{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T21:43:44Z","timestamp":1771623824009,"version":"3.50.1"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0899823X23002337_as1\"><jats:title>Objective:<\/jats:title><jats:p>To learn about the perceptions of healthcare personnel (HCP) on the barriers they encounter when performing infection prevention and control (IPC) practices in labor and delivery to help inform future IPC resources tailored to this setting.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as2\"><jats:title>Design:<\/jats:title><jats:p>Qualitative focus groups.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as3\"><jats:title>Setting:<\/jats:title><jats:p>Labor and delivery units in acute-care settings.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as4\"><jats:title>Participants:<\/jats:title><jats:p>A convenience sample of labor and delivery HCP attending the Infectious Diseases Society for Obstetrics and Gynecology 2022 Annual Meeting.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as5\"><jats:title>Methods:<\/jats:title><jats:p>Two focus groups, each lasting 45 minutes, were conducted by a team from the Centers for Disease Control and Prevention. A standardized script facilitated discussion around performing IPC practices during labor and delivery. Coding was performed by 3 reviewers using an immersion-crystallization technique.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as6\"><jats:title>Results:<\/jats:title><jats:p>In total, 18 conference attendees participated in the focus groups: 67% obstetrician-gynecologists, 17% infectious disease physicians, 11% medical students, and 6% an obstetric anesthesiologist. Participants described the difficulty of consistently performing IPC practices in this setting because they often respond to emergencies, are an entry point to the hospital, and frequently encounter bodily fluids. They also described that IPC training and education is not specific to labor and delivery, and personal protective equipment is difficult to locate when needed. Participants observed a lack of standardization of IPC protocols in their setting and felt that healthcare for women and pregnant people is not prioritized on a larger scale and within their hospitals.<\/jats:p><\/jats:sec><jats:sec id=\"S0899823X23002337_as7\"><jats:title>Conclusions:<\/jats:title><jats:p>This study identified barriers to consistently implementing IPC practices in the labor and delivery setting. These barriers should be addressed through targeted interventions and the development of obstetric-specific IPC resources.<\/jats:p><\/jats:sec>","DOI":"10.1017\/ice.2023.233","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T09:55:19Z","timestamp":1700474119000},"page":"483-490","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Physician perceptions of barriers to infection prevention and control in labor and delivery"],"prefix":"10.1017","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8517-1939","authenticated-orcid":false,"given":"Laura E.A.","family":"Barnes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3605-6781","authenticated-orcid":false,"given":"Katelyn A.","family":"White","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9140-5868","authenticated-orcid":false,"given":"Marisa R.","family":"Young","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick S.","family":"Ramsey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronda L.","family":"Cochran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran M.","family":"Perkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"S0899823X23002337_ref1","unstructured":"1. Davis, R. The doctor who championed handwashing and briefly saved lives. National Public Radio website. https:\/\/www.npr.org\/sections\/health-shots\/2015\/01\/12\/375663920\/the-doctor-who-championed-hand-washing-and-saved-women-s-lives. Published January 12, 2015. Accessed February 7, 2023."},{"key":"S0899823X23002337_ref3","unstructured":"3. Division of Reproductive Health. Pregnancy mortality surveillance system. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/reproductivehealth\/maternal-mortality\/pregnancy-mortality-surveillance-system.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Freproductivehealth%2Fmaternalinfanthealth%2Fpregnancy-mortality-surveillance-system.htm#. Published June 22, 2022. Accessed November 21, 2022."},{"key":"S0899823X23002337_ref11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2009316"},{"key":"S0899823X23002337_ref6","doi-asserted-by":"publisher","DOI":"10.1155\/S1064744998000234"},{"key":"S0899823X23002337_ref12","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1055\/s-0040-1712454","article-title":"Community obstetrical units less likely than academic units to have universal COVID-19 testing","volume":"37","author":"Werner","year":"2020","journal-title":"Am J Perinatol"},{"key":"S0899823X23002337_ref13","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1055\/s-0040-1718401","article-title":"COVID-19 testing, personal protective equipment, and staffing strategies vary at obstetrics centers across the country","volume":"37","author":"Johnson","year":"2020","journal-title":"Am J Perinatol"},{"key":"S0899823X23002337_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31826d60c5"},{"key":"S0899823X23002337_ref9","volume-title":"Focus Groups: A Practical Guide for Applied Research","author":"Krueger","year":"2014"},{"key":"S0899823X23002337_ref5","volume-title":"Pregnancy-Related Deaths: Data From Maternal Mortality Review Committees in 36 US States, 2017\u20132019","author":"Trost","year":"2022"},{"key":"S0899823X23002337_ref7","doi-asserted-by":"publisher","DOI":"10.3201\/eid2207.160269"},{"key":"S0899823X23002337_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.02.002"},{"key":"S0899823X23002337_ref8","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6511e3"},{"key":"S0899823X23002337_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2022.04.018"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X23002337","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T09:04:11Z","timestamp":1712653451000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X23002337\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,20]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["S0899823X23002337"],"URL":"https:\/\/doi.org\/10.1017\/ice.2023.233","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,20]]},"assertion":[{"value":"\u00a9 The Society for Healthcare Epidemiology of America, 2023","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"To the extent this is a work of the US Government, it is not subject to copyright protection within the United States. To the extent this work is subject to copyright outside of the United States, such copyright shall be assigned to The Society for Healthcare Epidemiology of America and licensed to the Publisher. Outside of the United States, the US Government retains a paidup, nonexclusive, irrevocable worldwide license to reproduce, prepare derivative works, distribute copies to the public and display publicly the Contribution, and to permit others to do so. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}