Scholars@Duke
Sarah K. Dotters-Katz

Sarah K. Dotters-Katz

Professor of Obstetrics and Gynecology
Obstetrics and Gynecology, Maternal Fetal Medicine
sarah.dotters-katz@duke.edu
Box 3967, Durham, NC 27710
2608 Erwin Road Suite 200, Durham, NC 27705

Scholarly Works - Journal articles

Accuracy of ultrasound-derived estimated fetal weight in a cohort of periviable births.

Journal article J Matern Fetal Neonatal Med · December 2026 OBJECTIVE: As neonatal resuscitation is offered at increasing extremes of prematurity, ultrasound-derived estimated fetal weight (EFW) is a crucial data point in patient counseling. We aimed to evaluate the accuracy of EFW compared to birthweight (BW) amon ... Full text Link to item Cite

Predictors and Patterns of Antepartum Bleeding among Patients with Placenta Previa.

Journal article Am J Perinatol · July 9, 2026 OBJECTIVE: Antepartum bleeding is a common complication of placenta previa and contributes to maternal and neonatal morbidity; however, limited data describe bleeding patterns and their clinical course. We sought to identify predictors of antepartum bleedi ... Full text Link to item Cite

Clinical Nuances of Preterm Prelabor Rupture of Membranes: A Literature Review.

Journal article Obstet Gynecol Surv · July 1, 2026 IMPORTANCE: Preterm premature rupture of membranes (PPROM) presents significant challenges in obstetric care, particularly due to its association with both maternal and neonatal morbidity. Management becomes even more complex when PPROM occurs in the conte ... Full text Link to item Cite

Good Teachers: A Scoping Review on What Medical Students Value in OB/Gyn Resident Educators.

Journal article J Surg Educ · May 2026 OBJECTIVE: To map the existing literature describing the qualities and behaviors of obstetrics and gynecology (OB/Gyn) residents that medical students value in resident teachers, in order to inform development of Resident-as-Teacher (RAT) curricula. DESIGN ... Full text Link to item Cite

Female Sexual Dysfunction: Current Models and Treatment Options.

Journal article Obstet Gynecol Surv · May 1, 2026 IMPORTANCE: Male sexual dysfunction has been well described in scientific literature; however, female sexual dysfunction is an area of research that remains vastly overlooked. OBJECTIVE: Female sexual dysfunction represents 4 separate diagnoses according t ... Full text Link to item Cite

Birth Trauma and Postpartum Childbirth-related Posttraumatic Stress Disorder: A Narrative Review of Pathology, Risk Factors, and Practice Recommendations.

Journal article Obstet Gynecol Surv · April 1, 2026 IMPORTANCE: Trauma and childbirth-related posttraumatic stress disorder (c-PTSD) are underrecognized possible consequences of birth and obstetric care that may affect maternal well-being, parent-infant bonding, and future reproductive decisions. Despite a ... Full text Link to item Cite

Spontaneous preterm birth following unintended hysterotomy extension during second‐stage labor cesarean delivery

Journal article Pregnancy · March 2026 AbstractBackgroundUnintended hysterotomy extensions occur frequently during second‐stage cesarean delivery and may result in ut ... Full text Cite

When Should I Rotate? Clerkship Timing of Students Who Successfully Match in OBGYN.

Journal article Am J Perinatol · March 2026 Medical students are routinely advised to rotate into their specialty of interest later in the year, likely to gain clinical experience, improve their clerkship performance, and therefore garner positive recommendations or performance reviews. However, the ... Full text Link to item Cite

Penicillin Allergy in Pregnancy: A Practical Review for the Obstetrician.

Journal article Obstet Gynecol Surv · March 1, 2026 IMPORTANCE: Penicillin allergies are commonly reported in pregnancy, yet patients are rarely truly allergic. Identification of pregnant patients who would benefit from penicillin allergy testing is an important public health initiative to reduce alternativ ... Full text Link to item Cite

Furcate Cord Insertions: A Comprehensive Review of Reported Cases, Outcomes, and Management Implications.

Journal article Obstet Gynecol Surv · February 1, 2026 IMPORTANCE: Furcate umbilical cord insertion is a rare anomaly in which the umbilical vessels separate and lose Wharton jelly before placental insertion. This condition increases the risk of complications such as vessel avulsion and intrauterine fetal demi ... Full text Link to item Cite

Obstetrics and Gynecology Resident Comfort in Caring for Pregnant People with Physical Disabilities.

Journal article Am J Perinatol · January 2026 Pregnant people with disabilities face higher complication rates, yet few guidelines exist on caring for this population. This study evaluates obstetrics and gynecology (OBGYN) residents' comfort in caring for pregnant people with physical disabilities.A 1 ... Full text Link to item Cite

Wounds to Wisdom: Exploring Risk Factors and Outcomes for Surgically Managed Postcesarean Wound Infections.

Journal article AJP Rep · January 2026 OBJECTIVE: Postcesarean surgical site infections (SSIs) contribute substantially to morbidity and healthcare costs, yet understanding of their management remains limited. STUDY DESIGN: Retrospective cohort study of patients delivering via cesarean at a sin ... Full text Link to item Cite

#GroupBStrepTest on TikTok: What Social Media Reveals About Patient Experiences and Expectations

Journal article Journal of Midwifery and Women S Health · January 1, 2026 Introduction: Nearly half of the US population uses TikTok, influencing patient perceptions of public health measures, including group B streptococcus (GBS), a known cause of neonatal sepsis and mortality. This study examines TikTok content on GBS testing/ ... Full text Cite

Contraceptive Use in Breast Cancer Patients and Survivors.

Journal article Obstet Gynecol Surv · November 1, 2025 IMPORTANCE: Breast cancer is one of the most common malignancies among women globally, with significant implications for reproductive health, including the use of contraception. The intersection of breast cancer and contraception presents unique challenges ... Full text Link to item Cite

Anemia Biomarkers in Pregnant People with Pyelonephritis.

Journal article Am J Perinatol · October 2025 Anemia is observed in 30% of pregnancies with pyelonephritis, yet little is known about the underlying etiology. Erythropoietin (EPO) is renally produced in response to hypoxic and inflammatory conditions. Changes in serum EPO have been demonstrated in inf ... Full text Link to item Cite

Educational Equity in Obstetric Training: Procedural Disparities in the Ob/Gyn Clerkship.

Journal article J Surg Educ · October 2025 OBJECTIVE: To assess for differences in obstetric procedural experiences on the obstetrics and gynecology (OB/GYN) clerkship based on medical student race and gender. DESIGN: IRB-approved retrospective cohort study of medical student case logs on their OB/ ... Full text Link to item Cite

Confirming Rupture of Membranes with Intra-Amniotic Fluorescein Dye Test.

Journal article AJP Rep · October 2025 INTRODUCTION: We describe two patients presenting with preterm loss of fluid and inconclusive evaluations requiring further assessment. Patient 1 was a 41-year-old G3P1011 at 21 6/7 weeks; Patient 2 was a 22-year-old G2P1001 at 31 5/7 weeks. In both, prete ... Full text Link to item Cite

The Impact of Antibiotics on Latency When Given at the Time of Membrane Rupture before Viability.

Journal article Am J Perinatol · September 2025 It is well established that antibiotics administered in preterm prelabor rupture of membranes increase latency to delivery. While data are limited for membrane rupture prior to viability, antibiotics may also increase latency in this population. This study ... Full text Link to item Cite

Importance of Targeted Care in Improving Maternal-Child Outcomes in Teen Pregnancy.

Journal article Obstet Gynecol Surv · September 2025 IMPORTANCE: The United States continues to have one of the highest adolescent pregnancy rates compared with other high-income countries. Adolescents and their children have an increased risk of adverse health effects. These disparities demonstrate the need ... Full text Link to item Cite

A Review of Eating Disorders.

Journal article JAMA · August 12, 2025 Full text Link to item Cite

Indomethacin and Cefazolin for Physical Exam-Indicated Cerclage to Improve Latency: A Protocol Validation Study.

Journal article Am J Perinatol · August 2025 A single-center randomized trial showed improved latency with use of indomethacin and cefazolin (I/C) during and following exam-indicated cerclage (EIC). The same center recently published a pre/post comparison demonstrating similar results. This research ... Full text Link to item Cite

Impact of Coronavirus Disease-2019 on Influenza and Tdap Vaccination Rates in Pregnant Patients.

Journal article Am J Perinatol · August 2025 Influenza and tetanus toxoid reduced diphtheria toxoid, and acellular pertussis (Tdap) are safe and effective vaccines that are recommended in pregnancy. Despite this, significant vaccine hesitancy exists in pregnancy. However, impact of the coronavirus di ... Full text Link to item Cite

Pain Management for IUD Insertion: A Review of the Clinical Evidence on Pharmacologic and Nonpharmacologic Options.

Journal article Obstet Gynecol Surv · August 2025 IMPORTANCE: Intrauterine devices (IUDs) are a safe and highly effective contraceptive method, but pain poses a significant barrier to IUD uptake and satisfaction. Data on existing modalities for insertional pain management are limited, and there remains no ... Full text Link to item Cite

Seasonal Influenza in Pregnancy.

Journal article Obstet Gynecol Surv · July 2025 IMPORTANCE: Influenza presents as respiratory illnesses that range in severity and can lead to adverse maternal health outcomes and pregnancy complications, particularly in pregnant individuals who are considered high-risk for severe disease. OBJECTIVE: To ... Full text Link to item Cite

Oropouche Infection: Concerns for the Obstetric Patient.

Journal article Obstet Gynecol Surv · June 2025 IMPORTANCE: Oropouche is an emerging virus that has become a growing cause for concern after reports of vertical transmission and detrimental effects on the developing fetus. Oropouche is an arbovirus, meaning it is transmitted by arthropods, which include ... Full text Link to item Cite

Rhesus D Prophylaxis: When and Why We Give Rhesus D Immunoglobulin.

Journal article Obstet Gynecol Surv · May 2025 IMPORTANCE: Hemolytic disease of the fetus and newborn (HDFN) is caused by maternal alloantibodies to fetal red blood cells and is associated with significant fetal and neonatal morbidity and mortality. Rhesus D antigen (RhD)-mediated HDFN is the only prev ... Full text Link to item Cite

Hereditary Hemorrhagic Telangiectasia: Pregnancy and Delivery-Specific Considerations and Outcomes

Journal article American Journal of Perinatology · April 2025 AbstractPrior studies have evaluated maternal outcomes in patients with hereditary hemorrhagic telangiectasia (HHT), yet pregnancy- and delivery-specific data remain limited. This study aims to evaluate pregnancy and delive ... Full text Cite

Neonatal Outcomes at 2 Years following Expectant Management of Previable Premature Prelabor Rupture of Membranes at a Single Center.

Journal article Am J Perinatol · April 2025 Previable premature prelabor rupture of membranes (pPPROM) can lead to significant maternal and neonatal morbidity and mortality. Limited literature exists describing long-term outcomes in neonates surviving pPPROM. Our study describes 2-year survival and ... Full text Link to item Cite

Screening for Bacterial Vaginosis Prior to Delivery: A Cost-Effectiveness Study.

Journal article Am J Perinatol · January 2025 OBJECTIVE: The objective of this study was to compare the cost and effectiveness of three strategies for screening and/or treating bacterial vaginosis (BV) during pregnancy prior to delivery: (1) the current standard of care was neither test nor treat for ... Full text Link to item Cite

Predictors of Vaginal Delivery among Patients Admitted with Severe Preeclampsia.

Journal article Am J Perinatol · January 2025 OBJECTIVE: This study aimed to assess the rates of vaginal delivery (VD) and the predictors of VD in a cohort of patients with early (<34 weeks) preeclampsia with severe features (Early Severe PreEClampsia [ESPEC]). STUDY DESIGN: We conducted a retrospecti ... Full text Link to item Cite

Breast Pain in a Lactating Person: An Objective Structured Clinical Examination for Clerkship Students.

Journal article MedEdPORTAL · 2025 INTRODUCTION: Breastfeeding provides significant health benefits for families and cost-saving potential for health care systems. Physician support is crucial to lactation success. However, lactation education curricula across the US do not reliably meet pu ... Full text Open Access Link to item Cite

Maternal morbidity in postpartum severe preeclampsia by obstetric delivery volume

Journal article American Journal of Obstetrics & Gynecology MFM · November 2024 Full text Cite

Nondiabetic Fetal Macrosomia: Causes, Outcomes, and Clinical Management.

Journal article Obstet Gynecol Surv · November 2024 IMPORTANCE: Fetal macrosomia (FM) is common in clinical practice and carries increased risk of adverse maternal and neonatal health outcomes. Maternal diabetes mellitus (DM) is a well-known cause of macrosomia with significant research and guidelines focus ... Full text Link to item Cite

Familial Mediterranean Fever in Pregnancy.

Journal article Obstet Gynecol Surv · October 2024 IMPORTANCE: Though the incidence of familial Mediterranean fever (FMF) in pregnancy is rare, understanding the etiology and symptomatology of FMF is essential for obstetric treatment of patients with FMF. OBJECTIVE: Familial Mediterranean fever is a heredi ... Full text Link to item Cite

Implications of Prenatal Cannabis Exposure on Childhood Neurodevelopmental Outcomes: A Summary of the Clinical Evidence.

Journal article Obstet Gynecol Surv · October 2024 IMPORTANCE: Cannabis is commonly used by pregnant patients for alleviation of pregnancy-associated symptoms. Multiple national medical associations have recommended against prenatal cannabis use, yet misinformation regarding its safety and efficacy remains ... Full text Link to item Cite

Review of Systemic Lupus Erythematous.

Journal article JAMA · September 3, 2024 Full text Link to item Cite

Influenza in Pregnancy: Maternal, Obstetric, and Fetal Implications, Diagnosis, and Management.

Journal article Clin Obstet Gynecol · September 1, 2024 Influenza(flu) in pregnancy is associated with higher rates of hospitalization, ICU admission, and death and with increased odds of congenital anomalies and stillbirth, but not preterm birth. Clinical manifestations of flu in pregnancy are the same as nonp ... Full text Link to item Cite

Maternal outcomes by mode of delivery among pregnant patients with eclampsia: a retrospective cohort study.

Journal article American journal of obstetrics & gynecology MFM · September 2024 Full text Cite

Therapeutic Rest as an Intervention in Early Labor: A Literature Review.

Journal article Obstet Gynecol Surv · September 2024 IMPORTANCE: The latent phase of labor poses a challenge for pregnant patients due to the limited options available for pain relief and management. Therapeutic rest, an intervention involving medication administration during this phase, has shown promise in ... Full text Link to item Cite

Unusual Maternal and Fetal Findings With Cell-Free DNA Screening.

Journal article Obstet Gynecol Surv · September 2024 IMPORTANCE: With advances in prenatal cell-free DNA (cfDNA) technology, the information available with cfDNA continues to expand beyond the common fetal aneuploidies such as trisomies 21, 18, and 13. Due to the admixture of maternal and fetal/placental DNA ... Full text Link to item Cite

Cracking the code: interpreting content and phrases used in maternal-fetal medicine fellowship letters of recommendation.

Journal article Am J Obstet Gynecol MFM · August 2024 BACKGROUND: Letters of recommendation for Maternal-Fetal Medicine(MFM) fellowship are a critical part of the applicant selection process. However, data regarding best practices for how to write LOR for MFM is limited. Similarly, within letters of recommend ... Full text Link to item Cite

The Collection and Application of Autologous Amniotic Fluid to Cesarean Delivery Closure.

Journal article AJP Rep · July 2024 Background  Amniotic fluid and amnion membranes have been used in surgery specialties to improve wound healing and decrease surgical adhesion formation. Objective  The objective was to determine if amniotic fluid could be collected at cesarean delivery and ... Full text Link to item Cite

Best Practices for Writing Letters of Recommendation for Maternal-Fetal Medicine Fellowship: An Empty Scoping Review.

Journal article Am J Perinatol · June 2024 OBJECTIVES: Though letters of recommendation (LOR) for Maternal-Fetal Medicine (MFM) fellowship are a critical part of application process, little is known regarding best practices for writing them. This scoping review sought to identify published data out ... Full text Link to item Cite

Suboptimally Controlled Diabetes in Pregnancy: A Review to Guide Antepartum and Delivery Management.

Journal article Obstet Gynecol Surv · June 2024 IMPORTANCE: Diabetes mellitus is one of the most common complications in pregnancy with adverse maternal and neonatal risks proportional to the degree of suboptimal glycemic control, which is not well defined. Literature guiding providers in identifying an ... Full text Link to item Cite

Preterm Birth Rates and Racial Disparities during the COVID-19 Pandemic at a Single Institution in the Southeastern United States.

Journal article Am J Perinatol · May 2024 OBJECTIVE: The COVID pandemic has been associated with varied effects on preterm birth (PTB). We sought to compare rates of PTB during the pre- and post vaccination COVID periods with pre-pandemic PTB rates, stratified by race and ethnicity. STUDY DESIGN: ... Full text Link to item Cite

Sex-Dependent Differences in Mouse Placental Gene Expression following a Maternal High-Fat Diet.

Journal article Am J Perinatol · May 2024 OBJECTIVE: In utero fetal exposures may have sex-specific placental gene responses. Our objective was to measure sex-based differences in placental gene expression from dams fed high-fat diet (HFD) versus control diet (CD). STUDY DESIGN: We fed timed pregn ... Full text Link to item Cite

Medical Student Duty Hours and Shelf Performance: Is There a Correlation?

Journal article Am J Perinatol · May 2024 OBJECTIVE: To date, there is limited information about medical student duty hours, shelf scores, and overall clerkship performance in obstetrics and gynecology (OB/GYN). As a result, we were curious to know whether spending more time in the clinical enviro ... Full text Link to item Cite

Associations between Anemia and Outcomes of Pregnant Patients with Pyelonephritis.

Journal article Am J Perinatol · May 2024 OBJECTIVE: This study aims to determine if pregnant patients with both pyelonephritis and anemia are at an increased risk of adverse maternal outcomes compared with those with pyelonephritis without anemia. STUDY DESIGN: We conducted a retrospective cohort ... Full text Link to item Cite

Parvovirus B19 in Pregnancy.

Journal article Obstetrical & gynecological survey · May 2024 ImportanceAlthough the risk of parvovirus B19 infection during pregnancy and subsequent risk of adverse fetal outcome are low, understanding management practices is essential for proper treatment of fetuses with nonimmune hydrops fetalis. In addit ... Full text Cite

Examination of Maternal Allostatic Load Among Postpartum Women With Distinct Postpartum Symptom Typologies.

Journal article Biol Res Nurs · April 2024 BACKGROUND: An increased allostatic load (cumulative physiologic wear and tear of the body) can lead to adverse health outcomes. Symptom experiences are known to influence allostatic load. Yet, the relationships between postpartum symptom typologies and ma ... Full text Link to item Cite

Postpartum Pyelonephritis and Risk of Severe Maternal Morbidity.

Journal article Am J Perinatol · February 2024 OBJECTIVE: Pyelonephritis is the most common nonobstetric cause for hospitalization during pregnancy. The maternal and obstetric complications associated with antepartum pyelonephritis are well described. However, it is not clear whether these risks extend ... Full text Link to item Cite

Luteal Phase Defects and Progesterone Supplementation.

Journal article Obstet Gynecol Surv · February 2024 IMPORTANCE: Luteal phase defects (LPDs), or an insufficiency of progesterone production during the luteal phase of the menstrual cycle, have been identified as a potential cause of recurrent pregnancy loss (RPL), but its exact contribution to RPL is not we ... Full text Link to item Cite

Parenthood and Medical Training: Challenges and Experiences of Physician Moms in the US.

Journal article Teach Learn Med · 2024 Phenomenon: Balancing the demands of medical training and parenthood is challenging. We explored perceptions of programmatic support, parental leave, breastfeeding, and self-reported biggest challenges among a large cohort of physician mothers in a variety ... Full text Link to item Cite

Atypical Presentation of Rocky Mountain Spotted Fever in Pregnancy.

Journal article AJP Rep · January 2024 Rocky Mountain spotted fever (RMSF) is a common tick-borne disease and can have variable presentation with potentially fatal outcomes when untreated. We describe an atypical presentation of RMSF in the third trimester. A 37-year-old multiparous woman at 31 ... Full text Link to item Cite

Evidence Based Management of Labor.

Journal article Obstet Gynecol Surv · January 2024 IMPORTANCE: Induction of labor (IOL) is a common obstetric intervention. Augmentation of labor and active management of the second stage is frequently required in obstetric practice. However, techniques around labor and induction management vary widely. Ev ... Full text Link to item Cite

Reliability and comprehensiveness of YouTube videos about the COVID-19 vaccine in pregnancy.

Journal article Am J Infect Control · November 2023 Online information influences health care decisions and may contribute to vaccine hesitancy among pregnant individuals. We assessed the quality (reliability and comprehensiveness) of YouTube videos about COVID-19 vaccination in pregnancy. We systematically ... Full text Link to item Cite

Risk of stillbirth in United States patients with diagnosed intrahepatic cholestasis of pregnancy.

Journal article Am J Obstet Gynecol · October 2023 BACKGROUND: Intrahepatic cholestasis of pregnancy is associated with a 4- to 10-fold increase in the risk of stillbirth in the absence of intervention, leading to recommendations for antenatal assessment, ursodiol use, and often preterm or early term deliv ... Full text Link to item Cite

High rates of venous thromboembolism among deliveries complicated by cancer.

Journal article J Thromb Haemost · October 2023 BACKGROUND: Venous thromboembolism (VTE) risk is increased independently by both cancer and pregnancy. OBJECTIVES: To estimate VTE risk in the postpartum period among patients delivering with a cancer diagnosis, stratified by cancer type and delivery route ... Full text Link to item Cite

Gender and Language in Letters of Recommendation for Obstetrics and Gynecology Fellowship Applications.

Journal article J Surg Educ · October 2023 OBJECTIVE: To delineate the use of gender-biased language in letters of recommendation for Obstetrics and Gynecology fellowships and its impact on applicants. DESIGN: Fellowship letters of recommendation from 4 Obstetrics and Gynecology specialties at a si ... Full text Link to item Cite

Optimizing Surgical Wound Care in Obstetrics and Gynecology.

Journal article Obstet Gynecol Surv · October 2023 IMPORTANCE: Obstetrics and gynecology (OB/GYN) accounts for at least half of all open abdominal surgeries performed. Rates of surgical wound complications after open procedures in OB/GYN range from 5% to 35%. Therefore, optimizing management of surgical wo ... Full text Link to item Cite

Nicotine Use During Pregnancy: Cessation and Treatment Strategies.

Journal article Obstet Gynecol Surv · October 2023 The use of tobacco and nicotine products during pregnancy is known to increase the risk of adverse effects on the fetus. Increased education and research have resulted in greater rates of smoking cessation during pregnancy, with a decline from 13.2% of pre ... Full text Link to item Cite

Maternal morbidity in pregnancies affected by anencephaly.

Journal article Am J Obstet Gynecol · September 2023 Using national birth-registry data, composite maternal morbidity is increased in pregnancies affected by anencephaly when compared to unaffected pregnancies. ... Full text Link to item Cite

Maternal morbidity and mortality among patients with cancer at time of delivery.

Journal article Am J Obstet Gynecol · September 2023 BACKGROUND: Individuals with cancer during pregnancy are a medically complex patient population that is anticipated to grow. A better understanding of this population and patterns of risk at time of delivery would offer an opportunity for providers to miti ... Full text Link to item Cite

Maternal and peripartum risk factors for acute funisitis among term deliveries complicated by intraamniotic infection.

Journal article Am J Obstet Gynecol MFM · August 2023 BACKGROUND: Acute funisitis-the histologic diagnosis of inflammation within the umbilical cord-represents a fetal inflammatory response and has been associated with adverse neonatal outcomes. Little is known regarding the maternal and intrapartum risk fact ... Full text Link to item Cite

CenteringPregnancy: A Review of Implementation and Outcomes.

Journal article Obstet Gynecol Surv · August 2023 IMPORTANCE: CenteringPregnancy (CP) is a model for group prenatal care associated with improved perinatal outcomes for preterm birth and low birthweight, increased rates of breastfeeding, and higher rates of patient and clinician satisfaction. OBJECTIVE: T ... Full text Link to item Cite

The Risks and Benefits of Monoclonal Antibody Therapy During Pregnancy and Postpartum: Maternal, Obstetric, and Neonatal Considerations.

Journal article Obstet Gynecol Surv · July 2023 IMPORTANCE: Autoimmune and rheumatologic conditions can lead to multiple adverse maternal, obstetric, and neonatal outcomes, especially if they flare during pregnancy. Although many medications to control these conditions exist, concerns regarding their sa ... Full text Link to item Cite

Antibiotic Recommendations After Postpartum Uterine Exploration or Instrumentation.

Journal article Obstet Gynecol Surv · July 2023 IMPORTANCE: Multiple postpartum scenarios require uterine exploration or instrumentation. These may introduce bacteria into the uterus, increasing the risk of endometritis. Data on the use of antibiotics in these scenarios is limited, resulting in few guid ... Full text Link to item Cite

Sonographic Evaluation of the Placenta in Fontan Patients: A Case Series.

Journal article J Ultrasound Med · June 2023 Due to the advancements in pediatric cardiothoracic surgery and medical management, more individuals with congenital heart disease are reaching reproductive age. It is well established that individuals with Fontan circulation are at an increased risk for m ... Full text Link to item Cite

Maternal morbidity in pregnancies affected by anencephaly

Journal article American Journal of Obstetrics and Gynecology · May 12, 2023 Full text Cite

Maternal and neonatal outcomes in patients with hepatitis C and intrahepatic cholestasis of pregnancy: The sum of the parts.

Journal article PLoS One · 2023 OBJECTIVE: Hepatitis C virus and intrahepatic cholestasis of pregnancy (ICP) are well-known independent risk factors for adverse outcomes in pregnancy. In addition, it is well-established that there is an association between Hepatitis C and ICP. This study ... Full text Link to item Cite

Pregnancy outcomes among women with class III obesity with normal early glucola.

Journal article J Matern Fetal Neonatal Med · December 2022 BACKGROUND: Because obese women are at increased risk for insulin resistance and development gestational diabetes (GDM), the American College of Obstetricians and Gynecologists (ACOG) recommends early GDM screening in this population. For obese women with ... Full text Link to item Cite

The risk for recurrent preterm birth after prior preterm birth complicated by major fetal anomaly.

Journal article J Matern Fetal Neonatal Med · December 2022 Major fetal anomalies (MFA) are a known risk factor for preterm birth (PTB), though the etiology of this is not well-studied, making counseling of these patients difficult. Thus, we sought to describe the rate of recurrent PTB in a second-observed pregnanc ... Full text Link to item Cite

Symptomatic versus asymptomatic COVID-19: does it impact placental vasculopathy?

Journal article J Matern Fetal Neonatal Med · December 2022 This study sought to assess the impact of COVID-19 on placental vasculature in the context of maternal symptomatology - comparing asymptomatic to symptomatic pregnant patients - and disease severity - comparing pregnant patients with mild, moderate, severe ... Full text Link to item Cite

Gestational weight gain and patterns of breastfeeding among patients with class III obesity.

Journal article J Matern Fetal Neonatal Med · December 2022 BACKGROUND: Maternal obesity is associated with delayed lactogenesis and shorter duration of breastfeeding compared to patients with a normal BMI. RESEARCH AIM/QUESTION: We investigated the impact of excessive gestational weight gain, defined as greater th ... Full text Link to item Cite

Maternal and obstetric outcomes of listeria pregnancy: insights from a national cohort.

Journal article J Matern Fetal Neonatal Med · December 2022 OBJECTIVE: We sought to evaluate and describe the maternal and obstetric morbidity associated with Listeria infection in pregnancy. METHODS: Retrospective cohort of pregnant women using the 2007-2018 National Inpatient Sample. Pregnant women with discharge ... Full text Link to item Cite

Group B Streptococcus and Pregnancy: Critical Concepts and Management Nuances.

Journal article Obstet Gynecol Surv · December 2022 IMPORTANCE: Group B Streptococcus (GBS) is a common pathogen with an effective treatment. However, it remains a significant cause of neonatal sepsis, morbidity, and mortality. The screening and management of this infection are some of the first concepts le ... Full text Link to item Cite

Human Chorionic Gonadotropin-A Review of the Literature.

Journal article Obstet Gynecol Surv · September 2022 IMPORTANCE: The measurement of human chorionic gonadotropin (hCG) levels in different body fluids is a commonly utilized tool in obstetrics and gynecology, as well as other fields. It is often one of the first steps in the medical workup of female patients ... Full text Link to item Cite

The impact of excessive gestational weight gain timing on neonatal outcomes in women with class III obesity.

Journal article J Matern Fetal Neonatal Med · August 2022 OBJECTIVE: This study evaluated the influence of early gestational weight gain (GWG) on neonatal outcomes among women with class III obesity. STUDY DESIGN: Retrospective cohort of women with class III obesity who gained more than the Institute of Medicine ... Full text Link to item Cite

Breastfeeding: The Basics, the History, and Barriers in the Modern Day.

Journal article Obstet Gynecol Surv · July 2022 IMPORTANCE: The scientific benefits of breastfeeding for the parent and baby are clear, but the goal is often simplified to "breast is best." Patients' decisions to breastfeed are more nuanced than this approach implies, and it is essential for providers t ... Full text Link to item Cite

Management of Preterm Premature Rupture of Membranes in the Late Preterm Period.

Journal article Obstet Gynecol Surv · May 2022 IMPORTANCE: For patients who present with prelabor rupture of membrane (PROM) in the late preterm period (34 to 36 6/7 weeks), management remains unclear due to lack of consensus. However, recent guidelines have suggested that shared decision-making may be ... Full text Link to item Cite

Lower Urinary Pathogens: Do More Pathogenic Bacteria Increase the Risk of Pyelonephritis?

Journal article Am J Perinatol · April 2022 OBJECTIVE: Outside of pregnancy, urinary pathogens such as Proteus and Klebsiella are considered more pathogenic than E. coli. During pregnancy, the implications of lower urinary tract infection (LUTI) with more pathogenic bacteria are unclear. Thus, we so ... Full text Link to item Cite

Hypertensive Disorders of Pregnancy: Common Clinical Conundrums.

Journal article Obstet Gynecol Surv · April 2022 IMPORTANCE: Hypertensive complications of pregnancy comprise 16% of maternal deaths in developed countries and 7.4% of deaths in the United States. Rates of preeclampsia increased 25% from 1987 to 2004, and rates of severe preeclampsia have increased 6.7-f ... Full text Link to item Cite

Bad bugs: antibiotic-resistant bacteriuria in pregnancy and risk of pyelonephritis.

Journal article Am J Obstet Gynecol MFM · March 2022 BACKGROUND: The introduction of antibiotics has significantly reduced morbidity and mortality from microbial infections, but the rise of antibiotic-resistant and multidrug-resistant microbes is of increasing clinical concern. Few studies have examined the ... Full text Link to item Cite

Clinical factors associated with cytomegalovirus shedding among seropositive pregnant women.

Journal article Am J Obstet Gynecol MFM · March 2022 BACKGROUND: Both neighborhood disadvantage and close contact with children have been associated with seroprevalence of cytomegalovirus in pregnancy. However, it is unknown which individual factors influence whether seropositive women are likely to have ong ... Full text Link to item Cite

Benefits and Risks of Bilateral Salpingectomy Compared With Standard Tubal Ligation During Cesarean Delivery for Permanent Postpartum Contraception.

Journal article Obstet Gynecol Surv · March 2022 IMPORTANCE: Ovarian cancer is the second most common gynecologic malignancy, but the most deadly female reproductive cancer in the United States. Epithelial ovarian cancer makes up approximately 90% of all cases and is responsible for more than 90% of ovar ... Full text Link to item Cite

Does the Degree of Maternal Fever in the Setting of Chorioamnionitis Lead to Adverse Neonatal Outcomes?

Journal article Ajp Reports · February 4, 2022 Objective The effect of the degree of maternal fever in the setting of chorioamnionitis on neonatal morbidity is unclear. The objective of this study is to assess the association between high maternal fevers (≥ 39°C) on neonatal morbidity. Study Design Sec ... Full text Cite

Maternal weight gain and neonatal outcomes in women with class III obesity.

Journal article J Matern Fetal Neonatal Med · February 2022 OBJECTIVE: Obesity in the USA continues to be a prominent medical and public health concern. Due to increasing rates of maternal obesity, the current Institute of Medicine (IOM) guidelines recommend 11-20 pounds of total weight gain during pregnancy in wom ... Full text Link to item Cite

Pregnancy Outcomes among Women with Class III Obesity with Pre-diabetic Early Hemoglobin A1C.

Journal article Am J Perinatol · February 2022 OBJECTIVE: We aimed to assess the risk of developing gestational diabetes mellitus (GDM) in women with a normal A1C (<5.7) compared with those with an A1C in the pre-diabetic range (5.7-6.4). STUDY DESIGN: This study comprises of a retrospective cohort of ... Full text Link to item Cite

Morbidity of late-season influenza during pregnancy.

Journal article Am J Obstet Gynecol MFM · January 2022 BACKGROUND: In the Northern Hemisphere, influenza season typically starts in December and lasts through March. Pregnant people are at increased risk for influenza-related morbidity and mortality. Potentially, new viral strains or reduced provider suspicion ... Full text Link to item Cite

SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study.

Journal article Anaesthesia · January 2022 SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients wit ... Full text Open Access Link to item Cite

Understanding Patient Evaluation of Abnormal Uterine Bleeding (AUB): A Standardized Patient Case on AUB for OB/GYN Clerkship Students.

Journal article MedEdPORTAL · 2022 INTRODUCTION: The differential diagnosis for abnormal uterine bleeding (AUB) among reproductive-age women is broad and includes common and life-threatening conditions. Recognition and accurate diagnosis of AUB are important but can be challenging for medic ... Full text Link to item Cite

Using the new definition of intraamniotic infection - is there morbidity among the women left out?

Journal article J Matern Fetal Neonatal Med · December 2021 BACKGROUND: Recently, ACOG released updated definitions for intraamniotic infection (IAI): maternal fever (≥38.0 °C) and ≥1 symptom (fetal tachycardia, maternal white blood cell count >15,000/mm3 or purulent discharge). Treatment was no longer recommended ... Full text Link to item Cite

Venomous Snake and Spider Bites in Pregnancy.

Journal article Obstet Gynecol Surv · December 2021 IMPORTANCE: Venomous snake and spider bites are relatively rare in the Unites States and even more so in the pregnant population. However, the impact of a venomous bite, also known as an envenomation, can be serious in a pregnant patient. Thus, providers i ... Full text Link to item Cite

Screening for Chagas Disease during Pregnancy in the United States-A Literature Review.

Journal article Trop Med Infect Dis · November 26, 2021 Obstetrician-gynecologists in the United States have little clinical experience with the epidemiology, pathophysiology, diagnosis, and treatment of Chagas disease. The number of US parturients born in Central and South America has continued to increase ove ... Full text Link to item Cite

Maternal and Fetal Outcomes Associated With Infective Endocarditis in Pregnancy.

Journal article Clin Infect Dis · November 2, 2021 BACKGROUND: Infective endocarditis (IE) is a rare but serious infection that complicates pregnancy. Little is known about IE management and outcomes in this population. METHODS: The National Readmissions Database was used to obtain data between October 201 ... Full text Open Access Link to item Cite

Management of Cerclage in Patients With Preterm Prelabor Rupture of Membranes.

Journal article Obstet Gynecol Surv · November 2021 IMPORTANCE: Women undergoing cerclage placement remain at high risk for preterm labor and preterm prelabor rupture of membranes (PPROMs). The management of cervical cerclage after PPROM is controversial given the potential for prolonged latency when the ce ... Full text Link to item Cite

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study.

Journal article Br J Surg · September 27, 2021 BACKGROUND: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. METHODS: The primary outcome was the number needed to vaccinate (NNV) to prev ... Full text Open Access Link to item Cite

Society for Maternal-Fetal Medicine Consult Series #56: Hepatitis C in pregnancy-updated guidelines: Replaces Consult Number 43, November 2017.

Journal article Am J Obstet Gynecol · September 2021 In the United States, it is estimated that 1% to 4% of pregnant women are infected with hepatitis C virus, which carries approximately a 5% risk of transmission from mother to infant. Hepatitis C virus can be transmitted to the infant in utero or during th ... Full text Link to item Cite

Is Group B Streptococcus Colonization Associated with Maternal Peripartum Infection in an Era of Routine Prophylaxis?

Journal article Am J Perinatol · August 2021 OBJECTIVE: This study aimed to assess whether colonization with group B streptococcus (GBS) is associated with maternal peripartum infection in an era of routine prophylaxis. STUDY DESIGN: This study presented a secondary analysis of women delivering ≥37 w ... Full text Link to item Cite

Peripartum Cardiomyopathy.

Journal article Obstet Gynecol Surv · August 2021 IMPORTANCE: Peripartum cardiomyopathy is a rare form of heart failure due to left ventricular systolic dysfunction that affects women late in pregnancy and the postpartum period. A diagnosis of exclusion, peripartum cardiomyopathy can be difficult to diagn ... Full text Link to item Cite

Maternal Weight Gain and Infant Birth Weight in Women with Class III Obesity.

Journal article Am J Perinatol · July 2021 OBJECTIVE: The aim of this study is to describe the impact of maternal weight gain on infant birth weight among women with Class III obesity. STUDY DESIGN: Retrospective cohort of women with body mass index (BMI) ≥40 kg/m2 at initial prenatal visit, delive ... Full text Link to item Cite

Adnexal Masses in Pregnancy.

Journal article Obstet Gynecol Surv · July 2021 IMPORTANCE: Adnexal masses are identified in approximately 0.05% to 2.4% of pregnancies, and more recent data note a higher incidence due to widespread use of antenatal ultrasound. Whereas most adnexal masses are benign, approximately 1% to 6% are malignan ... Full text Link to item Cite

Cost-effectiveness of prenatal screening methods for congenital heart defects in pregnancies conceived by in-vitro fertilization.

Journal article Ultrasound Obstet Gynecol · June 2021 OBJECTIVES: To determine if a policy of universal fetal echocardiography (echo) in pregnancies conceived by in-vitro fertilization (IVF) is cost-effective as a screening strategy for congenital heart defects (CHDs) and to examine the cost-effectiveness of ... Full text Link to item Cite

It's Getting Hot in Here: Piloting a Telemedicine OSCE Addressing Menopausal Concerns for Obstetrics and Gynecology Clerkship Students.

Journal article MedEdPORTAL · April 28, 2021 INTRODUCTION: Although menopause is a common condition, trainees still express high levels of discomfort with managing climacteric symptoms. Trainees also receive little preparation for conducting telemedicine visits, which have become increasingly importa ... Full text Link to item Cite

Intrapartum and Postpartum Management of Intra-amniotic Infection.

Journal article Obstet Gynecol Surv · February 2021 IMPORTANCE: Intra-amniotic infection (IAI) is a common condition with potentially devastating maternal and neonatal complications. However, there are incomplete data regarding the most effective antimicrobial treatment regimen for this condition. OBJECTIVE ... Full text Link to item Cite

Masson's tumor presenting as a left frontal intraparenchymal hemorrhage resulting in severe expressive aphasia during pregnancy: case report.

Journal article J Neurosurg · January 1, 2021 Intravascular papillary endothelial hyperplasia (IPEH), commonly known as Masson's tumor, is a benign lesion that manifests as an excessive proliferation of endothelial cells within a vessel wall. IPEH is extremely rare in the brain, with only 36 intracran ... Full text Open Access Link to item Cite

The cost-effectiveness of ertapenem for the treatment of chorioamnionitis after cesarean delivery.

Journal article J Matern Fetal Neonatal Med · December 2020 Background: Chorioamnionitis affects 1-4% of pregnancies, and patients who undergo cesarean delivery in the setting of chorioamnionitis have an increased risk of endometritis and surgical site infection (SSI). The standard treatment for chorioamnionitis af ... Full text Link to item Cite

Antibiotics for Prophylaxis in the Setting of Preterm Prelabor Rupture of Membranes.

Journal article Obstet Gynecol Clin North Am · December 2020 "For many years, providers have been using antibiotics to prevent infection in women who present with preterm prelabor rupture of membranes (PPROM). Given the polymicrobial nature of intra-amniotic infection, the recommended regimen includes a 7-day course ... Full text Link to item Cite

Understanding Sexual Complaints and History Taking: A Standardized Patient Case on Dyspareunia for Obstetrics and Gynecology Clerkship Students.

Journal article MedEdPORTAL · October 29, 2020 INTRODUCTION: Learning to elicit a sexual history and counsel patients on sexual pain aligns with the Association of Professors of Gynecology and Obstetrics clerkship objectives. This topic can be challenging to cover due to lack of exposure in clinical en ... Full text Link to item Cite

Resident Education in Complex Obstetric Procedures: Are We Adequately Preparing Tomorrow's Obstetricians?

Journal article Am J Perinatol · September 2020 OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) milestones for obstetrics and gynecology (OB/GYN) residents include obstetrical technical skills. We sought to describe resident experience with surgical obstetrics and comfort pe ... Full text Link to item Cite

Impact of Excess Weight Gain on Risk of Postpartum Infection in Class III Obesity

Journal article Ajp Reports · August 20, 2020 Objective To assess the impact of gestational weight gain >20 pounds (more than Institute of Medicine [IOM] recommendations) on postpartum infectious morbidity in women with class III obesity. Methods This is a retrospective cohort of term, nonanomalous si ... Full text Cite

Chorioamnionitis versus intraamniotic infection among preterm deliveries-is postpartum infectious morbidity different?

Journal article Am J Obstet Gynecol MFM · August 2020 BACKGROUND: Chorioamnionitis can have a highly variable definition with substantial maternal and fetal morbidity, with higher frequencies in preterm births. With the recently updated intraamniotic infection diagnostic criteria by the American College of Ob ... Full text Link to item Cite

Considerations for Obstetric Care during the COVID-19 Pandemic.

Journal article Am J Perinatol · June 2020 The novel coronavirus disease 2019 (COVID-19) is a growing pandemic that is impacting daily life across the globe. Though disease is often mild, in high-risk populations, severe disease often leads to intubation, intensive care admission (ICU) admission, a ... Full text Link to item Cite

Risk Factors for Postpartum Maternal Infection following Spontaneous Vaginal Delivery Complicated by Chorioamnionitis

Journal article Ajp Reports · May 15, 2020 Objective â Guidelines for the management of chorioamnionitis include intrapartum antibiotics, while postpartum antibiotics after spontaneous vaginal delivery (SVD) are reserved high-risk women. Our objective is to describe the incidence of and risk factor ... Full text Cite

Association of Treatment of Chorioamnionitis with Non-Beta Lactam Antibiotics and Postcesarean Infectious Morbidity.

Journal article Am J Perinatol · April 2020 OBJECTIVE: Chorioamnionitis (CAM) is associated with postcesarean (CS) infectious morbidity (IM). Beta-lactam antibiotics (BLA) are used to treat CAM. It is uncertain if women who cannot receive BLA attain similar benefit from treatment of CAM with non-BLA ... Full text Link to item Cite

A Review of Sleep Architecture and Sleep Changes During Pregnancy.

Journal article Obstet Gynecol Surv · April 2020 IMPORTANCE: Poor sleep is widely recognized as a common complaint in pregnancy, and yet there are incomplete data on the exact nature of these complaints, what their implications for fetal and maternal health are, and how to best recognize and address thes ... Full text Link to item Cite

COVID-19: The pathogen that will define the decade

Journal article Contemporary Ob Gyn · April 1, 2020 Cite

Is Early Amniotomy Associated with Higher Likelihood of Vaginal Birth after Cesarean?

Journal article Ajp Reports · March 4, 2020 Objective The study aims to reduce cesarean rates, eligible women are being offered an option of vaginal birth after cesarean (VBAC). However, little data exist regarding efficacy of amniotomy as a tool in this population. We sought to evaluate the impact ... Full text Cite

Electroconvulsive Therapy in Pregnancy: Safety, Best Practices, and Barriers to Care.

Journal article Obstet Gynecol Surv · March 2020 IMPORTANCE: Approximately 10% to 16% of women meet diagnostic criteria for depression during pregnancy. Untreated maternal depression is associated with adverse pregnancy outcomes including premature birth, low birth weight, and fetal growth restriction. O ... Full text Link to item Cite

Improving Learners' Comfort With Cesarean Sections Through the Use of High-Fidelity, Low-Cost Simulation.

Journal article MedEdPORTAL · February 14, 2020 INTRODUCTION: Several studies have demonstrated effective simulation-based training for laparoscopic procedures in OB/GYN, but limited simulation curricula exist for abdominal procedures, particularly cesarean sections (CSs). METHODS: We developed a high-f ... Full text Link to item Cite

Preoperative cefazolin rather than clindamycin or metronidazole is associated with lower postpartum infection among women with chorioamnionitis delivering by cesarean delivery.

Journal article Am J Obstet Gynecol MFM · February 2020 BACKGROUND: The optimal antibiotic regimen to prevent maternal postpartum infection among high-risk women treated for chorioamnionitis delivering by cesarean delivery remains to be defined. Emerging data suggest that cefazolin decreases the risk of cesarea ... Full text Link to item Cite

Gestational Weight Gain and Postpartum Depression in Women with Class III Obesity.

Journal article Am J Perinatol · January 2020 OBJECTIVE: We investigated the association between gestational weight gain (GWG) and postpartum depression (PPD) in women with class III obesity. STUDY DESIGN: This is a retrospective cohort of women with body mass index (BMI) ≥ 40 kg/m2 at entry to care, ... Full text Link to item Cite

Postpartum Weight Loss in Women with Class-III Obesity: Do They Lose What They Gain?

Journal article Am J Perinatol · January 2020 OBJECTIVE: Excessive gestational weight gain (GWG) increases risk of postpartum weight retention in normal and overweight women but little is known about weight retention in morbidly obese women. We evaluated the impact of GWG on postpartum weight retentio ... Full text Link to item Cite

Cell-free DNA for Down syndrome screening in obese women: Is it a cost-effective strategy?

Journal article Prenat Diagn · January 2020 OBJECTIVE: Determine cost differences between cell-free DNA (cfDNA) and serum integrated screening (INT) in obese women given the limitations of aneuploidy screening in this population. METHODS: Using a decision-analytic model, we estimated the cost-effect ... Full text Link to item Cite

Management Considerations for Recalcitrant Hyperemesis.

Journal article Obstet Gynecol Surv · January 2020 IMPORTANCE: Hyperemesis gravidarum (HEG) affects 0.3% to 3% of pregnancies and requires additional therapies beyond those commonly used for less severe instances of nausea and vomiting of pregnancy (NVP). Differentiating between NVP and HEG is a vital yet ... Full text Link to item Cite

Chorioamnionitis and Infectious Complications after Vaginal Delivery.

Journal article American journal of perinatology · December 2019 ObjectiveTo estimate the incidence of and define risk factors for postpartum infectious complications after vaginal birth after cesarean (VBAC) complicated by chorioamnionitis.Study designA secondary analysis of the Eunice Kennedy Shri ... Full text Cite

Insights into the Value of Student/Student Mentoring from the Mentor's Perspective.

Journal article Med Sci Educ · September 2019 OBJECTIVE: Determine and describe the impact of student/student mentoring (SSM) on the senior medical student mentor involved in a formal SSM program. METHOD: An anonymous online survey was administered to fourth-year medical students at the University of ... Full text Link to item Cite

Syphilis in Pregnancy.

Journal article Obstet Gynecol Surv · September 2019 IMPORTANCE: Since 2013, the United States has seen a rise in cases of congenital syphilis, culminating in a relative increase of 153% from 2013 to 2017 and 918 reported cases in 2017. In all, 50% to 80% of pregnant women with syphilis experience an adverse ... Full text Link to item Cite

Immune Thrombocytopenic Purpura in Pregnancy.

Journal article Obstet Gynecol Surv · August 2019 IMPORTANCE: Immune thrombocytopenia purpura (ITP), an autoimmune disease characterized by destruction of platelets, is a hematological disorder that can present in both pregnant and nonpregnant patients. Although thrombocytopenia in pregnancy can be caused ... Full text Link to item Cite

Factors Associated with Previable Delivery following Second Trimester Rupture of Membranes.

Journal article Am J Perinatol · July 2019 OBJECTIVE: To identify factors associated with previable delivery in second trimester preterm rupture of membranes (PROM). STUDY DESIGN: We conducted a single-center retrospective cohort study of women with pregnancies complicated by second trimester PROM ... Full text Link to item Cite

Listeriosis in Pregnancy: A Review.

Journal article Obstet Gynecol Surv · June 2019 IMPORTANCE: Listeriosis is a rare foodborne condition that can cause serious health consequences in neonates and pregnant women. Listeria monocytogenes can be vertically transmitted to the fetus, resulting in adverse maternal, fetal, and neonatal outcomes. ... Full text Link to item Cite

Targeted Multiplex Gene Expression Profiling to Measure High-Fat Diet and Metformin Effects on Fetal Gene Expression in a Mouse Model.

Journal article Reprod Sci · May 2019 BACKGROUND: Maternal obesity and excessive gestational weight gain (GWG) are associated with delivery of a large-for-gestational-age infant. We used a high-fat diet (HFD) mouse model to separate the effect of maternal obesity from excessive GWG on fetal gr ... Full text Link to item Cite

Effect of a High-Fat Diet and Metformin on Placental mTOR Signaling in Mice

Journal article Ajp Reports · April 9, 2019 Objective This study was aimed to measure the effects of a high-fat diet and metformin on placental mechanistic target of rapamycin (mTOR) signaling in mice. Study Design Pregnant friend virus B (FVB)-strain mice were allocated on embryonic day (e) 0.5 to ... Full text Cite

Acupuncture in Obstetrics and Gynecology

Journal article Obstetrical and Gynecological Survey · April 1, 2019 Importance Acupuncture is a key component of therapy in traditional Chinese medicine. Only in the last few decades has acupuncture become popular in the United States. The mechanism behind acupuncture's effects on the body and brain has not been completely ... Full text Cite

Acupuncture in Obstetrics and Gynecology.

Journal article Obstet Gynecol Surv · April 2019 IMPORTANCE: Acupuncture is a key component of therapy in traditional Chinese medicine. Only in the last few decades has acupuncture become popular in the United States. The mechanism behind acupuncture's effects on the body and brain has not been completel ... Full text Link to item Cite

The Effect of Non-penicillin Antibiotic Regimens on Neonatal Outcomes in Preterm Premature Rupture of Membranes

Journal article Ajp Reports · March 7, 2019 Objective A 7-day course of a penicillin (PCN) and macrolide is standard of care (SAR) in preterm premature rupture of membranes (PPROM). Data regarding alternative antibiotic regimens are limited. We sought to assess the impact of non-PCN regimens on neon ... Full text Cite

Genetics for the Women's Health Trainee: A Five-Module Curriculum.

Journal article MedEdPORTAL · January 18, 2019 INTRODUCTION: Genetics is ubiquitous in OB-GYN. However, data suggest that trainees feel underprepared to counsel patients about genetic testing, the nuances of which are becoming increasingly complicated. We sought to develop and implement a genetics curr ... Full text Link to item Cite

Cervical Cerclage versus Vaginal Progesterone for Management of Short Cervix in Low-Risk Women.

Journal article Am J Perinatol · January 2019 OBJECTIVE: To evaluate the risk of preterm birth in low-risk women with cervical length (CL) ≤25 mm on transvaginal ultrasound (TVUS) managed with vaginal progesterone (VagP) therapy versus cerclage. STUDY DESIGN: This is a retrospective cohort of women wi ... Full text Link to item Cite

Trends in Fellow Education Research Among Obstetric and Gynecologic Subspecialties.

Journal article Obstet Gynecol · October 2018 OBJECTIVE: To evaluate the frequency at which fellow education-related abstracts are presented at national meetings and compare presentation rates before and after the accreditation transition. METHODS: This cross-sectional study evaluated abstracts from t ... Full text Link to item Cite

Obstetric practice patterns in pregnancies complicated by fetal trisomy 13 or 18.

Journal article J Matern Fetal Neonatal Med · September 2018 PURPOSE: Describe practice patterns among obstetrician/gynecologists (OB/GYNs) when caring for women with pregnancy complicated by fetal trisomy 13 (T13) or 18 (T18) and compare these between maternal-fetal medicine (MFM) and non-MFM providers. MATERIALS A ... Full text Link to item Cite

Trisomy 13 and the risk of gestational hypertensive disorders: a population-based study.

Journal article J Matern Fetal Neonatal Med · August 2018 PURPOSE: To describe the rate and severity of gestational hypertensive disorders (GHDs) in pregnancies complicated by trisomy 13 (T13). MATERIALS AND METHODS: Retrospective cohort study of singleton deliveries in California from 2005 to 2008 using vital st ... Full text Link to item Cite

Minimizing the Risk of Perinatal Human Immunodeficiency Virus Transmission.

Journal article Obstet Gynecol Surv · July 2018 IMPORTANCE: There are approximately 284,500 adolescent and adult women living with human immunodeficiency virus (HIV) in the United States. It is estimated that approximately 8500 of these women give birth annually. While the rate of perinatal transmission ... Full text Link to item Cite

Preclinical Labor-and-Delivery Shadowing: The Impact on Medical Students' Perceptions of Obstetrics and Gynecology.

Journal article AJP Rep · April 2018 Objective  We sought to determine the impact of preclinical exposure (shadowing) to labor and delivery (L&D) on medical students' perceptions of obstetrics and gynecology (OB/GYN). Study Design  We administered a written survey to rising third-year medical ... Full text Link to item Cite

Perioperative Antibiotic Choice in Labored versus Unlabored Cesareans and Risk of Postcesarean Infectious Morbidity.

Journal article Am J Perinatol · January 2018 OBJECTIVE:  This study aims to estimate postcesarean infectious morbidity in women receiving perioperative β-lactam versus non-β-lactam antibiotics. METHODS:  We conducted a retrospective cohort analysis of the Maternal-Fetal Medicine Unit Cesarean Registr ... Full text Link to item Cite

Medical education: how are we doing?

Journal article Med Educ · January 2018 Full text Link to item Cite

Developing a pilot curriculum to foster humanism among graduate medical trainees.

Journal article J Educ Health Promot · 2018 BACKGROUND: Humanism is a central tenant of professionalism, a required competency for all residency programs. Yet, few residencies have formal curriculum for teaching this critical aspect of medicine. Instead, professionalism and humanism are often taught ... Full text Link to item Cite

Risk of neonatal and childhood morbidity among preterm infants exposed to marijuana.

Journal article J Matern Fetal Neonatal Med · December 2017 BACKGROUND: Limited data exist regarding the neonatal and neurodevelopmental outcomes of infants exposed to marijuana (MJ) in-utero, particularly among preterm infants. We hypothesized that MJ-exposed preterm infants would have worse neonatal and childhood ... Full text Link to item Cite

Prophylactic Negative Pressure Wound Therapy for Obese Women After Cesarean Delivery: A Systematic Review and Meta-analysis.

Journal article Obstet Gynecol · November 2017 OBJECTIVE: To summarize available studies on wound complication outcomes after prophylactic negative pressure wound therapy for obese women (body mass index 30 or greater). DATA SOURCES: We conducted a systematic review and meta-analysis using electronic d ... Full text Link to item Cite

Gestational age at initiation of 17-alpha hydroxyprogesterone caproate and recurrent preterm birth.

Journal article Am J Obstet Gynecol · September 2017 BACKGROUND: Preterm birth is the leading cause of neonatal morbidity and mortality in nonanomalous neonates in the United States. Women with a previous early spontaneous preterm birth are at highest risk for recurrence. Weekly intramuscular 17-alpha hydrox ... Full text Link to item Cite

Pregnancy After Bariatric Surgery: National Survey of Obstetrician's Comfort, Knowledge, and Practice Patterns.

Journal article Obes Surg · September 2017 OBJECTIVE: The objective of this study is to survey a nationally representative sample of obstetricians regarding comfort, knowledge, and practice patterns of caring for pregnant women after bariatric surgery. MATERIALS AND METHODS: We conducted an online ... Full text Link to item Cite

Body Mass Index 50 kg/m2 and Beyond: Perioperative Care of Pregnant Women With Superobesity Undergoing Cesarean Delivery.

Journal article Obstet Gynecol Surv · August 2017 IMPORTANCE: Superobesity, defined as body mass index 50 kg/m2 or greater, is the fastest-growing obesity group in the United States. Currently, 2% of pregnant women in the United States are superobese, and 50% will deliver via cesarean delivery. OBJECTIVE: ... Full text Link to item Cite

Maternal super obesity and risk for intensive care unit admission in the MFMU Cesarean Registry.

Journal article Acta Obstet Gynecol Scand · August 2017 INTRODUCTION: Obesity is a risk factor for intensive care unit (ICU) admission in nonpregnant populations. Less is known about maternal obesity and ICU admission risk. The objective of this study was to estimate the association between maternal obesity and ... Full text Link to item Cite

Transitions in Care for Infants with Trisomy 13 or 18.

Journal article Am J Perinatol · July 2017 Background and Objectives The scope of interventions offered to infants with trisomy 13 (T13) or trisomy 18 (T18) is increasing. We describe the spectrum of care provided, highlighting transitions in care for individual patients. Patients and Methods This ... Full text Link to item Cite

Fundamentals of Clinical Pharmacology With Application for Pregnant Women.

Journal article J Midwifery Womens Health · May 2017 Medication use is common in pregnancy, yet for most medications the optimal formulation and dosage have not been described specifically for pregnant women. Often, adverse effects are only discovered anecdotally or after extensive off-label use occurs. Sinc ... Full text Link to item Cite

Diagnosis and Management of Congenital Uterine Anomalies in Pregnancy.

Journal article Obstet Gynecol Surv · March 2017 IMPORTANCE: Congenital uterine anomalies (CUAs) are strongly associated with adverse fertility and pregnancy outcomes. Health care providers must be able to diagnose these anomalies, understand their impact, and counsel women on interventions that might im ... Full text Link to item Cite

Use of prophylactic antibiotics in women with previable prelabor rupture of membranes.

Journal article J Neonatal Perinatal Med · 2017 OBJECTIVE: To measure the effect of prophylactic antibiotics given at time of previable prelabor rupture of membranes (PROM) on latency. METHODS: Single center, retrospective cohort study of singleton pregnancies with previable (<23 0/7weeks) PROM. Antibio ... Full text Link to item Cite

Epstein–Barr Virus-Induced Mononucleosis as an Imitator of Severe Preeclampsia

Journal article American Journal of Perinatology Reports · January 2017 Background In pregnancy, conditions presenting with hematologic abnormalities, transaminitis, and proteinuria pose diagnostic challenges in pregnancy. Case We present the case of an 18-year-old woman, G1P0, ... Full text Cite

Cesarean delivery among women with prolonged labor induction.

Journal article J Perinat Med · October 1, 2016 OBJECTIVE: The objective of this study was to determine characteristics associated with cesarean delivery among women with labor induction lasting over 24 h. STUDY DESIGN: Women with live singleton pregnancies without prior cesarean delivery undergoing a l ... Full text Link to item Cite

Birthweight Extremes and Neonatal and Childhood Outcomes after Preterm Premature Rupture of Membranes.

Journal article Am J Perinatol · October 2016 Objective To determine the association between birthweight extremes and risk of adverse neonatal and childhood outcomes following preterm premature rupture of membranes (PPROM). Study Design This is a secondary analysis of data from the Beneficial Effects ... Full text Link to item Cite

Development, Implementation, and Assessment of a Genetics Curriculum Across Institutions.

Journal article AJP Rep · October 2016 Objective Many residency programs offer limited exposure and minimal didactic time genetics, despite its frequent use in obstetrics and gynecology. The objective of this study was to develop, pilot, and assess a three-module women's health genetics curricu ... Full text Link to item Cite

Gastroschisis: A Review of Management and Outcomes.

Journal article Obstet Gynecol Surv · September 2016 We performed an evidence-based review of the obstetrical management of gastroschisis. Gastroschisis is an abdominal wall defect, which has increased in frequency in recent decades. There is variation of prevalence by ethnicity and several known maternal ri ... Full text Link to item Cite

Principles of Anti-infective Dosing in Pregnancy.

Journal article Clin Ther · September 2016 PURPOSE: Anti-infectives are among the most commonly prescribed medications in pregnancy. However, detailed information on the pharmacokinetics and pharmacodynamics of these medications in pregnancy is limited, leading to uncertainty among clinicians regar ... Full text Link to item Cite

Cell-Free DNA Screening: Complexities and Challenges of Clinical Implementation.

Journal article Obstet Gynecol Surv · August 2016 Screening for fetal aneuploidy in pregnant women using cell-free DNA has increased dramatically since the technology became commercially available in 2011. Since that time, numerous trials have demonstrated high sensitivity and specificity to screen for co ... Full text Link to item Cite

The impact of prenatally diagnosed Klinefelter Syndrome on obstetric and neonatal outcomes.

Journal article Eur J Obstet Gynecol Reprod Biol · August 2016 OBJECTIVE: The objective of this study was to examine the obstetric and neonatal outcomes as well as the as the associated hospital costs for pregnancies complicated by prenatally diagnosed Klinefelter Syndrome, 47,XXY. STUDY DESIGN: We conducted a retrosp ... Full text Link to item Cite

What motivates residents to teach? The Attitudes in Clinical Teaching study.

Journal article Med Educ · July 2016 CONTEXT: Graduate medical trainees have a critical role in the teaching of other trainees. Improving their teaching requires an understanding of their attitudes towards teaching and their motivation to teach. Both have been incompletely explored in this po ... Full text Link to item Cite

Prophylactic Antibiotics in Twin Pregnancies Complicated by Previable Preterm Premature Rupture of Membranes.

Journal article AJP Rep · July 2016 OBJECTIVE: This study aims to determine if antibiotics given for latency to women with twins and previable preterm premature rupture of membranes (PPROM) affect the duration from membrane rupture to delivery. METHODS: A retrospective cohort study of twin p ... Full text Link to item Cite

Management Considerations for Ongoing Pregnancies Complicated by Trisomy 13 and 18.

Journal article Obstet Gynecol Surv · May 2016 Pregnancies complicated by trisomy 13 (T13) or trisomy 18 (T18) present unique challenges for obstetric management. From the initial diagnosis, the task of counseling these women and families is difficult because fetal and neonatal outcomes vary depending ... Full text Link to item Cite

Risk factors for post-operative wound infection in the setting of chorioamnionitis and cesarean delivery.

Journal article J Matern Fetal Neonatal Med · 2016 OBJECTIVE: The objective of this study was to identify factors associated with an increased risk of post-operative wound infection in women with chorioamnionitis who undergo cesarean delivery. METHODS: We conducted a retrospective cohort study of women wit ... Full text Link to item Cite

Maternal Effects of Respiratory Syncytial Virus Infection during Pregnancy.

Journal article Emerg Infect Dis · November 2015 Given the illness and deaths caused by respiratory syncytial virus (RSV) infection during the first year of life, preventing infant RSV infections through maternal vaccination is intriguing. However, little is known about the extent and maternal effects of ... Full text Open Access Link to item Cite

Chikungunya Fever: Obstetric Considerations on an Emerging Virus.

Journal article Obstet Gynecol Surv · July 2015 Chikungunya fever is an increasingly common viral infection transmitted to humans by species of the Aedes mosquitoes. Characterized by fevers, myalgias, arthralgias, headache, and rash, the infection is endemic to tropical areas. However, identification of ... Full text Link to item Cite

Pregnancy in the Cancer Survivor.

Journal article Ob Gyn News · April 16, 2015 Cite

Acute infectious morbidity in multiple gestation.

Journal article Infect Dis Obstet Gynecol · 2015 OBJECTIVES: Physiologic and immunologic changes in pregnancy result in increased susceptibility to infection. These shifts are more pronounced in pregnancies complicated by multiple gestation. The objective of this study was to determine the association be ... Full text Open Access Link to item Cite

Origin, Incidence, and Management of Nongynecologic Pelvic Masses Seen on Cross-sectional Imaging.

Journal article J Reprod Med · 2015 OBJECTIVE: To characterize the origin of nongynecologic pelvic masses. STUDY DESIGN: Using a radiology database, women who underwent transvaginal ultrasound, CT scan, or MRI for the indication of pelvic mass or pelvic fullness were identified. Demographic ... Link to item Cite

Leptotrichia buccalis: A novel cause of chorioamnionitis

Journal article Infectious Disease Reports · January 1, 2015 Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome. We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal. We review Leptotrichia buccalis and other oral co ... Full text Cite

Our House: A Resident Perspective

Journal article Journal of Graduate Medical Education · September 2014 Full text Cite

Cancer and pregnancy: the clinician's perspective.

Journal article Obstet Gynecol Surv · May 2014 Although uncommon, the incidence of cancer complicating pregnancy is increasing. Managing these pregnancies creates many diagnostic, therapeutic, and ethical dilemmas for the patient, her family, and the medical care team. Despite concerns for fetal well-b ... Full text Link to item Cite

Paratubal/Paraovarian Masses: A Study of Surgical and Non-Surgical Outcomes.

Journal article Medical Journal of Obstetrics And Gynecology · January 5, 2014 Cite

Arthropod-borne bacterial diseases in pregnancy.

Journal article Obstet Gynecol Surv · September 2013 Arthropod-borne bacterial diseases affect more than 25,000 Americans every year and thousands more around the world. These infections present a diagnostic dilemma for clinicians because they mimic many other pathologic conditions and are often low on or ab ... Full text Link to item Cite

Use of a thrombopoietin mimetic for chronic immune thrombocytopenic purpura in pregnancy.

Journal article Obstet Gynecol · August 2013 BACKGROUND: Romiplostim, a thrombopoietin mimetic, is a novel therapeutic option for patients with chronic immune thrombocytopenic purpura. We report on the effects of romiplostim use throughout pregnancy. CASE: A 28-year-old primigravid woman with chronic ... Full text Link to item Cite

Postpartum wound and bleeding complications in women who received peripartum anticoagulation.

Journal article Thromb Res · July 2013 INTRODUCTION: The objective of this study was to compare wound and bleeding complications between women who received anticoagulation after cesarean delivery due to history of prior venous thromboembolic disease, arterial disease, or being a thrombophilia c ... Full text Link to item Cite

The effects of anemia on pregnancy outcome in patients with pyelonephritis.

Journal article Infect Dis Obstet Gynecol · 2013 OBJECTIVE: Pyelonephritis is a common infectious morbidity of pregnancy. Though anemia is commonly associated with pyelonephritis, there are little data describing the effect of pyelonephritis with anemia on pregnancy outcomes. The purpose of this study wa ... Full text Open Access Link to item Cite

Mullerian agenesis associated with in-utero thalidomide exposure: A case report

Journal article Middle East Fertility Society Journal · 2013 Thalidomide is a well-known teratogen, which is experiencing resurgence as new uses are identified. Exposure is classically associated with limb deformities, such as: dysmelia, phocomelia, preaxial hypoplasia and polydactyly, in addition to visceral anomal ... Full text Open Access Cite

Medical and infectious complications associated with pyelonephritis among pregnant women at delivery.

Journal article Infect Dis Obstet Gynecol · 2013 OBJECTIVE: Pyelonephritis is a common cause of antepartum admission and maternal morbidity. Medical complications associated with pyelonephritis during delivery are not well described; thus the objective of this study was to estimate medical, infectious, a ... Full text Link to item Cite

The impact of familial Mediterranean fever on women's health.

Journal article Obstet Gynecol Surv · June 2012 Familial Mediterranean fever (FMF) is the most common hereditary recurrent febrile disorder, characterized by the sudden onset of high fever and severe abdominal pain. The implications of this disorder on a woman's health are significant and not well known ... Full text Link to item Cite

Parasitic infections in pregnancy.

Journal article Obstet Gynecol Surv · August 2011 UNLABELLED: Parasitic infections affect tens of millions of pregnant women worldwide. These infections lead directly and indirectly to a spectrum of adverse maternal and fetal/placental effects. With the increase in global travel, healthcare providers will ... Full text Link to item Cite

Categorical Denial

Journal article Dartmouth Medicine Magazine Cite

Striking Matches

Journal article Dartmouth Medicine Magazine Cite