Akila Subramaniam

ORCID: 0000-0003-0753-805X
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About
Contact & Profiles
Research Areas
  • Maternal and fetal healthcare
  • Maternal and Perinatal Health Interventions
  • Pregnancy and preeclampsia studies
  • Preterm Birth and Chorioamnionitis
  • Prenatal Screening and Diagnostics
  • Gestational Diabetes Research and Management
  • Reproductive tract infections research
  • Pelvic floor disorders treatments
  • Neonatal Respiratory Health Research
  • Cardiovascular Issues in Pregnancy
  • Birth, Development, and Health
  • Pregnancy-related medical research
  • Venous Thromboembolism Diagnosis and Management
  • Cervical Cancer and HPV Research
  • Blood Coagulation and Thrombosis Mechanisms
  • Bariatric Surgery and Outcomes
  • COVID-19 Impact on Reproduction
  • Urinary Tract Infections Management
  • Assisted Reproductive Technology and Twin Pregnancy
  • Reproductive Health and Contraception
  • Global Maternal and Child Health
  • Ectopic Pregnancy Diagnosis and Management
  • Maternal Mental Health During Pregnancy and Postpartum
  • Ovarian cancer diagnosis and treatment
  • Congenital Diaphragmatic Hernia Studies

University of Alabama at Birmingham
2016-2025

SRM Dental College
2025

SRM Institute of Science and Technology
2025

W. M. Keck Foundation
2024

University of California, San Francisco
2024

University of North Dakota
2024

North Dakota Department of Health
2024

Society for Maternal-Fetal Medicine
2020-2023

Community Link
2023

Sri Ramachandra Institute of Higher Education and Research
2023

<h3>Importance</h3> Umbilical cord milking as an alternative to delayed umbilical clamping may provide equivalent benefits preterm infants, but without delaying resuscitation. <h3>Objective</h3> To determine whether the rates of death or severe intraventricular hemorrhage differ among infants receiving placental transfusion with vs clamping. <h3>Design, Setting, and Participants</h3> Noninferiority randomized clinical trial (born at 23-31 weeks' gestation) from 9 university private medical...

10.1001/jama.2019.16004 article EN JAMA 2019-11-19

Objective The aim of the study was to evaluate pregnant women's attitudes toward COVID-19 illness and vaccination identify factors associated with vaccine acceptability. Study Design This a cross-sectional survey among women enrolled in prospective cohort Salt Lake City, UT, Birmingham, AL, New York, NY, from August 9 December 10, 2020. Women were eligible if they 18 50 years old &lt;28 weeks gestation. Upon enrollment, completed surveys regarding concerns about likelihood getting one...

10.1055/s-0041-1735878 article EN American Journal of Perinatology 2021-10-01

10.1016/j.siny.2015.12.008 article EN Seminars in Fetal and Neonatal Medicine 2016-01-06

OBJECTIVE: To evaluate the effect of administering postpartum heparin-based pharmacologic thromboprophylaxis on incidence venous thromboembolism (VTE) and complications. METHODS: This was a multicenter retrospective cohort study all individuals delivering at more than 20 weeks gestation four U.S. hospitals from 2016 to 2019. Individuals with personal history VTE or thrombophilia, an antepartum diagnosis VTE, receiving therapeutic anticoagulation were excluded. The exposure prophylaxis...

10.1097/aog.0000000000005828 article EN Obstetrics and Gynecology 2025-01-16

OBJECTIVE: To evaluate the effectiveness and safety of an intrauterine vacuum-induced hemorrhage-control device for postpartum hemorrhage treatment. METHODS: A multicenter, prospective, single-arm treatment study a novel that uses low-level vacuum to induce uterine myometrial contraction achieve control abnormal bleeding was undertaken at 12 centers in United States. The primary endpoint proportion participants whom use controlled without requiring escalating interventions. incidence,...

10.1097/aog.0000000000004138 article EN cc-by-nc-nd Obstetrics and Gynecology 2020-09-07

OBJECTIVES To determine whether rate of severe intraventricular hemorrhage (IVH) or death among preterm infants receiving placental transfusion with UCM is noninferior to delayed cord clamping (DCC). METHODS Noninferiority randomized controlled trial comparing versus DCC in born 28 32 weeks recruited between June 2017 through September 2022 from 19 university and private medical centers 4 countries. The primary outcome was Grade III/IV IVH evaluated at a 1% noninferiority margin. RESULTS...

10.1542/peds.2023-063113 article EN PEDIATRICS 2023-11-09

In 2016, our institution adopted a pregnancy-related venous thromboembolism (VTE) prophylaxis protocol based on American College of Obstetricians and Gynecologists guidelines that recommended postpartum heparin-based chemoprophylaxis (enoxaparin) risk-stratified algorithm. response to increased wound hematomas without significant reduction in VTE using this protocol, more selective approach was 2021.

10.1001/jama.2024.8684 article EN JAMA 2024-07-23

It is now possible to manipulate the murine genome and produce transgenic mice in which genes encoding myocardial proteins have been ablated, resulting an altered performance. In this study, we quantitate performance work-performing mouse heart preparations from euthyroid, hypothyroid, hyperthyroid mice. Our results show that time peak pressure (TPP) half-relaxation (RT1/2), together with first derivatives of intraventricular (+/- dP/dt), are significant indicators quality quantity systolic...

10.1152/ajpheart.1993.265.4.h1401 article EN AJP Heart and Circulatory Physiology 1993-10-01

To evaluate the feasibility of salpingectomy compared with standard bilateral tubal ligation at time cesarean delivery in women undesired fertility.

10.1097/aog.0000000000002646 article EN Obstetrics and Gynecology 2018-06-10

Importance Preterm birth (PTB) (gestational age &amp;amp;lt;37 weeks) is a major cause of infant mortality and morbidity in the US marked by racial ethnic socioeconomic inequities. Further research needed to elucidate association risk protective factors with trends PTB rates related Objective To describe inequities as well over past decade population–based cohort. Design, Setting, Participants This retrospective cohort study singleton live births California from January 1, 2011, December 31,...

10.1001/jamanetworkopen.2024.35887 article EN cc-by-nc-nd JAMA Network Open 2024-09-27

<b>Objective</b> This study aims to evaluate vaginal microbiota differences by bacterial vaginosis (BV), birth timing, and race, estimate parameters power future microbiome studies. <b>Methods</b> Previously, swabs were collected at 21 25 weeks (stored −80°C), smears evaluated for BV (Nugent criteria). In a blinded fashion, 40 samples selected, creating 8 equal-sized groups stratified race (black/white), (present/absent), timing (preterm/term). Samples thawed, DNA extracted, prepared....

10.1055/s-0035-1565919 article EN American Journal of Perinatology 2015-10-19

In Brief Our findings suggest increased critical illness and adverse perinatal outcomes associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Delta variant in pregnancy.

10.1097/aog.0000000000004607 article EN Obstetrics and Gynecology 2021-09-30

To evaluate outcomes before and after implementation of a risk-stratified heparin-based obstetric thromboprophylaxis protocol.We performed retrospective cohort study all patients who delivered at our tertiary care center from 2013 to 2018. Deliveries were categorized as preprotocol (2013-2015; no standardized thromboprophylaxis) postprotocol (2016-2018). Patients receiving outpatient anticoagulation for active venous thromboembolism (VTE) or high VTE risk excluded. Coprimary effectiveness...

10.1097/aog.0000000000004521 article EN Obstetrics and Gynecology 2021-09-09

It has been reported that approximately 50% of invasive cervical malignancies are diagnosed in patients who have never screened and 10% the remaining cancer not had a Pap smear 5 years before diagnosis. We sought to determine whether this holds true among university-based gynecologic oncology patient population.After institutional review board approval, retrospective chart women group with from 2002 2007 was conducted. Patients' demographics, referral smear, method diagnosis, histology,...

10.1097/lgt.0b013e3181f515a2 article EN Journal of Lower Genital Tract Disease 2011-01-25

To compare rates of preterm birth and pregnancy-related hypertension in women with without human papillomavirus (HPV) infection.We performed a retrospective cohort study all delivered at our institution 2013 who had cervical cancer screening test results within 3 years before delivery. Patients were excluded if they prior procedure(s) for dysplasia other than biopsy. There two primary outcomes: (less 37 weeks gestation) (gestational hypertension, preeclampsia, or eclampsia). Multivariable...

10.1097/aog.0000000000001247 article EN Obstetrics and Gynecology 2016-01-09

To assess whether outpatient cervical ripening with a transcervical Foley catheter in parous women undergoing elective induction of labor shortens the total duration time from admission to ward until delivery.We performed an open-label randomized controlled trial at single academic center 39 weeks gestation or greater cervix 3 cm less dilated, or, if 2-3 than 80% effaced and reassuring fetal heart rate monitoring (defined as moderate variability normal baseline absence decelerations)....

10.1097/aog.0000000000002678 article EN Obstetrics and Gynecology 2018-06-10
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