A5035220932- Maternal and fetal healthcare
- Pregnancy and preeclampsia studies
- Maternal and Perinatal Health Interventions
- COVID-19 Impact on Reproduction
- Prenatal Screening and Diagnostics
- Global Maternal and Child Health
- Surgical site infection prevention
- COVID-19 and healthcare impacts
- Child Nutrition and Water Access
- COVID-19 Clinical Research Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Gestational Diabetes Research and Management
- Maternal and Neonatal Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Blood Coagulation and Thrombosis Mechanisms
- Infant Development and Preterm Care
- Maternal Mental Health During Pregnancy and Postpartum
- Platelet Disorders and Treatments
- Patient Dignity and Privacy
- COVID-19 epidemiological studies
- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Assisted Reproductive Technology and Twin Pregnancy
- Vaccine Coverage and Hesitancy
University of Puerto Rico at Carolina
2023
Mount Sinai Hospital
2020-2023
Icahn School of Medicine at Mount Sinai
2020-2022
Mount Sinai Health System
2021-2022
Stony Brook School
2019-2020
Stony Brook University
2019-2020
Community Link
2020
Stony Brook Medicine
2020
Stony Brook University Hospital
2019
To evaluate the rate of coronavirus disease 2019 (COVID-19) infection with use universal testing in our obstetric population presenting for scheduled deliveries, as well concordance or discordance among their support persons during initial 2-week period testing. Additionally, we assessed utility a screening tool predicting severe acute respiratory syndrome 2 (SARS-CoV-2) results cohort.This was an observational study which all women who were planned delivery within Mount Sinai Health system...
Although it is tempting to construe the correlation between Black "race" and higher rates of preterm birth as causal, this logic flawed. Worse, continued use a risk factor for actively harmful. Using suggests causal relationship that does not exist and, critically, obscures what actually causes patients be more vulnerable poorer maternal infant outcomes: anti-Black racism. Failing name racism root cause patients' vulnerability conceals key pathways tempts us immutably related birth. The...
Objectives Novel coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) virus has been declared a pandemic World Health Organization as of March 11, 2020. Pregnant women naturally have reduced immune system due to immunological changes and decreased lung capacity adaptations, making them more susceptible complications. Within Mount Sinai system, than 15,000 deliveries are performed annually. We began care for pregnant with known...
To determine whether women who experience resolution of low placentation (low-lying placenta or previa) are at increased risk postpartum hemorrhage compared to those with normal throughout pregnancy.This was a retrospective cohort study delivered Mount Sinai Hospital between 2015 and 2019, were diagnosed low-lying previa on transvaginal ultrasound the time second-trimester anatomical survey, subsequent examination. Women undergoing survey had 3 days before after cases randomly identified for...
INTRODUCTION: The purpose of this project is to determine patients' decisional certainty regarding the use invasive prenatal genetic diagnostic testing (PGDT). METHODS: Cross-sectional design, IRB-approved study. Voluntary, anonymous questionnaire (Q) assessing patient decision making process in regards (CVS and/or amniocentesis) PGDT. Q (paper and online options) were distributed from 2017-2018 those undergoing a university academic practice. Questions (7 items on certainty, 5-point Likert...
INTRODUCTION: Postpartum (PP) infections are more common after Cesarean section (CS) compared to vaginal deliveries. Preoperative Cefazolin is commonly used, recent evidence indicates that adding azithromycin (AZI) as extended antibiotic coverage decreases the risk of infectious comorbidities for non-elective CS (nCS). Since 2017, our L&D used AZI + cefazolin in nCS. Goal was determine if preoperative lowers PP infections. METHODS: An IRB approved retrospective cohort study conducted. ST...
Objective: To determine the risk of cervical insufficiency (CI) in women with a history 2nd stage cesarean delivery (CD), and characteristics associated CI prior CD.Study Design: Case controlled study 1/2013 -6/2016.ICD codes were used to identify cases CD, followed by subsequent pregnancy.Controls patients who had CD without CI.Parametric non-parametric statistics used; p value <0.05 was statistically significant.Results: Of 2,000 charts, there 15 (10 stage, 5 1st stage).Women higher odds...
Abstract Background Glanzmann thrombasthenia (GT) is a rare, autosomal recessive disorder of platelet glycoprotein IIb‐IIIa receptors. Pregnant patients with GT are at increased risk maternal and fetal bleeding. There paucity literature on the peripartum management patients. Case Description We present antepartum through postpartum course patient who was managed by multidisciplinary approach that included communication across maternal‐fetal medicine, hematology, transfusion anesthesiology...
INTRODUCTION: Haiti is impoverished and stricken by malnutrition adverse pregnancy outcomes. Characterization of pregnancies complicated fetal growth restriction (FGR) has not been performed in Haiti. We sought out to characterize the outcomes FGR METHODS: IRB-approved, retrospective cohort study from January 2017 May all deliveries at St. Damien Hospital. was defined as <10%ile estimated weight for gestational age. Charts were documented French. A French Creole-speaking provider...
INTRODUCTION: The goal of preoperative antibiotics is to decrease and prevent postpartum infections. Recent evidence indicates that adding azithromycin (AZI) Cefazolin as extended antibiotic coverage can the risk infectious co-morbidities for non-elective Cesarean Deliveries (nCD). November 2017 we started using AZI + cefazolin in nCD. was determine institutional compliance administration. METHODS: An IRB approved retrospective cohort study over 4 months patients undergoing ST (1st...
INTRODUCTION: Haiti is an impoverished country with poor health infrastructure and pregnancy outcomes. In Haiti, a 2010 study estimated the preterm birth (PTB) rate to be 14.1%, similar United States. Few studies have assessed PTB in Haiti. We aim characterize maternal perinatal characteristics associated METHODS: IRB-approved, retrospective cohort from January 2017 May looking at all deliveries St. Damien Hospital. 423 paper charts were reviewed. Patients placed into 2 groups based on...
To use a questionnaire to determine the levels of maternal decision-related distress, clarity pros and cons, certainty when considering prenatal genetic diagnostic testing; assess relationship between these constructs patient characteristics.Cross-sectional study. Voluntary, anonymous questionnaires distributed 2017-2019 women referred for invasive testing. Excluded: English or Spanish illiterate. Maternal characteristics were collected. Questions evaluated decisional certainty, on 5-point...