Article
Cardiac & Cardiovascular Systems
Veronica Giorgione, Asma Khalil, Jamie O'Driscoll, Basky Thilaganathan
Summary: This study assessed the effectiveness of peripartum screening in predicting CHT after HDP and found that a prediction model combining clinical and echocardiographic features showed excellent accuracy in identifying women at risk of persistent hypertension after HDP.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Yi-Xin Wang, Mariel Arvizu, Janet W. Rich-Edwards, Liang Wang, Bernard Rosner, Jennifer J. Stuart, Kathryn M. Rexrode, Jorge E. Chavarro
Summary: The study found that experiencing hypertensive disorders of pregnancy (HDPs) such as gestational hypertension or pre-eclampsia is associated with an increased risk of premature mortality, particularly cardiovascular mortality, regardless of developing chronic hypertension later on.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2021)
Article
Environmental Sciences
Stefania Papatheodorou, Weiyu Yao, Carolina L. Z. Vieira, Longxiang Li, Blair J. Wylie, Joel Schwartz, Petros Koutrakis
Summary: The study found that higher levels of residential radon exposure are associated with increased risk of hypertensive disorders of pregnancy (HDP), especially in women under 20. There was no effect modification by maternal race or education, highlighting the importance of identifying modifiable risk factors in addressing the burden of HDP.
ENVIRONMENT INTERNATIONAL
(2021)
Article
Cardiac & Cardiovascular Systems
Karishma P. Ramlakhan, Isabelle Malhame, Ariane Marelli, Tobias Rutz, Sorel Goland, Arie Franx, Karen Sliwa, Uri Elkayam, Mark R. Johnson, Roger Hall, Jerome Cornette, Jolien W. Roos-Hesselink
Summary: The study assessed the prevalence and outcomes of hypertensive disorders of pregnancy (HDP) and pre-eclampsia in women with heart disease, showing higher rates in those with cardiomyopathy, ischemic heart disease, and pulmonary arterial hypertension. Adverse outcomes were increased in women with HDP, particularly in those with pre-eclampsia.
EUROPEAN HEART JOURNAL
(2022)
Review
Cardiac & Cardiovascular Systems
Kosar Gholami, Narges Norouzkhani, Meraj Kargar, Hamidreza Ghasemirad, Atieh Jafarabadi Ashtiani, Shamim Kiani, Mahdi Sajedi Far, Maryam Dianati, Yasaman Salimi, Amirmohammad Khalaji, Sara Honari, Niloofar Deravi
Summary: The aim of this study was to investigate the effect of interventional educations on the knowledge of pregnant women about hypertensive disorders of pregnancy (HDP). The study found that educational interventions can improve pregnant women's knowledge about HDP, thereby reducing the occurrence of related complications.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Review
Environmental Sciences
Abigail Erinc, Melinda B. Davis, Vasantha Padmanabhan, Elizabeth Langen, Jaclyn M. Goodrich
Summary: Studies suggest that PFAS may be risk factors for HDP, showing associations, but more research is needed to further understand this link.
ENVIRONMENTAL RESEARCH
(2021)
Article
Acoustics
V. Giorgione, J. O'Driscoll, C. M. Coutinho, C. Di Fabrizio, R. Sharma, A. Khalil, B. Thilaganathan
Summary: This study compared echocardiographic findings before and after delivery in women with HDP, and found that hemodynamic changes related to delivery did not significantly influence TTE indices. Suboptimal echocardiographic findings in HDP patients may be due to chronic pregnancy cardiovascular load changes or pre-existing maternal cardiovascular impairment.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2022)
Article
Nutrition & Dietetics
Yoko Kawanishi, Aiko Kakigano, Takashi Kimura, Satoyo Ikehara, Takuyo Sato, Takuji Tomimatsu, Tadashi Kimura, Hiroyasu Iso
Summary: The study suggests that higher caffeine intake may increase the risk of HDP, while pregnant women who drink two or more cups of coffee per day have a lower risk of HDP. Tea consumption was not found to be associated with the risk of HDP.
Review
Public, Environmental & Occupational Health
L. Cao, L. Wang, L. Wu, T. Wang, X. Cui, L. Yu, R. Diao, H. Mao
Summary: The meta-analysis found a significant association between maternal exposure to particulate matter (PM) and hypertensive disorders in pregnancy (HDP), with exposure to PM2.5 and PM10 potentially increasing the risk of HDP and gestational hypertension (GH). The results also indicate that the study model, data source, and research area may influence this association.
Article
Clinical Neurology
Kuan-Ru Chen, Tsung Yu, Lin Kang, Yueh-Ju Lien, Pao-Lin Kuo
Summary: The study found that children of mothers with chronic hypertension or pregnancy-induced hypertension/preeclampsia have a higher risk of developing various neurodevelopmental disorders. Additionally, chronic hypertension or pregnancy-induced hypertension/preeclampsia seems to be sufficient to increase the risk of childhood neurodevelopmental disorders.
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY
(2021)
Article
Multidisciplinary Sciences
Filomena Gomes, Per Ashorn, Sufia Askari, Jose M. Belizan, Erick Boy, Gabriela Cormick, Katherine L. Dickin, Amalia R. Driller-Colangelo, Wafaie Fawzi, G. Justus Hofmeyr, Jean Humphrey, Anuradha Khadilkar, Rubina Mandlik, Lynnette M. Neufeld, Cristina Palacios, Daniel E. Roth, Julie Shlisky, Christopher R. Sudfeld, Connie Weaver, Megan W. Bourassa
Summary: Most low- and middle-income countries have low calcium intake during pregnancy and high rates of mortality due to maternal hypertensive disorders. Calcium supplementation during pregnancy is known to reduce the risk of these disorders, but it is not widely implemented due to cost and logistical issues. Simplifying the supplementation regimens and combining calcium supplementation with food-based approaches may be necessary to improve calcium intakes.
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
(2022)
Article
Obstetrics & Gynecology
Courtney J. Walker, Anna M. Kucharska-Newton, Steven R. Browning, W. Jay Christian
Summary: This study fills the research gap by describing the geospatial and temporal patterns of county-level incidence of early-onset hypertensive disorders of pregnancy (eHDP) and assessing county-level demographics associated with an increased incidence of eHDP.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Review
Obstetrics & Gynecology
Pedro Melo, Adam Devall, Andrew H. Shennan, Manu Vatish, Christian M. Becker, Ingrid Granne, Aris T. Papageorghiou, Ben W. Mol, Arri Coomarasamy
Summary: This systematic review found that first-trimester initiated vaginal progesterone may reduce the risk of HDP and pre-eclampsia.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Medicine, General & Internal
Stephanie Springer, Marie Franz, Katharina Worda, Monika E. Gorczyca, Peter Haslinger, Christof Worda
Summary: This study evaluated NGAL values in twin pregnancies complicated by hypertensive disorders. The results showed that women who develop pregnancy hypertension or preeclampsia had significantly higher NGAL values compared to the control group at the first visit, and NGAL values increased throughout pregnancy.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Obstetrics & Gynecology
Maeliss Peigne, Jacques de Mouzon, Amelie Khiel, Alice Fraissinet, Victoria Maget, Jacqueline Saias-Magnan, Emmanuelle Mathieu-D'Argent, Olivia Gervereau, Helene Letur
Summary: This study compared the risk of complications between pregnancies with donated embryos and autologous frozen-thawed embryo transfer (FET). The results showed that pregnancies with donated embryos had a significantly higher incidence of hypertensive disorders of pregnancy (HDP), particularly the severe forms. Additionally, the rate of C-sections was higher in donated-embryo pregnancies, while there were no significant differences in newborn outcomes between the two groups.
FERTILITY AND STERILITY
(2023)
Editorial Material
Anesthesiology
Wesley Edwards, Ronald B. George
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Article
Anesthesiology
Elliott Callahan, Peter Yeh, Brendan Carvalho, Ronald B. George
Summary: This study investigated the practices of labor epidural analgesia in obstetric anesthesiology fellowship programs in the United States. The survey results showed that there were clear patterns in the use of combined spinal epidural, continuous epidural infusion, and patient-controlled epidural analgesia despite the variability in practice.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Letter
Anesthesiology
Allana Munro, Hilary MacCormick, Milia Aidemouni, Chris M. Nash, Ronald B. George
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Article
Anesthesiology
Elliott C. Callahan, Stephanie Lim, Ronald B. George
Summary: Since the introduction of neuraxial analgesia for labor, various techniques have been developed to maintain pain relief during childbirth, aiming to improve patient comfort, minimize side effects, and facilitate labor progress. Modern anesthesiologists have at their disposal techniques such as programmed intermittent epidural bolus (PIEB), patient-controlled epidural analgesia (PCEA), and dilute concentration local anesthetic + opioid epidural solutions. This article explores the historical development and evidence-based foundations of these techniques, as well as current knowledge regarding their effects on maternal-fetal health and the course of labor, along with important aspects of analgesic safety and monitoring.
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY
(2022)
Review
Medicine, General & Internal
Pervez Sultan, Kazuo Ando, Rania Elkhateb, Ronald B. George, Grace Lim, Brendan Carvalho, Ahish Chitneni, Ray Kawai, Tanya Tulipan, Lindsay Blake, Jessica Coker, James O'Carroll
Summary: This systematic review evaluated patient-reported screening measures for maternal postpartum depression and found that the Edinburgh Postnatal Depression Scale (EPDS) is the best available tool.
Review
Anesthesiology
Grace Lim, Mieke Soens, Anne Wanaselja, Arthur Chyan, Brendan Carvalho, Ruth Landau, Ronald B. George, Mary Lou Klem, Sarah S. Osmundson, Elizabeth E. Krans, Mishka Terplan, Brian T. Bateman
Summary: The prevalence of opioid use disorder and the challenges associated with pain management in pregnant individuals with OUD are increasing, yet there is a lack of evidence-based recommendations. This scoping review identified gaps in knowledge and highlighted the need for high-quality research on peripartum pain management for pregnant individuals with OUD.
ANESTHESIA AND ANALGESIA
(2022)
Article
Anesthesiology
Janny Xue Chen Ke, Daniel I. McIsaac, Ronald B. George, Paula Branco, E. Francis Cook, W. Scott Beattie, Robin Urquhart, David B. MacDonald
Summary: This study aimed to develop and validate a model incorporating intraoperative vital signs to improve risk stratification after surgery. The results showed that the addition of intraoperative vital signs had minimal impact on discrimination and calibration.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Review
Obstetrics & Gynecology
Elliott C. Callahan, Won Lee, Pedram Aleshi, Ronald B. George
Summary: Epidural analgesia is an important method of pain control during labor. It may slightly prolong labor and has no increased risk of cesarean delivery. Advances in the technique have reduced the risk of assisted vaginal delivery by reducing anesthetic dose.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Letter
Anesthesiology
S. Coppens, R. B. George, S. Rex
Letter
Anesthesiology
Christopher Cheung, Hilary MacCormick, Allana Munro, Ronald B. George
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Review
Anesthesiology
Won Lee, Marina Souto Martins, Ronald B. George, Alicia Fernandez
Summary: This scoping review examines racial and ethnic disparities in obstetric anesthesia during the peripartum period in the USA. The findings suggest that there are inequalities in obstetric anesthesia service and its clinical outcomes among different racial and ethnic groups.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Article
Anesthesiology
D. G. Bishop, N. L. Fernandes, R. A. Dyer, H. Sumikura, H. Okada, Y. Suga, F. Shen, Z. Xu, Z. Liu, M. Vasco, R. B. George, E. Guasch
Summary: South Africa is a low- and middle-income country with a mix of resource-rich and resource-limited settings. The skill level of anaesthesia practitioners varies, with major referral hospitals having higher skill levels compared to resource-limited environments.
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
(2023)
Review
Health Care Sciences & Services
Janny Xue Chen Ke, Marianne Vidler, Justine Dol, Brendan Carvalho, Lindsay Ellis A. Blake, Ronald B. George, Jeff Bone, Katherine M. Seligman, Micaela Coombs, Anthony Chau, Laura Saville, Ronald S. Gibbs, Pervez Sultan
Summary: The objective of this systematic review is to assess the incidence, prevalence, and timing of common postpartum complications and mortality. It aims to provide evidence-based recommendations for patient education, monitoring, and follow-up.
JBI EVIDENCE SYNTHESIS
(2022)
Article
Medicine, General & Internal
Alison Harding, Ronald B. George, Allana Munro, Jillian Coolen, Erna Snelgrove-Clarke, Brendan Carvalho
Summary: This study investigated the preferences of antenatal and postpartum patients for labor epidural analgesia (LEA) outcomes. The results showed that achieving desired pain relief was the most important outcome for both cohorts, while avoiding side effects was considered less important.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Health Care Sciences & Services
Ana Sjaus, Krista Corinne Ritchie
Summary: The spread of SARS-CoV-2 has significantly impacted human interactions, leading to a shift towards virtual platforms for group activities in healthcare. Using the Cultural-Historical Activity Theory (CHAT) framework, authors discuss how virtual technologies shape healthcare and academic cultures, and provide strategies for leaders to navigate these changes. It is crucial for leaders to embrace new ways of collaboration with collective wisdom and align with core shared values of the medical community during this pandemic.