{1}
##LOC[OK]##
{1}
##LOC[OK]## ##LOC[Cancel]##
{1}
##LOC[OK]## ##LOC[Cancel]##
Stanford CME | Stanford Medicine
Stanford Center for Continuing Medical Education
  • Sign In
  • Create New Account
  • Home
  • Live Activities
  • On-Demand
  • Hybrid
  • Podcast
  • RSS
  • Journals
  • Other
  • Activity Calendar
  • Help
Close Login
{1}
##LOC[OK]##
{1}
##LOC[OK]## ##LOC[Cancel]##
{1}
##LOC[OK]## ##LOC[Cancel]##
Sign in with your Stanford ID
Sign in with your email and password | Create new account
Enter your email and password to login:

*
*
Login

New to CloudCME? Create an Account:

Create New Account
Forgot Your Password?

Forgot Your Password?







Back to Login
{1}
##LOC[OK]##
{1}
##LOC[OK]## ##LOC[Cancel]##
{1}
##LOC[OK]## ##LOC[Cancel]##
Email is required Invalid: Enter valid email address
First Name is required
Last Name is required
Password is required


Password Requirements

  • Must be between 8 and 16 characters in length
  • Must Contain at least 1 upper case character
  • Must Contain at least 1 lower case character
  • Must contain at least 1 numeric character
  • Must contain at least 1 of the following ! * @ # $ % ^ & + =
Confirm password

Passwords must match
Password must be between 8 and 16 characters and contain the following:
•at least 1 upper case character
•at least 1 lower case character
•at least 1 numerical character
•at least 1 special character

  • -- Select Degree --
  • ADN
  • APRN
  • ASN
  • ASW
  • AT
  • AUD
  • BA
  • BDent
  • BDS
  • BDSc
  • BM BCh
  • BM BS
  • BM ChB
  • BP
  • Bpharm
  • BS
  • BScPH
  • BSN
  • BSPh
  • BSPT
  • BSRT
  • BSW
  • CCP
  • CCT
  • CFRS
  • Chaplain
  • CNL
  • CNM
  • CNM
  • CNS
  • CPhT
  • CRNA
  • CRNP
  • CTR
  • CVT
  • DC
  • DClinDent
  • DDent
  • DDS
  • DDSc
  • DMD
  • DMSc
  • DNE
  • DNP
  • DNSc
  • DO
  • DP
  • DPM
  • DPT
  • DPTSc
  • DrPH
  • DScD
  • DScPT
  • DSW
  • DVM
  • EdD
  • EMT
  • EMT-P
  • FCPS
  • FRCPS
  • JD
  • L.Ac
  • LCPC
  • LCSW
  • LICSW
  • LMFT
  • LMHC
  • LMSW
  • LNM
  • LPC
  • LPCC
  • LPN
  • LRCPE
  • LRCPSG
  • LRCSE
  • LVN
  • MA
  • MB BCH
  • MB Bchir
  • MB BS
  • MB ChB
  • MBA
  • MBBS
  • MCS
  • MD
  • MD, JD
  • MD, MBA
  • MD, MHA
  • MD, MPH
  • MD, MPH, PhD
  • MD, MS
  • MD, MSCE
  • MD, PhD
  • MDCM
  • MDent
  • MDentSci
  • MDS
  • MFA
  • MFT
  • MHPE
  • MLIS
  • Mmed
  • MMilMed
  • MMSc
  • MP
  • MPH
  • Mpharm
  • MPT
  • MS
  • MSc
  • MSc, PhD
  • MScPH
  • MScPharm
  • MSD
  • MSM
  • MSN
  • MSN, FNP-BC
  • MSN, PhD
  • MSPH
  • MSPharm
  • MSPT
  • MSSA
  • MSW
  • ND
  • None
  • NP
  • OD
  • OT
  • Other
  • OTR
  • PA
  • PA-C
  • PD
  • Pharm
  • PharmD
  • PharmDc
  • PhD
  • PsyD
  • PT
  • PT, PhD
  • PTA
  • RCES
  • RCP
  • RD
  • RDA
  • RN
  • RN, BSN
  • RPh
  • RRT
  • RT
  • RTT
  • ScDPT
  • SLP
  • SMF
  • VMD
Degree is required
Please enter your degree:
You must enter a degree

Profession is required




Back to Login
Close Search Site Search: Enter your search terms in the field below to view results.

please enter a term to search
Close Specialties
{1}
##LOC[OK]##
{1}
##LOC[OK]## ##LOC[Cancel]##
{1}
##LOC[OK]## ##LOC[Cancel]##

Pediatric Grand Rounds (RECORDING) Severe Maternal Morbidity: Trends, Inequities, and Implications for Pediatrics


Pediatric Grand Rounds (RECORDING) Severe Maternal Morbidity: Trends, Inequities, and Implications for Pediatrics Banner

  • Overview
  • Faculty
  • Begin


Date & Location
Friday, December 16, 2022, 12:00 AM - Friday, December 15, 2023, 11:59 PM

Overview

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. This session describes severe maternal morbidity in the United States, including its prevalence, trends, causes, disparities, and effects on birthing people and infants. The session also describes efforts in California to investigate & address severe maternal morbidity as well as ongoing research


Registration

  Release Date: December 16, 2022
  Expiration Date: December 15, 2023
  Estimated Time to Complete: 1.0 hour
  Registration Fee: FREE
 *Originally recorded 10/21/2022.


Credits
AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience
Specialties - Pediatrics, Preventative Medicine & Nutrition

Objectives
At the conclusion of this activity, participants should be able to:

  1. Define severe maternal morbidity and understand its major causes, effects, trends, and disparities.
  2. Identify contributors to the increasing trend of severe maternal morbidity and its disparities.
  3. Discuss the strengths and limitations of population-based study of severe maternal morbidity.

Accreditation

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Additional Information

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require accommodations, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography

Bane, S., Wall-Wieler, E., Lyndon, A., & Carmichael, S. L. (2021). Recurrence of severe
maternal morbidity: A population-based cohort analysis of California women. Paediatric
and perinatal epidemiology, 35(2), 155–161. https://doi.org/10.1111/ppe.12714

Bateman, B. T., Mhyre, J. M., Hernandez-Diaz, S., Huybrechts, K. F., Fischer, M. A.,
Creanga, A. A., Callaghan, W. M., & Gagne, J. J. (2013). Development of a comorbidity
index for use in obstetric patients. Obstetrics and gynecology, 122(5), 957–965.
https://doi.org/10.1097/AOG.0b013e3182a603bb

Bee, S. (2018). No Country For Pregnant Women. Full Frontal on TBS youtube.com./watch?v=CA6A3ZlGlH8

Belluz, J. (2017). California decided it was tired of women bleeding to death in
childbirth. Vox: Science and Health.
https://www.vox.com/science-and-health/2017/6/29/15830970/women-health-care-maternal-mortality-rate

Berrahou, I. K., Leonard, S. A., Zhang, A., Main, E. K., & Obedin-Maliver, J. (2022). Sexual
and/or gender minority parental structures among California births from 2016 to 2020.
American journal of obstetrics & gynecology MFM, 4(4), 100653.
https://doi.org/10.1016/j.ajogmf.2022.100653

Creanga, A. A., Bateman, B. T., Kuklina, E. V., & Callaghan, W. M. (2014). Racial and ethnic
disparities in severe maternal morbidity: a multistate analysis, 2008-2010. American
journal of obstetrics and gynecology, 210(5), 435.e1–435.e4358.
https://doi.org/10.1016/j.ajog.2013.11.039

Declercq, E., & Zephyrin, L. (2021). Severe Maternal Morbidity in the United States: A
Primer. The Commonwealth Fund: Issue Briefs.
https://www.commonwealthfund.org/publications/issue-briefs/2021/oct/severe-maternalmorbidity-united-states-primer

Fingar, K. R., Hambrick, M. M., Heslin, K. C., & Moore, J. E. (2018). Trends and Disparities
in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006–2015. In
Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Agency for
Healthcare Research and Quality (US).

Geller, S. E., Koch, A. R., Garland, C. E., MacDonald, E. J., Storey, F., & Lawton, B. (2018). A
global view of severe maternal morbidity: moving beyond maternal mortality.
Reproductive health, 15(Suppl 1), 98. https://doi.org/10.1186/s12978-018-0527-2

Harvey, E. M., Ahmed, S., Manning, S. E., Diop, H., Argani, C., & Strobino, D. M. (2018).
Severe Maternal Morbidity at Delivery and Risk of Hospital Encounters Within 6 Weeks
and 1 Year Postpartum. Journal of women's health (2002), 27(2), 140–147.
https://doi.org/10.1089/jwh.2017.6437

Kilpatrick, S. J., Abreo, A., Gould, J., Greene, N., & Main, E. K. (2016). Confirmed severe
maternal morbidity is associated with high rate of preterm delivery. American journal of
obstetrics and gynecology, 215(2), 233.e1–233.e2337.
https://doi.org/10.1016/j.ajog.2016.02.026

Leonard, S. A., Berrahou, I., Zhang, A., Monseur, B., Main, E. K., & Obedin-Maliver, J.
(2022). Sexual and/or gender minority disparities in obstetrical and birth outcomes.
American journal of obstetrics and gynecology, 226(6), 846.e1–846.e14.
https://doi.org/10.1016/j.ajog.2022.02.041

Leonard, S. A., Kennedy, C. J., Carmichael, S. L., Lyell, D. J., & Main, E. K. (2020). An
Expanded Obstetric Comorbidity Scoring System for Predicting Severe Maternal
Morbidity. Obstetrics and gynecology, 136(3), 440–449.
https://doi.org/10.1097/AOG.0000000000004022

Leonard, S. A., Main, E. K., Lyell, D. J., Carmichael, S. L., Kennedy, C. J., Johnson, C., &
Mujahid, M. S. (2022). Obstetric comorbidity scores and disparities in severe maternal
morbidity across marginalized groups. American journal of obstetrics & gynecology
MFM, 4(2), 100530. https://doi.org/10.1016/j.ajogmf.2021.100530

Leonard, S. A., Main, E. K., Scott, K. A., Profit, J., & Carmichael, S. L. (2019). Racial and
ethnic disparities in severe maternal morbidity prevalence and trends. Annals of
epidemiology, 33, 30–36. https://doi.org/10.1016/j.annepidem.2019.02.007

Lewkowitz, A. K., Rosenbloom, J. I., Keller, M., López, J. D., Macones, G. A., Olsen, M. A.,
& Cahill, A. G. (2019). Association between stillbirth ≥23 weeks gestation and acute
psychiatric illness within 1 year of delivery. American journal of obstetrics and
gynecology, 221(5), 491.e1–491.e22. https://doi.org/10.1016/j.ajog.2019.06.027

March of Dimes Foundation. (2022). Preterm Birth: Data for United States. March of
Dimes Peristats.
https://www.marchofdimes.org/peristats/data?reg=99&top=3&stop=63&lev=1&slev=1&
obj=1

Martin, N., ProPublica, & Belluz, J. (2019). The Extraordinary Danger of Being Pregnant
and Uninsured in Texas. ProPublica.
https://www.propublica.org/article/the-extraordinary-danger-of-being-pregnant-and-uninsured-in-texas

New York City Department of Health and Mental Hygiene. (2016). Continuum of
maternal morbidity. Adapted from NYC Department of Health and Mental Hygiene:
Severe Morbidity in New York City, 2008-2012.

Petersen, E. E. et al. (2019). Morbidity and Mortality Weekly Report (MMWR). Centers for
Disease Control and Prevention.
https://www.cdc.gov/mmwr/volumes/68/wr/mm6835a3.htm?s_cid=mm6835a3_w

Phibbs, C. M., Kozhimannil, K. B., Leonard, S. A., Lorch, S. A., Main, E. K., Schmitt, S. K., &
Phibbs, C. S. (2022). The effect of severe maternal morbidity on infant costs and lengths
of stay. Journal of perinatology : official journal of the California Perinatal Association,
42(5), 611–616. https://doi.org/10.1038/s41372-022-01343-3

Rosenstein, M. G., Chang, S. C., Sakowski, C., Markow, C., Teleki, S., Lang, L., Logan, J.,
Cape, V., & Main, E. K. (2021). Hospital Quality Improvement Interventions, Statewide
Policy Initiatives, and Rates of Cesarean Delivery for Nulliparous, Term, Singleton,
Vertex Births in California. JAMA, 325(16), 1631–1639.
https://doi.org/10.1001/jama.2021.3816

Scutti, S. (2018). After Serena Williams gave birth, ‘Everything went bad’. CNN health.
https://www.cnn.com/2018/01/10/health/serena-williams-birth-c-section-olympia-bn/index.html

Smith, K. L., Shipchandler, F., Kudumu, M., Davies-Balch, S., & Leonard, S. A. (2022).
"Ignored and Invisible": Perspectives from Black Women, Clinicians, and
Community-Based Organizations for Reducing Preterm Birth. Maternal and child health
journal, 26(4), 726–735. https://doi.org/10.1007/s10995-021-03367-1

Ukah, U. V., Dayan, N., Potter, B. J., Ayoub, A., & Auger, N. (2021). Severe Maternal
Morbidity and Risk of Mortality Beyond the Postpartum Period. Obstetrics and
gynecology, 137(2), 277–284. https://doi.org/10.1097/AOG.0000000000004223

Ukah, U. V., Dayan, N., Potter, B. J., Paradis, G., Ayoub, A., & Auger, N. (2022). Severe
Maternal Morbidity and Long-Term Risk of Cardiovascular Hospitalization. Circulation.
Cardiovascular quality and outcomes, 15(2), e008393.
https://doi.org/10.1161/CIRCOUTCOMES.121.008393

Velarde, L. (2019). The crisis in America’s maternity wards. The Washington Post:
Health.
https://www.washingtonpost.com/health/2019/02/11/crisis-americas-maternity-wards/

Vyas, D. A., Eisenstein, L. G., & Jones, D. S. (2020). Hidden in Plain Sight - Reconsidering
the Use of Race Correction in Clinical Algorithms. The New England journal of
medicine, 383(9), 874–882. https://doi.org/10.1056/NEJMms2004740

Vyas, D. A., Jones, D. S., Meadows, A. R., Diouf, K., Nour, N. M., & Schantz-Dunn, J.
(2019). Challenging the Use of Race in the Vaginal Birth after Cesarean Section
Calculator. Women's health issues : official publication of the Jacobs Institute of Women's
Health, 29(3), 201–204. https://doi.org/10.1016/j.whi.2019.04.007

Wall-Wieler, E., Carmichael, S. L., Gibbs, R. S., Lyell, D. J., Girsen, A. I., El-Sayed, Y. Y., &
Butwick, A. J. (2019). Severe Maternal Morbidity Among Stillbirth and Live Birth
Deliveries in California. Obstetrics and gynecology, 134(2), 310–317.
https://doi.org/10.1097/AOG.0000000000003370

Zeitlin, J., Egorova, N. N., Janevic, T., Hebert, P. L., Lebreton, E., Balbierz, A., & Howell, E.
A. (2019). The Impact of Severe Maternal Morbidity on Very Preterm Infant Outcomes.
The Journal of pediatrics, 215, 56–63.e1. https://doi.org/10.1016/j.jpeds.2019.07.061

Zhang, A., Berrahou, I., Leonard, S. A., Main, E. K., & Obedin-Maliver, J. (2022). Birth
registration policies in the United States and their relevance to sexual and/or gender
minority families: Identifying existing strengths and areas of improvement. Social
science & medicine (1982), 293, 114633.
https://doi.org/10.1016/j.socscimed.2021.114633

For CME general questions, please contact 
 
   Email: [email protected]



Mitigation of Relevant Financial Relationships


Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.



Member Information
Role in activity
Nature of Relationship(s) / Name of Ineligible Company(s)
Alan R. Schroeder, MD
Clinical Professor
Stanford University
Co-Course Director
Nothing to disclose
Olivera Marsenic Couloures, MD
LPCH
Course Director and Reviewer
Nothing to disclose
Stephanie Leonard

Faculty
Nothing to disclose
Debra Babcock, MD
Stanford Childrens (PCHA)
Planner
Nothing to disclose
Faculty Photos
Lisa Jo Chamberlain, MD
Professor of Pediatrics – General Pediatrics
Stanford Children's Health
Planner
Nothing to disclose
Faculty Photos
Baraka Dechelle Floyd, MD
Clinical Assistant Professor and Associate Chair for Diversity, Equity, and Inclusion
Stanford University School of Medicine
Planner
Nothing to disclose
Charles Gawad, MD, PhD
Associate Professor
Stanford
Planner
Ownership-BioSkryb Genomics
Faculty Photos
Allison Guerin, EdD
Stanford
Planner
Nothing to disclose
Faculty Photos
Mary Beth Leonard, MD, MSCE
Arline and Pete Harman Professor and Chair, Department of Pediatrics
Stanford University
Planner
Nothing to disclose
Ryan Lion, MD, MS
Stanford University
Planner
Nothing to disclose
Lauren E O'Brien, MD
Clinical Assistant Professor
LPCH
Planner
Nothing to disclose
Stephen J Roth, MPH, MD
Attending, Cardiovascular ICU
Lucile Packard Children's Hospital Stanford
Planner
Nothing to disclose
Faculty Photos
Stephanie Squires, MD
Pediatric Hospital Medicine Fellow
Stanford Health Care/ Stanford Children's Hospital
Planner
Nothing to disclose
Ke-You Zhang, MD
Stanford University
Planner

Pediatric Grand Rounds (RECORDING) Severe Maternal Morbidity: Trends, Inequities, and Implications for Pediatrics
INSTRUCTIONS:  Click the Launch YouTube button to watch the video on YouTube. Next, click the Attestation button. Attest to your participation, view results, and complete the evaluation. After successful completion, your credit transcript will be available to view and download immediately in MY CE portal. 

Can’t find the evaluation? Click the MY CE button and select the Evaluation and Certificates tile. Select the Complete Evaluation button associated with the activity
Launch YouTube

 

©2023 Stanford Medicine | Privacy Policy | Terms of Use

Contact Us: [email protected]

StanfordCME Facebook StanfordCME Twitter StanfordCME Podcast StanfordCME LinkedIn StanfordCME Youtube