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Associate Professor, University of South Carolina School of Medicine – Greenville
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine
Contact: 864-455-5032 or email@example.com
Amy Crockett is committed to caring for medically underserved women; she is the medical director of the Greenville Health System Obstetric Center and a maternal-fetal medicine specialist. She received her undergraduate degree from Princeton University and her obstetrical training from Baylor College of Medicine in Houston, Texas. Picklesimer completed a fellowship in Maternal-Fetal Medicine at the University of North Carolina School of Medicine in 2007, and received a MSPH from the UNC College of Public Health the same year. After graduation, she joined the Greenville Health System faculty and is currently an Associate Professor in the Department of Obstetrics and Gynecology at the University of South Carolina School of Medicine - Greenville. Amy has research interests in outpatient obstetrics, prenatal diagnosis and racial disparities in birth outcomes. Amy’s current research includes evaluation of outcomes related to CenteringPregnancy group prenatal care, which has been associated with higher rates of adequate prenatal care, breastfeeding initiation, lower rates of gestational diabetes, and increased attendance at post-partum family planning visits. Qualitative research performed by her group indicates women generally find GPNC to be a positive experience, meeting many of their preferences for care. She has ongoing research projects with Clemson University faculty, including a prospective randomized controlled trial evaluating the effect of CenteringPregnancy on racial disparities in preterm birth, and evaluating the outcomes of a statewide expansion of CenteringPregnancy group care to 15 new obstetric practices in South Carolina.
For more information, see her Curriculum Vitae.
Preterm birth is a serious, international public health issue. In the short term, preterm infants require more medical interventions, ranging from antibiotics and phototherapy to mechanical ventilation and total parenteral nutrition. The average daily cost for an infant admitted to the neonatal intensive care unit is $3,000. Other complications of prematurity, such as cerebral palsy and retinopathy, can lead to life-long handicap. These costs are substantially greater, and more difficult to know with certainty. South Carolina suffers from one of the highest rates of preterm birth in the country, with 14.3% of women delivering prior to 37 weeks gestational age. There is also a tremendous racial/ethnic disparity in rates of prematurity, with 19.7% of non-Hispanic Black women delivering preterm as compared with 12.7% of non-Hispanic White women and 13.0% of Hispanic women. CenteringPregnancy is a new approach to prenatal care, which has shown promise in reducing rates of preterm delivery. Groups of up to 8-12 women are seen together, following a curriculum of ten sessions that includes information about health and nutrition, childbirth preparation, stress reduction, relationships and parenting.
Her work exploring the impact of CenteringPregnancy group prenatal care on maternal-child health outcomes and healthcare costs has the potential to transform the way pregnant women receive medical care. The biologic mechanism that might explain the improved outcomes for participants in group care is unclear, and is also a focus of future projects.
Prenatal Care, Racial Disparities, Preterm Birth, CenteringPregnancy, Group Prenatal Care, Maternal Child Health