A5084228567- Gestational Diabetes Research and Management
- Pregnancy and preeclampsia studies
- Prenatal Screening and Diagnostics
- Birth, Development, and Health
- Maternal and Perinatal Health Interventions
- Bariatric Surgery and Outcomes
- Pregnancy-related medical research
- Urological Disorders and Treatments
- Ectopic Pregnancy Diagnosis and Management
- Cardiovascular Issues in Pregnancy
- Maternal and fetal healthcare
- Ultrasound Imaging and Elastography
- Ultrasound in Clinical Applications
- Pregnancy and Medication Impact
- Preterm Birth and Chorioamnionitis
- Maternal Mental Health During Pregnancy and Postpartum
- Assisted Reproductive Technology and Twin Pregnancy
- Parvovirus B19 Infection Studies
- Neurological Complications and Syndromes
- Congenital Anomalies and Fetal Surgery
- Healthcare Policy and Management
- Trauma and Emergency Care Studies
- Breastfeeding Practices and Influences
- Reproductive Health and Contraception
- Fetal and Pediatric Neurological Disorders
University of Rochester Medical Center
2015-2025
University of Rochester
2014-2024
Rutgers Sexual and Reproductive Health and Rights
2024
Harbor–UCLA Medical Center
2024
Community Link
2024
University at Buffalo, State University of New York
2014-2020
Strong Memorial Hospital
2008-2018
RELX Group (United States)
2012
RELX Group (United Kingdom)
2012
Society for Maternal-Fetal Medicine
2011
In Brief OBJECTIVE: To compare the efficacy of gabapentin, estrogen, and placebo in treatment hot flushes. METHODS: We performed a randomized, double-blind, placebo-controlled trial 60 postmenopausal women to assess estrogen gabapentin moderate-to-severe Participants were randomly assigned receive either 0.625 mg/d conjugated estrogens (n = 20), or titrated 2,400 20) for 12 weeks. recorded frequency severity baseline flushes on flush diary 2 weeks before randomization after randomization....
Abstract Objectives To evaluate the rate of completion anatomic surveys fetuses in overweight and obese gravid patients as compared with normal controls. Methods This was a retrospective review ultrasound scans performed between 2004 2007. Women were stratified by prepregnancy body mass index (BMI) into weight (BMI, 18.5–24.9 kg/m 2 ), 25.0–29.9 ) Class I 30.0–34.9 II 35.0–39.9 III (BMI ≥ 40.0 groups. Rates basic comprehensive scans, gestational age at number required compared. Results For...
In Brief OBJECTIVE: To estimate the effect of second- and third-trimester rate gestational weight gain on pregnancy outcomes using revised Institute Medicine guidelines. METHODS: This is a retrospective cohort study singleton live births in upstate New York between January 2004 December 2008. Women were grouped by prepregnancy body mass index (BMI) rates calculated. then classified as having less than, within, or greater than recommended gain. Maternal neonatal assessed based within each BMI...
Objective: Given that both type 2 diabetes and obesity are associated with adverse pregnancy outcomes often coexist, we sought to determine if in diabetic patients related the presence of or maternal obesity. Methods: This retrospective cohort study examined perinatal nondiabetic matched by prepregnancy body mass index January 2000 July 2008. Chi-square, Fisher's exact test, Mann-Whitney U t-tests were used compare groups. The association between was evaluated through logistic regression...
Breastfeeding rates in the United States are suboptimal. Health professionals (HPs) have a unique opportunity to support breastfeeding because of frequency and timing their visits with mothers infants as well call by professional organizations do so. The objective this study was understand HPs' perceived roles experiences providing breastfeeding-related care.In-depth qualitative interviews were conducted 34 HPs (obstetricians, midwives, pediatricians, nurses, lactation consultants) who care...
<h3>Importance</h3> Despite much higher health care expenditure than comparable countries, striking racial and ethnic disparities exist in obstetric outcomes the United States. A multifaceted exploration of factors influencing these disparities, including legacy structural racism, is important to improve for all. <h3>Objective</h3> To characterize association historic racially discriminatory home loan practice redlining with modern outcomes. <h3>Design, Setting, Participants</h3> In this...
Prenatal maternal infection and anxiety have been linked, in separate lines of study, with child neurodevelopment. We extend integrate these study a large prospective longitudinal cohort Data are based on the Avon Longitudinal Study Parents Children (ALSPAC) cohort; prenatal was assessed from self-report questionnaire; derived reports several conditions pregnancy (n = 7,042). Child neurodevelopment at approximately 8 years age by in-person testing, social communication problems associated...
Objective: To determine factors influencing separation and infectious type wound complications (WCs) in morbidly obese women undergoing primary cesarean delivery (CD). Methods: Retrospective cohort study evaluating WC (body mass index [BMI] > 35 kg/m2) CD between January 1994 December 2008. Chi-square, Fisher’s exact Student’s t tests used to assess associated factors; backward logistic regression unadjusted adjusted odds ratios. Results: Of 623 women, low transverse skin incisions were...
Obese women are at risk for shorter breastfeeding duration, but little is known about how obese experience breastfeeding. The aim of this study was to understand women's experiences. We enrolled pregnant in upstate New York, who were either [n = 13; body mass index (BMI) ≥30 kg/m2 ] or normal weight (n 9; BMI 18.5-24.9 ) before conception and intended breastfeed. A longitudinal, qualitative conducted from February 2013 through August 2014 with semi-structured interviews during pregnancy...
Abstract Objective To evaluate the time required and failure rate for completion of nuchal translucency thickness (NT) measurements with increased maternal body mass index (BMI). Methods This was a retrospective review ultrasound examinations NT measurement in 11–14‐week singleton pregnancies performed at single site from 2004 to 2007. Women were stratified by prepregnancy BMI into normal weight (BMI, 18.5–24.9 kg/m 2 ), overweight 25.0–29.9 ) obese Class I 30.0–34.9 II 35.0–39.9 III ( ≥...
Sex steroid hormones may play a role in insulin resistance and glucose dysregulation. However, evidence regarding associations between early-pregnancy sex hyperglycemia during pregnancy is limited. The primary objective of this study was to assess the relationships first trimester subsequent development pregnancy; with secondary evaluation levels mid-late pregnancy, concurrent diagnosis gestational diabetes.
Objective: To assess serum procalcitonin (PCT), a marker of monocyte activity, in predicting chorioamnionitis preterm premature rupture membranes (PPROM).Methods: Prospective cohort study singleton gestation patients with PPROM between 2 + 0 to 3 6 weeks gestation. Two blood samples were taken – admission and delivery or diagnosis clinical chorioamnionitis. Maternal PCT > 0.1 ng/mL was considered positive. Patients divided into four groups: evidence confirmed by placental pathology (group C...
Obese women are at high risk of early breastfeeding cessation, and health professionals (HPs) have a unique opportunity to provide them with support. Our objective was describe HPs' experiences providing care for obese during the prenatal, peripartum, postpartum periods.
Abstract Background Point-of-care ultrasound (POC-US) is a diagnostic test conducted at the site of patient care with direct interpretation by clinician, providing immediate results. POC-US for gynecologic application not well characterized current literature yet has potential to increase access in limited resource settings. We compared diagnostics three devices (GYN) pathology and then performed evaluation sensitivity specificity single best device intended use low setting. Methods This...
Abstract Objective To determine the completion rate of ultrasound surveys for aneuploidy markers by maternal body mass index (BMI). Methods A retrospective review ultrasounds on midtrimester singleton pregnancies was performed. Subjects were grouped as normal, overweight (BMI 25–29.9 kg/m 2 ), and obese: class I (30–34.9 II (35–39.9 III ( ≥ 40 ). Examinations with visualization at least seven eight considered complete. Results Of 14 353 reviewed, 5690 patients eligible: 43% 29% overweight,...
To evaluate the performance of first-trimester nuchal translucency (NT) measurement by providers (physician-sonologists and sonographers) within Nuchal Translucency Quality Review (NTQR) program.After training credentialing providers, NTQR monitored NT extent to which an individual's median multiple normal (MoM) for crown-rump length (CRL) was range 0.9-1.1 MoM a published curve. The SD log10 regression slope on CRL were also evaluated. We report distribution between these indicators...
Nuchal translucency (NT) measurement in conjunction with serum analytes has been used for first-trimester aneuploidy screening the United States since 2005. We sought to analyze trends reporting of NT measurements Translucency Quality Review program all pregnancies beginning after clinical introduction cell-free DNA (cfDNA) fetal 2011. Overall, reported decreased 74.3% from 2012 2022. A similar decline was noted among individuals at increased risk based on patient age and twin gestations....