Dr Veronica Gillespie-Bell presents on Addressing the Maternal Health Crisis at #SOAPAM2023 - she speaks fast so bare with a delay 😉
Maternal M&M is a public health crisis. Scope of problem in USA, worst performing developed country, consistently increasing. #OBAnes#SOAPAM2023
Racial disparity is starkly demonstrated, it’s worsening. Maternity Care deserts is a very real problem (also in Canada). Cardiovascular conditions are leading cause of pregnancy-related deaths. #SOAPAM2023
Moving beyond the numbers - what do Maternal Mortality Review Committees (MMRC) do? Louisiana as example going forward. Process overview. #SOAPAM2023
Definitions. A Snapshot of Louisiana MMRC #OBAnes findings. Leading causes Pregnancy-associated vs Pregnancy-related. Compare to @mbrrace? #SOAPAM2023
Disparities in care based on race worsening for Black Americans, and similar to @mbrrace findings regarding social deprivation. #OBAnes#SOAPAM2023
@NOLAobgyn introduces recommendations for prevention of maternal M&M. Several places to intervene for numerous stakeholders. Priority areas list - surely #OBAnes can find something on this list? #SOAPAM2023
Using Data for action. Goals for prevention (priorities above) are more than just Maternal Mortality (the tip of the Iceberg). The pathway to improvement is through the lens of equity (@LateralTilt can check correct usage) Critical collaborations from the cogs in the machine… twitter.com/i/web/status/1…
LaPQC support EBM to promote safe, equitable & dignified birth in the form of a partnership with local teams #SOAPAM2023
AIM improves quality through #patientsafety bundles, of which there are multiple. Bundles share common components for respectful care. Obstetric hemorrhage as an example. #SOAPAM2023.
17 years for translational research to go into practice! Driver diagram explaining a change program. What does partnership look like? #SOAPAM2023
Reducing maternal morbidity (the iceberg that lies beneath the water). Some successes. LaPQC programs. #SOAPAM2023
@NOLAobgyn provides a succinct summary for a complex topic. AIM program statement. References. #SOAPAM2023
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Dr Brian Bateman moderates the #SOAPAM2023 Gertie Marx Research Competition. #OBAnes
Number 1. @LilianeErnstMD presents The ED90 of Hyoerbaric Bupivacaine for Cesarean Delivery in Super Obese Patients #OBAnes#SOAPAM2023
Background. Pre-pregnancy obesity increasing across racial groups. A large percentage in grade 3 obesity, racial differences. Super Obese patients more likely to have cesarean section. High block was more common in BMI > 50. #SOAPAM2023#OBAnes
Now it only took the first slide (next tweet) to draw my full attention, and mean that I will be catching up with recordings later. This raises VERY important questions for #OBAnes in light of recent #SOAPAM2023 chats
Neuraxial anesthesia as a sedative…
Sensory deafferentation dependent sedation - an example of a full stomach being sedated that #OBAnes do routinely @VeenaGraffMD (oh wait it gets better) #RAUK23#SOAPAM2023
Patient age and sensory block level significantly affect relationship between propofol Ce and sedation (I added the graphs from Roh et al’s study). Regional techniques dynamically reduce neural traffic. #RAUK23#SOAPAM2023