Christina Pardo , Breanna Watson , Olga Pinkhasov , Aimee Afable
{"title":"Social determinants of perinatal mental health","authors":"Christina Pardo , Breanna Watson , Olga Pinkhasov , Aimee Afable","doi":"10.1016/j.semperi.2024.151946","DOIUrl":"10.1016/j.semperi.2024.151946","url":null,"abstract":"<div><p>Social inequities and mental health are public health and medical conditions that are inextricably linked. Perinatal mental health is influenced by social, physical, and biological factors, with additional stressors related to pregnancy. The social determinants of health (SDOH) encompasses all conditions in which people live and grow, inclusive of cultural norms that reflect the diverse populations we serve. To best understand the mechanisms by which the SDOH affects perinatal mental health, we introduce the Urban Stress Model and describe the link between urban realities to stress response and potential mechanisms that link urban living to increased risk of adverse perinatal mental health. Given the increased diversity of patient populations, cultural considerations are paramount in understanding the utility and best practices in screening and interventions among ethnically diverse communities. Building on our Urban Stress Model and a structural determinants of health framework, we present examples of interventions to address the social inequities of perinatal mental health from the policy to community levels.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 6","pages":"Article 151946"},"PeriodicalIF":3.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jourdan E. Triebwasser, Jill K. Davies, Ajleeta Nestani
{"title":"COVID-19 therapeutics for the pregnant patient","authors":"Jourdan E. Triebwasser, Jill K. Davies, Ajleeta Nestani","doi":"10.1016/j.semperi.2024.151920","DOIUrl":"10.1016/j.semperi.2024.151920","url":null,"abstract":"<div><p>SARS-CoV-2 infection can cause severe disease among pregnant persons. Pregnant persons were not included in initial studies of therapeutics for COVID-19, but cumulative experience demonstrates that most are safe for pregnant persons and the fetus, and effective for prevention or treatment of severe COVID-19.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151920"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dustin D. Flannery , Neil C. Shah , Karen M. Puopolo
{"title":"Perinatal COVID-19: Implications for care of the newborn","authors":"Dustin D. Flannery , Neil C. Shah , Karen M. Puopolo","doi":"10.1016/j.semperi.2024.151921","DOIUrl":"10.1016/j.semperi.2024.151921","url":null,"abstract":"<div><p>The maternal/newborn dyad presents special challenges to infection management. Early in the COVID-19 pandemic, lack of information regarding SARS-CoV-2 transmission and virulence made it difficult to develop appropriate care guidance when pregnant persons had COVID-19 at the time of presentation for childbirth. We will review the considerations for the parturient, newborn, and care team, and describe the evolution of perinatal COVID management guidance.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151921"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neonatal-perinatal collaboration during the COVID-19 pandemic","authors":"Miller K , Kimberlin DW , Arora N , Puopolo KM","doi":"10.1016/j.semperi.2024.151918","DOIUrl":"10.1016/j.semperi.2024.151918","url":null,"abstract":"<div><p>The COVID-19 pandemic required perinatal clinicians to address the individual medical needs of the pregnant person and the fetus as well as the interdependent considerations of the maternal/newborn dyad. Regional, national and international collaborative groups utilized existing structures and in some cases, formed new partnerships to rapidly collect perinatal information. The urgent need to care for at-risk and infected pregnant persons required these groups to develop practical approaches to collect the data needed to safely inform practice. Here we will summarize the findings of five collaborative studies that leveraged differing methods to inform perinatal pandemic care.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151918"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Li , David A. Schwartz , Andrew Vo , Roslyn VanAbel , Celeste Coler , Edmunda Li , Bryan Lukman , Briana Del Rosario , Ashley Vong , Miranda Li , Kristina M. Adams Waldorf
{"title":"Impact of SARS-CoV-2 infection during pregnancy on the placenta and fetus","authors":"Amanda Li , David A. Schwartz , Andrew Vo , Roslyn VanAbel , Celeste Coler , Edmunda Li , Bryan Lukman , Briana Del Rosario , Ashley Vong , Miranda Li , Kristina M. Adams Waldorf","doi":"10.1016/j.semperi.2024.151919","DOIUrl":"10.1016/j.semperi.2024.151919","url":null,"abstract":"<div><p>Pregnant people and their fetuses are vulnerable to adverse health outcomes from coronavirus 2019 disease (COVID-19) due to infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 has been associated with higher rates of maternal mortality, preterm birth, and stillbirth. While SARS-CoV-2 infection of the placenta and vertical transmission is rare, this may be due to the typically longer time interval between maternal infection and testing of the placenta and neonate. Placental injury is evident in cases of SARS-CoV-2-associated stillbirth with massive perivillous fibrin deposition, chronic histiocytic intervillositis, and trophoblast necrosis. Maternal COVID-19 can also polarize fetal immunity, which may have long-term effects on neurodevelopment. Although the COVID-19 pandemic continues to evolve, the impact of emerging SARS-CoV-2 variants on placental and perinatal injury/mortality remains concerning for maternal and perinatal health. Here, we highlight the impact of COVID-19 on the placenta and fetus and remaining knowledge gaps.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151919"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bethany Dubois , Alexandra N. Mills , Rebecca H. Jessel , Whitney Lieb , Kimberly B. Glazer
{"title":"Disparities in perinatal COVID-19 infection and vaccination","authors":"Bethany Dubois , Alexandra N. Mills , Rebecca H. Jessel , Whitney Lieb , Kimberly B. Glazer","doi":"10.1016/j.semperi.2024.151923","DOIUrl":"10.1016/j.semperi.2024.151923","url":null,"abstract":"<div><p>The COVID-19 pandemic exposed and exacerbated persistent health inequities in perinatal populations, resulting in disparities of maternal and fetal complications. In this narrative review, we present an adapted conceptual framework of perinatal social determinants of health in the setting of the COVID-19 pandemic and use this framework to contextualize the literature regarding disparities in COVID-19 vaccination and infection. We synthesize how elements of the structural context, individual socioeconomic position, and concrete intermediary determinants influence each other and perinatal COVID-19 vaccination and infection, arguing that systemic inequities at each level contribute to observed disparities in perinatal health outcomes. From there, we identify gaps in the literature, propose mechanisms for observed disparities, and conclude with a discussion of strategies to mitigate them.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151923"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neonatal and infant infection with SARS-CoV-2","authors":"Logan P. Grimes , Jeffrey S. Gerber","doi":"10.1016/j.semperi.2024.151922","DOIUrl":"10.1016/j.semperi.2024.151922","url":null,"abstract":"<div><p>Despite the substantial body of investigative work describing the Coronavirus Disease 2019 (COVID-19) pandemic, its impact on neonates and infants remains less well characterized. Here, we review the data on epidemiology of COVID-19 in this population. Widespread use of universal testing for SARS-CoV-2 among pregnant persons presenting for delivery complicates interpretation of the risks of perinatal exposure. While many neonates and infants with COVID-19 are well-appearing or have only mild signs of illness, factors such as preterm birth, low birth weight, and medical comorbidities increase the risk of severe infection. We highlight potential protective maternal factors, summarize treatment options and discuss vaccine development. Higher quality data are needed to better inform our understanding of COVID-19 in neonates and infants.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 4","pages":"Article 151922"},"PeriodicalIF":3.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alliance for Innovation on Maternal Health: Evolution of a program to address maternal morbidity and mortality","authors":"Christie Allen, Isabel Taylor, Amy Ushry","doi":"10.1016/j.semperi.2024.151903","DOIUrl":"10.1016/j.semperi.2024.151903","url":null,"abstract":"<div><p>The Alliance for Innovation on Maternal Health program is a national investment in promoting safe care for every birth in the United States and lowering rates of preventable maternal mortality and severe maternal morbidity. Through its work with state and jurisdiction-based teams on patient safety bundle implementation, the program supports data-driven quality improvement. This paper details key aspects of the Alliance for Innovation on Maternal Health including patient safety bundles, technical assistance, implementation resource development, data support, and partnerships while providing an overview of the program's evolution, reach, impact, and future opportunities.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151903"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia Lee King , Aleena Surenian , Renee M. Odom , Kshama Shah , SuYeon Lee , Elena Jenkins , Ann Borders
{"title":"Using quality improvement to address social determinants of health needs in perinatal care","authors":"Patricia Lee King , Aleena Surenian , Renee M. Odom , Kshama Shah , SuYeon Lee , Elena Jenkins , Ann Borders","doi":"10.1053/j.semperi.2024.151908","DOIUrl":"10.1053/j.semperi.2024.151908","url":null,"abstract":"<div><p>There are unacceptable racial inequities in perinatal outcomes in the United States. Social determinants of health (SDOH) are associated with health outcomes and contribute to disparities in maternal and newborn health. In this article, we (1) review the literature on SDOH improvement in the perinatal space, (2) describe the SDOH work facilitated by the Illinois Perinatal Quality Collaborative (ILPQC) in the Birth Equity quality improvement initiative, (3) detail a hospital's experience with implementing strategies to improve SDOH screening and linkage to needed resources and services and (4) outline a framework for success for addressing SDOH locally. A state-based quality improvement initiative can facilitate implementation of strategies to increase screening for SDOH. Engaging patients and communities with specific actionable strategies is key to increase linkage to needed SDOH resources and services.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151908"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}