Oklahoma Perinatal Quality Improvement Collaborative

08/08/2025

For infants born to mothers aged 40 and older, the infant mortality rate in rural areas was 49% higher than in large urban areas. https://bit.ly/3U23LGu

08/08/2025

When you smoke or v**e during pregnancy, or are around others who do, your baby breathes it in too. This exposure can increase the risk of stillbirth, premature birth, low birth weight, and birth complications.

The good news? Quitting or avoiding exposure at any stage of pregnancy can improve your baby’s health and your own. Support is free, confidential, and available today.

📞 Call 1-800-QUIT-NOW to get started.

08/06/2025

In a major meta‑a**lysis published in Anesthesiology (July 2025), patient‑reported intraoperative pain during cesarean delivery under spinal or epidural anesthesia was surprisingly common. About 17% of patients experienced pain, and epidural top‑ups were associated with the highest rates. The findings highlight the need for improved preoperative discussion, pain monitoring, and anesthesia planning to improve both outcomes and patient experience.

Read the article here: https://journals.lww.com/anesthesiology/abstract/2025/07000/intraoperative_pain_during_cesarean_delivery_under.27.aspx

08/05/2025

08/05/2025

AJOG Expert Review in Labor: Assessment of uterine contractions in labor and delivery - Contraction intensity measuring units https://ow.ly/2bfy50SuoM1

08/04/2025

What we're listening to - a powerful reminder that women's pain is all too often dismissed or ignored. This season's topic? C-section pain during cesarean.

C-sections are the most frequently performed major surgeries in the world. So why do so many patients feel severe pain during them? Season 2 of the award-winning podcast “The Retrievals” is an investigation into this underreported problem — and the new effort to solve it. To get full access to...

08/04/2025

📣 A new report from the Commonwealth Fund shows that maternal deaths in the U.S. are still on the rise. Over 6,000 women died from pregnancy-related causes between 2019 and 2023, with Black and Indigenous women facing the highest risks. Many of these deaths happen after childbirth and could be prevented. The report calls for better access to care, extended Medicaid coverage after birth, and stronger state review systems to save lives. Read the report here: https://www.commonwealthfund.org/publications/issue-briefs/2025/jul/maternal-mortality-united-states-2025

08/04/2025

AJOG Expert Review: Intrauterine devices in the management of postpartum hemorrhage https://ow.ly/lXM050QVg2H

08/01/2025

Episiotomy to prevent obstetric a**l sphincter injuries during instrumental delivery in nulliparous women: a national prospective comparative cohort study https://ow.ly/cZG750WyvmE American College of Obstetricians and Gynecologists - ACOG Society for Maternal Fetal Medicine

08/01/2025

🚨 New ACOG Guidance on Postpartum Hemorrhage Devices 🚨

New articles now available ahead of print, including an ACOG Clinical Practice Update: Use of Nonsurgical Hemorrhage-Control Devices for Postpartum Hemorrhage Management. Read the latest at https://buff.ly/wkH5y82

07/31/2025

Another interesting read on effects of preconception GLP-1 use.

Preconception glucagon-like peptide-1 receptor agonist use associated with decreased risk of adverse obstetrical outcomes https://ow.ly/tzeC50WxR89 American College of Obstetricians and Gynecologists - ACOG Society for Maternal Fetal Medicine

07/31/2025

What are we reading?

AJOG Expert Review in Labor: A critical evaluation of the external and internal maneuvers for resolution of shoulder dystocia - A flowchart for the management of shoulder dystocia
(1) Both external maneuvers (McRoberts maneuver±suprapubic pressure) and internal maneuvers (rotational methods or posterior arm delivery) can be used as the primary method according to the accoucheur’s judgment and experience and availability of assistants. (2) If this fails, the accoucheur can then try the other approach. (3) If all of the above common maneuvers have failed, review the reason of failure. If the failure was caused by poor technique, a repeat attempt may be tried. If the accoucheur cannot insert his/her hand into the va**na, but the posterior axilla is within reach, (4) try the posterior axilla (±sling) traction or (5) roll the mother over into an all-fours position and reattempt hand insertion for internal maneuvers. (6) If the accoucheur can insert the hand into the va**na and the posterior shoulder is not high but the posterior forearm cannot be reached either because it is behind the chest or the elbow is not flexible, then posterior axilla (±sling) traction is the best option. (7) If the posterior shoulder is out of reach, then use a long right-angle forceps to reach it and form a sling for posterior axillary traction, otherwise use more invasive methods. https://ow.ly/k9Rv50WxRLG