A5107221770- Pregnancy and preeclampsia studies
- Congenital Diaphragmatic Hernia Studies
- Congenital Anomalies and Fetal Surgery
- Assisted Reproductive Technology and Twin Pregnancy
- Preterm Birth and Chorioamnionitis
- Prenatal Screening and Diagnostics
- Gestational Diabetes Research and Management
- Maternal and Perinatal Health Interventions
- Parvovirus B19 Infection Studies
- Family Dynamics and Relationships
- Adolescent Sexual and Reproductive Health
- Prenatal Substance Exposure Effects
- Adolescent and Pediatric Healthcare
- Folate and B Vitamins Research
- Grief, Bereavement, and Mental Health
- Congenital Heart Disease Studies
- Reproductive System and Pregnancy
- Substance Abuse Treatment and Outcomes
- Teratomas and Epidermoid Cysts
- Pharmacovigilance and Adverse Drug Reactions
- Psychedelics and Drug Studies
- Vitamin K Research Studies
- Ocular Disorders and Treatments
- Cardiovascular Conditions and Treatments
- Ectopic Pregnancy Diagnosis and Management
Beaumont Hospital, Royal Oak
2023
Wayne State University
2001-2019
Hutzel Women's Hospital
1993-2015
Harper University Hospital
2015
Detroit Medical Center
2015
Sinai Grace Hospital
1997-2005
Michigan Department of Health and Human Services
2003
Epidemic Intelligence Service
2003
National Center for Chronic Disease Prevention and Health Promotion
2003
Grace (United States)
1997
Twin reversed-arterial-perfusion sequence is a serious complication of monozygotic multiple gestations, affecting 1 percent twins, or in 35,000 births1. It has been hypothesized that the presence artery-to-artery and vein-to-vein anastomoses placenta, blood perfused by hemodynamically advantaged twin (“pump” twin) to other (“recipient” means retrograde flow2. Inadequate perfusion recipient responsible for development characteristic invariably lethal set anomalies, including acardia...
This study sought to identify delivery complications associated with stillbirth labour and delivery. We conducted a retrospective chart review evaluating demographics, pregnancy maternal risk factors, of performed bivariable analysis multivariable logistic regression evaluate factors medical variations by race. Our cohort included 543 mothers stillbirth, which two-thirds were African-American. noted high rates shoulder dystocia, clinical chorioamnionitis, postpartum haemorrhage retained...
Intrahepatic cholestasis of pregnancy is seldom associated with significant vitamin K deficiency. We report a case 16-year-old primigravid patient at 24 weeks and 3 days gestation who presented pruritus, hematuria, preterm labor. Laboratory work-up showed severe coagulopathy Prothrombin Time (PT) 117.8 seconds, International Normalized Ratio (INR) 10.34, elevated transaminases suggestive intrahepatic pregnancy. Her serum level was undetectable (<0.1 nMol/L). Initial therapy consisted...
There are at present no evidence-based interventions for marijuana use during pregnancy, despite it being by far the most commonly used illicit drug pregnancy. Lack of treatment-seeking, combined with implementation challenges, has limited extent to which at-risk women receive any kind. This study sought evaluate feasibility and acceptability two high-reach technology-based interventions: electronic screening brief intervention (e-SBI) tailored text messaging, delivered either alone or in...
Methamphetamine has been marketed illicitly since the 1960s. Much of street material was synthesized. Although methamphetamine quality variable in past decade, it emerged 1978 as only stimulant which is likely to contain what purports contain. there a small volume legitimate still made by pharmaceutical industry, most analyzed street-drug laboratories appears have illegitimately synthesized and not diverted. For relatively little submitted analytical labs. In recent years, although absolute...
Marijuana is the most widely used illicit substance during pregnancy. Technology-delivered brief interventions and text messaging have shown promise in general pregnant samples but not yet been applied to marijuana use pregnancy.The objective of study was evaluate, among women prenatal care providers, acceptability an electronic intervention plan for pregnancy.Participants included patients (n=10) medical staff (n=12) from urban clinic. Patient-participants were recruited directly a visit....
Abstract Aneurysm of the ductus arteriosus may be either spontaneous or acquired as a complication surgical closure patent duct. Patients asymptomatic present with wide spectrum symptoms, including hoarseness, respiratory aortic pulmonary thrombosis embolism, rupture aneurysm. We first report prenatal ultrasonographic diagnosis isolated The aneurysm presented at 39 weeks an enlarged, dilated, vascular structure 15 mm in diameter, which began bifurcation main artery and ended descending...
References cited in scientific articles may be used as data to characterize a body of reports. We examined the references and citations 53 reporting adverse reactions phenylpropanolamine. classified type reference (case report, human or nonhuman experimental, editorial, review) read frequently compare their content citational use. searched for that we thought pertinent including prospective clinical trial literature studies comparing phenylpropanolamine with amphetamine. learned writers...
To evaluate the prevalence and trend of folic acid awareness among Michigan mothers during 1996-1999 to identify maternal characteristics predictive awareness.We analyzed data from Pregnancy Risk Assessment Monitoring System, a population-based survey women with recent live births. A positive response question, "Before you became pregnant, did know that could help prevent some birth defects?" was used as an indicator awareness. Logistic regression trends in association between certain...
To compare optimal visualization of the four-chamber and outflow-tract views fetal heart on sonographic examination between morbidly obese (body mass index [BMI] ≥ 40 kg/m(2) ) nonobese (BMI < 25 pregnant women.In this retrospective cohort study, we included records images from 509 women who had first undergone 18 36 weeks' gestational age.Compared with women, lower views: view, obese, 83/186 (44.6%), versus nonobese, 283/323 (87.6%), 80/186 (43%) 258/290 (89%); p 0.0001 for each comparison....
Objective: Inflammation on Papanicolaou (Pap) smear has been associated with a 30–50% incidence of bacterial vaginosis (BV), recognized risk factor for preterm delivery. We determined whether inflammation Pap is Study Design: 5,348 cases were studied complete prenatal data including the potential confounder treatment antibiotics. Cases categorized by presence (n = 1,139) or absence 4,209) smear. Results: In group proportion African Americans was lower (66.9 vs. 74.5%; p < 0.001). There no...
Introduction . Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case A 26-year-old woman presents at 19 4/7 weeks for evaluation short cervix and placenta previa. On ultrasound scan, the was considered previa not visualized. The identified by pelvic examination presumptive diagnosis done. patient followed up closely remained asymptomatic. Retrospective analysis images showed retroverted an elongated compressed towards anterior vaginal wall. At 26...
To determine if cardiac axis obtained at an early ultrasound study (11-15 weeks) differs from that a late (18-22 in the same fetus and to evaluate impact of fetal gender and/or maternal body mass index (BMI).Cardiac axes 324 non-anomalous fetuses 11-15 weeks gestation were measured, with follow-up measurements 18-22 weeks. Comparisons performed based on gestational age period, obese/non-obese status.(1) Mean did not change between 11 15 weeks; p = 0.8, (2) mean was more levorotated than 48.1...
In utero infection of the fetus has become recognized as an important cause fetal and neonatal morbidity mortality. Since both anatomic functional abnormalities have been described in related to various infections, ultrasonography may be a valuable diagnostic tool this regard. A complete review current literature was undertaken report available information on topic. Common pathogens or clinical conditions were selected. The identified data confounded by way which each case originally...
In utero infection of the fetus has become recognized as an important cause fetal and neonatal morbidity mortality. Since both anatomic functional abnormalities have been described in related to various infections, ultrasonography may be a valuable diagnostic tool this regard. A complete review current literature was undertaken report available information on topic. Common pathogens or clinical conditions were selected. The identified data confounded by way which each case originally...