Provider Perception and Office Practices of the Initial Prenatal Visit Pre – Coronavirus 2019 Pandemic

Background Prenatal Care is a critical aspect of women’s health and current literature shows adequate care significantly reduces risk of adverse outcomes. With scientific advancement, the initial prenatal visit is increasingly tasked with more objectives that leave providers with barriers to provide appropriate and adequate care. Purpose The aim of this survey study was to determine clinical practices of the initial prenatal visit – regarding history taking, counseling, lab work and screening prior to the onset of COVID-19 Pandemic. Methods A one-time anonymous provider survey was distributed electronically to all obstetrics providers in the Tampa Bay Region in Florida. Descriptive statistics and bivariate analyses were performed for data analysis. Results A total of 67 responses were completed, and 58 responses analyzed after vetting for greater than 75% completion. Providers reported the initial visit most commonly occurring in the 1st trimester, and 90.2% reported the initial visit was completed via in-office visits. One provider reported completing this visit via nursing phone call. 32.5% of providers allocated 30-minutes and 34.1% reported allocating 45-minutes for an office visit. 50% of providers felt there were able to appropriately counsel patients in visits that lasted up to 1 hour. All providers reported collecting a patient’s history themselves for the majority of topics (90% or more). Discussion Providers reported the initial prenatal visit occurring most commonly in the 1st trimester as an in-office visit. Providers utilized routine blood work, and genetic screening per guidelines. Medical doctors reported the lowest rates of direct discussion and review of prenatal counseling topics when compared to mid-level practitioners. Given the onset and ongoing COVID-2019 pandemic since this survey study was completed, future studies should see how the implementation of telehealth medicine has impacted practices

Evaluation of Virtual Prenatal Care for Obstetric Care Delivery During the COVID-19 Pandemic: A Mixed Method Research Study Using the Consolidated Framework in Implementation Research

Background and Objective: Coronavirus 2 (SARS-CoV-2), a novel respiratory virus, rapidly spread, and placed patients at increased risk for short and potentially long-standing medical illnesses. The pandemic necessitated the rapid implementation of virtual prenatal care via telemedicine in obstetrics to maintain social distancing measures. The aim of this study was to assess and understand the patient perspectives of the rapidly implemented virtual prenatal care via a telemedicine model during the Coronavirus disease 2019 (COVID-19) pandemic utilizing the Consolidated Framework in Implementation Research (CFIR). Methods: Following the implementation of virtual prenatal care in March 2020, pregnant patients at a large urban clinic in the southeastern United States completed a 19-question anonymous survey that included open and closed-ended questions on their experience receiving virtual prenatal care via telemedicine or in-person prenatal care from May to December 2020. The survey and mixed-methods data analysis was guided by the CFIR framework. Results: A total of 59 patients completed the survey. One-third (31%, n=18) of the patients found virtual prenatal care to be an acceptable alternative model, and half (53%, n=31) found it acceptable only during a pandemic, preferring to return to in-person visits. Qualitative analysis found that some patients were deterred by limited in-person examinations and uncertainty with the virtual platform, while others appreciated the reduced need for transportation, childcare, and time spent. Conclusion and Global Health Implications: Most patients found virtual prenatal care to be easy to access and an acceptable alternative during the pandemic; however, most would prefer to return to in-person prenatal care visits. Future comparative research studies should examine how, among others, virtual prenatal care versus in-person prenatal care impacts specific maternal and fetal outcomes.   Copyright © 2023 Delgado et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0

The Eighteenth Data Release of the Sloan Digital Sky Surveys: Targeting and First Spectra from SDSS-V

The eighteenth data release of the Sloan Digital Sky Surveys (SDSS) is the first one for SDSS-V, the fifth generation of the survey. SDSS-V comprises three primary scientific programs, or "Mappers": Milky Way Mapper (MWM), Black Hole Mapper (BHM), and Local Volume Mapper (LVM). This data release contains extensive targeting information for the two multi-object spectroscopy programs (MWM and BHM), including input catalogs and selection functions for their numerous scientific objectives. We describe the production of the targeting databases and their calibration- and scientifically-focused components. DR18 also includes ~25,000 new SDSS spectra and supplemental information for X-ray sources identified by eROSITA in its eFEDS field. We present updates to some of the SDSS software pipelines and preview changes anticipated for DR19. We also describe three value-added catalogs (VACs) based on SDSS-IV data that have been published since DR17, and one VAC based on the SDSS-V data in the eFEDS field.Comment: Accepted to ApJ

The eighteenth data release of the Sloan Digital Sky Surveys : targeting and first spectra from SDSS-V

The eighteenth data release of the Sloan Digital Sky Surveys (SDSS) is the first one for SDSS-V, the fifth generation of the survey. SDSS-V comprises three primary scientific programs, or "Mappers": Milky Way Mapper (MWM), Black Hole Mapper (BHM), and Local Volume Mapper (LVM). This data release contains extensive targeting information for the two multi-object spectroscopy programs (MWM and BHM), including input catalogs and selection functions for their numerous scientific objectives. We describe the production of the targeting databases and their calibration- and scientifically-focused components. DR18 also includes ~25,000 new SDSS spectra and supplemental information for X-ray sources identified by eROSITA in its eFEDS field. We present updates to some of the SDSS software pipelines and preview changes anticipated for DR19. We also describe three value-added catalogs (VACs) based on SDSS-IV data that have been published since DR17, and one VAC based on the SDSS-V data in the eFEDS field.Publisher PDFPeer reviewe

Informe de pr?ctica profesional realizada en el Ministerio de Desarrollo Social (MIDES)

PregradoLicenciado(a) en Psicolog?a Genera

Prenatal Genetic Screening and Diagnostic Testing: Assessing Patients\u27 Knowledge, Clinical Experiences, and Utilized Resources in Comparison to Provider\u27s Perceptions

This survey study aimed to assess patient knowledge, clinical resources, and utilized resources about genetic screening and diagnostic testing.  A one-time anonymous paper survey was distributed to 500 patients at a major urban obstetrics and gynecology department, and an online survey was sent to 229 providers. Descriptive statistics and chi-squared analyses were performed.  In all, 466 of 500 patient surveys were completed, and 441 analyzed (88.2% response rate). Among providers, 66 of 229 (29.0% response rate) responded. Patients were on average 32 years old, 27 weeks pregnant, and most often reported a graduate degree level of education (47.4%). Over 75% of patients reported accurate knowledge of basic genetic statements. Patients reported that discussing screening and diagnostic testing with their provider was significantly associated with properly defining screening and diagnostic testing (  \u3c 0.001). Less than 10% of patients reported providers distributing web/video links, books, or any other resource; however, patients most often independently accessed web links (40.1%).  Our findings suggest a positive impact from patient and provider discussions in office on patient knowledge and understanding. Discrepancies between educational resources distributed in the clinic and individually accessed resources highlight possible areas of change. Future work should evaluate and implement differing resources to increase patient knowledge

Provider knowledge, comfort with, and training on genetics screening and diagnostic testing assessing educational needs

© Journal of Reproductive Medicine®, Inc. OBJECTIVE: To assess provider knowledge, comfort with counseling, formal training, and educational needs regarding prenatal genetic screening and diagnostic testing. STUDY DESIGN: A one-time anonymous online survey distributed to all providers at a major urban Obstetrics and Gynecology department. Descriptive statistics were analyzed, and categorical variables were tested using Fisher’s exact test. RESULTS: A total of 66 (29%) providers responded from varying training backgrounds. Of those, 18.8% of medical doctors, residents, nurse practitioners, and cer-tified midwives reported no formal training, and only 25% of medical doctors reported continuing medical education (CME) classes; 18.8% reported never having received formal training. Prior training was significantly associated with increased comfort in counseling on screening options (p\u3c0.001) and was associated with reporting recommendations in line with published guidelines. Over 50% of providers, and 80% or more of residents, requested educational information on genetics topics. CONCLUSION: There is increasing training in genetics, and the majority of providers are able to counsel patients in line with organizational recommendations. However, the low reported number of CME courses and provider request for more educational information reflect a need for knowledge on genetic testing and screening. Future implementation of an educational intervention and assessing its impact on provider knowledge and comfort should be assessed