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Pelvic Health Specialist Amy Rozelle Highlights Postpartum Pelvic Floor Issues as a 30-Year Problem

Pelvic Health Specialist Amy Rozelle Highlights Postpartum Pelvic Floor Issues as a 30-Year Problem

Pelvic Health Specialist Amy Rozelle Highlights Postpartum Pelvic Floor Issues as a 30-Year Problem
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Take Flight Physical Therapy Explains Uterine Prolapse and Benefits of Pelvic Floor Physical Therapy

Take Flight Physical Therapy Explains Uterine Prolapse and Benefits of Pelvic Floor Physical Therapy

Take Flight Physical Therapy Explains Uterine Prolapse and Benefits of Pelvic Floor Physical Therapy
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Review Reveals Chronic Pain Persists for Years After C-Sections, Impacting Daily Life

Review Reveals Chronic Pain Persists for Years After C-Sections, Impacting Daily Life

A significant review published in Anaesthesia has revealed that persistent pain following caesarean delivery can affect women for months or even years after childbirth. This chronic postsurgical pain significantly disrupts various aspects of daily life, including general activity, walking, work, and sleep. The review, which analyzed 30 studies involving 28,295 women across 22 countries, also found links between chronic pain and fatigue, as well as poorer mental health. In the initial months post-childbirth, over half of women experiencing chronic pain reported interference with their general activity and mood, with 43% indicating it impacted their sleep. These effects were observed to persist at six and twelve months, and chronic pain was also associated with higher rates of depressive symptoms.
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HCA Healthcare and March of Dimes Partner to Close Preeclampsia Prevention Gap

HCA Healthcare and March of Dimes Partner to Close Preeclampsia Prevention Gap

HCA Healthcare and the March of Dimes have partnered to launch the 'Low Dose, Big Benefits' initiative, aimed at improving preeclampsia prevention and awareness in communities across Houston and Miami. Supported by a $1.5 million grant from the HCA Healthcare Foundation, this initiative focuses on educating clinicians, patients, and communities about preeclampsia risk factors and the appropriate use of low-dose aspirin. Preeclampsia, a hypertensive disorder of pregnancy, affects one in eight pregnancies and can lead to serious complications for both mothers and babies. The program also supports quality improvement efforts in Federally Qualified Health Centers to integrate evidence-based recommendations into clinical practice, addressing the significant underutilization of low-dose aspirin as a preventive measure.
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Canadian Study Reveals Higher Severe Maternal Morbidity Rates for Black Individuals

Canadian Study Reveals Higher Severe Maternal Morbidity Rates for Black Individuals

A new study published in the Canadian Medical Association Journal indicates that Black individuals in Canada face a significantly higher risk of severe maternal morbidity (SMM) compared to white individuals. SMM encompasses serious complications during pregnancy, labor, delivery, and postpartum, such as pre-eclampsia, hemorrhage, and sepsis. The research, conducted through CanHEAL in partnership with the Black Reproductive Health Working Group, analyzed data from nearly 1.5 million births between 2012 and 2023. It found that the rate of SMM was 47.8 per 1,000 live births for Black parents, in contrast to 27.7 per 1,000 live births for white parents. Even after adjusting for various sociodemographic and clinical characteristics, Black individuals still had a 66% increased likelihood of experiencing these severe complications. Dr. Giulia Muraca, a perinatal epidemiologist and associate professor at McMaster University, emphasized that these disparities are not rooted in biological differences but rather in s...
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Canadian Study Reveals Black Women Face Double the Risk of Severe Maternal Complications

Canadian Study Reveals Black Women Face Double the Risk of Severe Maternal Complications

A recent Canadian study, analyzing 1.5 million births between 2012 and 2023, has found that Black women are twice as likely to experience severe, life-threatening complications during pregnancy and after birth compared to white women. The research, published in the Canadian Medical Association Journal (CMAJ), identified conditions such as preeclampsia, hemorrhage, and sepsis as being significantly more prevalent among Black patients. Specifically, severe maternal morbidity occurred at a rate of 47.8 per 1,000 live births among Black individuals, compared to 27.7 per 1,000 among white individuals. This disparity persisted even after adjusting for various factors including income, immigration status, and underlying health conditions. Dr. Giulia Muraca, a perinatal epidemiologist at McMaster University and the study's senior author, emphasized that being Black is not the cause of these complications, but rather systemic issues such as racism and a lack of culturally responsive care are likely contributors. Th...
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Guidance Issued for Urgent Care Assessment of Hyperemesis Gravidarum Labs

Guidance Issued for Urgent Care Assessment of Hyperemesis Gravidarum Labs

New guidance, including the 2024 RCOG Green-top Guideline No. 69, outlines critical laboratory findings in hyperemesis gravidarum (HG) that necessitate urgent hospital review. These include severe electrolyte disturbances, rising creatinine levels, hypoglycemia, ketoacidosis, or liver abnormalities accompanied by low platelets or impaired clotting. Specific warning signs for immediate assessment are potassium levels below 2.5 mmol/L, sodium below 125 mmol/L, or the presence of neurological symptoms. The guidance emphasizes that a clinical diagnosis of HG does not require abnormal blood tests, as severe nausea and vomiting before 16 weeks, inability to eat or drink, and significant daily activity restriction can establish the diagnosis. Initial testing typically includes sodium, potassium, chloride, bicarbonate, urea or BUN, creatinine, glucose, and a full blood count, with liver tests, magnesium, and phosphate added for severe or atypical cases. The guideline explicitly advises against using ketonuria as a...
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Extreme Heat Poses Growing Risks for Mothers and Babies, Experts Urge Action

Extreme Heat Poses Growing Risks for Mothers and Babies, Experts Urge Action

Extreme heat is increasingly making pregnancy and childbirth more dangerous, according to health experts. A survey commissioned by the global health foundation Wellcome revealed that nearly three out of four maternal health workers have observed an increase in heat-related cases or complications over the past five years. Simon Stiell, head of the UN’s climate body, highlighted these findings at the pre-COP summit in Nadi, Fiji, emphasizing the less obvious dangers of extreme heat. Higher temperatures are linked to premature birth, stillbirth, low birth weight, and complications for mothers. Specifically, a 1°C rise in temperature correlates with a five percent increase in premature births and a seven percent increase in gestational diabetes. The Wellcome survey included 1,000 maternal health professionals across Australia, Brazil, India, the UK, and Zimbabwe, with 98% reporting care for pregnant women and 99% for babies whose health was affected by extreme heat. The vast majority (92%) called for more trai...
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Utah Expands AI Sandbox for Healthcare, Approving AI-Powered Prescriptions and Women's Health Pilots

Utah Expands AI Sandbox for Healthcare, Approving AI-Powered Prescriptions and Women's Health Pilots

Utah regulators have announced a significant expansion of their 'AI sandbox' program, which allows the state's Office of Artificial Intelligence Policy (OAIP) to waive regulations for companies testing AI products under state supervision. As part of this expansion, a startup named Nolla Health will launch an AI-powered service in Utah. This service will assess patients for mild-to-moderate acne treatment using structured intake questionnaires and by analyzing skin photos. The AI will then determine if a low-risk drug from a pre-approved list is appropriate. Initially, a licensed clinician will review and sign off on all AI-generated prescriptions, but Nolla Health may eventually be permitted to prescribe drugs without prior human review. This initiative is part of a broader effort by Utah to foster innovation in AI within the healthcare sector, including additional pilots for women's health.
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Dr. Wen Shen Emphasizes Pregnancy History in Perimenopause Care for Cardiovascular Risk Assessment

Dr. Wen Shen Emphasizes Pregnancy History in Perimenopause Care for Cardiovascular Risk Assessment

Dr. Wen Shen, Assistant Professor of Clinical Gynecology and Obstetrics at Johns Hopkins University School of Medicine and Director of the Center of Menopause and Midlife Health, is highlighting the critical importance of a woman's obstetric history in perimenopause care. She notes that medical records often lack detailed information regarding pregnancy complications, which are crucial indicators of long-term cardiovascular risk. Dr. Shen specifically points to conditions such as eclampsia, preeclampsia, and gestational diabetes as 'red flags' that signal increased risk for women as they transition through perimenopause and into postmenopause. This emphasis comes amidst growing attention to perimenopause among clinicians, with the topic recently being a significant part of discussions and provider education at a National Academy of Sciences workshop. Dr. Shen advocates for a proactive approach, using perimenopause as an opportunity for preventive interventions based on these historical factors.
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Better Health Physical Therapy Seeks Pelvic Floor Physical Therapists in Kensington, MD

Better Health Physical Therapy Seeks Pelvic Floor Physical Therapists in Kensington, MD

Better Health Physical Therapy, an orthopedic and pelvic health clinic in Kensington, MD, is actively seeking to expand its pelvic health team. The clinic operates on an out-of-network model, emphasizing patient-centered care without the constraints of insurance allowances. They are looking for collaborative, growth-minded clinicians, including those new to the field, who possess a Master's or Doctoral degree from an accredited Physical Therapy program and current or pending Maryland state PT licensure. Desired qualifications include at least one year of outpatient pelvic health experience or a completed pelvic health internship, coursework through Herman & Wallace or similar pelvic floor training, and a dry needling certification. The clinic offers a supportive environment with dedicated time for documentation, in-clinic mentorship, and a small, integrated team that includes orthopedic and pelvic floor physical therapists and a personal trainer with a rehab background. They also provide company-paid Medbr...
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Manchester Hospital Offers Postpartum Fitness Classes for New Parents

Manchester Hospital Offers Postpartum Fitness Classes for New Parents

Manchester Hospital Offers Postpartum Fitness Classes for New Parents