Professionalism

NAS and NOWS, Part 1

The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…

Promoting Vaginal Birth, Part 3: Interventions

Cesarean delivery rates have steadily increased over the past few decades without an equivalent improvement in maternal or neonatal outcomes and the use of non-invasive interventions to promote vaginal birth seems to be a lost art. This is part 3…

Promoting Vaginal Birth, Part 2: Professional Recommendations

Concerns related to the high cesarean birth rate in the United States have driven the development of safety initiatives that focus on promoting vaginal birth. Knowledge of current professional recommendations and guidelines related to the safe promotion of vaginal birth…

Promoting Vaginal Birth, Part 1: Overview

Cesarean delivery rates have steadily increased over the past few decades without an equivalent improvement in maternal or neonatal outcomes. A large percentage of Ob/Gyn malpractice claims are related to cesarean delivery. This activity is the first of a 3-part…

Mapping a Way to Displaced Persons’ Access to Quality Medicines

Reliable, adequate supply of essential items, including quality-assured medicines, is hard to maintain in refugee camps in low- and middle-income countries. Disruption of medicine supply chains delays treatment for displaced persons and drives procurement of poor-quality products, often from unauthorized…

How Should Resources From National Stockpiles Be Managed?

The Strategic National Stockpile (SNS) is a national system maintained by the US federal government to deliver medical supplies during emergencies. In the past, the SNS has been used to mitigate public health consequences of tragedies, such as Hurricane Katrina…

How Should Critical Medications Be Rationed During Shortages?

When any drug is in short supply, it must be rationed. Recent increases in the frequency of shortages require more rationing by clinicians. Most health systems have policies on managing drug shortages, but transparency of criteria according to which specific…