The Latest News – Numbers and All

Numbers and All focuses on the latest labor and delivery findings from medical articles, journals and published research.  

As we come across interesting articles that are relevant to our mission we will share a brief bite size summary and a link to the article.  Some of the articles will be practical, some theoretical and others just interesting. 

What all of the articles will be is academic or clinical or as we call it spicy.  A spicy article will include medical terms and academic language along with research related statistics.  Some people are not into spicy at which point turn back now.  If you like a little or a lot of spice come on ahead and enjoy.  The articles will be rated mild, medium or extra spicy to coincide with the level of clinical or academic language so you can decide if you want to dive in.  

We think this important to share because labor and delivery safety is at the top of the list for many dedicated care providers and researchers around the world.  They spend long hours compiling, analyzing and reporting on ways to make the care you receive the best it can be. So when you hear or read the term ‘evidence based medicine’ know that it is the intersection of clinical expertise and hard evidence, as reported in journals and articles like these.    

Let’s start with this:

Preeclampsia Screen is Recommended – Mildly Spicy

The U.S.Preventative Task Force (USPTF) recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

The USPTF give this recommendation a B rating which means there is high certainty that there is benefit to measuring blood pressure as a screening tool for preeclampsia.  Frequently blood pressure is measured as part of regular prenatal visits and routinely checked in most hospitals and urgent care facilities.  This frequency should help identify a potential problem.  If hypertension has been an issue in the past please make sure it is included in discussions with care providers.  

Interested  in the clinical details? Check out the full article and recommendations at USPTF Preeclampsia Screening Recommendation.  As always discuss this with your provider to learn how this recommendation can affect your prenatal care.   

Authors

The U.S. Preventative Services Task Force is comprised of health care professionals from around the United States.  The USPSTF is a voluntary, independent group that studies peer-reviewed evidence for health care recommendations.  

Follow this link to learn more about the USPSTF.  

Preventing Infection after Cesarean Delivery –  Medium Spicy

Did you know the most common postoperative complications of cesarean delivery are infection and endometritis? 

Specialists in the field of obstetrics collaborated on a two part series published in the clinical magazine OBG Management in November and December 2016.  The specialists reviewed seven of the major interventions for infection prevention.     

  • Antibiotic prophylaxis 
  • Skin preparation including hair removal and skin cleansing
  • Preoperative antiseptic bathing
  • Preoperative vaginal cleansing (1A)
  • Placenta extraction by traction on the umbilical cord (1A)
  • Closure of the deep subcutaneous layer of the abdomen (1A)
  • Closure of the skin (1A)

The Society for Maternal-Fetal Medicine rated four of the seven 1A for high quality evidence with a strong recommendation. Get the details – numbers and all.  Part OnePart Two 

 

Authors

Dr. Kathryn E. Patrick, Maternal-Fetal Medicine Fellow University of Florida College of Medicine, Gainesville.

Dr. Sara L. Deatsman, Obstetrician-Gynecologist, Bronson Methodist Hospital, Kalamazoo Michigan.

Dr. Patrick Duff, Associate Dean for Student Affairs and Professor of Obstetrics and Gynecology in the Division of Maternal-Fetal Medicine University of Florida College of Medicine, Gainesville. 

The authors report no financial relationships relevant to the articles. 

From birth plan to birth partnership:

enhancing communication in childbirth – Mildly Spicy

Though we did not write or participate in this call to action article we wholeheartedly concur with the opinions.  

Author Amy Michelle DeBaets, PhD, Oakland University School of Medicine concluded that patient and provider satisfaction would be positively affected by proactively enhancing communication.   

In the January 2017 article published in the American Journal of Obstetrics and Gynecology DeBaets discusses the origin of the birth plan and then moves beyond this one-sided approach to review interventions that build dialogue and partnership.  She advises the reader that it is important to discuss core values, informed consent and trust with patients prior to labor and delivery. The VECTOR birth partnership plan is used as an example of a tool designed, “to develop ongoing conversations around patient values and preferences.”  Dive into From Birth Plan to Birth Partnership here.   

This topic is close to our hearts as our mission is to increase education and engagement during labor and delivery.  We created the Apgardian Plan with similar goals in mind.  Let us know what you think about our take on birth partnership.

Author

Amy Michelle DeBaets, PhD, Oakland University William Beaumont School of Medicine, Rochester, MI.                                                                    

The author reports no financial relationships relevant to the article.