(Press-News.org) This study explored the perspectives of Black birthing people on how better communication with care teams may have improved their birth experiences. Researchers interviewed 30 non-Hispanic Black, English-language–proficient, low-income birthing people in the Philadelphia, Pennsylvania, area, all of whom were insured by Medicaid. All gave birth to preterm infants before 34 weeks gestation, or before 36 weeks gestation to birthing people with a modifiable risk factor such as high blood pressure. The interviews uncovered three main themes regarding the quality of communication with their care teams and the effect on their experiences: 1) communication gaps during urgent or emergent intrapartum procedures contributed to negative birth experiences; 2) postpartum opportunities to share birth experiences, particularly with peers, sometimes mitigated the psychological consequences of negative birth experiences; and 3) interviewees did not consistently discuss concerns about future pregnancy risk related to negative birth experiences with their clinical teams.
What We Know: Physically or psychologically distressing birth experiences can influence postpartum health, parenting efficacy, and future pregnancy plans. Obstetric racism, in the form of interpersonal racism (e.g.,the effect of clinician bias on relationships and communication with patients) and/or structural racism (underfunded and/or understaffed facilities serving predominantly Black populations), may create negative birth experiences for Black birthing people.
What This Study Adds: This study adds an important patient perspective on racial inequities in maternal health care in the U.S. The findings suggest that health systems could promote positive birth experiences for Black birthing people by improving communication during emergency intrapartum procedures, fostering a welcoming environment for sharing their birth experiences, and promoting ongoing conversations with care teams about future pregnancy risks they may face.
Communication and Birth Experiences Among Black Birthing People Who Experienced Preterm Birth
Emily F. Gregory, MD, MHS, et al.
Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
PRE-EMBARGO LINK (Link expires at 5 p.m. EDT Jan. 22, 2024)
PERMANENT LINK
END
Clear and open communication with care teams could improve the birthing experience for Black people
This study explored the perspectives of Black birthing people on how better communication with care teams may have improved their birth experiences
2024-01-22
ELSE PRESS RELEASES FROM THIS DATE:
A simple three-question screening tool may help to identify precarious employment among primary care patients
2024-01-22
Precarious employment, defined by temporary contracts, unstable employment, or job insecurity, is increasingly common and is associated with inconsistent access to health insurance, lower incomes, and greater exposure to physical hazards and psychological stress. A team of researchers in Toronto, Canada, created and tested a new three-question screening tool to help primary care clinics identify these patients. The screener included the following three questions: 1) non-standard employment (Are you currently employed in a casual, short-term, or temporary position?); 2) violations of occupational health ...
Primary care physicians and urologists work together to provide optimal care for men with low-risk prostate cancer
2024-01-22
This study considers the perspectives of primary care physicians (PCPs) and urologists on what facilitates and what creates barriers to active surveillance (AS) care for men with low-risk prostate cancer. Researchers conducted in-depth, semi-structured interviews with 19 PCPs (9 female, 4 in community practices, 15 in academic medical centers) and 15 urologists (3 female, 5 in private practice, 3 in academic medical centers) between June 2020 and March 2021. Their goal was to assess interviewees’ knowledge of AS, what factors they felt influence adherence to follow-up ...
Patients who obtained telemedicine medication abortions (TeleMAB) through primary care have positive feelings about their experience
2024-01-22
This study explores patients’ experiences and perspectives on obtaining telemedicine medication abortions (TeleMAB) through their primary care health system. Researchers conducted in-depth phone interviews with 14 English, Spanish, and/or Portuguese-speaking patients, ranging in age from 26 to 42, who received a TeleMAB between July 2020 and December 2021 from a large primary care safety-net community health system in Massachusetts. Thirteen of the interviewees provided demographic information. All 13 identified as female, and 10 had children ...
An update on a 2015 report shows that gabapentinoid usage in the U.S. has continued to climb
2024-01-22
Gabapentinoids are commonly prescribed for an array of off-label conditions, including management of chronic pain. Updating their 2015 report on gabapentinoid usage in the U.S., researchers used the 2002–2021 Medical Expenditure Panel Survey (MEPS) to investigate the proportion of the adult population using gabapentinoids, medications, and diagnoses associated with users, and the likelihood of starting, stopping, or continuing gabapentinoids. They found that gabapentinoid use has increased from 4.0% in 2015 to 4.7% in 2021. ...
The serious risks and high costs of monoclonal antibodies may outweigh the benefits for patients with Alzheimer dementia
2024-01-22
Researchers performed a meta-analysis of randomized trial studies that compared the use of amyloid-reducing monoclonal antibodies (MABs) in patients with Alzheimer dementia at a dose consistent with that used in Phase 3 or FDA approval trials with the use of a placebo. Their purpose was to evaluate clinically meaningful benefits and harms of MABs to these patients. For inclusion in this meta-analysis, the RCT studies had to include adult participants with cognitive impairment or Alzheimer disease of any severity and report at least one clinically relevant benefit or harm to participants after at least one year. The research team identified 19 such publications that evaluated ...
Annals of Family Medicine January/February 2024 Tip Sheet
2024-01-22
EHR Workload Continues to Grow for Primary Care Physicians
The study evaluated recent trends in primary care physicians’ (PCPs) electronic health record (EHR) workload. Prior to and early in the COVID-19 pandemic, PCPs spent more time in the EHR and received more messages than physicians in other specialties, but it is unclear if the pandemic further accelerated the growth of PCPs’ EHR workload. Researchers observed EHR usage of 141 academic PCPs practicing family medicine, internal medicine, and general pediatrics within the University of Wisconsin-Madison health system, which ...
A quality improvement intervention links high-risk prenatal patients at safety-net health centers with primary care
2024-01-22
Researchers assessed the development and implementation of a quality improvement learning collaborative’s (QILC) intervention to link high-risk prenatal patients with primary care. The aims of the study were twofold: to identify any quantitative impact of the intervention on postpartum and primary care utilization for high-risk prenatal patients and to explore the Federally Qualified Health Center (FQHC) participants’ experiences of working with a QI collaborative.
Using information from patients’ charts and/or ...
A new drug candidate can shrink kidney cysts
2024-01-22
Autosomal dominant polycystic kidney disease (ADPKD), the most common form of polycystic kidney disease, can lead to kidney enlargement and eventual loss of function. The disease affects more than 12 million people worldwide, and many patients end up needing dialysis or a kidney transplant by the time they reach their 60s.
Researchers at MIT and Yale University School of Medicine have now found that a compound originally developed as a potential cancer treatment holds promise for treating ADPKD. The drug works by exploiting kidney cyst cells’ vulnerability to oxidative stress — a state ...
Bone marrow adipocytes provide early sign of progression from MGUS to multiple myeloma
2024-01-22
A new research perspective was published in Oncotarget's Volume 15 on January 16, 2024, entitled, “Bone marrow adipocytes provide early sign for progression from MGUS to multiple myeloma.”
Multiple Myeloma (MM) is the second most common hematological malignancy and is characterized by clonal expansion of malignant plasma cells in the bone marrow. In spite of recent advances in the field of MM, the disease has remained incurable. MM is preceded by a premalignant state known as monoclonal gammopathy of undetermined significance (MGUS), with a risk of progression to MM of 1% per year. Establishing a scalable approach that refines ...
Dr. Blagosklonny’s battle with cancer (Part 1)
2024-01-22
On January 3, 2024, Mikhail V. Blagosklonny M.D., Ph.D., from Roswell Park Comprehensive Cancer Center published a new brief report in Oncoscience (Volume 11), entitled, “My battle with cancer. Part 1.”
“In January 2023, diagnosed with numerous metastases of lung cancer in my brain, I felt that I must accomplish a mission. If everything happens for a reason, my cancer, in particular, I must find out how metastatic cancer can be treated with curative intent. This is my mission now, and the reason I was ever born. In January 2023, I understood the meaning of life, of my life. I was born to write this article. In this article, I argue that monotherapy with ...
LAST 30 PRESS RELEASES:
Study reports on global trends in acute kidney injury– related mortality
Study reveals a potentially better way to optimize the timing for kidney transplant waitlisting
Transitional dialysis program in Texas decreased the use of emergency dialysis
Quality improvement intervention may help prevent deaths from metformin-associated lactic acid
Conservative care versus dialysis: model indicates which is best for individual patients with advanced chronic kidney disease
Coronary artery calcium may be a predictor for all-cause mortality, including medical conditions not related to heart health
Minimally invasive coronary calcium CT scans used to determine heart disease risk are effective at finding other potential health problems
High-impact clinical trials generate promising results for improving kidney health - part 3
Mass General Brigham researchers find PCSK9 inhibitor reduced risk of first heart attack, stroke
Triglyceride-lowering drug significantly reduced rate of acute pancreatitis in high-risk patients
Steatotic liver disease and cancer: From pathogenesis to therapeutic frontiers
SGLT2 inhibitors and kidney outcomes by glomerular filtration rate and albuminuria
Comprehensive analysis supports routine use of metabolic drug for people with all levels of kidney function
Temporary benefit for immune system in early HIV treatment, but dysregulation returns
Chronic kidney disease is now the ninth leading cause of death
Chronic kidney disease has more than doubled since 1990, now affecting nearly 800 million people worldwide
Participant experiences in a kidney failure care intervention in the navigate-kidney study
Community health worker support for Hispanic and Latino individuals receiving hemodialysis
Scientists unveil new strategies to balance farming and ecological protection in Northeast China
UT Health San Antonio scientist helps shape new traumatic brain injury guidelines
Rising nitrogen and rainfall could supercharge greenhouse gas emissions from the world’s largest grasslands
Study uncovers glomerular disease outcomes across the lifespan
Sotagliflozin outperforms dapagliflozin for reducing salt- sensitive hypertension and kidney injury in rats
Trial analysis reveals almost all adults with hypertensive chronic kidney disease would benefit from intensive blood pressure lowering
A husband’s self-esteem may protect against preterm births, study finds
Michigan State University's James Madison College receives over $1 million to launch civic education academy
White paper on recovering from burnout through mentoring released by University of Phoenix College of Doctoral Studies
Defunct Pennsylvania oil and gas wells may leak methane, metals into water
Kessler Foundation’s John DeLuca, PhD, honored with Reitan Clinical Excellence Award from National Academy of Neuropsychology
Discordance in creatinine- and cystatin C–based eGFR and clinical outcomes
[Press-News.org] Clear and open communication with care teams could improve the birthing experience for Black peopleThis study explored the perspectives of Black birthing people on how better communication with care teams may have improved their birth experiences