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What We Do

Overview

We study:

We study:

  • Patient navigation as a tool to improve health during and after pregnancy
  • Digital health technology to support health during and after pregnancy
  • Interventions to improve outcomes for pregnant people affected by diabetes
  • Social and behavioral interventions to prevent HIV during pregnancy and improve health for pregnant people living with HIV
  • Implementation science strategies to promote equity and quality
  • Obstetric health equity-focused topics, including understanding social determinants of health during pregnancy
  • Contributions of obstetrics to the opioid epidemic
  • Optimization of pain management in the postpartum period

Major Projects

Navigating New Motherhood

Navigating New Motherhood

nnm2@northwestern.edu

The Postpartum Pain Experience

The Postpartum Pain Experience

nnm2@northwestern.edu

Areas of Focus

Digital health and pregnancy

The Yee Lab studies the use of mobile health technology to reduce health inequity, improve health behaviors, promote patient engagement, and improve perinatal outcomes. We have investigated a variety of mobile health technologies, including text messaging and smartphone applications, with a focus on improving the health of pregnant people with diabetes.

Selected Publications

  • Hussain T, Smith P, Yee LM. Mobile phone-based behavioral interventions in pregnancy to promote maternal and fetal health in high-income countries: A systematic review. JMIR mHealth and uHealth 2020; 8(5):e15111. – Read the Article
  • Ukoha E, Feinglass J, Yee LM. Disparities in electronic patient portal use in prenatal care: Retrospective cohort study. Journal of Medical Internet Research 2019; 21(9): e14445. – Read the Article
  • Ukoha E and Yee LM. Use of electronic patient portals in pregnancy: An overview. Journal of Midwifery and Women’s Health 2018; 63(3): 335-339. – Read the Article
  • Holder K, Ukoha E, Feinglass J, Yee LM. Relationship Between Patient Portal Utilization and Glycemic Control Outcomes During Pregnancy. J Diabetes Sci Technol. 2021 Mar 19. – Read the Article

Improving health for pregnant people living with HIV

Our research aims to improve our understanding of the myriad social, behavioral, environmental, and health systems issues that affect risk for HIV and management of HIV during pregnancy. Selected Publications

  • Dahl CM, Miller ES, Leziak K, Jackson J, Yee LM. Communication between pregnant women and male partners about HIV testing in the United States. AIDS Res Hum Retroviruses. 2021 Mar 19. –Read the Article
  • Yee LM, Miller ES, Statton A, Ayala LD, Carter SD, Borders AB, Wong AE, Olszewski Y, Cohen MH, Garcia PM. Sustainability of statewide rapid HIV testing in Labor & Delivery. AIDS & Behavior 2017; 22(2): 538-44. – Read the Article
  • Yee LM, Leziak K, Jackson J, Miller ES. Attitudes towards male partner HIV testing among low-income, minority pregnant women and their partners. Sexual and Reproductive Healthcare 2020; 25:100513. – Read the Article
  • Yee LM, Goldberger AR, Garcia PM, Miller ES. Sexual partner testing for HIV to eliminate mother-to-child HIV transmission: a needs assessment in a high-risk community. Journal of Perinatology 2017; 37(1):21-26. – Read the Article
  • Yee LM, Crisham Janik M, Dorman RM, Chong PS, Garcia PM, Miller ES. Relationship between intimate partner violence and antiretroviral adherence and viral suppression in pregnancy. Sexual and Reproductive Healthcare 2018; 17: 7-11. – Read the Article
  • Yee LM, McGregor DV, Sutton SH, Garcia PM, Miller ES. Association between maternal HIV disclosure and risk factors for perinatal transmission. Journal of Perinatology 2018; 38(6): 639-44. – Read the Article

Social determinants of perinatal health

Multiple health disparities exist in obstetrics, and a central focus of the Yee Lab’s research has been on health equity and understanding the multitude of factors contributing to inequity in perinatal health. 

Selected Publications

  • Cheu LA, Yee LM, Kominiarek MA. Food insecurity during pregnancy and gestational weight gain. American Journal of Obstetrics and Gynecology Maternal-Fetal Medicine 2019, Accepted, in press. – Read the Article
  • Banner GC, Weaver KN, Rushovich T, York SL, Yee LM. Association between food deserts and gestational diabetes mellitus in a large metropolitan area. American Journal of Perinatology 2020; E-pub ahead of print. – Read the Article
  • Yee LM, Liu LY, Sakowicz A, Bolden JR, Miller ES. Racial and ethnic disparities in use of 17-hydroxyprogesterone caproate for prevention of preterm birth. American Journal of Obstetrics and Gynecology 2016; 214(3): 374.e1-6. – Read the Article
  • Yee LM, Leziak K, Jackson J, Miller ES. Barriers and facilitators to recurrent preterm birth prevention among low-income women: A qualitative study. American Journal of Perinatology 2019; 36(9): 955-963. – Read the Article

 

Improving health for pregnant people with diabetes

A focus of our work has been addressing barriers to care among pregnant people with diabetes and identifying patient-centered solutions to improving health when a pregnancy is complicated by diabetes.

Selected Publications

  • Yee LM, Leziak K, Jackson J, Niznik CM, Simon MA. Health care provider perspectives on barriers and facilitators to care for low-income pregnant women with diabetes. Diabetes Spectrum 2020; 33(2): 190-200. – Read the Article
  • Friedman MA, Niznik CM, Bolden JR, Yee LM. Reciprocal peer support for postpartum patients with diabetes: The Diabetes Buddy Program. Journal of Community Health 2016; 41(2): 354-8. – Read the Article
  • Martinez NG, Niznik CM, Yee LM. Optimizing postpartum care for the patient with gestational diabetes mellitus. American Journal of Obstetrics and Gynecology 2017; 217(3): 314-21. – Read the Article
  • Battarbee AN and Yee LM. Barriers to postpartum follow-up and glucose tolerance testing in women with gestational diabetes mellitus. American Journal of Perinatology 2018; 35(4): 354-60. – Read the Article
  • Battarbee AN and Yee LM. Association of fast food and supermarket density with neonatal outcomes of pregnancies affected by gestational diabetes. American Journal of Perinatology 2018; 36(13): 1405-1411. – Read the Article

Health literacy

We aim to better understand how health literacy — the ability to which individuals can obtain, process, and understand health information — may play an important role in health during pregnancy and the postpartum period.

Selected Publications

  • Yee LM and Simon MA. The role of health literacy and numeracy in contraceptive decision making for urban Chicago women. Journal of Community Health 2014; 39(2): 394-9. – Read the Article
  • Yee LM, Kamel LA, Quader Z, Rajan PV, Taylor SM, O’Conor R, Wolf MS, Simon MA. Characterizing literacy and cognitive function during pregnancy and postpartum. American Journal of Perinatology 2017; 34(9): 927-34. – Read the Article
  • Yee LM, Niznik CM, Simon MA. Examining the role of health literacy in optimizing the care of pregnant women with diabetes. American Journal of Perinatology 2016; 33(13): 1242-9. – Read the Article

Patient-centered reproductive health care

Optimizing reproductive health requires a patient-centered focus on care provision and outcomes. We aim to better understand patient preferences regarding pregnancy and contraception, and to design interventions to promote patient-centered care.

Selected Publications

  • Dude A, Matulich M, Estevez S, Liu LY, Yee LM. Disparities in postpartum contraceptive counseling and provision among mothers of preterm infants. Journal of Women’s Health 2018; 27(5): 676-683. – Read the Article
  • Yee LM, Kaimal AJ, Houston KA, Wu E, Thiet MP, Nakagawa S, Caughey AB, Firouzian A, Kuppermann M. Mode of delivery preferences in a diverse population of pregnant women. American Journal of Obstetrics and Gynecology 2014; 212(3): 377.e1-24. – Read the Article
  • Yee LM and Simon MA. Urban minority women’s perceptions of and preferences for postpartum contraceptive counseling. Journal of Midwifery and Women’s Health 2011; 56(1):54-60. – Read the Article
  • Yee LM and Simon MA. Perceptions of coercion, discrimination and other negative experiences in postpartum contraceptive counseling for low-income minority women. Journal of Health Care for the Poor and Underserved 2011; 22(4): 1387-400. – Read the Article

Obstetrics and the opioid epidemic

Our work additionally focuses on the contributions of obstetrics to the opioid epidemic and better understanding how to optimize pain management in the postpartum period. Selected publications

  • Leziak K, Yee LM, Grobman WA, Badreldin N. Patient Experience with Postpartum Pain Management in the Face of the Opioid Crisis. J Midwifery Womens Health. 2021 Mar 4. – Read the article
  • Badreldin N, Grobman WA, Yee LM. Racial Disparities in Postpartum Pain Management. Obstet Gynecol. 2019 Dec;134(6):1147-1153. – Read the article
  • Badreldin N, Grobman WA, Chang KT, Yee LM. Patient and Health Care Provider Factors Associated With Prescription of Opioids After Delivery. Obstet Gynecol. 2018 Oct;132(4):929-936. – Read the article
  • Badreldin N, Grobman WA, Chang KT, Yee LM. Opioid prescribing patterns among postpartum women. Am J Obstet Gynecol. 2018 Jul;219(1):103.e1-103.e8. –  Read the article
  • Badreldin N, Grobman WA, Yee LM. Inpatient opioid use after vaginal delivery. Am J Obstet Gynecol. 2018 Dec;219(6):608.e1-608.e7. – Read the article

Collaborative Work

The Yee Lab collaborates with other investigators at Northwestern and beyond to work on obstetrics-focused clinical and public health research. Contact the lab for more information regarding collaboration.

Contact Us

We collaborate on a variety of projects, including:

nuMOM2b Heart Health Study – “a prospective follow-up study of the women enrolled to nuMoM2b through interval contacts and in-person study visits” to better define the relation between outcomes of pregnancy and long-term cardiovascular health of women.

Environmental Influences on Child Health Outcomes (ECHO) – “The goal of the Environmental influences on Child Health outcomes (ECHO) Program is to understand the effects of a broad range of early environmental influences on child health and development. ECHO is dedicated to both learning what factors affect child health and to finding ways to enhance it.”

Glycemic Observation and Metabolic Outcomes in Mothers and Offspring Study (GO MOMS) – GO MOMs researchers want to find a better way to detect GDM, so that moms can get the care they need and their babies can be healthy. We are using a combination of methods to test glucose during pregnancy, lab measures of maternal metabolism, and baby weight after birth.

The Health Outcomes around Pregnancy and Exposure to HIV/ARVs (HOPE) – “explores reproductive health choices, including pregnancy, and overall health outcomes, including reproductive health outcomes. HOPE provides the opportunity to inform future advancements for women living with HIV and their families.”

The Pediatric HIV/AIDS Cohort Study (PHACS) – “a longitudinal cohort study investigating the long-term effects of HIV infection and ARV (antiretroviral) medications in children and young adults who were born with HIV or born exposed to HIV.”

International Maternal Pediatric Adolescent AIDS Clinical Trials (IMPAACT) Network – a research network “committed to conducting high quality clinical trials that will advance the prevention and treatment of HIV and its complications for infants, children, adolescents, and pregnant/postpartum women globally.”

The Healthy Brain and Child Development (HBCD) Study – this study aims “to learn about children’s growth, thinking, behaviors, emotions, social interactions, and brain development in the early years of life, to understand what experiences and environments may help or harm the child’s growth, and to create better care for future generations of children and families.” 

Vaccination in Pregnancy – “We plan to interview pregnant WLHIV and HIV-negative women to understand what vaccine-related barriers may exist regarding uptake of a SARS-CoV-2, influenza, and Tdap vaccination in pregnancy and postpartum.”

Maternal-Fetal Medicine Units Network – a research network which “focuses on clinical questions in maternal fetal medicine and obstetrics, particularly with respect to the continuing problem of preterm birth.”

The Founders’ 400/Chicago Perinatal Origins of Disease (CPOD) Research Initiative – In this longitudinal prospective cohort of 500 mother-child dyads from the Chicago community, including 400 Black and Brown participant dyads from the Chicago community, we will collect comprehensive longitudinal social, environmental, and medical data alongside environmental and biological samples from early pregnancy through two years of life to assess the association of the following exposures with maternal, neonatal, and early childhood health outcomes. This project was established with a commitment to ensure diverse inclusion of participants in research as well as to ensure study implementation and methodology aligns with community input. 

View our Collaborators