The Green Room: A Podcast from Obstetrics & Gynecology Editors’ Picks for September 2023
Aug 8, 2023
In this insightful discussion, Dr. Emily H. Adhikari, an Editorial Board member known for her contributions in obstetrics and gynecology, shares her expertise. The conversation delves into critical topics, including the prediction of severe maternal morbidity, highlighting alarming postpartum statistics. They explore disparities in gynecologic cancer research and advocate for increased funding in this area. Additionally, the podcast addresses women's health in relation to perinatal hepatitis C transmission, emphasizing the urgency for universal screening and improved patient education.
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Recording During a Summer Heat Wave
- The hosts recorded during a summer heat wave and briefly discussed climate impacts on pregnancy.
- They noted climate change may increasingly affect maternal and fetal health in the future.
Postpartum Risk Extends Well Beyond Delivery
- Severe maternal morbidity (SMM) events rise substantially after delivery, reaching ~3.3% by one year postpartum.
- Predictive models can flag higher-risk mothers for targeted postpartum surveillance and interventions.
Triage Postpartum Care Using Delivery Risk Factors
- Use delivery hospitalization factors (SMM, preeclampsia, C-section, high BMI) to identify patients needing closer postpartum follow-up.
- Apply predictive scores pragmatically to triage surveillance during the first year after birth.