A5050190186- Maternal and fetal healthcare
- Pregnancy and preeclampsia studies
- Maternal and Perinatal Health Interventions
- Ectopic Pregnancy Diagnosis and Management
- Gestational Trophoblastic Disease Studies
- Assisted Reproductive Technology and Twin Pregnancy
- Reproductive Health and Technologies
- Uterine Myomas and Treatments
- Prenatal Screening and Diagnostics
- Reproductive Biology and Fertility
- Diversity and Career in Medicine
- Gynecological conditions and treatments
- Infant Development and Preterm Care
- Infant Health and Development
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Neonatal Respiratory Health Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
Children's Hospital of Los Angeles
2023
University of Southern California
2020-2022
LAC+USC Medical Center
2021
Children's Hospital of Philadelphia
2019
University of Pennsylvania
2019
Philadelphia University
2019
Resuscitation with crystalloid fluid is a cornerstone of pediatric septic shock treatment. However, the optimal type unknown. We aimed to determine feasibility conducting pragmatic randomized trial compare balanced (lactated Ringer's [LR]) 0.9% normal saline (NS) resuscitation in children suspected shock.
To determine the rate of live birth per blastocyst based on morphology and oocyte age using data from a single center.This is mathematical analysis model building study autologous stage embryo transfers at University-affiliated center. A total 448 embryos were transferred in 244 fresh frozen May 2015 through April 2018. Blastocyst was divided into good, fair, poor overall grades. Each transfer modeled as an equation equating sum unknown rates to number births that resulted. The least squares...
What impact does maternal age and embryo morphology have on sustained implantation rates of euploid blastocysts?This was a retrospective analysis blastocysts stratified by morphology. The primary included 208 transfers with total 229 embryos transferred from January 2017 through August 2020.For all ages the for day 5 good quality were higher than fair, poor 6 blastocysts. At 36 years best-fit 86% blastocysts, 64% 63% poor, 51% analysed as one group. When controlling biopsy, there younger...
Abstract Introduction This study examined national‐level trends, characteristics, and perioperative outcomes of women who had intra‐arterial balloon occlusion at cesarean hysterectomy for placenta accreta spectrum (PAS). Material methods was a population‐based retrospective observational that queried the National Inpatient Sample from October 2015 to December 2018. Study population underwent delivery PAS ( n = 6440 in 806 centers). Exposure allocation use occlusion. Main outcome measures...
Surgery for placenta accreta spectrum is associated with significant maternal morbidity and mortality. The role of gynecologic oncologists in the surgical management currently under investigation. This study examined practices, experiences, interests surgeries.The intervention was an anonymous, cross-sectional, 20-question survey sent to 1084 members Society Gynecologic Oncology USA.A total 184 responded (response rate 17.0%). Most participating have been practicing >10 years after...
(Abstracted from Am J Obstet Gynecol 2021;225:534.e1–534.e38) Placenta accreta spectrum (PAS) describes the phenomenon wherein trophoblastic placental tissue morbidly attaches to myometrium of gravid uterus, preventing normal detachment and causing morbidity. Depending on degree invasion, PAS is categorized as if attached without decidua, increta invasion occurs into myometrium, percreta through surrounding organs occurs.
Abstract Accurate knowledge of the live birth rate for cleavage stage embryos is essential to determine an appropriate number transfer at once. Results from previous studies lack details needed practical use. This a mathematical analysis and model building study day 3 embryo transfers. A total 996 were transferred in 274 fresh 83 frozen Embryo morphology was divided into 4 groups based on cells fragmentation percentage. Each modeled as equation equating sum rates births that resulted. The...
Background Deciding when to pursue parenthood can be difficult for medical trainees and infertility is more common in the physician population. However, few studies have examined views of very early career trainees. The goal this study was assess premedical student plans family building, knowledge fertility, thoughts on assisted reproductive technology, as well institutional support school fertility curriculum. Methods Web-based cross-sectional survey Qualtrics distributed through social...
( Am J Obstet Gynecol . 2021;225:534.e1–534.e38) Placenta accreta spectrum (PAS) is a rare but dangerous condition that occurs when placental tissue attaches into the gravid uterus, specified by degrees of invasive attachment. Maternal death among risks this in peri-cesarean delivery (CD) period. Other reports on PAS draw from small number patients or are limited to single hospital. A large national survey was performed investigate population-wide prevalence, risks, characteristics, and...
Abstract Our primary objective is to verify or refute a 2013 study by Connolly et al. which showed that in early pregnancy gestational sac was visualized 99% of the time on transvaginal ultrasound when HCG level reached 3,510 mIU/mL. secondary make clinical correlations assessing relationship between human chorionic gonadotropin (HCG) not seen with outcomes live birth, spontaneous abortion, and ectopic pregnancy. This retrospective includes 144 pregnancies an outcome 87 59 pregnancies....
Our primary objective is to verify or refute a 2013 study by Connolly et al. which showed that in early pregnancy, gestational sac was visualized 99% of the time on transvaginal ultrasound when HCG level reached 3510 mIU/mL. secondary make clinical correlations assessing relationship between human chorionic gonadotropin (HCG) pregnancy not seen and outcomes live birth, spontaneous abortion, ectopic pregnancy. This retrospective includes 144 pregnancies with an outcome 87 59 pregnancies....
Septate uteri have been associated with adverse pregnancy outcomes including spontaneous abortion, preterm delivery, and malpresentation. It is unclear if uterine septa are infertility. Although some studies shown improved after septum resection, indications for resection not well established. We describe a case of woman large partial diagnosed during workup infertility who conceived without resection. Both her subsequent pregnancies were initially breech presentations which the patient...