- Gestational Diabetes Research and Management
- Pregnancy and preeclampsia studies
- Birth, Development, and Health
- Bariatric Surgery and Outcomes
- Diabetes Management and Research
- Maternal and Perinatal Health Interventions
- Assisted Reproductive Technology and Twin Pregnancy
- Neonatal Respiratory Health Research
- Pregnancy-related medical research
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Cardiovascular Issues in Pregnancy
- Preterm Birth and Chorioamnionitis
- Diabetes and associated disorders
- Maternal and fetal healthcare
- Prenatal Substance Exposure Effects
- Congenital Diaphragmatic Hernia Studies
- Innovations in Medical Education
- Healthcare professionals’ stress and burnout
- Diabetes Management and Education
- Health and Medical Research Impacts
- Infant Nutrition and Health
- Global Maternal and Child Health
- Neuroscience of respiration and sleep
- Prenatal Screening and Diagnostics
- Child and Adolescent Health
The Ohio State University
2012-2024
University of Puerto Rico at Carolina
2024
The Ohio State University Wexner Medical Center
2008-2024
Cleveland Clinic
2024
Community Link
2022
Maine Farmland Trust
2022
S.P.E.C.I.E.S.
2022
University of Iowa
2021
Yeshiva University
2015
Brigham and Women's Hospital
1971-2015
Women who have had a spontaneous preterm delivery are at greatly increased risk for in subsequent pregnancies. The results of several small trials suggested that 17 alpha-hydroxyprogesterone caproate (17P) may reduce the delivery.
In the accompanying comment letter (1), Weinert summarizes published data from Brazilian Gestational Diabetes Study (2) and comments on applying International Association of Pregnancy Groups (IADPSG) Consensus Panel recommendations (3) for diagnosis gestational diabetes mellitus (GDM) to that cohort. The study provided evidence adverse perinatal outcomes are associated with levels maternal glycemia below those diagnostic GDM by American or World Health Organization criteria. However,...
The proportion of women who attempt vaginal delivery after prior cesarean has decreased largely because concern about safety. absolute and relative risks associated with a trial labor in history delivery, as compared elective repeated without labor, are uncertain.
Vanderbilt University School of Medicine (VUSM) employs several strategies for teaching professionalism. This article, however, reviews VUSM's alternative, complementary approach: identifying, measuring, and addressing unprofessional behaviors. The key to this alternative approach is a supportive infrastructure that includes VUSM leadership's commitment unprofessional/disruptive behaviors, model guide intervention, institutional policies, surveillance tools capturing patients' staff members'...
Previous trials have shown that repeat courses of antenatal corticosteroids improve some neonatal outcomes in preterm infants but reduce birth weight and increase the risk intrauterine growth restriction. We report long-term follow-up results children enrolled a randomized trial comparing single corticosteroids. Women at 23 through 31 weeks gestation who remained pregnant 7 days after an initial course were randomly assigned to weekly betamethasone, consisting 12 mg given intramuscularly...
To estimate the frequency, indications, and complications of cesarean hysterectomy.
<h3>Importance</h3> Gestational diabetes, which increases the risk of adverse pregnancy outcomes, has been increasing in frequency across all racial and ethnic subgroups US. <h3>Objective</h3> To assess whether outcomes among those US with gestational diabetes changed over time these differed by maternal race ethnicity. <h3>Design, Setting, Participants</h3> Exploratory serial, cross-sectional, descriptive study using National Center for Health Statistics natality data 1 560 822 individuals...
In Brief Objective: We sought to estimate the frequency of pregnancy-related thromboembolic events among carriers factor V Leiden (FVL) mutation without a personal history thromboembolism, and evaluate impact maternal fetal FVL carriage or other thrombophilias on risk adverse outcomes. Methods: Women with singleton pregnancy no thromboembolism were recruited at 13 clinical centers before 14 weeks gestation from April 2000 August 2001. Each was tested for mutation, as resultant conceptus...
In Brief OBJECTIVE: To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery. METHODS: Between January 1, 1999, December 31, 2000, a prospective cohort study all deliveries was conducted at 13 university centers. Information regarding maternal infant outcomes abstracted directly from hospital charts. RESULTS: A total 37,110 were included registry, 418 (1.1%) had an injury. The most common skin laceration (n=272, 0.7%). Other injuries cephalohematoma...
In Brief OBJECTIVE: To determine whether the risk for uterine rupture is increased in women attempting vaginal birth after multiple cesarean deliveries. METHODS: We conducted a prospective multicenter observational study of with prior delivery undergoing trial labor and elective repeat operation. Maternal perinatal outcomes were compared among deliveries those single delivery. also electing RESULTS: Uterine occurred 9 975 (0.9%) 115 16,915 (0.7%) operation (P = .37). Multivariable analysis...
To measure decision-to-incision intervals and related maternal neonatal outcomes in a cohort of women undergoing emergency cesarean deliveries at multiple university-based hospitals comprising the National Institute Child Health Human Development Maternal-Fetal Medicine Units Network.All primary delivery Network center during 2-year time span were prospectively ascertained. Emergency procedures defined as those performed for umbilical cord prolapse, placental abruption, placenta previa with...
To compare maternal and neonatal outcomes when primary cesarean delivery is performed in the second stage of labor compared with first stage.Between January 1, 1999, December 31, 2000, a prospective observational study deliveries was conducted at 13 university centers comprising National Institute Child Health Human Development Maternal-Fetal Medicine Units Network. The interest included composite (composed least one following: endometritis, intraoperative surgical complication, blood...
In Brief OBJECTIVE: Assess effects of body mass index (BMI) on trial labor after previous cesarean delivery and determine whether morbidly obese women have greater maternal perinatal morbidity with compared elective repeat delivery. METHODS: Secondary analysis from a prospective observational study included all term singletons undergoing Body groups were as follows: normal 18.5–24.9, overweight 25.0–29.9, 30.0–39.9, 40.0 kg/m2 or greater, for failure neonatal morbidities. The Multivariable...