A5012023802- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Assisted Reproductive Technology and Twin Pregnancy
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy-related medical research
- Global Maternal and Child Health
- Gestational Diabetes Research and Management
- Grief, Bereavement, and Mental Health
- Homicide, Infanticide, and Child Abuse
- Health Sciences Research and Education
- Childhood Cancer Survivors' Quality of Life
- Nursing Diagnosis and Documentation
- Meta-analysis and systematic reviews
- Pregnancy and preeclampsia studies
- Breastfeeding Practices and Influences
- Gestational Trophoblastic Disease Studies
- Metabolomics and Mass Spectrometry Studies
- Pelvic floor disorders treatments
- Neuroendocrine regulation and behavior
- Nursing Roles and Practices
- Cancer Risks and Factors
- Prenatal Screening and Diagnostics
- Reproductive Health and Contraception
- Emergency and Acute Care Studies
- Oral and Craniofacial Lesions
Emory University
2016-2025
Brewster Place
2024
National Institutes of Health
2024
Tilde (Estonia)
2021-2023
O'Neal Steel (United States)
2023
Oregon Health & Science University
2006-2021
Paul Hastings
2021
Georgia State University
2019
University of Utah
2019
Rocky Vista University
2017
Abstract The human microbiome plays a role in maintaining health, but is also thought to attenuate and exacerbate risk factors for adverse maternal–child health outcomes. development of the begins utero; however, related labor birth environment have been shown influence initial colonization process newborn microbiome. This “seeding” or transfer microbes from mother may serve as an early inoculation with implications long-term outcomes newborns. Studies that there are distinct differences...
Abstract Background The presence of midwives in a health system may affect perinatal outcomes but has been inadequately described United States settings. Our objective was to compare labor processes and for low‐risk nulliparous women birthing medical centers with interprofessional care (midwives physicians) versus noninterprofessional (physicians only). Methods We conducted retrospective cohort study using Consortium on Safe Labor data from who birthed (n = 7393) or 6982). Unadjusted,...
Abstract Background Term nulliparous women have the greatest variation across hospitals and providers in cesarean rates therefore present an opportunity to improve quality through optimal care. We evaluated associations between provider type mode of birth, including examination intrapartum management healthy, laboring women. Methods Retrospective cohort study using prospectively collected perinatal data from a United States academic medical center (2005‐2012). The sample included healthy...
Sixty percent of United States births are to multiparous women. Hospital-level policies and culture may influence intrapartum care birth outcomes for this large population, yet have been poorly explored using a large, diverse sample. We sought use national data analyze the association between midwifery presence in maternity teams processes low-risk parous women.We conducted retrospective cohort study Consortium on Safe Labor from women either interprofessional (n = 12 125) or...
Objective In this pilot study, we used untargeted metabolomics to identify biochemical mechanisms or biomarkers potentially underlying SLE-related fatigue. Methods Metabolon conducted metabolomic plasma profiling using ultrahigh performance liquid chromatography/tandem mass spectrometry on samples of 23 Black females with systemic lupus erythematosus (SLE) and 21 no SLE controls. Fatigue phenotypes general fatigue, physical mental reduced activity, motivation were measured the reliable valid...
Background: Synthetic oxytocin, the primary tool for labor augmentation, is less effective among obese women, leading to more unplanned cesarean deliveries slow progress. It not known if women require higher doses of oxytocin due maternal, fetal, or factors related maternal obesity. Objectives: This study had two main objectives: (1) examine influence body mass index (BMI) on hourly from augmentation initiation until vaginal delivery in women; and (2) other women. Study Design: Longitudinal...
Background Women who are obese have slower labors than women of normal weight, and show reduced response to interventions designed speed labor progress like oxytocin augmentation artificial rupture membranes. The optimal management for these has not been described. Methods This retrospective cohort study compared 2 propensity score‐matched groups (N = 360) were healthy, nulliparous, spontaneously laboring, (body mass index ≥ 30 kg/m ). Labors managed by either a certified nurse‐midwife (CNM)...
Introduction Postpartum hemorrhage (PPH) is an important contributor to maternal morbidity and mortality. Predicting which laboring women are likely have a PPH active area of research component quality improvement bundles. The purpose this study was identify phenotypes labor processes (ie, labors that similar features, such as duration type interventions) in cohort who had vaginal births, estimate the likelihood by phenotype, analyze how fetal characteristics relate risk phenotype. Methods...
Abstract Background Racial disparities exist in maternal morbidity and mortality, with most of these events occurring healthy pregnant people. A known driver outcomes is unplanned cesarean birth. Less understood to what extent presenting race/ethnicity associated birth laboring people, if there are differences by intrapartum decision-making prior Methods This secondary analysis the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be (nuMoM2b) dataset involved nulliparas no...
Introduction The Robson 10‐group classification system stratifies cesarean birth rates using maternal characteristics. Our aim was to compare utilization in US centers with and without midwifery care the classification. Methods We used National Institute of Child Human Development Consortium on Safe Labor data from 2002 2008. Births women interprofessional that included midwives (n = 48,857) were compared births non‐interprofessional 47,935). To utilization, classified into categories....
Introduction Maternal obesity is associated with slow labor progression and unplanned cesarean birth. Midwives use fewer medical interventions during labor, the women they care for have lower birth rates, compared low‐risk, matched groups of cared by physicians. The primary aim this study was to examine associations between midwifery unit‐level presence in different body mass index (BMI) ranges. Unit‐level midwives analyzed as a representation unique set practices that exist settings where...
Background When the COVID-19 pandemic hit in 2020, researchers P30 Center for Study of Symptom Science, Metabolomics, and Multiple Chronic Conditions at Emory University’s Nell Hodgson Woodruff School Nursing faced major challenges recruitment data collection because limited access to clinic community facilities risk exposure associated with in-person study contact. Objectives The purpose this article is (a) describe how a cadre pilot/supplement principal investigators adapted their studies...