A5072702381- Assisted Reproductive Technology and Twin Pregnancy
- Prenatal Screening and Diagnostics
- Pregnancy and preeclampsia studies
- Ectopic Pregnancy Diagnosis and Management
- Congenital Diaphragmatic Hernia Studies
- Spinal Dysraphism and Malformations
- Reproductive Health and Contraception
- Fetal and Pediatric Neurological Disorders
- Maternal and Perinatal Health Interventions
- Congenital Heart Disease Studies
- Gestational Diabetes Research and Management
- Neonatal Respiratory Health Research
- Palliative Care and End-of-Life Issues
- Teratomas and Epidermoid Cysts
- Grief, Bereavement, and Mental Health
- Maternal and fetal healthcare
- Congenital Anomalies and Fetal Surgery
- Cardiovascular Issues in Pregnancy
- Cerebrospinal fluid and hydrocephalus
- Blood groups and transfusion
- Maternal Mental Health During Pregnancy and Postpartum
- Parvovirus B19 Infection Studies
- Congenital gastrointestinal and neural anomalies
- Gynecological conditions and treatments
- Homicide, Infanticide, and Child Abuse
Texas Children's Hospital
2015-2025
Baylor College of Medicine
2015-2025
The University of Texas Health Science Center at Houston
2019-2024
Indiana University – Purdue University Indianapolis
2023
University of Indianapolis
2023
Memorial Hermann
2021
Saint Louis University
2017-2020
Medical City Dallas Hospital
2011
Introduction: Selective fetal growth restriction (sFGR) complicates 10-15% of monochorionic twin gestations. Prior studies reported neonatal cardiac hypertrophy present in 25% twins impacted by sFGR, most commonly the larger (80%). Our primary objective was to characterize structural and functional echocardiogram findings sFGR twins. Methods: A retrospective cohort analysis performed pregnancies complicated type II or III managed delivered at a single tertiary center from 2015-2023. All...
Cesarean delivery is a major source of maternal morbidity, and repeat cesarean accounts for 40% delivery, but recent data on the trial labor after vaginal birth are limited.This study aimed to report national rates by number previous deliveries examine effect demographic clinical characteristics these rates.This was population-based cohort using US natality files. The sample restricted 4,135,247 nonanomalous singleton, cephalic between 37 42 weeks gestation, with history delivered in...
Abstract Inside and outside of a Christian worldview, bioethicists have discussed ectopic pregnancy at some length as maternal-fetal vital conflict. Most agree that methotrexate salpingostomy are low-risk, successful interventions for this life-threatening pathology, thus beneficent, just, wholly acceptable. A small cohort Christian, largely Catholic, reservations about salpingostomy, but cannot resolve their internal disputes these because flawed casuistry. This paper aims to settle the...
Preoperative short cervical length (CL) remains a major risk factor for preterm birth after laser surgery twin-twin transfusion syndrome (TTTS), but the optimal intervention to prolong pregnancy elusive. The objective of this study was compare secondary methods prevention in twin pregnancies with TTTS undergoing fetoscopic photocoagulation (FLP), setting cervix at time FLP, five North American Fetal Treatment Network (NAFTNet) centers.This analysis data collected prospectively NAFTNet...
ABSTRACT Objective Congenital viral infection may result in fetal anemia and thrombocytopenia. While intrauterine blood transfusions (IUTs) are more commonly performed for Rh alloimmunization, reports using IUT have varying success. Our primary objective was to characterize the outcomes of patients undergoing infectious etiologies at our center compared with disease. Study Design This a case series from 2012–2023. Infectious were identified by maternal serologies confirmed amniotic fluid...
Objective Complicated grief reactions follow some pregnancy outcomes, like miscarriage, stillbirth, neonatal death, infant selective reduction, or termination of pregnancy. Stigma can delay treatment and worsen outcomes. Screening tools such as the Edinburgh Postnatal Depression Scale detect complicated poorly, specific for prolonged after a reproductive loss are cumbersome. In this study, five-item questionnaire to any type was designed preliminary validated. Methods A patterned extensively...
Introduction: Perinatal depression and anxiety are major causes of maternal morbidity, more common in high-risk pregnancies compared to low-risk pregnancies. This study used validated screening tools assess the prevalence symptoms pregnant patients who transferred their obstetric care a specialized fetal center for anomaly. Methods: is prospective cohort with anomaly prompting transfer Texas Children’s Hospital Fetal Center between January 2021 February 2022. The primary outcome was...
Abstract Objective Donor demise after laser surgery for twin–twin transfusion syndrome (TTTS) is well‐characterized, but recipient not, nor neonatal death. This study aims to characterize factors associated with death, donor and dual twin death laser, both before birth. Methods a prospective cohort of monochorionic pairs who underwent ablation TTTS. Risk fetal twins were identified using univariable analysis recursive partitioning, novel statistical method quantify contributions each factor...
As maternal body mass index (BMI) increases, fetal anatomy ultrasound becomes more challenging, less sensitive, and likely to be complete. We sought report our experience of incomplete evaluation in patients with BMI 50 kg/m2 or greater.This is a retrospective cohort singleton gestations mothers greater, undergoing evaluations between 2017 2021 at 9 maternal-fetal-medicine sites Houston, TX. Patient variables scan results were collected throughout pregnancy provide longitudinal assessment...
Women who have experienced reproductive loss (i.e., miscarriage, stillbirth, abortion) evaluated the usefulness of a novel screening tool, Reproductive Grief Screen (RGS), to identify patients struggling with ongoing, complicated grief. This mixed-methods study involved U.S. women had loss. Online data collection resulted in 27 interviews and 282 surveys completed. Perceptions preferences about RGS were thematically analyzed. Chi square analyses assessed relationships between demographics...
The purpose of this review was to determine whether there is evidence that ovulation can occur in women using hormonal contraceptives and these drugs might inhibit implantation. We performed a systematic the published English-language literature from 1990 present which included studies on milieu following egg release any contraceptive method. High circulating estrogens progestins follicular phase appear induce dysfunctional ovulation, where rupture occurs but followed by low or absent corpus...
Abstract Objective Fetal Lower Urinary Tract Obstruction (LUTO) is associated with oligohydramnios and significant fetal morbidity, resulting in poor lung development perinatal death. However, may develop at different gestational periods, the impact of timing on outcomes remains unknown. Our objective was to characterize onset had prenatal outcomes. Methods This study a retrospective cohort all patients diagnosis LUTO our tertiary referral center from 2014 2023. All underwent detailed...