- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Cardiovascular Issues in Pregnancy
- Pregnancy-related medical research
- Assisted Reproductive Technology and Twin Pregnancy
- Preterm Birth and Chorioamnionitis
- Pelvic floor disorders treatments
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Pulmonary Hypertension Research and Treatments
- Ectopic Pregnancy Diagnosis and Management
- Surgical site infection prevention
- Neonatal Respiratory Health Research
- Gestational Diabetes Research and Management
- Surgical Sutures and Adhesives
- Neonatal and fetal brain pathology
- Reproductive Health and Contraception
- Drug Transport and Resistance Mechanisms
- Reproductive tract infections research
- Pediatric Hepatobiliary Diseases and Treatments
- Diabetes Management and Education
- Homicide, Infanticide, and Child Abuse
- Cardiac Structural Anomalies and Repair
- Trauma, Hemostasis, Coagulopathy, Resuscitation
University of North Carolina at Chapel Hill
2020-2025
Duke University
2023-2024
University of California, San Francisco
2024
Universidad Cardenal Herrera CEU
2022
Dillinger Hütte (Germany)
2022
Thomas Jefferson University
2016-2021
Thomas Jefferson University Hospital
2016-2021
Society for Maternal-Fetal Medicine
2021
University of Puerto Rico at Carolina
2021
Accreditation Council for Graduate Medical Education
2020
Our objective was to identify birth hospitalization severe maternal morbidity (SMM) diagnoses that were also coded during prior encounters and, thus, potentially falsely carried forward as de novo SMM events. This retrospective cohort study included pregnant patients with births between 2016 and 2020. We applied the algorithm occurring prepregnancy, antepartum, postpartum. The primary outcome rate of recorded on previous encounters. There 1,380 (1.8%) birthing SMM. Of codes at...
ABSTRACT Background Pregnant patients with cardiovascular disease (CVD) face increased risk of preeclampsia and preterm delivery, yet data is limited regarding degree impact hypertensive disorders pregnancy (HDP) on gestational age at delivery. Objectives To examine HDP delivery timing in CVD. Methods This retrospective cohort study included >18 years old who delivered between 10/1/2015 12/31/2020 using the Premier Healthcare Database. Patients CVD were divided into six categories:...
Objective: To evaluate the incidence of implementation universal cervical length (CL) screening for preterm birth (PTB) prevention among institutions with Maternal–Fetal Medicine (MFM) fellowship training in United states.Methods: In January 2015, we conducted a national survey MFM Fellowship Programs regarding CL screening, defined as women singleton gestations without prior spontaneous PTB. We identified whether transabdominal ultrasound (TAU) or transvaginal (TVU) was used screening....
( Anesth Analg. 2024;138(5):1011–1019. doi: 10.1213/ANE.0000000000006523) Pulmonary hypertension (PHTN) conveys significant risk for morbidity and mortality during pregnancy leading to many patients being counseled against or termination should occur. Despite this risk, some women do proceed with beyond 25 weeks; however, information on these cases remains elusive limited case series reports small samples. Current recommendations surrounding delivery PHTN recommend cesarean (CD), but new...
Patients with pulmonary hypertension have a high risk of maternal morbidity and mortality. It is unknown if trial labor carries lower in these patients compared to planned cesarean delivery. The objective this study was examine the association delivery mode severe events during hospitalization among hypertension.
To evaluate whether Asian race is an independent risk factor for severe perineal lacerations.We performed a nationwide population-based retrospective cohort study examining the relationship between and lacerations (third fourth degree). The data were collected from 2012 Healthcare Cost Utilization Project National Inpatient Sample (HCUP-NIS). Characteristics of American women compared with those non-Asian women. primary outcome interest was lacerations. Multivariable logistic regression used...
( Obstet Gynecol. 2024;143(4):582–584. doi: 10.1097/AOG.0000000000005537) Administrative data play a crucial role in understanding severe maternal morbidity (SMM) events, yet their interpretation heavily relies on coding quality. Overestimation of SMM during birth hospitalizations might occur due to International Classification Diseases, Tenth Revision (ICD-10) codes being carried forward from predelivery events. This study aimed describe distribution across the antepartum, birth, and...
Endometritis is a postpartum complication that more common after cesarean delivery. It frequently requires intravenous antibiotic administration, prolonged hospital stays, and carries risk of sepsis or abscess formation. Precesarean vaginal preparation has been shown to decrease the endometritis in patients who have labored ruptured membranes.The objective this study was assess practical implementation protocol for cleansing prior delivery subsequent effect on rates clinical setting.This...
To describe the association between maternal and fetal physical signs symptoms (signs/symptoms) childbirth outcomes in women with prior cesarean delivery (CD).Cases of uterine rupture at a single institution were reviewed to examine risk factors for experiencing signs/symptoms poor outcomes.Among 21 014 deliveries, 3252 (15.5%) had CD, 75 (2.3%) rupture. Of these, 66 (88.0%) labored. Among those who labored, 51 (77.3%) demonstrated delivery. Signs/symptoms included vaginal bleeding,...