Oklahoma Perinatal Quality Improvement Collaborative

01/08/2026

From JAMA: Prenatal exposure to acid-suppressive medication, including proton pump inhibitors and histamine 2 receptor antagonists, was evaluated for neuropsychiatric risks in children in a South Korean cohort of more than 2.7 million births.

Sibling-matched analyses did not identify elevated risks for , , intellectual disability, severe neuropsychiatric disorder, or OCD. These results suggest observed associations likely reflect confounding by shared familial factors rather than causation.

https://ja.ma/3Lnvelt

01/08/2026

NRP 9th Edition Update Series: 5 Days, 5 Changes
Day 4: NRP 9th Edition Update | Oxygen Concentration (FiO₂)

NRP 9th Edition refines initial oxygen recommendations based on gestational age:
• ≥35 weeks: Start at 21%
• 32–34 weeks: Start at 21–30%
•

01/07/2026

NRP 9th Edition Update Series: 5 Days, 5 Changes
Day 3: NRP 9th Edition Update | Ventilation Corrective Steps (MR SOPA)

Resuscitation is not one-size-fits-all.

NRP 9th Edition allows the MR SOPA ventilation corrective steps to be performed in any order, based on clinical judgment and the newborn’s needs in the moment.
This update gives teams more flexibility when ventilation is not effective.

Why this matters:
The ability to act quickly and prioritize the most likely issue can reduce delays and improve ventilation effectiveness.

📌 NRP 9th Edition Update: https://opqic.org/aap-nrp-9th-edition-what-you-need-to-know/

01/06/2026

Join us this month for two timely webinars focused on improving perinatal and infant outcomes through inclusive, evidence-based care.

On January 15, Seen, Supported, Included: The Role of Fathers in Improving Perinatal Outcomes will explore how intentional father inclusion strengthens family support and contributes to improved maternal, infant, and human milk feeding outcomes.

On January 22, Follow-up for Substance-Exposed Infants will examine the importance of follow-up care and continuity beyond the birth hospitalization to support infants and families impacted by prenatal substance exposure.

Register now to join one or both sessions and deepen your impact in perinatal care. www.wiperinatal.org/education

01/06/2026

NRP 9th Edition Update Series: 5 Days, 5 Changes
Day 2: NRP 9th Edition Update | Initial PIP Increased to 25 cm H₂O

NRP 9th Edition updated the recommended initial Peak Inflation Pressure (PIP) when providing assisted ventilation. For newborns ≥32 weeks gestation, the starting PIP is now 25 cm H₂O.

This change reflects evidence showing that adequate initial lung inflation improves response to ventilation.

Why this matters:
Starting with sufficient pressure can help achieve faster lung aeration and improve early stabilization when ventilation is needed.
📌 NRP 9th Edition Update: https://opqic.org/aap-nrp-9th-edition-what-you-need-to-know/

01/05/2026

NRP 9th Edition Update Series: 5 Days, 5 Changes
Day 1: NRP 9th Edition Update | Umbilical Cord Management

To emphasize the importance of delayed cord clamping, NRP 9th Edition now formally adds Initiate Cord Management Plan as a required step on the NRP algorithm. For vigorous newborns, cord clamping should be delayed for at least 60 seconds.

This update emphasizes intentional planning at every delivery and supports a smoother transition for newborns right from birth.

Why this matters:
Delayed cord clamping supports improved blood volume and cardiovascular stability, and clear planning helps delivery teams work more effectively together.
📌 NRP 9th Edition Update: https://opqic.org/aap-nrp-9th-edition-what-you-need-to-know/

01/04/2026

The author provides current evidence on telehealth in the prenatal and postpartum periods, including new hybrid care models and the application of telehealth modalities on clinical outcomes.

Read more at: https://www.jognn.org/article/S0884-2175(23)00173-9/fulltext?fbclid=IwY2xjawPGNZ5leHRuA2FlbQIxMABicmlkETFmYU90d3VHb2E2WEtCaEdrc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHhnOtxSLdvpzLbQ4z1QpUvARVeyQf8B-n4pZMvuCuOupeZ5-eGXXZNSQz9On_aem_hJt1w0jyDUhXzzwBWX-KCw

01/03/2026

Precision in obstetrician-gynecologist (OB/GYN) workforce planning requires comprehensive projections of supply and demand. Using the Health Workforce Simulation Model from the Health Resources & Services Administration and publicly available datasets, we assessed the adequacy of the number of OB/GYNs across all U.S. states to forecast changes from 2025 to 2035. In 2025, the national supply met 93.4% of the demand, with significant geographic disparities. By 2035, all but six states are projected to experience inadequate supplies of OB/GYNs, with a particularly severe shortfall in nonmetropolitan areas. Mitigation strategies include expanding the OB/GYN pipeline, retaining the existing workforce, integrating advanced-practice clinicians using technology to extend reach, and optimizing care-delivery models.

Read the full study in the January 2026 issue at: https://buff.ly/hZ9ri3g.

12/24/2025

Happy Holidays from OPQIC.

As the year comes to a close, we want to extend our sincere gratitude to each of you for your tireless efforts, your partnership, and your unwavering advocacy for Oklahoma’s mothers and babies. The progress we continue to see across the state is a direct reflection of your commitment, collaboration, and willingness to stand together in service of families.

We are also thankful for the friendships built along the way. Your support, trust, and shared purpose make this work both meaningful and impactful. It is a privilege to work alongside such dedicated clinicians, leaders, and partners.

Wishing you and your loved ones a joyful holiday season and a new year filled with health, hope, and continued progress.

12/23/2025

Discharge on nifedipine demonstrate decreased readmission rates over labetalol with this study.

In a retrospective cohort of individuals with hypertensive disorders of pregnancy, discharge with labetalol rather than nifedipine was independently associated with increased risk of postpartum hospital readmission (9.2% vs 3.9%, P

12/23/2025

🎉 Congratulations to St. Mary's Regional Medical Center! 🎉

OPQIC was pleased to highlight your team at the 2025 OPQIC Summit with a Bronze Spotlight Award. This distinction recognized your dedication to building strong perinatal practices and your ongoing focus on improving care for mothers and babies in your community.

We were glad to celebrate your work and the impact it continues to have. Congratulations on this well-earned recognition! 💛👶

12/22/2025

🎉 Congratulations to Oklahoma Children's Hospital OU Health! 🎉

At the 2025 OPQIC Summit, OPQIC proudly recognized your team with a Gold Spotlight Award in honor of your exceptional commitment to perinatal quality and patient safety. This achievement reflected your leadership, innovation, and unwavering focus on improving outcomes for mothers and babies across Oklahoma.

We were honored to celebrate this outstanding accomplishment and the impact of your work. Congratulations on this well-deserved recognition! 💛👶