- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Global Maternal and Child Health
- Mosquito-borne diseases and control
- Syphilis Diagnosis and Treatment
- COVID-19 Impact on Reproduction
- Surgical site infection prevention
- Influenza Virus Research Studies
- Cardiac, Anesthesia and Surgical Outcomes
- HIV/AIDS Research and Interventions
- Trauma and Emergency Care Studies
- Pregnancy-related medical research
- Prenatal Screening and Diagnostics
- Reproductive tract infections research
- Viral Infections and Vectors
- Neonatal Respiratory Health Research
- Clinical practice guidelines implementation
- Cardiac Arrest and Resuscitation
- Assisted Reproductive Technology and Twin Pregnancy
- Surgical Simulation and Training
- Emergency and Acute Care Studies
- COVID-19 epidemiological studies
- Vaccine Coverage and Hesitancy
- Ectopic Pregnancy Diagnosis and Management
- Pelvic and Acetabular Injuries
Baylor College of Medicine
2014-2023
Harris Health System
2019-2023
United States Food and Drug Administration
2022
Ben Taub Hospital
2017-2021
Community Link
2020
The University of Texas MD Anderson Cancer Center
2020
Texas Children's Hospital
2015-2019
Washington University in St. Louis
2017-2018
Saint Louis University
2017-2018
University of Pennsylvania
2017-2018
CDC has updated its interim guidance for U.S. health care providers caring infants with possible congenital Zika virus infection (1) in response to recently published pregnant women exposure (2), unknown sensitivity and specificity of currently available diagnostic tests infection, recognition additional clinical findings associated infection. All born mothers exposure* during pregnancy should receive a standard evaluation at birth each subsequent well-child visit including comprehensive...
Abstract Zika virus (ZIKV) is an emerging mosquito-borne ( Aedes genus) arbovirus of the Flaviviridae family. Although ZIKV has been predominately associated with a mild or asymptomatic dengue-like disease, its appearance in Americas accompanied by multi-fold increase reported incidence fetal microcephaly and brain malformations. The source mode vertical transmission from mother to fetus presumptively transplacental, although causal link explaining interval delay between maternal symptoms...
The coronavirus disease 2019 (COVID-19) pandemic has prompted expanded use of prone positioning for refractory hypoxemia. Clinical trials have demonstrated beneficial effects early acute respiratory distress syndrome (ARDS), including decreased mortality. However, pregnant women were excluded from these trials. To address the need low-cost, low-harm interventions in face a widespread viral wherein hypoxemia predominates, we developed an algorithm both intubated and nonintubated women. This...
BACKGROUND Red blood cell (RBC) antigen matching policies to prevent alloimmunization in females of childbearing potential (FCP) vary between centers. To inform transfusion centers responsible for making decisions about FCPs, the causal stimulus antibodies implicated severe hemolytic disease fetus and newborn (HDFN) must be determined. STUDY DESIGN AND METHODS We conducted a multinational retrospective study women with offspring affected by HDFN requiring neonatal exchange and/or...
OBJECTIVE: To assess whether recent anti-immigration rhetoric is significantly associated with inadequate prenatal care. METHODS: This was a population-based cohort study (2011–2017). In their native language, patients were consented and queried regarding country of origin time in the United States. Additional variables collected or abstracted from medical record, including documentation timing visits. Based on relevance prevalence during period, publicly available Google search trends mined...
Objective: To determine whether shock index (SI) is superior to traditional vital signs in predicting postpartum hemorrhage and need for intervention.Methods: Retrospective case-control study an academic tertiary-care county hospital. Forty-one consecutive (PPH) cases 41 controls were frequency-matched by mode of delivery maternal weight. We measured four criteria: heart rate, systolic blood pressure (SBP), SI (HR/SBP), delta-SI (peak – baseline SI). Using received operating characteristic...
Abstract Background Cesarean delivery accounts for over one‐third of the ~400 000 annual births in Texas, with first‐time cesarean accounting 20% overall cesareans. We examined associations maternal medical comorbidities among nulliparous, term, singleton, vertex (NTSV) deliveries Texas. Methods Nulliparous, to women aged 15‐49 years were identified using 2015 Texas birth file (Center Health Statistics, Department State Services). A risk factor index was constructed (score range 0‐4),...
Efforts to develop knowledge guide prevention and clinical management of Zika virus have overshadowed another critical need: ensuring that new is disseminated frontline providers used improve care.
( Obstet Gynecol . 2020;136:259–261) In pregnant patients undergoing ventilation, the goal is to achieve relative hypocapnia while also protecting lungs by maintaining a safe tidal volume and plateau pressures. Mild hypercapnia (partial pressure of carbon dioxide 50 60 mm Hg) may be acceptable if needed protect lungs. When using strategies with high-positive end-expiratory require continuous monitoring mother fetus.