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Am J Obstet Gynecol 2022 May 18. Epub 2022 May 18.

Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, Utah.

For over a century, substantial racial and ethnic inequities in perinatal health outcomes have persisted despite technical clinical advances and changes in public health practice that lowered the overall incidence of morbidity. Race is a social construct and not an inherent biological or genetic reality; therefore, racial differences in health outcomes represent the consequences of structural racism, or the inequitable distribution of opportunities for health along racialized lines. Clinicians and scientists in obstetrics and gynecology have a responsibility to work to eliminate health inequities for Black, Brown, and Indigenous birthing people, and fulfilling this responsibility requires actionable evidence from high quality research. Read More

Midwifery 2022 May 11;111:103366. Epub 2022 May 11.

McMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.

Objective: Globally, midwife-led units are associated with improved clinical outcomes and childbirth satisfaction, but little is known about the impact of the model on health professionals themselves and interprofessional collaboration. The aim of this research was to describe the experiences of health professionals providing care in Canada's first Alongside Midwifery Unit.

Design: A mixed-methods evaluation exploring healthcare provider's experiences using an online survey and qualitative semi-structured interviews and focus groups. Read More

BMC Pregnancy Childbirth 2022 May 18;22(1):416. Epub 2022 May 18.

Judith Lumley Centre, La Trobe University, Bundoora, VIC, 3086, Australia.

Background: Prevention of weight gain outside recommendations is a challenge for health services, with several barriers to best practice care identified. The aim of this pragmatic implementation study with a historical control was to examine the impact of implementing a service wide education program, and antenatal care pregnancy weight gain chart combined with brief advice on women's knowledge of recommended gestational weight gain (GWG), the advice received and actual GWG.

Methods: The PRECEDE PROCEED Model of Health Program planning guided intervention and evaluation targets and an implementation science approach facilitated service changes. Read More

Front Psychiatry 2022 29;13:807235. Epub 2022 Apr 29.

Shades of Blue Project, Houston, TX, United States.

Infant mental health is interconnected with and affected by maternal mental health. A mother or birthing person's mental health before and during pregnancy and the postpartum period is essential for a child's development. During the first year of life, infants require emotional attachment and bonding to strive. Read More

Front Public Health 2022 27;10:881613. Epub 2022 Apr 27.

Department of Food Science, University of Massachusetts-Amherst, Amherst, MA, United States.

The risk of potential SARS-CoV-2 transmission by infected mothers during labor and delivery has not been investigated in-depth. This work collected air samples close to (respiratory droplets) and more distant from (aerosol generation) unvaccinated patients who had previously tested positive for SARS-CoV-2 during labor within 5 days of a positive test. All but one of the patients wore masks during the delivery, and delivery was carried out in either birthing or negative pressure isolation rooms. Read More