A5008870604- Genomics and Rare Diseases
- Maternal and Perinatal Health Interventions
- Pregnancy and preeclampsia studies
- Maternal and fetal healthcare
- Genetic Syndromes and Imprinting
- Global Maternal and Child Health
- Prenatal Screening and Diagnostics
- Family and Disability Support Research
- Metabolism and Genetic Disorders
- Emergency and Acute Care Studies
- Healthcare Systems and Public Health
- Migration, Health and Trauma
- Gestational Diabetes Research and Management
- Ethics in Clinical Research
- Racial and Ethnic Identity Research
- COVID-19 Impact on Reproduction
- Intimate Partner and Family Violence
- Pregnancy and Medication Impact
- Bariatric Surgery and Outcomes
- Cerebral Palsy and Movement Disorders
- Infant Development and Preterm Care
- Academic Publishing and Open Access
- Hospital Admissions and Outcomes
- Neonatal Respiratory Health Research
- Adolescent Sexual and Reproductive Health
Columbia University
2022-2025
Icahn School of Medicine at Mount Sinai
2023-2024
Children's Hospital at Montefiore
2022-2023
Albert Einstein College of Medicine
2022-2023
Yeshiva University
2023
Montefiore Medical Center
2022
Centre for Disability Prevention and Rehabilitation
2020
BACKGROUND: Postpartum hypertension is a key factor in racial-ethnic inequities maternal mortality. Emerging evidence suggests that experiences of racism, both structural and interpersonal, may contribute to disparities. We examined associations between gendered racial microaggressions (GRMs) during obstetric care with postpartum blood pressure (BP). METHODS: conducted prospective cohort 373 Asian, Black, Hispanic people New York City Philadelphia. At delivery, we administered the GRM...
Abstract Maternal morbidity and mortality in the United States is an urgent public health issue, there are stark differences by race ethnicity. Community-based doula care evidence-based strategy to improve maternal through accompaniment, engagement, addressing social needs, promoting respectful care. Yet, a gap access for people who low-income or publicly insured, due cost availability. New York has recently joined growing number of states providing Medicaid coverage services. There many...
Associations between antenatal SARS-CoV-2 infection and pregnancy outcomes have been conflicting the role of immune system is currently unclear. This prospective cohort study investigated interaction infection, changes in cytokine HS-CRP levels, birthweight gestational age at birth. 2,352 pregnant participants from New York City (2020-2022) were included. Plasma levels interleukin (IL)-1β, IL-6, IL-17A high-sensitivity C-reactive protein (HS-CRP) quantified blood specimens obtained across...
Importance Subclinical hyperglycemia before pregnancy may be associated with the likelihood of maternal morbidity but is understudied among young people. Objective To explore association preconception hemoglobin A 1c (HbA ) levels adolescents and adults risk gestational diabetes at first live birth. Design, Setting, Participants This retrospective cohort study used linked 2009 to 2017 birth registry, hospital discharge, New York City Department Health A1C Registry data for birthing...
In the United States, maternal health inequities disproportionately affect Global Majority (e.g., Asian, Black, and Hispanic) populations. Despite a substantial body of research underscoring influence racism on these inequities, little has examined how experiences gendered racial microaggressions during pregnancy birth impact racially ethnically diverse pregnant birthing people in obstetric hospital settings. We evaluated psychometric properties an adapted version Lewis & Neville's Gendered...
Background This study evaluated the impact on caregiver strain and family empowerment among caregivers of children with disabilities who received training education as part a family-centred community-based early intervention programme in South India.Methods prospective open cohort longitudinal compared change from baseline to two years post-intervention first were enrolled programme. Paired t-tests determined effect Modified Caregiver Strain Index (MCSI) Family Empowerment Scale (FES),...
The ability to screen newborns for a larger number of disorders, including many with variable phenotypes, is prompting debate regarding the psychosocial impact expanded newborn bloodspot screening (NBS) on parents. This study compares psychological outcomes parents children range NBS/diagnostic experiences, particular focus lysosomal storage disorders (LSDs) and X-linked adrenoleukodystrophy (X-ALD) as representative complex presentations. An online cross-sectional survey six domains was...
The increasing availability of novel therapies highlights the importance screening newborns for rare genetic disorders so that they may benefit from early therapy, when it is most likely to be effective. Pilot newborn (NBS) studies are a way gather objective evidence about feasibility and utility screening, accuracy assays, incidence disease. They also an optimal evaluate complex ethical, legal social implications (ELSI) accompany NBS expansion disorders. ScreenPlus consented pilot program...
Importance The Joint Commission Unexpected Complications in Term Newborns measure characterizes newborn morbidity potentially associated with quality of labor and delivery care. Infant exclusions isolate relatively low-risk births, but unexpected complications (UNCs) are not adjusted for maternal factors that may be outcomes independently hospital quality. Objective To investigate the association between characteristics UNC rates. Design, Setting, Participants This cohort study was conducted...
Introduction Intimate partner violence (IPV) is the most common form of women experience globally. Economic empowerment interventions have been implemented across countries to prevent and address IPV, with mixed results. A sociological ‘male-backlash’ model suggests that addressing unequal gender norms crucial reduce IPV. This study evaluates impact a multipronged intervention among heterosexual couples in urban periurban Ibadan aimed at reducing IPV by increasing financial reproductive...
(Abstracted from JAMA Network Open 2024;7(5):e2411699) The Joint Commission’s Patient Care Core measure PC-06, Unexpected Complications in Term Newborns, standardizes how newborn complications are tracked otherwise-healthy births ≥37 weeks of gestation. PC-06 is designed to characterize morbidity that could be associated with labor and delivery care.
The objective of this study was to examine whether obesity without preexisting or gestational comorbidities is associated with postpartum hospital use (PHU). We studied 2016 2018 birth certificate and discharge data on 178,729 New York City births International Classification Diseases, Tenth Revision (ICD-10) codes at delivery for diabetes; hypertension; placental disease; anemia; thyrotoxicosis; bariatric surgery; pulmonary, cardiac, renal, bleeding, autoimmune, digestive, neuromuscular,...
The increasing availability of novel therapies highlights the importance screening newborns for rare genetic disorders so that they may benefit from early therapy, when it is most likely to be effective. Pilot newborn (NBS) studies are a way gather objective evidence about feasibility and utility screening, accuracy assays, incidence disease. They also an optimal evaluate complex ethical, legal social implications (ELSI) accompany NBS expansion disorders. ScreenPlus consented pilot program...
Introduction: Postpartum hypertension is a leading cause of racial inequities in maternal morbidity and mortality. Research Question: Is racial-economic segregation, proxy for structural racism, associated with differences postpartum blood pressure (BP) Black, Hispanic Asian (“Global Majority”) birthing people? Methods: We used data (n=369) from the coronaVirus Impact on Birth Equity (VIBE) Study, prospective cohort Philadelphia New York City, 2022-2023. measured segregation by Index...