictable and unpreventable obstetric emergency that places the pregnant woman and fetus at risk of injury. Studies have shown that prepregnancy, antepartum, and intrapartum risk factors have extremely poor predictive value for shoulder dystocia.

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ACOG Practice Bulletin No. 221: External Cephalic Version

Details: The purpose of this document is to provide information about ECV by summarizing the relevant evidence presented in published studies and to make recommendations regarding its use in obstetric practice. ACOG Practice Bulletin No. 221: External Cephalic Version. doi: 10.1097/AOG.0000000000003837.

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