Unequal Burden: Preterm Birth in the United States

Preterm birth remains prevalent and is the leading cause of neonatal morbidity and mortality in the United States. This webinar will discuss how the burden of preterm birth is not equal among different groups.

Differences in preterm birth occurrence and outcomes are noted among different groups based on race/ethnicity, age, location of residence, socioeconomic status and much more. The available strategies for preterm birth prevention and the challenges in reducing preterm birth are also discussed.

Reducing Risk in Twin Pregnancies

In the first half of the webinar Dr. Nathan Fox will cover twin pregnancies and potential ways to reduce risk of adverse outcomes in women pregnant with twins. It is well-known that all twin pregnancies are at increased risk of pregnancy complications such as preterm birth, preeclampsia, fetal growth restriction, and cesarean delivery. However, strategies to mitigate these risks often differ across prenatal providers including midwives, obstetricians, and maternal fetal medicine specialists.

Dr. Fox plans to review the evidence supporting certain interventions intended to reduce risk in twins and provide recommendations for how to care for women with twin pregnancies, and how these interventions can be effective and practical for a wide range of prenatal care settings. He may also sprinkle in a few jokes, so be on the lookout for those!

In the second half of the webinar Dr. Andrei Rebarber will cover some unique aspects in the management and treatment of monochorionic twin gestations. Additionally, we will discuss the current literature on fetal pregnancy reduction (elective and selective approaches) in dichorionic twin gestations and its impact on birth outcomes for the pregnancy.

Triage and Management of Late Preterm Birth

Dr. Cynthia Gyamfi-Bannerman will cover the ongoing issues of preterm birth and
its effects on the late preterm infant. After declining for a decade, the U.S. preterm
birth rate has been rising for the last several years. Much of this increase is related
to late preterm births between 34 to 36 weeks of gestation. The ability to predict
preterm birth accurately remains elusive. Identification of women with preterm
labor symptoms which result in late preterm versus term delivery would be of
benefit to the patient, the health system and the unborn neonate. This program will enhance
attendees’ understanding of the importance of new research surrounding
late preterm birth and its effect on maternal health, obstetric and neonatal outcomes.

The Importance of Implementation Principles to Improve Obstetrics and Healthcare

Dr. Brian Iriye will highlight the need for the implementation of evidence-based solutions obtained from medical research. Over the years, systems have attempted to put various care bundles and other tools in place with mixed success in actually improving healthcare outcomes on a national scale. Implementation science takes evidence-based interventions and teaches us how to put that research to purposeful use in the real world. The principles of implementation science need to be embraced in obstetric practice. This program will help attendees understand the importance of this new and changing field to further improve maternal health and obstetric outcomes