内容摘要：A veterinarian at an emergency equine hospital gave the horse 50-50 odds of surviving.

A veterinarian at an emergency equine hospital gave the horse 50-50 odds of surviving.

live births, significantly higher than the national average of about 23. But in Jackson’s quarter-century tenure, she said, there have been no maternal deaths among clients.Pivotal to Healthy Start’s success are care coordinators like Krystal Keener, a social worker based at Oklahoma State University’s obstetrics and gynecology clinic, where clients get prenatal care. One of her responsibilities is to educate clients about health issues, like how to spot the signs of preeclampsia or how much bleeding is too much after delivery.

She also helps with practical matters: Many clients don’t have cars, so they call Keener when they need a ride to a prenatal visit, and she assists in scheduling one.With doctors, Keener serves as a patient advocate. On a recent afternoon, Keener sat in on a prenatal appointment for Areana Coles. A single mom, Coles was joined by her 5-year-old daughter, who was born prematurely and spent time in intensive care.Coles, 25, said Healthy Start is “probably the best thing that’s happened in this pregnancy.” She called Keener “an angel.”

Together they navigated several recent medical concerns, including dehydration and low potassium levels that put Coles in the hospital.Areana Coles receives an ultrasound during a prenatal visit at the Oklahoma State University obstetrics and gynecology clinic in Tulsa, Okla. (AP Photo/Mary Conlon)

Areana Coles receives an ultrasound during a prenatal visit at the Oklahoma State University obstetrics and gynecology clinic in Tulsa, Okla. (AP Photo/Mary Conlon)

With Coles’ due date approaching, Keener talked about what to watch for around delivery and shortly after, like blood clots and postpartum depression. She advised Coles to take care of herself and “give yourself credit for small things you do.”the decades-old federal system for approval and use of vaccines. Yet his regulators are promising big changes that cloud the outlook for what shots might even be available.

will soon “unleash a massive framework” for how vaccines are tested and approved, according to. Details aren’t yet public but the plan is being overseen by the agency’s new vaccine chief,

, an outspoken critic of the FDA’s handling ofMakary and other Trump administration officials already have taken unprecedented steps that raise uncertainty about next fall’s COVID-19 vaccinations, including delaying FDA scientists’