Obstetric Clinic Research Articles

Psychological care within the paradigm of palliative care in perinatology for parents following the confirmation of lethal defects in the fetus/child. Experiences of the Gynecological and Obstetrics Clinical Hospital of the Medical University of Poznan

Psychological care within the paradigm of palliative care in perinatology for parents following the confirmation of lethal defects in the fetus/child. Experiences of the Gynecological and Obstetrics Clinical Hospital of the Medical University of Poznan

The Impact of Telehealth on Obstetrical Outcomes during the COVID-19 Pandemic.

Nationwide, obstetric clinics modified prenatal care to include telehealth visits in response to the COVID-19 pandemic, enabling the opportunity to investigate its impact on patient outcomes. We hypothesized that use of prenatal telehealth visits would increase the number of prenatal visits, decrease the frequency of urgent triage/emergency department (ED) visits, and improve perinatal outcomes. To determine the impact of telehealth on number of obstetric prenatal visits and urgent triage/ED visits amidst the COVID-19 pandemic. This is a retrospective cohort of patients from a federally qualified health center (FQHC) in central Texas. Patients with a singleton gestation who delivered after 32 weeks were included. Comparison groups were made between those patients who delivered between May 2020 to December 2020 (presumed modified prenatal visit schedule with in-person and telehealth) and those patients delivering between June 2019 to February 2020 (the traditional care model with in-person visits only). Multivariable linear and logistic regression models were used to estimate differences in the number of prenatal visits and unscheduled triage/ED visits. A total of 1654 patients were identified with 801 (48.4%) patients undergoing modified prenatal care and 853 (51.6%) patients receiving traditional care during the study period. No significant differences were seen in overall prenatal attendance or triage/ED presentations. However, when stratified by parity, multiparous patients undergoing modified prenatal care were less likely to experience an urgent triage/ED presentation (8.7% vs. 12.7%; odds ratio, 1.69; 95% confidence interval, 1.10-2.61). When compared to a traditional prenatal visitation cohort pre-pandemic, patients who received modified telehealth prenatal care during the COVID-19 pandemic had similar prenatal attendance and unscheduled emergency presentations. However, multiparous patients experienced a decreased rate of unscheduled emergency presentations. Supplementing prenatal care with telehealth may provide overall comparable prenatal care delivery.

Evaluation of the Use of Blood and Blood Components of Etlik Zübeyde Hanım Gynecology and Obstetrics Clinics Training and Research Hospital Between 2021 and 2023

Evaluation of the Use of Blood and Blood Components of Etlik Zübeyde Hanım Gynecology and Obstetrics Clinics Training and Research Hospital Between 2021 and 2023

Comparison of serum levels of interleukin 33 in combination with serum levels of C-reactive protein, Immunoglobulin G, Immunoglobulin A, and Immunoglobulin M in recurrent pregnancy loss: A case-control study.

One of the critical cases of recurrent pregnancy loss is immunological factors, whereas obtaining effective prevention or treatment is necessary for cognition of reasons. In this study, we tried to evaluate some immunological factors related to recurrent pregnancy loss. This case-control study was conducted on 66 women at the age of 18-35 yr who were referred to the Clinic of Gynecology and Obstetrics, Ali Ibn Abi Taleb hospital, Zahedan, Iran, from August-December 2019. Interleukin 33 (IL-33) serum levels were measured using enzyme-linked immunosorbent assay. Immunoglobulin G, Immunoglobulin A, Immunoglobulin M (IgM), and C-reactive protein levels were measured by serology and hematology methods. The mean age of total participants was 30.8 3.80 yr. The mean serum IL-33 in the case group was 318.5 254.1 pg/ml and was lower than the control group (354.2 259.9 pg/ml), which was not statistically significant (p = 0.52). The level of C-reactive protein in the case and control was not significantly different (p = 0.27), and Immunoglobulin A and Immunoglobulin G in the case and control were also not significantly different (p = 0.46, and p = 0.16, respectively), but there were significant differences (p = 0.003) between the level of the IgM in the case and control groups. No statistically significant difference was observed in the IL-33 serum level, for at least 4-6 months after the last abortion in the case group and the final live birth in the control group. In contrast, serum levels of IgM were statistically significant. Finally, the need for more studies is felt according to the different results of the previous studies in this field.

The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries

ObjectivePrevalence of obesity in reproductive age and pregnant women has been on the rise during the past several decades. The relationship between body mass index (BMI) and obstetric anal sphincter injuries (OASIS) or episiotomy has not yet been thoroughly investigated. The objective of this study was to shed light on this issue. MethodsThis retrospective cohort study was performed using electronic database of an obstetrics department at a university-affiliated tertiary medical center. All spontaneous singleton vaginal deliveries at term between January 2015 and December 2021 were included. The primary outcome was the incidence of OASIS (third- and fourth-degree perineal tears) and obesity. These were compared across three BMI categories: normal (BMI below 25 kg/m2), overweight (BMI 25.0–29.9 kg/m2), and obesity (BMI of 30 kg/m2 and over). ResultsOf the overall 13,932 spontaneous vaginal deliveries identified, 34.7 % had BMI in the normal range, 43.1 % were overweight, and 25.4 % were obese. Multivariate analysis demonstrated lower rates of OASIS in obese (OR 0.2, 95 %CI 0.04–0.9) and in overweight (OR 0.3, 95 %CI 0.1–0.99) women, as compared to the normal-weight cohort. In addition, lower rates of episiotomy were noted in the obese cohort (OR 0.7, 95 %CI 0.6–0.8). ConclusionsDecreased incidence of OASIS was noted in women with obesity, in conjunction with lower use of episiotomy. These findings imply that obstetrics clinics might consider a more conservative approach to episiotomy in obese patients.

To the 100th anniversary of the formation of the Kazan Society of Obstetricians and Gynecologists

In Kazan, training in the “midwifery art” has been carried out for more than 200 years. Scattered publications contain information about the influence of the St. Petersburg school of obstetricians and gynecologists on the formation of the Kazan school of obstetricians and gynecologists. It is of interest to establish connections, continuity and development of the Kazan school with the St. Petersburg school of obstetricians and gynecologists. The study of primary sources showed that from the moment the obstetric clinic was created in Kazan in 1833, its first leaders communicated with St. Petersburg colleagues, adopting their experience (Lentovsky A.E., Kozlov A.I.). Subsequently, obstetrics and gynecology department and clinic of the medical faculty of the Kazan Imperial University were led by students of the St. Petersburg Military Medical Academy (Slavyansky K.F., Florinsky V.M., Fenomenov N.N., Gruzdev V.S.). All of them at the end of the 19th and beginning of the 20th centuries made a lot of efforts for the scientific and practical development of obstetrics and gynecology in Kazan. A particularly noticeable mark was left by Professor V.S. Gruzdev, creating an independent scientific and practical school of Kazan obstetricians and gynecologists. Later his work was continued by student of V.S. Gruzdev — Professor P.V. Manenkov with his students.

Delivering care to women with congenital heart disease: the role of clinical nurse specialist

Congenital heart disease is now the most common reason for women to attend a high-risk joint cardiac–obstetric clinic. With advances in medical care and surgical techniques, most children born with congenital heart disease reach childbearing age and have a good prognosis for long-term survival with a good quality of life. Pregnancy remains a major life event for these women, posing additional risks with the potential for severe morbidity and mortality. The hemodynamic changes induced by pregnancy can unmask undiagnosed congenital heart disease or exacerbate pre-existing conditions. Therefore, specialist care is essential for a successful pregnancy outcome. Women with complex congenital heart disease embarking on pregnancy need the support of a multidisciplinary team, including cardiologists, obstetricians, anaesthetists, midwives and adult congenital heart disease clinical nurse specialists. Clinical nurse specialists in particular play a crucial role in coordinating, supporting, educating and advocating for the mother and fetus through preconception, pregnancy, the puerperium and beyond.

Factors influencing postpartum depression in Saudi women: a cross-sectional descriptive study.

This study aimed to investigate the prevalence of postpartum depression (PPD) and stress, as well as factors influencing PPD, among women in Saudi Arabia. This study employed a cross-sectional online survey and recruited participants during postpartum visits to the Clinic of Gynecology and Obstetrics in Al-Khobar, Saudi Arabia. Data collection was done using Arabic versions of the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, and a sociodemographics and obstetric history questionnaire. Descriptive and inferential analyses were conducted, including multiple linear regression using a stepwise method. Data from the 270 participants showed low levels of postpartum depressive symptoms with a mean score of 2.54±4.5 and low levels of perceived stress with a mean score of 2.49±6.2. While 94.4% of the participants reported low levels of stress and PPD, 5.6% reported elevated levels (≥10 for PPD, ≥14 for stress). The stepwise regression analysis showed significant results (p<.001), accounting for 34% of the variance in PPD. The factors significantly influencing PPD included the type of family, stress, number of abortions, disease during pregnancy, and family income. Importantly, perceived stress emerged as a factor influencing PPD. Although the majority of participants exhibited low levels of PPD, about 1 in 18 showed elevated levels. The identification of significant influencing factors highlights the need for targeted interventions to effectively address mental health concerns in postpartum women.

PREVALENCE AND ATTITUDE OF WOMEN REGARDING CESAREAN SECTION IN DUHOK CITY-KURDISTAN REGION

Background: The decision of pregnancy delivery mode is important for both mother and fetus health. Although the advancement in surgical approach of cesarean section, the cesarean section has a negative impact on mothers and fetuses health. Objective: To assess the rate of cesarean section in a sample of women in Duhok city and their attitudes toward cesarean section. Methodology: Present study was a descriptive cross sectional that carried out in Obstetrical &amp; Gynecological Clinics of Maternity Hospital, Primary Health Care Centers, Internally Displaced and Refugee Camps and Private Obstetrics Clinics at Duhok city-Kurdistan region/Iraq through duration period of one year from first of November, 2021, to 31st of October, 2022 on sample of four hundred pregnant women. The decision of previous cesarean section for studied women was done by Senior Obstetrician &amp; Gynecologist according to different reasons (clinical or non-clinical). Results: The history of previous cesarean section was positive in 39.8% of pregnant women, with a common frequency of one cesarean section (58.5%). Most pregnant women perceived that normal delivery is better, while 9% perceived that cesarean section is better. In the same way, 87% of pregnant women preferred normal delivery, while 13% preferred cesarean section. Only 20% of pregnant women believed that cesarean section is the normal way of delivery, while 68% of them thought that mother with a history of cesarean section has a normal delivery in the future. However, 79% of pregnant women believed that mother had a risk of death during cesarean section. Conclusions: The cesarean section rate in Duhok city is higher than acceptable recommended rate, although the positive attitude of pregnant women toward normal vaginal delivery.

Fetal weight estimation before delivery: comparison of ultrasound and Dare`s clinical assessment

Fetal weight assessment is a standardized component of both prenatal care and labor management. In addition, it is important for managing high-risk pregnancies and monitoring fetal growth. During childbirth it is important to accurately determine the weight of the fetus. Assessment of fetal weight has been included in the standard routine antenatal examination performed in high-risk pregnancies and deliveries for the past ten years.Scientific publications present data on the accuracy of fetal weight assessment methods based on ultrasound and clinical examinations, known as the Dare’s method.The objective: to compare the accuracy of fetal weight determination using ultrasound examination and the Dare’s fetal weight maneuver in developing countries and peripheral centers.Materials and methods. A cross-sectional comparative study was conducted at the Mosul obstetric hospital and outpatient clinic from March 2020 to January 2022. The study included 340 pregnant women with a gestational age of 35–42 weeks.All included pregnant women were over 18 years of age and expected to give birth in 7 days. Fetal weight was assessed using ultrasonography examination and the clinical Dare’s method. Both results were compared with the actual weight of the infant after birth.Results. All participants underwent Dare’s clinical examination and ultrasound examination, and their predicted fetal weight was compared with actual fetal weight. The mean value and standard deviation of the estimated fetal weight was 3154.22±552.31 g when assessed by the Dare’s method and 3238.76±495.28 g – by ultrasound examination, and the actual average birth weight of the infants was 3114.44± 582.59 g (P=0.07).Conclusions. The results of the study indicate that in conditions of lack of access to ultrasound examination for the purpose of assessing the weight of the fetus in medical institutions, the Dare’s method is acceptable.

Application of Relaxation Techniques And Hypnobirthing Methodsto Reduce Anxiety During Birth in Novi lintas east district midwifery clinic Panyambungan District Christmas Mandailing Year 2024

Application of Relaxation Techniques And Hypnobirthing Methodsto Reduce Anxiety During Birth in Novi lintas east district midwifery clinic Panyambungan District Christmas Mandailing Year 2024

Biomarkers of inflammation and neoangiogenesis in premature rupture of membranes

BACKGROUND: Premature rupture of membranes complicates up to 2–10% of full-term pregnancies and up to 40% of all premature pregnancies. It is believed that the main cause of premature rupture of membranes is inflammation caused by both infectious agents and autoimmune processes. Numerous studies are aimed at searching for biomarkers that can predict inflammation in premature rupture of membranes. AIM: The aim of this study was to determine the levels of pro-inflammatory cytokines such as interleukin-6, -18 and procalcitonin, as well as interferon-α and soluble endoglin, in the blood serum of pregnant women with premature rupture of membranes and women in labor with timely discharge of amniotic fluid and evaluate the possibility of using these parameters to optimize obstetric tactics. MATERIALS AND METHODS: This study included 69 patients delivered at the Clinic of Obstetrics and Gynecology of the Academician I.P. Pavlov First Saint Petersburg State Medical University from January 2022 to March 2023. The main study group consisted of 53 pregnant women with premature rupture of membranes, the control group included 16 women with term labor and timely discharge of amniotic fluid, or amniotomy performed in the first stage of labor. The levels of interleukin-6, -18, interferon-α, procalcitonin and soluble endoglin in maternal peripheral blood were assessed using enzyme-linked immunosorbent assay. Pregnancies complicated by severe preeclampsia, placenta abruption and chronic maternal diseases in the acute stage were excluded from the study. RESULTS: At the time of rupture, the minimum gestational age was 33+0 weeks and the maximum age — 41+3 weeks. The median duration of the anhydrous interval was 31.8 hours. No significant differences in interleukin-6, -18, procalcitonin and soluble endoglin concentrations were revealed in the main and control groups, interferon-α level being higher in the comparison group. The median concentration of interferon-α in pregnant women with premature rupture of membranes was 1.64 pg/ml and in women with timely discharge of amniotic fluid — 4.61 pg/ml (p = 0.001). A weak direct correlation was revealed between soluble endoglin and interleukin-18 concentrations (R = 0.26; p = 0.03), as well as a moderate direct correlation between soluble endoglin and procalcitonin levels (R = 0.4; p 0.001). CONCLUSIONS: The study did not reveal differences in the concentrations of interleukin-6, -18, procalcitonin and soluble endoglin in the comparison groups. A decrease in interferon-α level in the blood in pregnant women increases the risk of developing premature rupture of membranes. The correlations between soluble endoglin and interleukin-18 or procalcitonin concentrations may indicate an association between different mechanisms of the pathogenesis of premature rupture of membranes. In this regard, an integrated approach and analysis of a combination of several cellular bioregulators are eligible to predict infectious complications in premature rupture of membranes.

The Effect of Jaripunktur on During Pain The Active Phase in Laboring Mothers at Independent Midwifery Clinics Y in Cimahi City

Labor pain is a major problem that is generally felt and experienced by all laboring women during the labor process. If not promptly addressed, this pain can induce excessive anxiety and fear in mothers during labor. This of course can cause labor to be prolonged and labor pain to feel more intense. The purpose of this study was to determine the effect of Jaripunktur (finger meridian points, LI 4 and SP 6) on pain during active phase I in laboring women at INDEPENDENT MIDWIFERY CLINICS Y in Cimahi City. The study was implemented through a Quasi-Experimental approach, utilizing a control group design with pre-test and post-test on two groups. The statistical analysis employed is the Wilcoxon test, with the p-value &lt;0.05. This research involved a total of 38 participants, all of whom were working mothers in the first stage of labor, split into two groups of 19 each for the intervention and control groups respectively. The study took place from November 17 to December 17, 2022, utilizing questionnaires for collecting data. Findings indicated that Jaripunktur's application positively influenced analgesia during the first stage of labor in the mothers studied. Given this study, midwives or other healthcare workers should apply Jaripunktur to women in active stage I labor.

Environmental Chemical Exposure Research and Characteristics of Study Subjects Recruited from Midwifery vs. Hospital Based Clinics

Exposure to environmental contaminants during pregnancy is thought to play a role in the reported increase in developmental abnormalities of the male reproductive tract and rise in the rates in testicular cancer among young men as well as increasing prevalence of allergy, asthma, obesity, and diabetes in the general population. Traditional epidemiological studies have recruited pregnant women from hospital clinics, delivery wards or physician offices. Recruitment of expectant mothers from midwifery clinics is being employed in ongoing studies and comparison of study subject characteristics suggests that there are no important differences in the socio- economic indicators. Hence we suggest that midwives have an important role to play in future epidemiological studies designed to determine the health consequences of exposure to environmental contaminants.

THE EFFECT OF ELECTROMAGNETIC FIELD EXPOSURE ON FETAL DEVELOPMENT

ABSTRACT Aims: The aim of our study is to evaluate the effect of electromagnetic field exposure during pregnancy on fetal anthropometric measurements by means of ultrasonography. Methods: This is a cross sectional study. The study was conducted among 261 pregnant women who applied to the Obstetrics and Gynecology outpatient clinic. A face-to-face questionnaire was applied to 261 volunteer pregnant women and fetal anthropometric measurements (head circumference (HC), abdominal circumference (AC), femur length (FL), biparietal diameter (BPD)) were performed by transabdominal ultrasound. Results: The mean age of the pregnant women in this study was 29.65 ± 6. 140. (53.6%) of the pregnant women were between the ages of 25-34, 260 (99.6%) were married, 85 (32.6%) were high school graduates and 184 (70.5%) were housewives. The income of 116 (44.4%) pregnant women was equal to their expenses. The frequency of those exposed to electromagnetic fields at home is 98.5%. There was no difference found between FL, AC, HC and BPD values and electromagnetic field exposure at home, exposure to x-ray or tomography (p&gt;0.05). It was observed that FL, HC, BPD ultrasonographic measurement values were significantly lower in people exposed to electromagnetic field at work compared to those not exposed to electromagnetic field at work. Conclusion: It was observed that FL, HC, BPD ultrasonographic measurement values were significantly lower in people exposed to electromagnetic field at work. There are studies that show the negative effects of electromagnetic field on the fetus, especially during pregnancy, although there is no definitive evidence. Studies to be carried out on this subject can be a guide for protection from the negative effects of electromagnetic field.

Gambaran Post Traumatic Growth Pada Pasien Kanker Serviks Paska Histerektomi

Cervical cancer is a gynecology disease and primarily cause of woman death, hysterectomy is a surgical procedure to remove partially or totally the uterus. Hysterectomy is one of the surgical actions that causes anatomical changes. This research aims to examine the dynamics on overview of post traumatic growth emergence women with servical cancer post hysterectomy. This study used a qualitative approach three participants who were joined this study were gained by purposive sampling method. Data obtained through observation and interview with subject and significant others. The data collection technique is interview with general guidelines. The study subjects were three early adult woman 30-45 years old, who have hysterectomy between 1-2 years in the Obstetrics and Gynecology Clinic Cipto Mangunkusumo Hospital, Jakarta. Results showed in the process of post traumatic growth, all subjects demonstrated positive change toward higher level of change in perception, relation with others and change in philosophy of life. Change in philosophy of life was found to be the most dominant dimension. Subjects can develop themselves toward psychological growth which is better than ever. This process is also influenced by the presence of presence of social support and believe in God

Effect of counseling model on diabetic women regarding sexual dysfunction: a quasi-experimental study

BackgroundComplications of diabetes in women have adverse effects on their self-image, quality of life, health, and other social relationships, thereby leading to sexual dysfunction. maternity nurse care can play a critical role in assessing the knowledge about needs for sexual health.AimThe present study aims to evaluate the effect of the counseling model on female patients with diabetes regarding sexual dysfunction.MethodA quasi-experimental research design was used to conduct the study at the diabetic and obstetric outpatient clinic in 2 hospitals (Al Salam Port Said General Hospital, Elzohor General Hospital), and in five centers in Port Said City (El-Kuwait Center, Othman Ibnafan Center, El-arab 1 center, El-manakh center, El-arab2 center). A purposive sample of 178 female diabetic patients was included in the study. Two tools were used for collecting data consisted of; (1 interview questionnaire sheet) including personal characteristics, medical history, and present sexual problem of the studied female patients, (and 2 female sexual function index (FSFI).Resultsthe current study revealed that there was a high statistical difference between female sexual function in post with mean ± SD (23.3 ± 4.1) compared to pre-educational intervention with mean ± SD (19.5 ± 3.7), while there was a high statistically significant difference among pre- & post-program application regarding female sexual function index (p > 0.001).Conclusionthe counseling model had a positive effect in improving the sexual function among female patients with diabetes.Trial Registration Number (TRN)The study protocol was approved by the Research Ethics Committee of the Faculty of Nursing, Port Said University (code number: NUR 12/9/2021-6).

Patient and Provider Perspectives About the Use of Patient-Generated Health Data During Pregnancy: Qualitative Exploratory Study.

There is increasing interest in using patient-generated health data (PGHD) to improve patient-centered care during pregnancy. However, little research has examined the perspectives of patients and providers as they report, collect, and use PGHD to inform obstetric care. This study aims to explore the perspectives of patients and providers about the use of PGHD during pregnancy, including the benefits and challenges of reporting, collecting, and using these data, as well as considerations for expanding the use of PGHD to improve obstetric care. We conducted one-on-one interviews with 30 pregnant or postpartum patients and 14 health care providers from 2 obstetrics clinics associated with an academic medical center. Semistructured interview guides included questions for patients about their experience and preferences for sharing PGHD and questions for providers about current processes for collecting PGHD, opportunities to improve or expand the collection of PGHD, and challenges faced when collecting and using this information. Interviews were conducted by phone or videoconference and were audio recorded, transcribed verbatim, and deidentified. Interview transcripts were analyzed deductively and inductively to characterize and explore themes in the data. Patients and providers described how PGHD, including physiologic measurements and experience of symptoms, were currently collected during and between in-person clinic visits for obstetric care. Both patients and providers reported positive perceptions about the collection and use of PGHD during pregnancy. Reported benefits of collecting PGHD included the potential to use data to directly inform patient care (eg, identify issues and adjust medication) and to encourage ongoing patient involvement in their care (eg, increase patient attention to their health). Patients and providers had suggestions for expanding the collection and use of PGHD during pregnancy, and providers also shared considerations about strategies that could be used to expand PGHD collection and use. These strategies included considering the roles of both patients and providers in reporting and interpreting PGHD. Providers also noted the need to consider the unintended consequences of using PGHD that should be anticipated and addressed. Acknowledging the challenges, suggestions, and considerations voiced by patients and providers can inform the development and implementation of strategies to effectively collect and use PGHD to support patient-centered care during pregnancy.

EFFECT ON OBSTETRIC RESULTS OF POLYCYSTIC OVARY SYNDROME

Aim: The aim of this study is to investigate the effect of polycystic ovarian syndrome (PCOS) on obstetric and neonatal outcomes. Materials and Method: The:This study was conducted as a randomized controlled prospective at Ankara City Hospital obstetric clinic between 2020-2021.Total included a total of 200 pregnant women (18-45 years), of whom 101 had PCOS and 99 were healthy controls.Demographic characteristics of the groups were analyzed. The systolic blood pressure, diastoic blood pressure,insulin resistance , ovulation induction, insemination and newborn admission rates of the pregnant group were evaluated. Maternal age, fetal birth weight, gravidity, parity, BMI, gestational age, gestational age according to ultrasound, women height, weight, (BMI), weight gained during pregnancy, hemoglobin values were were compared between both groups. Results:In terms of the rates of ovulation induction, insemination, and admission to the neonatal unit for follow-up in pregnant women with PCOS were significant different found.Pregnant women with PCOS had higher rates of ovulation induction, insemination, and admission to the neonatal unit for follow-up.It was observed that cesarean section rates were higher in pregnant women with PCOS. Conclusion:It should be consıdered that pregnant pregnants wıth PCOS are more lıkely to have a cesarıan sectıon and theır newborn's are more lıkely to be admıtted to the newborn unıt for follow-up .This situation should be taken into consideration in the management of pregnant women.

Intimate Partner Violence Screening in a Pregnant Military Population: Implementation of the E-HITS Protocol [ID 2683442

INTRODUCTION: The military population has higher rates of intimate partner violence (IPV) compared to the civilian population. This is further exacerbated in obstetrics patients, with an estimated rate of 4–29% of pregnant women affected. The American College of Obstetricians and Gynecologists and 2018 Department of Defense Clinical Practice Guidelines for Management of Pregnancy recommend routine screening for IPV at obstetric visits, although a preferred screening modality has not been identified. METHODS: The prevalence of IPV in pregnancy before and after implementation of the validated Extended-Hurt, Insult, Threaten, Scream (E-HITS) questionnaire at a single military treatment facility was compared. Retrospective chart review was conducted between January and December 2019 of patients who had been screened using a single question (“Do you feel safe at home?”). E-HITS was implemented in the obstetrics clinic in February 2022, and data were collected prospectively for 12 months. The difference between the two IPV screening modalities was analyzed using Fisher’s exact test. RESULTS: A total of 1,627 IPV screenings were reviewed. Of the 783 IPV screenings using the single question, there were 2 positive screens (0.26%). Using greater than 7 as the positive screening cutoff, there were 24 positives (2.84%) out of the 844 E-HITS screenings. Using greater than 6 as the cutoff for E-HITS, there were 54 positive screens (6.4%). There was a statistically significant difference in the detection rate between the two modalities at both cutoff levels (P&lt;.0001). CONCLUSION: E-HITS is a more sensitive screening tool for IPV in this population, more closely mirroring previously published rates.