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Pregnancy Related Care Research Network

Project profile

Institution: University of Washington
Principal Investigator: Michael Fialkow
Project Number: U4DMC39348
Project Date: 09-01-2020

Age Group(s)

  • Women/Maternal
  • Prenatal

Targeted/Underserved Population

  • African American
  • Hispanic/Latino
  • Native American/Alaskan Native
  • Rural

Abstract

The Pregnancy-Related Care Research Network (PRCRN) is a national collective of women's health care providers recruited to participate in research studies. The PRCRN consists of three different networks: 1) a national group of practitioners that have agreed to participate in questionnaire studies 2) women's health care providers in the WWAMI (Washington Wyoming Alaska Montana and Idaho) area and a smaller group of practitioners at medical centers across the US that have agreed to distribute questionnaires to their patient population as well as provide access to patient data through extraction from medical records and collection of data during patient visits. The PRCRN program assesses the clinical care patterns and educational needs of women's health care providers and patient experience and outcomes in order to support efforts to improve the delivery of health care to mothers and their children.

Goals and objectives:

1) Assess the opinions knowledge clinical practice and educational needs of physicians regarding areas of clinical medicine relevant to maternal and child health. 2) Assess the patient experience regarding their health care and implement simple interventions to improve patient compliance with evidence-based recommendations. 3) Train and mentor students and young researchers/physicians and provide logistical support to encourage young investigators to engage in research. 4) Encourage interaction among different health care professionals researchers and policy analysts to study critical issues in maternal and child health. 5) Maintain the PRCRN membership and expand membership to include non-obstetrician-gynecologists including non-physician providers of women's health care. 6) Further develop the network of medical practices that participate in office-based research in order to obtain access to medical health record data and direct collection of data from patients. 7) Use the logistical and support infrastructure of the PRCRN to leverage additional research projects and funding by Network members and other researchers. 8) Disseminate results of the PRCRN studies to as broad an audience as possible primarily but not exclusively by publishing the results in peer reviewed journals.

Proposed activities and target populations:

The PRCRN project generates data pertaining to women's health care providers' practice patterns clinical experiences basic knowledge professional training and educational needs as well as patient recall of their health care experience their health care concerns and clinical outcomes. The project also supports workshops production of review articles and training of students and young investigators.

Coordination:

Studies are designed in consultation with clinicians the PRCRN Steering Committee health care researchers federal agencies and US universities and research institutions. PRCRN-sponsored workshops are an avenue to generate research ideas and encourage development of grant applications by collaborating members.

Products:

Study results are published in peer reviewed journals and presented at conferences. The PRCRN website and biannual newsletter promote PRCRN findings to a wider audience.

Evaluation:

The project will produce a minimum of 10 peer reviewed publications per year.

Publications

Kopp DM, Debiec K, Schulkin J.�Obstetrician-gynecologists' experience and comfort in treating children and adolescents with gynecologic needs.�J Pediatr Adolesc Gynecol.�2021 Dec 11;.�doi: 10.1016/j.jpag.2021.12.003.�[Epub ahead of print]�PubMed PMID: 34906683. DOI:10.1016/j.jpag.2021.12.003 December 2021

Booker WA, Reed EG, Power ML, Schulkin J, Gyamfi-Bannerman C, Manuck T, Berghella V, Vink J.�OBGYN practice patterns regarding combination therapy for prevention of preterm birth: A national survey.�Eur J Obstet Gynecol Reprod Biol.�2021 Nov;266:23-30.�doi: 10.1016/j.ejogrb.2021.09.003.�Epub 2021 Sep 10.�PubMed PMID: 34560330. DOI:10.1016/j.ejogrb.2021.09.003 November 2021

Wakeman B, Kremer M, Schulkin J.�The application of harm reduction to methamphetamine use during pregnancy: a call to arms.�Am J Obstet Gynecol MFM.�2021 Sep;3(5):100418.�doi: 10.1016/j.ajogmf.2021.100418.�Epub 2021 Jun 6.�Review.�PubMed PMID: 34102337. DOI:10.1016/j.ajogmf.2021.100418 September 2021

Easter SR, Gilmore KC, Schulkin J, Robinson JN.�Provider Attitudes on Regionalization of Maternity Care: A National Survey.�Matern Child Health J.�2021 Sep;25(9):1402-1409.�doi: 10.1007/s10995-021-03179-3.�Epub 2021 Jun 7.�PubMed PMID: 34097190. DOI:10.1007/s10995-021-03179-3. September 2021

Taouk L, Schulkin J, Gunthert K.�Brief report: the moderating effect of stress mindsets on associations between stress during pregnancy and symptoms of depression and anxiety.�Anxiety Stress Coping.�2021 Aug 18;:1-10.�doi: 10.1080/10615806.2021.1967937.�[Epub ahead of print]�PubMed PMID: 34406091. DOI:10.1080/10615806.2021.1967937 August 2021

Callahan AG, Coleman-Cowger VH, Schulkin J, Power ML.�Racial disparities in influenza immunization during pregnancy in the United States: A narrative review of the evidence for disparities and potential interventions.�Vaccine.�2021 Aug 16;39(35):4938-4948.�doi: 10.1016/j.vaccine.2021.07.028.�Epub 2021 Jul 24.�Review.�PubMed PMID: 34312009. DOI:10.1016/j.vaccine.2021.07.028. August 2021

Nelson RS, Schulkin J, Power ML.�A Review of the Clinician's Role in Women's Weight Management and Implications for Women's Health and Pregnancy Outcomes.�Obstet Gynecol Surv.�2021 Aug;76(8):493-503.�doi: 10.1097/OGX.0000000000000908.�Review.�PubMed PMID: 34449852. DOI:10.1097/OGX.0000000000000908 August 2021

Fialkow M, Castleberry N, Wright JD, Schulkin J, Desai VB.�Physician attitudes and knowledge on prophylactic salpingectomy in perimenopausal patients.�Gynecol Oncol Rep.�2021 Aug;37:100824.�doi: 10.1016/j.gore.2021.100824.�eCollection 2021 Aug.�PubMed PMID: 34295957; PubMed Central PMCID: PMC8281582. DOI:10.1016/j.gore.2021.100824 August 2021

Daniel S, Schulkin J, Grossman D.�Obstetrician-gynecologist willingness to provide medication abortion with removal of the in-person dispensing requirement for mifepristone.�Contraception.�2021 Jul;104(1):73-76.�doi: 10.1016/j.contraception.2021.03.026.�Epub 2021 Apr 1.�PubMed PMID: 33811840. DOI:10.1016/j.contraception.2021.03.026 July 2021

Aziz KB, Jelin AC, Keiser AM, Schulkin J, Jelin EB.�Obstetrician patterns of steroid administration for the prenatal management of congenital pulmonary airway malformations.�J Neonatal Perinatal Med.�2021;14(2):213-222.�doi: 10.3233/NPM-200526.�PubMed PMID: 33164951; PubMed Central PMCID: PMC7987887. DOI:10.3233/NPM-200526 March 2021

Gaur P, Power ML, Schulkin J, Jelin AC. Associations of Preconception Body Weight, Body Mass Index, and Hypertension with Preeclampsia. J Womens Health (Larchmt). Published online December 8, 2023. doi:10.1089/jwh.2023.0083 DOI:doi:10.1089/jwh.2023.0083 December 2023

Gillenwater JA, Rep MA, Troy AB, Power ML, Vigh RS, Mackeen AD. Patient Perception of Telemedicine in Maternal-Fetal Medicine. Telemed J E Health. Published online July 19, 2023. doi:10.1089/tmj.2023.0097 DOI: doi:10.1089/tmj.2023.0097 July 2023 Telemed J E Health.

Mitchell SL, Schulkin J, Power ML. Vaccine hesitancy in pregnant Women: A narrative review. Vaccine. 2023;41(29):4220-4227. doi:10.1016/j.vaccine.2023.05.047 DOI: doi:10.1016/j.vaccine.2023.05.047 June 2023 37291023 Vaccine

Mitchell SL, Strassberg E, Rhoades C, et al. Pregnant Women's Concerns Regarding COVID-19 and Their Willingness to Be Vaccinated.�J Womens Health (Larchmt). 2023;32(5):513-520. doi:10.1089/jwh.2022.0427 DOI:doi:10.1089/jwh.2022.0427 May 2023 J Womens Health (Larchmt)

Prince A, Cruz-Bendez� A, Gunawansa N, et al. Practices of sickle cell disease genetic screening and testing in the prenatal population.�J Neonatal Perinatal Med. 2022;15(4):745-751. doi:10.3233/NPM-221016 DOI:doi:10.3233/NPM-221016 2022 J Neonatal Perinatal Med

Prince A, Wade J, Power ML, et al. Postpartum care: Discussions and counseling for the peripartum period. J Neonatal Perinatal Med. Published online December 1, 2023. doi:10.3233/NPM-230167 DOI:doi:10.3233/NPM-230167 December 2023 J Neonatal Perinatal Med.

Stacy M, Dwyer E, Kremer M, Schulkin J. Obstetrician/Gynecologists' Knowledge, Attitudes, and Practice Regarding Suicide Screening Among Women. J Womens Health (Larchmt). 2022 Oct;31(10):1481-1489. doi: 10.1089/jwh.2021.0646. Epub 2022 Aug 18 DOI:doi: 10.1089/jwh.2021.0646 October 2022 J Womens Health (Larchmt).

Stacy M, Schulkin J. Postpartum Psychosis: The Role of Women's Health Care Providers and the Health Care System. Obstet Gynecol Surv. 2022 Dec;77(12):763-777. doi: 10.1097/OGX.0000000000001093. DOI:doi: 10.1097/OGX.0000000000001093. December 2022 Obstet Gynecol Surv.

Taouk L, Gunthert K, Schulkin J. Risk perception in pregnancy: Patient-physician discrepancies, information consumption, and mental health outcomes [published online ahead of print, 2023 Jun 9].�Birth. 2023;10.1111/birt.12730. doi:10.1111/birt.12730 DOI:doi:10.1111/birt.12730 June 2023 Birth

Yoselevsky E, Schulkin J, Cantonwine D, Robinson J, McElrath T. Provider practices for the prevention of eclampsia and attitudes toward magnesium sulfate: results of a nationwide survey. J Matern Fetal Neonatal Med. 2022 Oct;35(20):3885-3890. doi: 10.1080/14767058.2020.1843017. Epub 2020 Nov 1. PubMed PMID: 33135513. DOI:doi: 10.1080/14767058.2020.1843017. October 2022 33135513. J Matern Fetal Neonatal Med.