A5008734895- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Gestational Diabetes Research and Management
- LGBTQ Health, Identity, and Policy
- Pregnancy and Medication Impact
- Neonatal Respiratory Health Research
- Maternal Mental Health During Pregnancy and Postpartum
- COVID-19 Impact on Reproduction
- Birth, Development, and Health
- Preterm Birth and Chorioamnionitis
- Air Quality and Health Impacts
- Global Maternal and Child Health
- Vaccine Coverage and Hesitancy
- Ectopic Pregnancy Diagnosis and Management
- Reproductive Health and Contraception
- Climate Change and Health Impacts
- Assisted Reproductive Technology and Twin Pregnancy
- Sexuality, Behavior, and Technology
- Infant Development and Preterm Care
- Influenza Virus Research Studies
- Adolescent and Pediatric Healthcare
- Reproductive System and Pregnancy
- Cardiovascular Issues in Pregnancy
- Pregnancy-related medical research
Kaiser Permanente
2016-2025
Pasadena City College
2021-2023
Kaiser Permanente Center for Health Research
2023
National Center for Immunization and Respiratory Diseases
2023
Centers for Disease Control and Prevention
2023
Marshfield Clinic
2023
Denver Health Medical Center
2023
University of Colorado Denver
2023
Kaiser Permanente Washington Health Research Institute
2023
HealthPartners
2010-2023
In Brief OBJECTIVE: To examine the association between cesarean delivery and previa abruption in subsequent pregnancies. METHODS: A retrospective cohort study of first 2 (n = 156,475) 3 31,102) consecutive singleton pregnancies using 1989–1997 Missouri longitudinally linked data were performed. Relative risk (RR) was used to quantify associations risks pregnancies, after adjusting for several confounders. RESULTS: Rates 4.4 694) 7.9 1,243) per 1,000 births, respectively. The pregnancy a...
Background: Venous thromboembolism (VTE), ischemic stroke, and myocardial infarction in transgender persons may be related to hormone use. Objective: To examine the incidence of these events a cohort persons. Design: Electronic medical record–based study members integrated health care systems who had an index date (first evidence status) from 2006 through 2014. Ten male 10 female cisgender enrollees were matched each participant by year birth, race/ethnicity, site, enrollment. Setting:...
Information about the association of maternal diabetes and autism spectrum disorders (ASDs) in offspring is limited, with no report on importance timing exposure during gestation.To assess ASD risk associated intrauterine to preexisting type 2 gestational mellitus (GDM) by age at GDM diagnosis.Retrospective longitudinal cohort study including 322 323 singleton children born 1995-2009 Kaiser Permanente Southern California (KPSC) hospitals. Children were tracked from birth until first...
BACKGROUND: Understanding the magnitude of mental health problems, particularly life-threatening ones, experienced by transgender and/or gender nonconforming (TGNC) youth can lead to improved management these conditions. METHODS: Electronic medical records were used identify a cohort 588 transfeminine and 745 transmasculine children (3–9 years old) adolescents (10–17 enrolled in integrated care systems California Georgia. Ten male 10 female referent cisgender enrollees matched each TGNC...
In Brief OBJECTIVE: To test the association of elective induction labor at term compared with expectant management and maternal neonatal outcomes. METHODS: This was a retrospective cohort study all deliveries without prior cesarean delivery in California 2006 using linked hospital discharge vital statistics data. We each gestational age (37–40 weeks) as defined by The Joint Commission vertex, nonanomalous, singleton deliveries. used multivariable logistic regression to delivery, operative...
COVID-19 vaccines are critical for ending the pandemic; however, current data about vaccination coverage and safety in pregnant women limited. Pregnant at increased risk severe illness death from compared with nonpregnant of reproductive age, adverse pregnancy outcomes, such as preterm birth (1-4). eligible can receive any three available United States via Emergency Use Authorization.* Data Vaccine Safety Datalink (VSD), a collaboration between CDC multiple integrated health systems, were...
COVID-19 vaccines are recommended during pregnancy to prevent severe maternal morbidity and adverse birth outcomes; however, vaccination coverage among pregnant women has been low (1). Concerns regarding vaccine safety a persistent barrier acceptance pregnancy. Previous studies of outcomes have limited by small sample size (2) or lack an unvaccinated comparison group (3). In this retrospective cohort study live births from eight Vaccine Safety Datalink (VSD) health care organizations, risks...
<h3>Importance</h3> Hypertensive disorders of pregnancy are a leading cause maternal morbidity and mortality. The impact applying recent guideline definitions for nonpregnant adults to pregnant women is unclear. <h3>Objective</h3> To determine whether reclassification hypertensive status using the 2017 American College Cardiology/American Heart Association (ACC/AHA) definition better identifies at risk preeclampsia or eclampsia adverse fetal/neonatal events compared with current...
OBJECTIVE To examine trends in attention-deficit/hyperactivity disorder (ADHD) by race/ethnicity, age, sex, and median household income. DESIGN An ecologic study of the diagnosis ADHD using Kaiser Permanente Southern California (KPSC) health plan medical records. Rates were derived Poisson regression analyses after adjustments for potential confounders. SETTING California, Pasadena. PARTICIPANTS All children who received care at KPSC from January 1, 2001, through December 31, 2010 (n = 842...
In Brief OBJECTIVE: To test the hypothesis that presence of preeclampsia, small for gestational age (SGA)-birth, and placental abruption in first pregnancy confers increased risk second pregnancy. METHODS: A retrospective cohort study entailing a case–crossover analysis was performed based on women who had two consecutive singleton live births (n=154,810) between 1989 1997 Missouri. Small defined as infants with birth weight below 10th centile age. Risk recurrence ischemic disease assessed...
To examine the association between ischemic-hypoxic conditions (IHCs) and attention-deficit/hyperactivity disorder (ADHD) by gestational age race/ethnicity.Nested case-control study using Kaiser Permanente Southern California (KPSC) medical records. The cohort included children aged 5 to 11 years who were delivered cared for in KPSC 1995 2010 (N = 308,634). Case had a diagnosis of ADHD received ≥ 2 prescriptions specific during follow-up period. For each case, control matched at diagnosis....
ABSTRACT Purpose To evaluate the validity of health plan and birth certificate data for pregnancy research. Methods A retrospective study was conducted using administrative claims from 11 U.S. plans corresponding state departments. Diagnoses, drug dispensings, procedure codes were used to identify infant outcomes (cardiac defects, anencephaly, preterm birth, neonatal intensive care unit [NICU] admission) maternal diagnoses (asthma systemic lupus erythematosus [SLE]) recorded in live born...
To examine the relative importance of maternal preexisting type 1 diabetes (T1D), 2 (T2D), and gestational mellitus (GDM) on risk attention deficit/hyperactivity disorder (ADHD) in offspring.This retrospective birth cohort study included 333,182 singletons born 1995-2012 within Kaiser Permanente Southern California hospitals. Children were prospectively followed through electronic medical records from age 4 years. Relative risks ADHD associated with exposures utero estimated by hazard ratios...
Purpose The Study of Transition, Outcomes and Gender (STRONG) was initiated to assess the health status transgender people in general following gender-affirming treatments at Kaiser Permanente plans Georgia, Northern California Southern California. objectives this communication are describe methods cohort ascertainment data collection characterise study population. Participants A stepwise methodology involving computerised searches electronic medical records free-text validation eligibility...
<h3>Importance</h3> There are few population-based studies addressing trends in neonatal intensive care unit (NICU) admission and NICU patient-days, especially the subpopulation that, by gestational age (GA) birth weight (BW), might otherwise be able to stay room with their mothers. <h3>Objective</h3> To describe admissions, readmissions, mortality population of a large integrated health system. <h3>Design, Setting, Participants</h3> This cohort study was conducted using data extracted from...
Epidemiological findings are inconsistent regarding the associations between air pollution exposure during pregnancy and gestational diabetes mellitus (GDM). Several limitations exist in previous studies, including potential outcome misclassification, unassessed confounding, lack of simultaneous consideration mixtures particulate matter (PM) constituents.To assess association GDM maternal residential to pollution, joint effect mixture pollutants PM constituents.Detailed clinical data were...
Little research exists regarding the relationships between green space and postpartum depression (PPD). We aimed to investigate PPD exposure, mediating role of physical activity (PA). Clinical data were obtained from Kaiser Permanente Southern California electronic health records in 2008–2018. ascertainment was based on both diagnostic codes prescription medications. Maternal residential exposures assessed using street view-based measures vegetation types (i.e., tree, low-lying vegetation,...