Article
Multidisciplinary Sciences
Muni Rubens, Venkataraghavan Ramamoorthy, Anshul Saxena, Peter McGranaghan, Emir Veledar, Agueda Hernandez
Summary: The study found that obese pregnant women have a higher risk of adverse maternal and fetal outcomes, increased hospitalization costs, and longer hospital stays. Risk stratification based on obesity can help improve clinical decisions and patient outcomes.
SCIENTIFIC REPORTS
(2022)
Article
Public, Environmental & Occupational Health
Jieyi He, Peishan Ning, David C. Schwebel, Yang Yang, Li Li, Peixia Cheng, Zhenzhen Rao, Guoqing Hu
Summary: The COVID-19 pandemic has had a significant impact on injury burden in the United States, with an increase in mortality and a decrease in morbidity. There are variations in different time periods and injury types, highlighting the need for tailored injury prevention strategies for specific populations and environments.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Immunology
Barret Rush, Sylvain Lother, Bojan Paunovic, Owen Mooney, Anand Kumar
Summary: This large retrospective cohort study analyzed 1848 patients with blastomycosis, revealing a high mortality rate for patients requiring mechanical ventilation, with female gender and increasing age associated with higher risk of death.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Surgery
Mahmoud Abdelwahab, Courtney D. Lynch, Patrick Schneider, Stephen Thung, Maged M. Costantine, David O'Malley, Mark B. Landon, Tim M. Pawlik, Kartik K. Venkatesh
Summary: Pregnant patients do not have a higher risk of major 30-day postoperative complications compared with non-pregnant patients following non-obstetric surgery, except in colorectal and hernia surgeries where pregnant patients may face higher risks.
AMERICAN JOURNAL OF SURGERY
(2022)
Article
Obstetrics & Gynecology
Annie M. Dude, Kellie Schueler, L. Philip Schumm, Manoradhan Murugesan, Debra B. Stulberg
Summary: This study aimed to evaluate the association between preconception care and severe maternal morbidity among women with Medicaid. The study found that receiving contraceptive services in the year before conception and routine exams for women with chronic disease were associated with decreased odds of severe maternal morbidity.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2022)
Article
Public, Environmental & Occupational Health
Antoinette Oot, Kaitlin Huennekens, Lynn Yee, Joe Feinglass
Summary: This study found that research on obstetric quality of care has focused too much on SMM and neglected common complications. The study revealed higher rates of delivery complications compared to SMM, suggesting that SMM underestimates maternal complications. Maternal sociodemographic, clinical, and hospital characteristics were significantly associated with complications outcomes.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Clinical Neurology
Anthony M. Kendle, Jason L. Salemi, Chandra L. Jackson, Daniel J. Buysse, Judette M. Louis
Summary: Using a large database, this study estimated the prevalence and trends of insomnia among pregnant women over 12 years and examined the interplay among insomnia, maternal comorbidities, and severe maternal morbidity. The study found that coded diagnosis of insomnia during pregnancy has increased over time and that insomnia is an independent predictor of severe maternal morbidity.
Article
Medicine, General & Internal
Dorothy A. Fink, Deborah Kilday, Zhun Cao, Kelly Larson, Adrienne Smith, Craig Lipkin, Raymond Perigard, Richelle Marshall, Taryn Deirmenjian, Ashley Finke, Drew Tatum, Ning Rosenthal
Summary: This study investigated the trends and risk factors for delivery-related maternal deaths and severe maternal morbidity in the United States. The study found that maternal mortality rates decreased while severe maternal morbidity increased from 2008 to 2021. Age, race, and delivery method were associated with both outcomes.
Article
Obstetrics & Gynecology
Melissa E. Bauer, Catherine Albright, Malavika Prabhu, R. Phillips Heine, Chelsea Lennox, Christie Allen, Carol Burke, April Chavez, Brenna L. Hughes, Susan Kendig, Maile Le Boeuf, Elliott Main, Tiffany Messerall, Luis D. Pacheco, Laura Riley, Rachel Solnick, Andrew Youmans, Ronald Gibbs
Summary: Sepsis in obstetric care is a leading cause of maternal death in the United States, particularly among Black, Asian/Pacific Islander, and American Indian/Alaska Native obstetric patients. State maternal mortality review committees have identified preventable deaths that are often a result of delays in recognition, treatment, and escalation of care. The Sepsis in Obstetric Care patient safety bundle provides guidance for healthcare teams to prevent infection, recognize and treat infection early, and prevent sepsis. The bundle is organized into five domains to ensure readiness, recognition and prevention, response, reporting and systems learning, and respectful, equitable, and supportive care.
OBSTETRICS AND GYNECOLOGY
(2023)
Article
Anesthesiology
Bushra Taha, Jean Guglielminotti, Guohua Li, Ruth Landau
Summary: This study shows that the utilization rate of ECMO in obstetric patients in the United States has significantly increased, and the maternal prognosis has improved during the study period.
ANESTHESIA AND ANALGESIA
(2022)
Article
Immunology
Jennifer Gilner, Namita Kansal, Joseph R. Biggio, Shani Delaney, Chad A. Grotegut, Erica Hardy, Adi Hirshberg, Alisa Kachikis, Sylvia M. LaCourse, Jane Martin, Torri D. Metz, Emily S. Miller, Mary E. Norton, Rachel Sinkey, Nasim C. Sobhani, Shannon L. Son, Sindhu Srinivas, Alan Tita, Erika F. Werner, Brenna L. Hughes
Summary: The study aimed to estimate the prevalence of asymptomatic SARS-CoV-2 infection among obstetric inpatients in the US and examine its relationship with surrounding community infection rates. Results showed a positive correlation between obstetric inpatient positivity rates and surrounding county and state rates.
CLINICAL INFECTIOUS DISEASES
(2022)
Article
Obstetrics & Gynecology
Yonghui Xu, Sha Zhu, Hao Song, Xiaoyuan Lian, Maoni Zeng, Ji He, Lijuan Shu, XingSheng Xue, Fei Xiao
Summary: The study aimed to evaluate the effectiveness of a newly proposed Modified Obstetric Early Warning Score (MOEWS) in predicting severe maternal morbidity in an obstetric intensive care unit (ICU). The results showed that MOEWS had higher sensitivity, specificity, and accuracy compared to the traditional APACHE II score. It can be utilized as a valuable tool for identifying severe maternal complications and ultimately improving maternal health.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Health Care Sciences & Services
Michelle J. Wang, Megan Alexander, Diana Abbas, Akanksha Srivastava, Ashley Comfort, Ronald Iverson, Howard J. Cabral, Christina Yarrington
Summary: The aim of this study was to assess the association between total quantitative blood loss (QBL) and risk of obstetric haemorrhage-related morbidity (OBH-M) in order to evaluate the current definition of obstetric haemorrhage (OBH). The study analyzed data from all patients who had a live delivery at a safety-net hospital over a 2-year period. Results showed that a higher QBL threshold, specifically 1500cc, was more predictive of OBH-M compared to the currently accepted definition of QBL 1000cc.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Urology & Nephrology
Hanson Zhao, Colby Souders, John M. Masterson, Catherine Bresee, Alex Hannemann, Jennifer T. Anger, George D. Webster
Summary: The study found a decrease in the number of severe PFUI cases in the United States from 1998 to 2014, as well as a decrease in the annual rate of PFUI per 1000 pelvic fractures. The implementation and enforcement of seat belt and air bag regulations may be correlated with this trend.
WORLD JOURNAL OF UROLOGY
(2021)
Article
Obstetrics & Gynecology
Abera Kenay Tura, Marian Knight, Sagni Girma, Redwan Ahmed, Mohammed Yuya, Delayehu Bekele, Tahir Ahmed Hassen, Jelle Stekelenburg, Thomas van den Akker, EthOSS Steering Comm
Summary: This study aimed to identify the incidence of severe obstetric complications in eastern Ethiopia through a newly established obstetric surveillance system. The leading causes of these complications were obstetric hemorrhage, eclampsia, uterine rupture, severe anemia, and sepsis.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Obstetrics & Gynecology
Sarah C. Tinker, Suzanne M. Gilboa, Cynthia A. Moore, D. Kim Waller, Regina M. Simeone, Shin Y. Kim, Denise J. Jamieson, Lorenzo D. Botto, Jennita Reefhuis
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2020)
Editorial Material
Medicine, General & Internal
Elena V. Kuklina
Editorial Material
Medicine, General & Internal
Laura E. Riley, Denise J. Jamieson
ANNALS OF INTERNAL MEDICINE
(2021)
Editorial Material
Medicine, General & Internal
Ching-Ching Claire Lin, Ashley H. Hirai, Rui Li, Elena V. Kuklina, Sylvia K. Fisher
ANNALS OF INTERNAL MEDICINE
(2020)
Review
Public, Environmental & Occupational Health
Jonetta J. Mpofu, Cheryl L. Robbins, Eleanor Garlow, Farah M. Chowdhury, Elena Kuklina
Summary: Hypertension is a major modifiable risk factor for cardiovascular disease in the US, with potential serious risks for both mother and child during pregnancy. However, there is currently no specific surveillance system for monitoring hypertension among women of reproductive age, and detailed information on postpartum hypertension is lacking in existing data sources. Enhanced data collection may improve opportunities for hypertension surveillance in this population.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Obstetrics & Gynecology
Rui Li, Elena V. Kuklina, Elizabeth C. Ailes, Sundar S. Shrestha, Scott D. Grosse, Jing Fang, Guijing Wang, Jessica Leung, Wanda D. Barfield, Shanna Cox
Summary: In the United States, hypertensive disorders during pregnancy lead to significantly higher health services utilization and medical expenditures among privately insured women, with women with preeclampsia and eclampsia having the highest expenditures.
PREGNANCY HYPERTENSION-AN INTERNATIONAL JOURNAL OF WOMENS CARDIOVASCULAR HEALTH
(2021)
Article
Medicine, General & Internal
Jiajia Chen, Shanna Cox, Elena V. Kuklina, Cynthia Ferre, Wanda Barfield, Rui Li
Summary: This study aimed to investigate the occurrence of de novo severe maternal morbidity (SMM) in women in the US after delivery discharge. Results showed that 15.7% of SMM cases in the commercial insurance cohort and 14.1% in the Medicaid cohort first occurred after delivery hospitalization. Significant disparities in factors and maternal characteristics were observed in the development of SMM.
Review
Obstetrics & Gynecology
Denise J. Jamieson, Sonja A. Rasmussen
Summary: Physiological, mechanical, and immunologic changes in pregnancy may affect susceptibility to and severity of COVID-19. Pregnancy is a risk factor for severe disease, with pregnant individuals more likely to experience adverse outcomes. Intrauterine transmission of SARS-CoV-2 is rare, possibly due to low viral levels and reduced expression of necessary receptors in the placenta. COVID-19 and its impact on healthcare systems have also had negative effects on pregnancy outcomes.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Editorial Material
Obstetrics & Gynecology
S. A. Rasmussen, D. J. Jamieson
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Obstetrics & Gynecology
Carla L. DeSisto, Cheryl L. Robbins, Matthew D. Ritchey, Alexander C. Ewing, Jean Y. Ko, Elena V. Kuklina
Summary: The study found that the prevalence of chronic hypertension and pregnancy-associated hypertension at delivery hospitalization has increased nationally, with significant variations among states. The burden of hypertensive disorders in pregnancy remains high and varies considerably by jurisdiction.
PREGNANCY HYPERTENSION-AN INTERNATIONAL JOURNAL OF WOMENS CARDIOVASCULAR HEALTH
(2021)
Article
Peripheral Vascular Disease
Cheryl L. Robbins, Nicole D. Ford, Donald K. Hayes, Jean Y. Ko, Elena Kuklina, Shanna Cox, Cynthia Ferre, Fleetwood Loustalot
Summary: The study found that during the early stages of the COVID-19 pandemic, a significant proportion of clinicians made changes to hypertension monitoring practices, including advising patients to self-monitor at home or at pharmacies, increasing the use of telemedicine, and reducing office visit frequency. PCPs were more likely than NP/PAs to implement these changes.
AMERICAN JOURNAL OF HYPERTENSION
(2022)
Article
Obstetrics & Gynecology
Nicole D. Ford, Cheryl L. Robbins, Nina Nandi, Donald K. Hayes, Fleetwood Loustalot, Elena Kuklina, Jean Y. Ko
Summary: This study described the screening practices, knowledge, barriers, and facilitators among clinicians for prior hypertensive disorders of pregnancy. Findings showed that while the majority of clinicians screened for these disorders, only one out of four correctly identified all associated cardiovascular risks.
OBSTETRICS AND GYNECOLOGY
(2022)
Letter
Medicine, General & Internal
Lindsay K. Admon, Nicole D. Ford, Jean Y. Ko, Cynthia Ferre, Charlan D. Kroelinger, Katy B. Kozhimannil, Elena V. Kuklina
Article
Public, Environmental & Occupational Health
Tatyana A. Johnson, Denise J. Jamieson, Franklyn H. Geary, Kaitlyn K. Stanhope, Sheree L. Boulet
Summary: This study aimed to assess the impact of the COVID-19 pandemic on rates of obstetric procedures and severe maternal morbidity (SMM) at an urban safety net institution. The results showed that the rates of obstetric interventions and SMM remained constant during the pandemic period, indicating that the rapid implementation of measures to reduce viral transmission did not significantly affect routine clinical management or rates of serious maternal complications.
WOMENS HEALTH ISSUES
(2023)
Correction
Medicine, General & Internal
J. Chen, S. Cox, E. Kuklina, C. Ferre, W. Barfield, R. Li