Carrie A. Sibbald MD, Amy Godecker PhD, MS, Erin J. Bailey MD, Janine S. Rhoades MD, Jacquelyn H. Adams MD, MSCI
{"title":"Association between interpreter use and small for gestational age infants","authors":"Carrie A. Sibbald MD, Amy Godecker PhD, MS, Erin J. Bailey MD, Janine S. Rhoades MD, Jacquelyn H. Adams MD, MSCI","doi":"10.1016/j.ajogmf.2024.101486","DOIUrl":"10.1016/j.ajogmf.2024.101486","url":null,"abstract":"<div><h3>Background</h3><div>Limited English proficiency is associated with worse health outcomes regardless of health literacy. Prior research suggests that using interpreter services for low English proficiency helps mitigate the language barrier, is associated with improved health outcomes, and patient satisfaction; however, obstetric and neonatal outcomes and pregnancy risks in this population are not well studied.</div></div><div><h3>Objectives</h3><div>The primary purpose of this study was to determine if low English proficiency is an independent risk factor for small for gestational age infants by utilizing interpreter use as a proxy for low English proficiency. Due to the known challenges in communication with a language barrier and discrimination against people whose first language is not English, we hypothesized that this could result in an increase in high risk conditions in pregnancy such as SGA. Our hypothesis was that the need for an interpreter would be associated with having small for gestational age infants.</div></div><div><h3>Study Design</h3><div>We performed a retrospective cohort study at a single center using data between 1/1/2016 and 12/31/2021; we included singleton, live births ≥ 21 weeks gestation. We excluded multiple gestations, intrauterine fetal demise, and delivery < 21 weeks. The primary outcome was rate of small for gestational age. Small for gestational age was defined as birthweight < 10th percentile for gestational age using the 2018 Fenton newborn growth curve. Multivariable logistic regression was performed to control for confounding variables.</div></div><div><h3>Results</h3><div>Of the 26,260 patients included in the study, 71.3% were non-Hispanic White, 9.5% were Hispanic/Latino, and 7.9% were non-Hispanic Black. Overall, 1,662 (6.3%) patients utilized an interpreter. Over half (58.0%) of patients requesting interpreter services were Hispanic. In unadjusted analyses, the rate of small for gestational age was not different between patients who used interpreter services (<em>n</em>=106, 6.4%) and those who did not (<em>n</em>=1612, 6.6 %), <em>P</em>=.779. After adjusting for race/ethnicity, gravidity, gestational age, private insurance, diabetes, hypertension, and prepregnancy body mass index, the use of interpreter services was associated with decreased odds of small for gestational age (aOR 0.67, 95% CI 0.53–0.84).</div></div><div><h3>Conclusions</h3><div>Our findings suggest that use of an interpreter is associated with a lower incidence of small for gestational age when controlling for patient characteristics and social determinants of health. Additional research is required to explore this association, but our results indicate that recognizing demographic risk factors and providing patients with social resources such as access to interpreter services may positively impact obstetric and neonatal outcomes.</div></div>","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101486"},"PeriodicalIF":3.8,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflective and emotional writing in maternal-fetal medicine: American Journal of Obstetrics & Gynecology Maternal-Fetal Medicine welcomes submissions for its new “Ob E-motions” article format","authors":"Fabrizio Zullo MD","doi":"10.1016/j.ajogmf.2024.101491","DOIUrl":"10.1016/j.ajogmf.2024.101491","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101491"},"PeriodicalIF":3.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew Ward MD , Victoria Greenberg MD , Breanna Valcarcel BA , Rupsa C. Boelig MD , Huda B. Al-Kouatly MD , Vincenzo Berghella MD
{"title":"Corrigendum to Intramuscular progesterone in women with twins and a prior singleton spontaneous preterm birth American Journal of Obstetrics & Gynecology MFM/ Volume 2 (2020)/100124","authors":"Andrew Ward MD , Victoria Greenberg MD , Breanna Valcarcel BA , Rupsa C. Boelig MD , Huda B. Al-Kouatly MD , Vincenzo Berghella MD","doi":"10.1016/j.ajogmf.2024.101479","DOIUrl":"10.1016/j.ajogmf.2024.101479","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 10","pages":"Article 101479"},"PeriodicalIF":3.8,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589933324002052/pdfft?md5=b5419809330a99ad062046ae229b2292&pid=1-s2.0-S2589933324002052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Selective fetal reduction of uncomplicated dichorionic twins on parental request vs ongoing twins and pregnancy outcomes: a systematic review and meta-analysis","authors":"Ioannis Mitrogiannis MSc , Christos Chatzakis PhD , Alexandros Sotiriadis MD, PhD , Stylianos Makrydimas MD , Alexandros Katrachouras MSc , Athina Efthymiou MSc , George Makrydimas MD, PhD","doi":"10.1016/j.ajogmf.2024.101492","DOIUrl":"10.1016/j.ajogmf.2024.101492","url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>This study aimed to assess the effect of elective fetal reduction on maternal–fetal outcomes in uncomplicated twin pregnancies compared with ongoing twin pregnancies.</div></div><div><h3>DATA SOURCES</h3><div>The data sources included PubMed, Scopus (until December 2023), and references of retrieved articles.</div></div><div><h3>STUDY ELIGIBILITY CRITERIA</h3><div>We included clinical studies examining the association between selective fetal reduction of uncomplicated dichorionic twins on pregnancy outcomes.</div></div><div><h3>METHODS</h3><div>Quality assessment of observational studies was conducted using the ROBINS-I tool. The overall quality of evidence was evaluated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework. A quantitative analysis was performed for electively reduced dichorionic twins. The primary outcome was preterm birth. The secondary outcomes were gestational age at delivery, stillbirth, neonatal intensive care unit admission, gestational diabetes mellitus, preeclampsia, and pregnancy loss at <24 weeks of gestation. Summary odds ratios with 95% confidence intervals were calculated, and random-effects models were used for data synthesis.</div></div><div><h3>RESULTS</h3><div>The initial electronic search yielded 745 studies; 175 studies were further identified from reference citations. Five articles included appropriate data and were finally included in the meta-analysis. All studies were evaluated as having “moderate risk of bias.” These 5 studies reported on dichorionic twins. Elective reduction in dichorionic twins reduces the risk for preterm birth at <37 weeks (4 studies; n=1577; odds ratio, 0.14; 95% confidence interval, 0.09–0.22; moderate-quality evidence), <34 weeks (3 studies; n=1335; odds ratio, 0.22; 95% confidence interval, 0.07–0.69; low-quality evidence), and <32 weeks (3 studies; n=1335; odds ratio, 0.31; 95% confidence interval, 0.11–0.88; low-quality evidence), gestational diabetes (3 studies; n=1410; odds ratio, 0.57; 95% confidence interval, 0.33–0.97; low-quality evidence), pregnancy-associated hypertensive disorders (2 studies; n=581; odds ratio, 0.29; 95% confidence interval, 0.10–0.83; low-quality evidence), and birthweight <10th centile (2 studies; n=1163; odds ratio, 0.27; 95% confidence interval, 0.17–0.43; moderate-quality evidence) and <5th centile (2 studies; n=1163; odds ratio, 0.31; 95% confidence interval, 0.19–0.50; low-quality evidence), and increases gestational age at delivery (4 studies; n=1362; mean difference, 2.93 weeks; 95% confidence interval, 2.08–3.77; moderate-quality evidence). The risks for stillbirth (2 studies; n=1311; odds ratio, 1.63; 95% confidence interval, 0.43–6.21; very low-quality evidence) and pregnancy loss at <24 weeks (3 studies; n=1436; odds ratio, 1.20; 95% confidence interval, 0.55–2.58; very low-quality evidence) were not statistically significantly different.</div></div><di","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101492"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arthurine K. Zakama MD , Erinma P. Ukoha MD, MPH , Maura Jones Pullins MD , Edward Miller MD , Lisa D. Levine MD, MSCE , Abike James MD
{"title":"Beyond race: embracing epistemic justice in addressing antiblack racism as a cardiovascular risk factor in pregnancy","authors":"Arthurine K. Zakama MD , Erinma P. Ukoha MD, MPH , Maura Jones Pullins MD , Edward Miller MD , Lisa D. Levine MD, MSCE , Abike James MD","doi":"10.1016/j.ajogmf.2024.101485","DOIUrl":"10.1016/j.ajogmf.2024.101485","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101485"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kandice A. Kapinos PhD, Molly Waymouth MPH, Kristin N. Ray MD, MS, Jill R. Demirci PhD, RN, IBCLC, Ateev Mehrotra MD, Kortney James PhD, RN, Gabriela Alvarado MD, MSc, MA, Khadesia Howell MPH, Maria DeYoreo PhD, Lori Uscher-Pines PhD
{"title":"Telelactation use patterns among a racially and ethnically diverse sample of US parents: secondary analysis of a randomized controlled trial","authors":"Kandice A. Kapinos PhD, Molly Waymouth MPH, Kristin N. Ray MD, MS, Jill R. Demirci PhD, RN, IBCLC, Ateev Mehrotra MD, Kortney James PhD, RN, Gabriela Alvarado MD, MSc, MA, Khadesia Howell MPH, Maria DeYoreo PhD, Lori Uscher-Pines PhD","doi":"10.1016/j.ajogmf.2024.101483","DOIUrl":"10.1016/j.ajogmf.2024.101483","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101483"},"PeriodicalIF":3.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate Swanson MD, Mary E Norton MD, Sara L Ackerman PhD, MPH, Billie R Lianoglou MS, Nuriye N Sahin-Hodoglugil DrPH, Teresa N Sparks MD, MAS
{"title":"Patient understanding of prenatal exome sequencing","authors":"Kate Swanson MD, Mary E Norton MD, Sara L Ackerman PhD, MPH, Billie R Lianoglou MS, Nuriye N Sahin-Hodoglugil DrPH, Teresa N Sparks MD, MAS","doi":"10.1016/j.ajogmf.2024.101490","DOIUrl":"10.1016/j.ajogmf.2024.101490","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101490"},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Madison B. Bissa, Kira London-Nadeau, Robert-Paul Juster, Charlie Rioux
{"title":"Exploring whether measuring gender in pregnancy research results in participant loss","authors":"Madison B. Bissa, Kira London-Nadeau, Robert-Paul Juster, Charlie Rioux","doi":"10.1016/j.ajogmf.2024.101484","DOIUrl":"10.1016/j.ajogmf.2024.101484","url":null,"abstract":"","PeriodicalId":36186,"journal":{"name":"American Journal of Obstetrics & Gynecology Mfm","volume":"6 11","pages":"Article 101484"},"PeriodicalIF":3.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}