Purpose Point‐of‐care ultrasound (POCUS) is gaining recognition as a teaching modality that acts as an integrative learning tool during medical student transition to clinical rotations. This study aimed to determine if the use of ultrasound simulation enhances understanding of Obstetrical and Gynecological (Ob/Gyn) anatomy and pathology in third‐year medical students (M3), and if M3 students found the simulator useful. Methods M3 students taking the OB/Gyn clerkship were invited to participate. Baseline knowledge of pelvic ultrasound anatomy and pathology was assessed with a multiple‐choice question test. Participants received a one‐hour OB/Gyn ultrasound simulation training session. A post‐test assessed knowledge after the intervention. Survey data was collected regarding learning styles and learner satisfaction. Results Following simulator‐based training, the median correct number of responses to the knowledge questions increased from 11 of 18 to 14 of 18 correct (P < .001). Statistically significant increases were also observed in comfort level with OB/GYN ultrasound (P < .001). All 68 students answered that the ultrasound simulator was helpful and enjoyed using the simulator. Conclusions This study suggests that ultrasound simulators are useful for improvement in knowledge, comfort level, and ability to identify pathology in Ob/Gyn scenarios in M3 students.

INTRODUCTION: The Baby-Friendly Hospital Initiative was launched by the World Health Organization in 1991 to encourage breastfeeding. Baby-Friendly USA has specific criteria for “Baby-Friendly” designation. No studies have been reported about patient satisfaction; few show increased breastfeeding rates. METHODS: Patients aged 16 years or older that were cared for and delivered by the resident service were provided anonymous surveys during postpartum visits during a 4-month study period. RESULTS: 145 of 170 surveys qualified for analysis. 28% underwent Cesarean delivery (CD); 72% vaginal delivery. 28% responded “neutral or disagree” when asked if they could rest and recover in the hospital. Compared to patients delivering vaginally, post-operative patients were more likely to respond negatively when asked if they felt they could safely care for their infant (P < .05). 97% reported being informed of infant safe sleeping guidelines; 84% practiced safe sleeping. 103 (72%) planned exclusive breastfeeding with 50% switching to some formula feeding at discharge. 40 patients planned to formula feed prior to delivery; 3 (7.5%) switched to exclusive breastfeeding. Of formula users, 35.7% felt inadequately informed about formula feeding; 26% felt shamed regarding their decision. CONCLUSION: Baby-Friendly policies can impact patient well-being and potentially infant safety. Patients undergoing CD and those who formula feed may need additional support caring for newborns and education not addressed by Baby-Friendly. Though most patients planned to breastfeed, half switched to some formula feeding upon discharge. Many felt shamed regarding their decision or inadequately educated on formula feeding. This small study suggests additional research is needed.

Objective The aim of this study was to examine changes in body weight and fat in Black and White women during the first postpartum year and to determine whether there is preferential retention of fat mass and abdominal fat. Methods Body composition was quantified by dual‐energy x‐ray absorptiometry in Black (n = 49) and White (n = 85) women at 6 to 8 weeks, 6 months, and 12 months after delivery of a singleton infant. Results Weight, fat mass, percent body fat, and fat in the trunk, android, gynoid, and limb regions decreased from 6 to 8 weeks to 12 months in White women, but not in Black women (fat mass, adjusted mean [SE]: 29.6 [1.3] to 26.9 [1.3] kg in White women and 34.5 [1.5] to 36.8 [1.8] kg in Black women). In the entire sample, fat mass was higher at 6 months than at 6 to 8 weeks, independent of weight change; visceral fat was higher at 12 months (686 [45] g) than at 6 to 8 weeks (611 [42] g) and 6 months (626 [43] g); and android fat was higher at 12 months than at 6 months, independent of fat change. Conclusions Black women were less likely than White women to lose weight and fat in the postpartum period. There was preferential retention of fat in the abdominal area.