Search

Your search keyword '"Godecker A"' showing total 4 results
Start Over Author "Godecker A" Journal bmc pregnancy and childbirth
Sorry, I don't understand your search. ×
4 results on '"Godecker A"'

2. Leveraging quality improvement to promote health equity: standardization of prenatal aspirin recommendations

Author

Maya E. Gross, Amy Godecker, Ainsley Hughes, and Katherine Sampene

Subjects
Preeclampsia, Aspirin, Pregnancy, Quality improvement, Implementation, Gynecology and obstetrics, RG1-991
Abstract

Abstract Objective Aspirin (ASA) is recommended for patients at elevated risk of preeclampsia. Limited data exists on adherence to guidelines for ASA prescription. This project evaluates the implementation of a standardized approach to ASA prescription in an academic OB/Gyn practice. Methods We implemented a quality improvement project to evaluate compliance with the United States Preventative Services Task Force (USPSTF) recommendations for ASA to prevent preeclampsia. Pre-intervention, we analyzed prescription adherence at 201 New Obstetric (NOB) visits. A multi-step intervention was then implemented at 199 NOB visits. Nurses utilized a checklist created from USPSTF guidelines to identify high-risk patients, defined as having ≥1 high-risk factor or ≥2 moderate-risk factors. ASA orders were placed by physicians. A Plan-Do-Study-Act (PDSA) cycle was performed, and changes implemented. Primary outcome was percent of patients screened at RN intake visit (goal = 90%). Secondary outcomes were percent of patients who screened positive that received the ASA recommendation (goal = 80%) and percent screened and recommended by race. Results Pre-intervention, 47% of patients met criteria for ASA and 28% received a documented recommendation. Post-intervention, 99% were screened. Half (48%) met criteria for an ASA recommendation and 79% received a recommendation (p =

Published
2023
Full Text
View/download PDF

4. Addressing perinatal depression in a group of underserved urban women: a focus group study

Author

Nancy C. Raymond, Jennifer M O’Brien, Rebekah Pratt, Amy Godecker, Helen G. Kim, Patricia A. Harrison, and Jesse Kuendig

Subjects
Adult, Postpartum depression, medicine.medical_specialty, Complications of pregnancy, Urban Population, Psychological intervention, Medically Underserved Area, Perinatal, Risk Assessment, Focus group, Health Services Accessibility, Depression, Postpartum, Young Adult, Pregnancy, Obstetrics and Gynaecology, Humans, Medicine, Maternal Health Services, Psychiatry, Qualitative Research, Depression (differential diagnoses), business.industry, Incidence, Qualitative data, Obstetrics and Gynecology, Focus Groups, medicine.disease, Mental health, United States, Substance abuse, Mental Health, Socioeconomic Factors, Needs assessment, Female, business, Needs Assessment, Perinatal Depression, Research Article
Abstract

Background Perinatal mental health problems are common complications of pregnancy that can go undetected and untreated. Research indicated that mental health complications are more prevalent in women from disadvantaged communities, yet women from these communities often experience barriers to accessing treatments and interventions. Untreated depression during pregnancy can lead to poor self-care, increased substance abuse, poor obstetrical outcomes, developmental delay in children, and increased risk of postpartum depression. In this study we investigated the perceived perinatal mental health needs of our participants and they wanted to address their perceived needs. Methods In this qualitative study, we invited women who resided in an underserved, urban community who were pregnant or who delivered within the past year to participate in focus groups. Results Thirty-seven women participated in seven focus groups. Thirteen themes emerged which were described in relation to mental health needs, help currently accessed and the type of support wanted. The themes included the various mental health needs including dealing with changing moods, depression, feelings of isolation, worrying and a sense of being burdened. Women described using a limited range of supports and help. Participants expressed a preference for mental health support that was empowerment focused in its orientation, including peer support. Women also described the compounding effect that social and economic stresses had on their mental health. Conclusions Participants wanted access to a greater range of supports for mental health than were currently available to them, including peer support, and wanted assistance in addressing social and economic needs. These findings offer a challenge to further broaden the types of services offered to women, and demonstrate that those services need to be responsive to the challenging contexts of women’s lives. Integrating women’s views and experiences into the development of services may help to overcome barriers to care.

Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results