- COVID-19 Impact on Reproduction
- Pregnancy and preeclampsia studies
- Preterm Birth and Chorioamnionitis
- Gestational Diabetes Research and Management
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy-related medical research
- Maternal and Perinatal Health Interventions
- Vaccine Coverage and Hesitancy
- Ectopic Pregnancy Diagnosis and Management
- Maternal and fetal healthcare
- Pregnancy and Medication Impact
- Global Maternal and Child Health
- Neonatal Respiratory Health Research
- Birth, Development, and Health
- Prenatal Screening and Diagnostics
- Trauma and Emergency Care Studies
- Health disparities and outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiovascular Issues in Pregnancy
- COVID-19 and healthcare impacts
- Homicide, Infanticide, and Child Abuse
- SARS-CoV-2 and COVID-19 Research
- Pelvic floor disorders treatments
- Reproductive tract infections research
- Influenza Virus Research Studies
University of Rochester Medical Center
2013-2024
University of Rochester
2013-2024
Nazareth College
2020-2024
Society for Maternal-Fetal Medicine
2021
St. Luke's Hospital
2021
Strong Memorial Hospital
2016-2018
Rhode Island Hospital
2009
Providence College
2006
Women & Infants Hospital of Rhode Island
2006
In Brief OBJECTIVE: To estimate rates of postpartum glucose tolerance testing in women diagnosed with gestational diabetes mellitus (GDM) and to assess factors associated testing. METHODS: This was a retrospective cohort study 344 GDM who received prenatal care maternal clinic during 2001–2004. Rates were estimated from hospital, clinic, laboratory records. Demographic, clinical (obstetric history, antenatal, delivery), health information obtained chart review. RESULTS: Less than one half...
The immune response to COVID-19 booster vaccinations during pregnancy for mothers and their newborns the functional of vaccine-induced antibodies against Omicron variants are not well characterized. We conducted a prospective, multicenter cohort study participants vaccinated with primary or mRNA vaccines from July 2021 January 2022 at 9 academic sites. determined SARS-CoV-2 binding live virus pseudovirus neutralizing antibody (nAb) titers pre- post-vaccination, delivery both maternal infant...
BACKGROUND AND OBJECTIVES Maternal vaccination may prevent infant coronavirus disease 2019 (COVID-19). We aimed to quantify protection against infection from maternally derived vaccine-induced antibodies in the first 6 months of an infant’s life. METHODS Infants born mothers vaccinated during pregnancy with 2 or 3 doses a messenger RNA COVID-19 vaccine (nonboosted boosted, respectively) had full-length spike (Spike) immunoglobulin G (IgG), pseudovirus 614D, and live virus D614G, omicron BA.1...
Abstract Objectives To define pregnancy episodes and estimate gestational age within electronic health record (EHR) data from the National COVID Cohort Collaborative (N3C). Materials Methods We developed a comprehensive approach, named Hierarchy rule-based episode Inference integrated with Pregnancy Progression Signatures (HIPPS), applied it to EHR in N3C (January 1, 2018–April 7, 2022). HIPPS combines: (1) an extension of previously published algorithm, (2) novel algorithm detect...
COVID-19 vaccines have been shown to be effective in preventing severe illness, including among pregnant persons. The appear safe pregnancy, supporting a continuously favorable overall risk/benefit profile, though supportive data for the U.S. over different periods of variant predominance are lacking. We sought analyze association adverse pregnancy outcomes with vaccinations pre-Delta, Delta, and Omicron SARS-CoV-2 variants’ dominant (constituting 50% or more each pregnancy) persons large,...
Many studies have addressed the relationship between iron deficiency anemia (IDA) and cognitive impairment, but none evaluated role of non-iron (NIDA). One main causes NIDA in developing countries is AI, largely due to infectious diseases, whereby shunted away from bio-available forms storage forms, making it less accessible for use by host tissues. The objective this study was determine effect NIDA, AI context, on function after adjustment potential confounders. This cross-sectional...
Abstract Objective This study aimed to compare pregnancy outcomes in obese and nonobese women with preterm prelabor rupture of membranes (PPROM) ≥34 weeks. Study Design The present is a secondary analysis multicenter retrospective cohort singletons PPROM from 2011 2017. Women delivery body mass index (BMI) ≥30 kg/m2 (obese) were compared BMI < 30 (nonobese). Pregnancies stratified based on policies expectant management until 35 weeks versus immediate primary outcome was composite neonatal...
Objective To evaluate outcomes with expectant management of preterm prelabor rupture membranes (PROM) until 35 weeks versus immediate delivery at ≥34 weeks. Study Design This was a multicenter retrospective cohort study singletons PROM >20 from 2011 through 2017. Groups were defined as Primary outcome composite neonatal morbidity: need for respiratory support, culture positive sepsis, or antibiotic administration >72 hours. Univariate and general estimating equation models used p <...
Objective To compare rates of antepartum contraceptive counseling among women with preterm birth (PTB) and term birth. Study Design This is a retrospective cohort study patients completed delivery records in New York from January 1, 2004, to December 31, 2014. Exposure was determined based on the timing delivery. Exposed delivered at <37 weeks, nonexposed ≥37 weeks. Primary outcome patient response questions regarding receipt prenatal (PCC) by health care provider. Secondary...
Background: Although maternal vaccination with influenza and tetanus toxoid, reduced diphtheria acellular pertussis (Tdap) vaccines improve health outcomes for pregnant individuals infants, rates are low. This study assessed obstetric providers' attitudes practices related to Tdap in four large systems New York (NY) California (CA). Methods: We conducted a cross-sectional survey of all providers within (two NY, two CA) evaluate provider office used vaccination. The perceptions based on the...
BACKGROUND: Although acetaminophen is commonly used in pregnancy, it can deplete glutathione concentrations and cause accumulation of 5-oxoproline, with subsequent metabolic acidosis. CASE: A malnourished 25-year-old woman, G2P1001, chronic use presented abdominal pain high anion gap After ruling out other potential causes, her urine 5-oxoproline level was found to be elevated. She received N-acetylcysteine, resolution the CONCLUSION: Those who care for pregnant patients should remain alert...
INTRODUCTION: Second victim trauma (SVT) encompasses psychological, cognitive, or physical symptoms experienced by health care providers after adverse events. Obstetrics and gynecology trainees may be more vulnerable to SVT given their exposure events lack of experience. Our objective was assess the background knowledge among obstetrics residency program directors (PDs) curricula resources available support trainees. METHODS: An 18-question survey developed disseminated all 295 PDs. The...
INTRODUCTION: Birth complications (BCs) are known risk factors for maternal postpartum depression, but their effect on paternal depression (PPD), especially among unmarried fathers, remains understudied. METHODS: In this cross-sectional study, we analyzed data from The Future of Families and Child Wellbeing longitudinal birth cohort, focusing fathers who were present at child’s (n=1,484). Paternal PPD was assessed using a 12-item CES-D scale, dichotomized into versus absent. Maternal medical...