Exploring the social determinants of racial/ethnic disparities in prenatal care utilization and maternal outcome
The objective of this article is to review literature illuminating the relationship between prenatal care utilization, social determinants of health, and racial disparities in maternal outcome. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 15, 2017 Category: Perinatology & Neonatology Authors: Alexis Gadson, Eloho Akpovi, Pooja K. Mehta Source Type: research

Racial and ethnic disparities in U.S. breastfeeding and implications for maternal and child health outcomes
Marked racial and ethnic disparities exist in infant feeding in the United States. Based on a review of recent literature, this article examines current discrepancies between the 2020 Healthy People breastfeeding goals and current breastfeeding rates among women from different ethnic groups in the United States. We discuss maternal and child health outcomes associated with breastfeeding, and we review potential causes of racial and ethnic disparities in breastfeeding outcomes in the United States, especially among non-Hispanic Black, American Indian/Alaska Native, and Hispanic/Latina populations. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 14, 2017 Category: Perinatology & Neonatology Authors: Adetola Louis-Jacques, Tara F. Deubel, Melina Taylor, Alison M. Stuebe Source Type: research

Racial and ethnic disparities in the U.S. breastfeeding and implications for maternal and child health outcomes
Marked racial and ethnic disparities exist in infant feeding in the United States. Based on a review of recent literature, this article examines current discrepancies between the 2020 Healthy People breastfeeding goals and current breastfeeding rates among women from different ethnic groups in the United States. We discuss maternal and child health outcomes associated with breastfeeding, and we review potential causes of racial and ethnic disparities in breastfeeding outcomes in the United States, especially among non-Hispanic Black, American Indian/Alaska Native, and Hispanic/Latina populations. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 14, 2017 Category: Perinatology & Neonatology Authors: Adetola Louis-Jacques, Tara F. Deubel, Melina Taylor, Alison M. Stuebe Source Type: research

Ethnic and racial disparities in hypertension management among women
The objective of this article is to provide a review of the factors related to racial and ethnic disparities in blood pressure control. This is followed by a summary of contemporary clinical practice guidelines for the prevention, through lifestyle behavioral modification, and treatment of hypertension with pharmacotherapy. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 13, 2017 Category: Perinatology & Neonatology Authors: Theresa M. Beckie Source Type: research

Racial and ethnic disparities in obstetric anesthesia
Racial and ethnic disparities are prevalent within healthcare and have persisted despite advances in medicine and public health. Disparities have been described in the use of neuraxial labor analgesia, with minority women being less likely to use neuraxial labor analgesia than non-minority white women. Minority women are also more likely to have a general anesthetic for cesarean delivery than non-minority women. The origins of these disparities are likely multi-factorial, with patient-, provider-, and systems-level contributors. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 13, 2017 Category: Perinatology & Neonatology Authors: Elizabeth M.S. Lange, Suman Rao, Paloma Toledo Source Type: research

Strategies to reduce disparities in maternal morbidity and mortality: Patient and provider education
A reduction in racial disparities in maternal morbidity and mortality requires effective education of both patients and providers. Although providers seem to recognize that disparities exist, there is a widespread need for improving our understanding differences in health care and outcomes and the factors that contribute to them. There are increasingly more educational materials available for the purpose of augmenting disparities education among patients and providers. However, it is important to incorporate contemporary learning methodologies and technologies to address our current knowledge deficit. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 5, 2017 Category: Perinatology & Neonatology Authors: Joses Jain, Leslie Moroz Source Type: research

Introduction
This issue of Seminars in Perinatology is intended as an update regarding factors related to the diagnosis and treatment of disorders of sexual differentiation (DSD) including historical perspectives, psychological aspects, current surgical approach, importance of establishing a genetic diagnosis, and pertinent legal aspects to consider when treating patients with a DSD. Finally, a pragmatic approach to the newborn with genital ambiguity is presented. The focus of this volume is to relate these current issues to those involved in the care of patients with DSD at birth and during infancy. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 1, 2017 Category: Perinatology & Neonatology Source Type: research

Cover
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Source: Seminars in Perinatology - June 1, 2017 Category: Perinatology & Neonatology Source Type: research

Masthead
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Source: Seminars in Perinatology - June 1, 2017 Category: Perinatology & Neonatology Source Type: research

Topics
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Source: Seminars in Perinatology - June 1, 2017 Category: Perinatology & Neonatology Source Type: research

Table of Contents
(Source: Seminars in Perinatology)
Source: Seminars in Perinatology - June 1, 2017 Category: Perinatology & Neonatology Source Type: research

Tools and methods for quality improvement and patient safety in perinatal care
This article reviews the most common frameworks in use today, including the Model for Improvement, Six Sigma, and Lean. Specific tools such as affinity, key driver and fishbone diagrams, process maps and statistical process control, as well as checklists are reviewed, with examples from the perinatal literature to illustrate their use in perinatal QI efforts. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - May 26, 2017 Category: Perinatology & Neonatology Authors: Amy T. Nathan, Heather C. Kaplan Source Type: research

Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification
Despite our best intentions to improve health when a patient presents for care, adverse events are ubiquitous in medical practice today. Known complications related to the course of a patient ’s illness or condition or to the characteristics of the treatment have been an openly stated part of taking care of patients for centuries. However, it is only in the past decade that preventable adverse events, instances of harm related to error and deviations in accepted practice have become a primary part of these conversations. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - May 23, 2017 Category: Perinatology & Neonatology Authors: Christian M. Pettker Source Type: research

Using quality improvement to increase human milk use for preterm infants
This review will provide an overview of quality improvement methods that have been used to improve human milk use (mother ’s own milk and donor milk) for very low-birth-weight infants in the hospital setting in the last decade. We will review the following: (1) evidence-based practices known to increase mother’s own milk for very low-birth-weight infants; (2) individual hospitals with exemplary lactation programs a nd past and current US-based statewide quality improvement collaboratives focused on increasing mother’s own milk; and (3) existing quality metrics for human milk and gaps in metrics. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - May 23, 2017 Category: Perinatology & Neonatology Authors: Margaret G. Parker, Aloka L. Patel Source Type: research

Implementation of a multicenter shoulder dystocia injury prevention program
We describe the development and the process of implementation of a shoulder dystocia simulation program across five academic medical centers and their affiliated hospitals united by a common insurance carrier. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - May 23, 2017 Category: Perinatology & Neonatology Authors: Linda Szymanski, Christine Arnold, Arthur J. Vaught, Susan LaMantia, Theresa Harris, Andrew J. Satin Source Type: research