A5038633699- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Migration, Health and Trauma
- Pregnancy and preeclampsia studies
- Health disparities and outcomes
- Gestational Diabetes Research and Management
- Maternal Mental Health During Pregnancy and Postpartum
- Grief, Bereavement, and Mental Health
- Pregnancy-related medical research
- Birth, Development, and Health
- Food Security and Health in Diverse Populations
- COVID-19 Impact on Reproduction
- Homelessness and Social Issues
- Child Abuse and Trauma
- Racial and Ethnic Identity Research
- Obesity, Physical Activity, Diet
- Global Maternal and Child Health
- Child and Adolescent Health
- Child Nutrition and Water Access
- Gender Politics and Representation
- Respiratory viral infections research
- Viral gastroenteritis research and epidemiology
- Reproductive Health and Contraception
- Cardiovascular Issues in Pregnancy
- Children's Physical and Motor Development
Emory University
2016-2025
Georgia Department of Public Health
2024
Emory and Henry College
2024
National Center on Birth Defects and Developmental Disabilities
2020
Centers for Disease Control and Prevention
2020
Novem (Netherlands)
2020
Background: Identification of hypertensive disorders in pregnancy research often uses hospital International Classification Diseases v. 10 (ICD-10) codes meant for billing purposes, which may introduce misclassification error relative to medical records. We estimated the validity ICD-10 during overall and by subdiagnosis, compared with record diagnosis, a Southeastern United States high disease burden hospital. Methods: linked data discharge records deliveries between 1 July 2016, 30 June...
Abstract Hypertensive disorders of pregnancy (HDP) are a leading cause severe maternal morbidity (SMM), yet mediation by cesarean delivery is largely unexplored. We investigated the association between HDP and SMM in cohort deliveries at safety-net institution Atlanta, Georgia, during 2016–2018. Using multivariable generalized linear models, we estimated adjusted risk differences, ratios, 95% confidence intervals for SMM. examined interactions with used analysis 4-way decomposition to...
We conducted a cohort study to determine sociodemographic risk factors for severe acute respiratory syndrome coronavirus 2 infection among obstetric patients in urban hospitals Atlanta, Georgia, USA. Prevalence of was highest women who were Hispanic, uninsured, or lived high-density neighborhoods.
To understand perinatal risks associated with social needs in pregnancy Methods. Multivariable log-binomial regression analyses adjusting for age, parity, and insurance were used to evaluate the relationship between any need (e.g., housing, transportation, food, intimate partner violence) adverse outcomes (stillbirth, prematurity, maternal morbidity) a cohort of English Spanish-speaking patients who obtained prenatal care birthed at our institution during one-year period.Of 2,435 patients,...
In 2006, the Colombian Constitutional Court partially decriminalized abortion. However, barriers to access, including improper use of conscientious objection, remain.To explore objection from objectors' perspectives, in-depth interviews were conducted in 2014 with 13 key informants and 15 physicians who self-identified as objectors. Recruitment included snowball purposive sampling techniques. Analysis was tandem data collection focused on attitudes, beliefs behaviors related abortion...
Background: The use of billing codes (ICD-10) to identify and track cases gestational pregestational diabetes during pregnancy is common in clinical quality improvement, research, surveillance. However, specific diagnoses may be misclassified using ICD-10 codes, potentially biasing estimates. goal this study provide estimates validation parameters (sensitivity, specificity, positive predictive value, negative value) for diagnosis compared with medical record abstraction at a large public...
Severe maternal morbidity is a composite measure of serious obstetric complications that often identified in administrative data using the International Classification Diseases (ICD) diagnosis and procedure codes for set 21 indicators. Prior studies screen-positive cases have demonstrated low predictive value ICD relative to medical record. To our knowledge, validity ICD-10 identifying severe has not been fully described.
Objectives To determine how pre-existing conditions contribute to racial disparities in adverse maternal outcomes and incorporate these into models improve risk prediction for minority subgroups. Study design We used data from the “Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-be (nuMoM2b)" observational cohort study. defined multimorbidity as co-occurrence of two or more pre-pregnancy conditions. The primary interest were severe preeclampsia, postpartum readmission, blood...
Background: Hypertensive disorders of pregnancy (HDP) cause substantial preventable maternal morbidity and mortality. Postpartum hypertension that worsens after women are discharged is particularly dangerous, as it can go undiagnosed complications. The American College Obstetricians Gynecologists recommends with HDP undergo blood pressure (BP) screening 7-10 days delivery to detect postpartum hypertension. This study aimed describe predictors BP attendance among a high-risk safety-net...
Limited existing research suggests that immigration climate and enforcement practices represent a social determinant of health for immigrants, their families, communities. However, national on the impact specific policies is limited. The goal this article to estimate effect county-level participation in 287(g) agreement very preterm birth (VPTB, <32 weeks' gestation) rates between 2005-2016 among US-born foreign-born Hispanic women across United States.We fit spatial Bayesian models local...
Since the decriminalisation of abortion in 2006, women Colombia have continued to seek clandestine abortions, endangering their health and contributing maternal mortality morbidity. The goal this study was explore physicians' opinions towards knowledge about legal Bogotá, Colombia, key barriers access. We conducted 13 informant interviews followed by a survey with probability sample 49 doctors working public hospitals Bogotá. Interview data showed lack technical experience provision nuanced...