The University of Utah has been one of the most productive sites in the NICHD Maternal-Fetal Medicine Units (MFMU) Network over the past 20 years, contributing numerous concepts and protocols, large numbers of well-characterized study participants, high-quality research data, and multiple important secondary analyses resulting in national presentations and awards.
The specific aim of this application is a successful competitive renewal for the Utah site in the 2016-2021 MFMU Network. The Utah site has submitted 23 proposals (including 7 in the current Network cycle) to the Network Steering Committee and the Utah site is consistently among the leading Network sites for screening, recruitment and data quality. Michael Varner MD has been the Utah site Principal Investigator since Utah entered the MFMU Network. In addition to has numerous Network administrative responsibilities, he has worked tirelessly to ensure that the University of Utah - Intermountain Healthcare collaboration continues to be mutually beneficial. Twenty-one Board-Certified/Board Eligible MFM Division faculty plus 6 MFM Fellows provide 24/7/365 coverage for the 5 participating Utah hospitals. The 5 participating hospitals represent almost 20,000 deliveries per year (40% of the deliveries in the State of Utah). The population recruited into MFMU Network studies over the previous 20 years is representative of the population of the northern Utah urban corridor. Letters of support are provided from the NICU Directors at all hospitals and representative statistics are also provided. The Utah Department of Health Neonatal Follow-Up Program provides research follow-up for MFMU Network protocols (with help from the MFMU Follow-Up Coordinator) and will be transitioning to the University of Utah Pediatric Developmental Assessment Center in July, 2015. Long-standing functional data systems exist in all 5 participating hospitals. Twenty-nine research personnel work on MFMU Network protocols in 5 hospitals and the offices of over 120 women's health providers along the Utah urban corridor. These individuals are dedicated clinical researchers, with a low turn- over rate. The University of Utah is enthusiastically committed to continued participation in the NICHD MFMU Network, as confirmed by multiple letters of support. Dr. Varner's proven and continuing ability to enlist wide-spread participation by community obstetric providers and to attract/retain an excellent clinical research staff are major factors in the success of the Utah site and will continue through the next Network cycle, should the University of Utah be selected for continued Network participation.

Public Health Relevance

The MFMU Network conducts randomized clinical trials and large-scale observational studies designed to improve maternal and perinatal outcomes. For the past 20 years the Utah Network site has been a major contributor of research protocols and high-quality research data derived from a large community-based population of pregnant women. The Utah site's impressive past performance and its stable long-term capabilities make it an ideal candidate to continue in the MFMU Network for the next five years (2016-2011).

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Clinical Research Cooperative Agreements - Single Project (UG1)
Project #
5UG1HD034208-23
Application #
9234572
Study Section
Special Emphasis Panel (ZHD1)
Program Officer
Miodovnik, Menachem
Project Start
1996-05-01
Project End
2021-03-31
Budget Start
2017-04-01
Budget End
2018-03-31
Support Year
23
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of Utah
Department
Obstetrics & Gynecology
Type
Schools of Medicine
DUNS #
009095365
City
Salt Lake City
State
UT
Country
United States
Zip Code
84112
Varner, Michael W; Mele, Lisa; Casey, Brian M et al. (2018) Thyroid function in neonates of women with subclinical hypothyroidism or hypothyroxinemia. J Perinatol 38:1490-1495
Randis, Tara M; Rice, Madeline Murguia; Myatt, Leslie et al. (2018) Incidence of early-onset sepsis in infants born to women with clinical chorioamnionitis. J Perinat Med 46:926-933
Clark, Erin A S; Weiner, Steven J; Rouse, Dwight J et al. (2018) Genetic Variation, Magnesium Sulfate Exposure, and Adverse Neurodevelopmental Outcomes Following Preterm Birth. Am J Perinatol 35:1012-1022
Pasko, Daniel N; McGee, Paula; Grobman, William A et al. (2018) Variation in the Nulliparous, Term, Singleton, Vertex Cesarean Delivery Rate. Obstet Gynecol 131:1039-1048
Tita, Alan T; Doherty, Lindsay; Roberts, Jim M et al. (2018) Adverse Maternal and Neonatal Outcomes in Indicated Compared with Spontaneous Preterm Birth in Healthy Nulliparas: A Secondary Analysis of a Randomized Trial. Am J Perinatol 35:624-631
Tita, Alan T N; Jablonski, Kathleen A; Bailit, Jennifer L et al. (2018) Neonatal outcomes of elective early-term births after demonstrated fetal lung maturity. Am J Obstet Gynecol 219:296.e1-296.e8
Grobman, William A; Bailit, Jennifer; Sandoval, Grecio et al. (2018) The Association of Decision-to-Incision Time for Cesarean Delivery with Maternal and Neonatal Outcomes. Am J Perinatol 35:247-253
Saade, G R; Thom, E A; Grobman, W A et al. (2018) Cervical funneling or intra-amniotic debris and preterm birth in nulliparous women with midtrimester cervical length less than 30 mm. Ultrasound Obstet Gynecol 52:757-762
Chauhan, Suneet P; Weiner, Steven J; Saade, George R et al. (2018) Intrapartum Fetal Heart Rate Tracing Among Small-for-Gestational Age Compared With Appropriate-for-Gestational-Age Neonates. Obstet Gynecol 132:1019-1025
Kominiarek, Michelle A; Saade, George; Mele, Lisa et al. (2018) Association Between Gestational Weight Gain and Perinatal Outcomes. Obstet Gynecol 132:875-881

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