Alex Peahl
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View article: Can theory-driven implementation interventions help clinician champions promote opioid stewardship after childbirth? Protocol for a pragmatic implementation study
Can theory-driven implementation interventions help clinician champions promote opioid stewardship after childbirth? Protocol for a pragmatic implementation study Open
Background Our objective is to determine the effect of a new national clinical practice guideline (CPG) for pain management after childbirth, as implemented with less vs. more intensive implementation support, on postpartum opioid prescrib…
View article: Epidemiology of Opioid Prescribing After Discharge From Surgical Procedures Among Adults
Epidemiology of Opioid Prescribing After Discharge From Surgical Procedures Among Adults Open
Importance Opioid medications are commonly prescribed for the management of acute postoperative pain. In light of increasing awareness of the potential risks of opioid prescribing, data are needed to define the procedures and populations f…
View article: Drivers of variation in postpartum opioid prescribing across hospitals participating in a statewide maternity care quality collaborative
Drivers of variation in postpartum opioid prescribing across hospitals participating in a statewide maternity care quality collaborative Open
Background We describe variation in postpartum opioid prescribing across a statewide quality collaborative and assess the proportion due to practitioner and hospital characteristics. Methods We assessed postpartum prescribing data from nul…
View article: Differences in digital prenatal service utilization by self‐reported race
Differences in digital prenatal service utilization by self‐reported race Open
Objective The objective of this study was to understand the use of supplemental digital prenatal services by race and ethnicity among pregnant people utilizing a comprehensive, employer‐sponsored digital health platform. Materials and Meth…
View article: Improving the Management of Postdural Puncture Headache—An International Clinical Guideline and Call for Better Evidence
Improving the Management of Postdural Puncture Headache—An International Clinical Guideline and Call for Better Evidence Open
Vishal Uppal, MBBS, MSc; Robin Russell, MBBS; Rakesh Sondekoppam, MD; Jessica Ansari, MD; Zafeer Baber, MD; Yian Chen, MD; Kathryn DelPizzo, MD; Dan Sebastian Dîrzu, MD; Hari Kalagara, MD; Narayan R. Kissoon, MD; Peter G. Kranz, MD; Lisa L…
View article: Postpartum Home Blood Pressure Monitoring
Postpartum Home Blood Pressure Monitoring Open
OBJECTIVE: To assess the effectiveness of postpartum home blood pressure (BP) monitoring compared with clinic-based follow-up and the comparative effectiveness of alternative home BP–monitoring regimens. DATA SOURCES: Search of Medline, Co…
View article: Health Insurance Coverage and Postpartum Outcomes in the US
Health Insurance Coverage and Postpartum Outcomes in the US Open
Importance Approximately half of postpartum individuals in the US do not receive any routine postpartum health care. Currently, federal Medicaid coverage for pregnant individuals lapses after the last day of the month in which the 60th pos…
View article: Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules
Frequency of Prenatal Care Visits: Protocol to Develop a Core Outcome Set for Prenatal Care Schedules Open
Background Prenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its im…
View article: Frequency Of pRenatal CAre viSiTs (FORCAST): study protocol to develop a core outcome set for prenatal care schedules
Frequency Of pRenatal CAre viSiTs (FORCAST): study protocol to develop a core outcome set for prenatal care schedules Open
Background Prenatal care, one of the most common preventive care services in the United States, endeavors to improve pregnancy outcomes through evidence-based screenings and interventions. Despite the prevalence of prenatal care and its im…
View article: Barriers to Telemedicine Use: Qualitative Analysis of Provider Perspectives During the COVID-19 Pandemic
Barriers to Telemedicine Use: Qualitative Analysis of Provider Perspectives During the COVID-19 Pandemic Open
Background Though telemedicine is a promising approach for removing barriers to care and improving access for patients, telemedicine use for many medical specialties has decreased from its peak during the acute COVID-19 public health crisi…
View article: Postpartum Opioid Prescribing in Patients with Opioid Use Prior to Birth
Postpartum Opioid Prescribing in Patients with Opioid Use Prior to Birth Open
Objective This study aimed to describe opioid prescribing patterns for pregnant patients with a history of or active opioid use to inform postpartum pain management strategies. Study Design We conducted a retrospective cohort analysis of a…
View article: Utilization of digital prenatal services and management of depression and anxiety during pregnancy: A retrospective observational study
Utilization of digital prenatal services and management of depression and anxiety during pregnancy: A retrospective observational study Open
Introduction We examined how utilization of Maven, a digital healthcare platform that provides virtual prenatal services, is associated with improvements in perceived management of anxiety and depression during pregnancy, and how medical k…
View article: Association Between the Use of a Digital Health Platform During Pregnancy and Helping Users Avoid Emergency and In-Person Care: Retrospective Observational Study
Association Between the Use of a Digital Health Platform During Pregnancy and Helping Users Avoid Emergency and In-Person Care: Retrospective Observational Study Open
Background Almost one-third of pregnant people visit the emergency room during pregnancy. Although some emergency care is necessary, gaps in patient education and inaccessibility of preventive services have been identified as key reasons f…
View article: Trajectories of Digital Prenatal Service Utilization and Pregnancy Outcomes: A Multitrajectory Analysis
Trajectories of Digital Prenatal Service Utilization and Pregnancy Outcomes: A Multitrajectory Analysis Open
Distinct trajectories of digital health utilization emerged among pregnant individuals with differences in user characteristics and medical risks by trajectory group. Users in higher-use trajectories reported greater benefits from digital …
View article: Association Between Utilization of Digital Prenatal Services and Vaginal Birth After Cesarean
Association Between Utilization of Digital Prenatal Services and Vaginal Birth After Cesarean Open
Introduction Digital health services are a promising but understudied method for reducing common barriers to vaginal birth after cesarean (VBAC), including connection to facilities offering labor after cesarean and patient‐centered counsel…
View article: Understanding social needs in pregnancy: Prospective validation of a digital short-form screening tool and patient survey
Understanding social needs in pregnancy: Prospective validation of a digital short-form screening tool and patient survey Open
A digital short-form social determinants of health screening tool performs well when compared with the gold standard. Pregnant people accept social needs as a part of routine pregnancy care. Future work is needed to operationalize efficien…
View article: Changes to Prenatal Care Visit Frequency and Telehealth
Changes to Prenatal Care Visit Frequency and Telehealth Open
OBJECTIVE: To systematically review patient, partner or family, and clinician perspectives, preferences, and experiences related to prenatal care visit schedules and televisits for routine prenatal care. DATA SOURCES: PubMed, the Cochrane …
View article: A survey of patient‐centered practices in perinatal quality collaboratives
A survey of patient‐centered practices in perinatal quality collaboratives Open
Synopsis Perinatal quality collaboratives must incorporate patient and community member preferences in the design and evaluation of quality improvement initiatives to achieve truly patient‐centered maternity care.