- Assisted Reproductive Technology and Twin Pregnancy
- Preterm Birth and Chorioamnionitis
- Ectopic Pregnancy Diagnosis and Management
- Pregnancy and preeclampsia studies
- Pregnancy-related medical research
- Prenatal Screening and Diagnostics
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Gestational Diabetes Research and Management
- Birth, Development, and Health
- Cardiovascular Issues in Pregnancy
- Pelvic floor disorders treatments
- Blood Coagulation and Thrombosis Mechanisms
- Neonatal Respiratory Health Research
- Congenital Anomalies and Fetal Surgery
- Gynecological conditions and treatments
- Parvovirus B19 Infection Studies
- Fetal and Pediatric Neurological Disorders
- Urological Disorders and Treatments
- Bariatric Surgery and Outcomes
- Gestational Trophoblastic Disease Studies
- Homicide, Infanticide, and Child Abuse
- Pregnancy and Medication Impact
- Uterine Myomas and Treatments
- Reproductive tract infections research
Reproductive Medicine Associates of New York
2016-2025
Icahn School of Medicine at Mount Sinai
2015-2024
The Women’s Imaging Center
2009-2024
Mount Sinai Hospital
2013-2024
Sunnybrook Health Science Centre
2023
Health Sciences Centre
2023
University of Toronto
2023
Tel Aviv Sourasky Medical Center
2023
Tel Aviv University
2023
McMaster University
2023
Background There are limited data to guide the diagnosis and management of vasa previa. Currently, what is known largely based on case reports or series cohort studies. Objective (s): To systematically collect classify expert opinions achieve consensus clinical previa using focus group discussions (FGD) a Delphi technique. Study Design A four-round FGD three-round survey an international panel experts were conducted. Experts selected their publication record First, we convened 20 agreed...
To evaluate the association of other-than-common benign copy number variants with specific fetal abnormalities detected by ultrasonogram.Fetuses structural anomalies were compared fetuses without for frequency variants. This is a secondary analysis from previously published National Institute Child Health and Human Development microarray trial. Ultrasound reports reviewed details entered into nonhierarchical web-based database. The (ie, either pathogenic or uncertain significance) not...
To estimate whether the severity of uterine anomaly is associated with risk adverse pregnancy outcomes.Retrospective cohort study patients delivered by one maternal fetal medicine group from 2005 to 2012. We included 158 a singleton and anomaly, as well an equal number randomly selected unexposed pregnancies same group. Patients anomalies were subdivided into those major fusion defects (unicornuate, bicornuate didelphys) minor (arcuate, septate t-shaped).The incidence outcomes increased...
We sought to estimate the association of several maternal risk factors with intrauterine growth restriction (IUGR) in twin pregnancies. This is a case-control study 313 patients pregnancies delivered greater than 24 weeks between June 2005 and January 2010. used three definitions IUGR: (1) either birth weight < 10th percentile for gestational age; (2) 5th (3) birth-weight discordance ≥ 20%. Using each definition IUGR, we estimated IUGR age, weight, monochorionicity, vitro fertilization,...
The purpose of this study was to estimate the prevalence and persistence rate vasa previa in at-risk pregnancies using a standardized screening protocol.We conducted descriptive patients with diagnosis from single ultrasound unit between June 2005 2012. Vasa defined as fetal vessel within 2 cm internal cervical os on transvaginal sonography. Screening for sonography color flow mapping performed routinely following situations: resolved placenta previa, prior pregnancy velamentous insertion...
We evaluated the safety of intraoperative autologous blood collection and autotransfusion during cesarean section.A multicenter historical cohort study identified 139 patients in whom section was performed. also 87 control who underwent similar surgical procedures at same centers without autotransfusion. The outcome variables we compared were acute respiratory distress syndrome, amniotic fluid embolism, disseminated intravascular coagulation, need for ventilatory support, infectious...
OBJECTIVE—Progesterone has a known diabetogenic effect. We sought to determine whether the incidence of gestational diabetes mellitus (GDM) is altered in women receiving weekly 17α-hydroxyprogesterone caproate (17P) prophylaxis for prevention recurrent preterm birth. RESEARCH DESIGN AND METHODS—Singleton gestations having history delivery were identified from database containing prospectively collected information outpatient nursing services related high-risk pregnancy. Included patients...
We assessed the impact of a lifestyle modification program (LMP) on weight gain in pregnancy and evaluated its effect adverse outcomes. A prospective matched controlled study design was employed. Inclusion criteria consisted pregnant women with singleton gestations body mass index (BMI) ≥30 without underlying medical conditions. In group, patients were prospectively enrolled first trimester. Through LMP, participated comprehensive nutrition, exercise, control pregnancy. The group by starting...
In Brief OBJECTIVE: To estimate neonatal morbidity and delivery outcomes according to planned mode of in twin pregnancies with active second-stage management. METHODS: This was an historic cohort delivered one practice between June 2005 September 2009 using a strict protocol management, including breech extraction second noncephalic internal version nonengaged cephalic followed by extraction. Primary outcome 5-minute Apgar score less than 7 for B. Secondary were A 1-minute arterial cord pH...
In Brief OBJECTIVE: To estimate whether the weight gain recommendations for twin pregnancies in 2009 Institute of Medicine (IOM) guidelines are associated with improved perinatal outcomes. METHODS: A cohort 297 was identified from a single practice measured prepregnancy body mass index (BMI) and during pregnancy. Recommended IOM were applied to our based on BMI categories (normal weight, overweight, obese). Pregnancy outcomes compared between patients whose met or exceeded who did not meet...
Objectives The purpose of this study was to evaluate the gestational age at sonographic detection placenta previa as a predictor persistence until delivery in twin gestations. Methods A retrospective cohort pregnancies with single ultrasound unit analyzed from 2005 2010. Pregnancies were ascertained database. Diagnoses confirmed by transvaginal imaging. Previa categorized complete if completely covered internal os or marginal inferior placental edge reached within 2 cm. Gestational ages...
Objective. To examine the impact of maternal obesity on and neonatal outcomes in pregnancies complicated with gestational diabetes mellitus (GDM).
Objective: To investigate odds of vaginal delivery comparing induced versus spontaneous labor in nulliparas and multiparas with dichorionic twins. Study Design: Retrospective review twin pregnancies from 2008-2021. Those scheduled or elective cesarean, malpresentation, prior uterine surgery, fetal anomaly, gestational age (GA) at < 34 weeks, multifetal reduction were excluded. Nulliparas analyzed separately. The primary outcome was both Secondary outcomes included preterm delivery,...
The purpose of this study was to determine the efficacy sonographically indicated cerclage in multiple gestations with sonographic evidence short cervical length (CL).Between 1996 and 2002, all undergoing serial CL determinations second trimester were identified 2 separate institutions. Cervical lengths measured transvaginal probes (4-8 MHz). Short defined as a closed 2.5 cm or less. When before 24 weeks, group underwent via modified Shirodkar technique; control patients placed on bed rest...
<b>Objective</b> Twin pregnancy is associated with an increased incidence of preeclampsia. However, it unknown if the risk factors for preeclampsia in twin pregnancies are same as those singleton pregnancies. <b>Methods</b> Case–control analysis all managed by one maternal-fetal medicine practice from 2005 to 2012. Patients chronic hypertension were excluded, monochorionic-monoamniotic twins. We compared patient and characteristics between patients who did not develop preeclampsia, according...
To report obstetric outcomes in a series of women with prior uterine rupture or dehiscence managed standardized protocol.Series patients delivered by single maternal-fetal medicine practice from 2005 to 2013 history dehiscence. Uterine was defined as clinically apparent, complete scar separation labor before labor. an incomplete and occult intact serosa. Patients were at approximately 36-37 weeks gestation earlier the setting preterm 37-39 based on history, clinical findings,...
To evaluate cervical pessary as an intervention to prevent preterm birth in twin pregnancies with a short cervix.This was retrospective cohort study of managed by single maternal-fetal medicine practice from 2005 2015. We included patients at 28 weeks gestation or less who were diagnosed length than 20 mm. At the time diagnosis, all prescribed vaginal progesterone. Starting 2013, they also offered placement addition compared outcomes between received and matched women control group...
In Brief OBJECTIVE: To estimate the effect of maternal body mass index (BMI) on clinical estimated fetal weight in term pregnancies. METHODS: We compared to actual birth 400 consecutive pregnant patients admitted for delivery. then evaluated whether BMI was significantly associated with accuracy estimating weight. Patients singleton pregnancies at 37–42 weeks gestation were included. an ultrasound-estimated within 3 admission excluded. Estimated defined as absolute error (absolute value...