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Clinical Assessment and Brain Findings in a Cohort of Mothers, Fetuses and Infants Infected with Zika Virus
Congenital Zika virus (ZIKV) infection can be detected in both the presence and absence of microcephaly, and manifests as a number of signs and symptoms detected clinically and by neuroimaging. However, to date, qualitative and quantitative measures for the purpose of diagnosis and prognosis are limited. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Magdalena Sanz Cortes, Ana Maria Rivera, Mayel Yepez, Carolina V. Guimaraes, Israel Diaz Yunes, Alexander Zarutskie, Ivan Davila, Anil Shetty, Arun Mahadev, Saray Maria Serrano, Nicolas Castillo, Wesley Lee, Gregory Valentine, Michael Belfort, Guido Parra Tags: Original Research: Obstetrics Source Type: research

Adherence to practice guidelines is associated with reduced referral times for patients with ovarian cancer
Patients with ovarian cancer tend to receive the highest quality of care at high-volume cancer centers with gynecologic oncologists. However, the care that they receive prior to gynecologic oncology consult has not been examined. We investigated the quantity and quality of care given to patients with ovarian cancer before being seen by a gynecologic oncologist. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Bernadette M. Boac, Yin Xiong, Sachin M. Apte, Robert M. Wenham, Mian M. Shahzad, Donald G. Munroe, Johnathan M. Lancaster, Hye Sook Chon Tags: Original Research: Gynecology Source Type: research

Applying Surgical Antimicrobial Standards in Cesarean Deliveries
Antimicrobial prophylaxis practices are critical to surgical site infection risk reduction strategies. Included in these practices is antibiotic redosing following prolonged procedures or after large blood losses. Guidelines have been published by several professional associations with most endorsing repeat antibiotic administration after an estimated blood loss of 1500ml or following two half-lives of the select agent. These conventions have been widely adopted by surgeons with the exception of obstetricians at the time of cesarean delivery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Kathryn E. Fay, Lynn Yee Tags: Viewpoint Source Type: research

Impact of Targeted Scanning Protocols on Perinatal Outcomes in Pregnancies at Risk of Placenta Accreta Spectrum or Vasa Previa
Placenta accreta spectrum (PAS) and vasa previa (VP) are congenital disorders of placentation associated with high morbidity and mortality for both mothers and newborns when undiagnosed before delivery. Prenatal diagnosis of these conditions is essential to allow multidisciplinary management and thus improve perinatal outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Yaakov Melcer, Eric Jauniaux, Shlomit Maymon, Anna Tsviban, Marina Pekar-Zlotin, Moshe Betser, Ron Maymon Tags: Original Research: Obstetrics Source Type: research

Uterine preservation versus hysterectomy in pelvic organ prolapse surgery: A systematic review with meta-analysis and clinical practice guidelines
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Kate V. Meriwether, Danielle D. Antosh, Cedric K. Olivera, Shunaha Kim-Fine, Ethan M. Balk, Miles Murphy, Cara L. Grimes, Ambereen Sleemi, Ruchira Singh, Alexis A. Dieter, Catrina C. Crisp, David D. Rahn Tags: Systematic Review Source Type: research

Aspirin for prevention of preterm preeclampsia
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Kypros H. Nicolaides, Liona C. Poon Source Type: research

Acetylsalicylic acid in pregnant women with chronic hypertension
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Federico Prefumo, Tiziana Frusca, Herbert Valensise Tags: Letter to the Editors Source Type: research

Fellow Perceptions of Residency Training in Obstetrics and Gynecology
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 15, 2018 Category: OBGYN Authors: Renata R. Urban, Amin A. Ramzan, David W. Doo, Henry L. Galan, Lorie Harper, Kenan Omurtag, Tyler M. Muffly, Jeannelle Sheeder, Saketh R. Guntupalli Tags: Letter to the Editors Source Type: research

Peritoneal Sarcomatosis 5 Years after Laparoscopic Morcellation of Uterine Leiomyoma
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 12, 2018 Category: OBGYN Authors: Marco Petrillo, Margherita Dessole, Vito Chiantera Tags: Images in Gynecology Source Type: research

Subsequent fertility, pregnancy and gynecologic outcomes after fetoscopic laser therapy for twin-twin transfusion syndrome compared to normal monochorionic twin gestations
An improved survival and quality of life for neonatal survivors after fetoscopic laser therapy (FLC) for twin-twin transfusion syndrome (TTTS) has been reported. However, little is known about the medium-term maternal effects after FLC with respect to reproductive and gynecologic outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 12, 2018 Category: OBGYN Authors: Simen Vergote, Liesbeth Lewi, Willem Gheysen, Luc de Catte, Roland Devlieger, Jan Deprest Tags: Original Research: Obstetrics Source Type: research

Both Patients and Maternity Care Providers Can Benefit from Payment Reform: Four Steps to Prepare
We describe the structure of maternity care “episode payments” and recommend four ways that clinicians can prepare for success as value-based payment models are implemented: identify opportunities to improve outcomes and experience, measure quality, reduce waste and work in teams across settings. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 12, 2018 Category: OBGYN Authors: Malini A. Nijagal, Neel T. Shah, Jeff Levin-Scherz Tags: Call to Action Source Type: research

Management of sexuality, intimacy, and menopause symptoms after ovarian cancer
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 4, 2018 Category: OBGYN Authors: Martha F. Goetsch Tags: Letter to the Editors Source Type: research

The Most Important Quality of a Physician
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 3, 2018 Category: OBGYN Authors: Emmet Hirsch Source Type: research

Meta-analysis on the effect of aspirin use for prevention of preeclampsia on placental abruption and antepartum hemorrhage
Impaired placentation in the first 16 weeks of pregnancy is associated with increased risk of subsequent development of preeclampsia, birth of small for gestational age neonates and placental abruption. Previous studies reported that prophylactic use of aspirin reduces the risk of preeclampsia and small for gestational age neonates with no significant effect on placental abruption. However, meta-analyses of randomized controlled trials examining the effect of aspirin in relation to gestational age at onset of therapy and dose of the drug reported that significant reduction in the risk of preeclampsia and small for gestatio...
Source: American Journal of Obstetrics and Gynecology - January 3, 2018 Category: OBGYN Authors: Stephanie Roberge, Emmanuel Bujold, Kypros H. Nicolaides Tags: Systematic Review Source Type: research

Sonographic Large Fetal Head Circumference and Risk of Cesarean Delivery
Persistently high rates of cesarean deliveries are cause for concern for physicians, patients, and health systems. Prelabor assessment might be refined by identifying factors that help predict an individual patient ’s risk of cesarean delivery. Such factors may contribute to patient safety and satisfaction as well as health system planning and resource allocation. In an earlier study, neonatal head circumference was shown to be more strongly associated with delivery mode and other outcome measures, than neon atal birth weight. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Michal Lipschuetz, Sarah M. Cohen, Ariel Israel, Joel Baron, Shay Porat, Dan V. Valsky, Oren Yagel, Doron Kabiri, Yinon Gilboa, Eyal Sivan, Ron Unger, Eyal Schiff, Reli Hershkovitz, Simcha Yagel Tags: Original Research: Obstetrics Source Type: research

Diagnosis and Treatment of Urinary Tract Infections Across Age Groups
Urinary tract infections (UTI) are the most common outpatient infections, but predicting the probability of UTI through symptoms and test results can be complex. The most diagnostic symptoms of UTI include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but UTIs may present differently in older women. Dipstick urinalysis is popular for its availability and usefulness, but results must be interpreted in context of the patient ’s pretest probability based on symptoms and characteristics. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Christine M. Chu, Jerry L. Lowder Tags: Expert Review Source Type: research

Cardiac Arrest during pregnancy: Ongoing Clinical Conundrum An Expert Review
While global maternal mortality has decreased in the last 25 years, the maternal mortality ratio in the United States has actually increased. Maternal mortality is a complex phenomenon involving multifaceted socioeconomic and clinical parameters including inequalities in access to health care, racial and ethnic disparities, maternal comorbidities and epidemiologic ascertainment bias. Escalating maternal mortality underscores the importance of clinician preparedness to respond to maternal cardiac arrest that may occur in any maternal health care setting. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Carolyn M. Zelop, Sharon Einav, Jill M. Mhyre, Stephanie Martin Tags: Expert Review Source Type: research

Pelvic floor functional outcomes after total abdominal versus total laparoscopic hysterectomy for endometrial cancer
Pelvic floor functioning is an important concern for women requiring a hysterectomy for endometrial cancer. The incidence of pelvic floor symptoms has not been reported in women who have undergone a hysterectomy for early-stage endometrial cancer. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Peta Higgs, Monika Janda, Rebecca Asher, Val Gebski, Peta Forder, Andreas Obermair Source Type: research

Comparative analysis of gene expression in maternal peripheral blood and monocytes during spontaneous preterm labor
Preterm birth is the leading cause of newborn death worldwide, and is associated with significant cognitive and physiological challenges in later life. There is a pressing need to define the mechanisms that initiate spontaneous preterm labor , and for development of novel clinical biomarkers to identify high-risk pregnancies. Most preterm birth studies utilize fetal tissues, and there is limited understanding of the transcriptional changes that occur in mothers undergoing spontaneous preterm labor. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Alison G. Paquette, Oksana Shynlova, Mark Kibschull, Nathan D. Price, Stephen J. Lye, GAPPS Systems Biology of Preterm Birth Team Tags: Original Research: Obstetrics Source Type: research

Chronic hypertension: first-trimester blood pressure control and likelihood of severe hypertension, preeclampsia and small for gestational age
There is extensive evidence that pre-pregnancy chronic hypertension is associated with high risk of development of severe hypertension and preeclampsia and birth of small for gestational age neonates. However, previous studies have not reported whether anti-hypertensive use, blood pressure control or normalization of blood pressure during early pregnancy influence the rates of these pregnancy complications. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: Diane Nzelu, Dan Dumitrascu-Biris, Kypros H. Nicolaides, Nikos A. kametas Tags: Original Research: Obstetrics Source Type: research

The anatomy of the sacral promontory: how to avoid complications of the sacrocolpopexy procedure
Because of problems with vaginal meshes and high rate recurrences of native tissue repair, more and more surgeons treat pelvic organ prolapse performing laparoscopic sacrocolpopexy. This surgery requires skilled surgeons. The first step of sacrocolpopexy is the dissection of tissues in front of the sacral promontory to reach the anterior longitudinal ligament. Some complications can occur during this dissection and the attachment of the mesh. This place is dangerous for surgeons because of the proximity of vessels, nerves and ureters. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 2, 2018 Category: OBGYN Authors: G éraldine Giraudet, Aurore Protat, Michel Cosson Tags: Surgeon's Corner Source Type: research

166: Neonatal outcomes of pregnancies complicated by maternal obesity
To evaluate neonatal outcomes of pregnancies complicated by maternal obesity. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Mara J. Dinsmoor Tags: Poster Session I Source Type: research

167: The impact of route of delivery on urinary and fecal incontinence 18 months after a first delivery
To determine whether delivery route affects the rate and frequency of urinary and fecal incontinence 18 months after a first delivery. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Joshua Makhoul, Luis M. Espaillat-Rijo, Folusho Tugbiyele, Joanne N. Quinones, Kristen H. Kjerulff, John C. Smulian Tags: Poster Session I Source Type: research

168: Does elective cesarean delivery affect long-term cardiovascular morbidity of the offspring?
To determine whether cesarean delivery (CD) has an impact on the risk of long-term cardiovascular morbidity of the offspring. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Asnat Walfisch, Tamar Wainstock, Idit Segal, Ruslan Sergienko, Daniella Landau, Eyal Sheiner Tags: Poster Session I Source Type: research

169: Multimodal pain management for cesarean delivery: A randomized control trial
Opioid misuse/addiction may develop after medically-indicated use, such as postoperative pain management. Multimodal pain management strategies have been shown to reduce opioid use after abdominal surgery, but little is known about its benefits in cesarean delivery (CD). Our objective was to evaluate the efficacy of multimodal pain management in reducing opioid use after scheduled CD. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Emily E. Hadley, Luis Monsivais, Lucia Pacheco, Rovnat Babazade, Guiseppe Chiossi, Rakesh Vadhera, George Saade, Maged Costantine Tags: Poster Session I Source Type: research

170: Outpatient opioid use after multimodal pain management for cesarean delivery: A randomized control trial
Opioid misuse/addiction may develop following medically-indicated use such as postoperatively. Opioid use while breastfeeding has recently received significant attention. Cesarean delivery (CD) is the most common surgical procedure in the US. We sought to evaluate outpatient opioid use after scheduled CD. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Emily E. Hadley, Luis Monsivais, Lucia Pacheco, Yara Ramirez, Viviana Ellis, Guiseppe Chiossi, George Saade, Maged Costantine Tags: Poster Session I Source Type: research

171: Assessing maternal and neonatal risks associated with prolonged induction of labor
Allowing more time to progress in labor has been suggested as a strategy to reduce the number of cesarean deliveries. The safety of this recommendation has yet to be fully evaluated. We aimed to assess neonatal outcomes after prolonged induction of labor (IOL) using 36 hours as a threshold for “prolonged”. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Jamie VanArtsdalen, Jourdan Triebwasser, Emily Kobernik, Neil Kamdar, Kristian Seiler, Elizabeth Langen Tags: Poster Session I Source Type: research

172: Obstetric factors and outcomes associated with external cephalic version
Breech presentation occurs in 3% of term pregnancies. External cephalic version (ECV) provides a means for reducing the cesarean delivery (CD) rate. Despite a 58% chance of success, only 20-30% of eligible women are offered an ECV. We sought to determine the rate of success in attempted ECV and identify characteristics associated with a successful version. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Robert Rossi, Emily DeFranco Tags: Poster Session I Source Type: research

173: The course of acquired von willebrand disease throughout pregnancy among patients with myeloproliferative neoplasms
Acquired von Willebrand disease (AVWD) has been described among patients with myeloproliferative neoplasms (MPN). We aimed to investigate the course of AVWD throughout pregnancy among MPN patients in relation to patient management and outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Amihai Rottenstreich, Hagai Amsalem, Yosef Kalish Tags: Poster Session I Source Type: research

174: Is extending the second stage of labor in women with an occiput-posterior position beneficial and safe?
To evaluate if extending the second stage of labor with a fetus in an OP position is beneficial and safe. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Claire THUILLIER, Sarah GUTERMAN, Thibaud QUIBEL, Patrick ROZENBERG Tags: Poster Session I Source Type: research

175: Does malpresentation affect latency and other perinatal outcomes among PPROM cases?
PPROM is estimated to complicate 3% of all births and is associated with up to 40% all preterm births. PPROM is an important cause for perinatal mortality and morbidity and there are improved outcomes with longer latency. There is limited literature on whether fetal presentation affects latency among PPROM cases. Our objective was to determine whether fetal presentation at the diagnosis of PPROM has an effect on the latency period and other perinatal outcomes. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Saila S. Moni, Lizelle Comfort, Xiaonan Xue, Peter Bernstein, Pamela Troppper Tags: Poster Session I Source Type: research

176: Are maternal and neonatal complications associated with the number of pop-offs during vacuum-assisted vaginal delivery (VAVD)?
VAVDs account for approximately 4% of vaginal births in the US and the incidence of serious neonatal complications with VAVD is approximately 5%. There is limited literature on the maternal and neonatal outcomes associated with the number of involuntary detachments (pop-offs) of the cup during VAVDs. Most experts recommend limiting pop-offs to three before abandoning the procedure, however, there are no standard guidelines. Our objective was to evaluate outcomes among successful VAVDs in relation to the number of pop-offs during the deliveries. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Saila S. Moni, Georgios Doulaveris, Donna Somerville, Rodney McLaren, Keith Eddleman, Karen Beckerman, Barak Rosen, Peter Bernstein Tags: Poster Session I Source Type: research

177: The risk of amniotic fluid embolism reoccurrence in subsequent pregnancy
Amniotic fluid embolism (AFE) is a rare and catastrophic complication of pregnancy presenting as a complex sequence of events resulting in cardiopulmonary and coagulation compromise during the intrapartum period. Mortality is high. Consequently, women who have suffered an AFE and survive commonly refrain from further child bearing despite a lack of evidence suggesting a risk of reoccurrence (Moaddab 2017 EJOGRB). The aim of this study was to determine AFE reoccurrence rates using data from the international AFE Registry established at Baylor College of Medicine and AFE Foundation, along with published reports of pregnancie...
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Irene Stafford, Presley S. Parkes, Amir Moaddab, Miranda Klassen, Steven L. Clark, Michael A. Belfort, Gary A. Dildy Tags: Poster Session I Source Type: research

178: The effect of antenatal corticosteroid administration on neonatal biometrics administered after 34 weeks gestation
Whereas evidence suggests that the administration of repetitive doses of antenatal corticosteroids to mothers at risk for preterm birth reduces newborn cephalic biometric measures, a single course followed by a rescue regimen before 34 0/7 weeks gestation has not demonstrated this effect and has proven to be beneficial for the fetus at risk for preterm birth. Currently, there are no studies that have evaluated the effects of antenatal corticosteroid on newborn biometric measurements given after 34 0/7 weeks gestation for women at risk for late-preterm birth. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Irene Stafford, Angela Burgess, Haleh Sangi-Haghpeykar, Kjersti M. Aagard Tags: Poster Session I Source Type: research

179: The misdiagnosis of amniotic fluid embolism
Amniotic fluid embolism (AFE) remains a leading cause of maternal mortality. Historically, case definitions along with laboratory and pathologic analysis of suspected cases have been non-specific, leading to challenges in the diagnosis and management. Diagnostic criteria for the research reporting of AFE has recently been published to promote uniformity in data collection, refine the identification of clinical risk factors and improve treatment strategies (Clark, 2016). In collaboration with the AFE Foundation and Baylor College of Medicine, these criteria have been utilized to characterize and differentiate true AFE from ...
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Irene Stafford, Amir Moaddab, Miranda Klassen, Michael A. Belfort, Steven L. Clark, Gary A. Dildy Tags: Poster Session I Source Type: research

180: Diagnostic precision of proposed criteria for research reporting of amniotic fluid embolism
Amniotic fluid embolism (AFE) remains a leading cause of maternal and neonatal morbidity and mortality. Historically, case definitions have been non-specific leading to challenges in accurate diagnosis and reporting. Strict diagnostic criteria for the research reporting of AFE have recently been published to promote uniformity in data collection and facilitate the understanding of this condition. We sought to examine the diagnostic precision of recently published criteria for the research reporting of amniotic fluid embolism. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Irene Stafford, Amir Moaddab, Miranda Klassen, Michael A. Belfort, Gary A. Dildy, Steven L. Clark Tags: Poster Session I Source Type: research

181: Fetal fraction of circulating DNA as a fetal growth predictor
The objective of this study was to determine the relationship between FF and fetal growth. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Veronica Gonzalez, Jeffrey J. Ridgeway, Radek K. Bukowski Tags: Poster Session I Source Type: research

182: Pregnancy in patients with bipolar disorder: Maternal and neonatal outcomes
We sought to determine the differences in pregnancy outcomes observed in women diagnosed with bipolar disorder in comparison to unaffected women. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Katherine N. DeJong, Louisa R. Chatroux, Michelanne Shields, Aaron B. Caughey Tags: Poster Session I Source Type: research

183: Buprenorphine prescribing in pregnancy- Post MOTHER practice patterns
Opioid abuse by pregnant women has reached epidemic proportions. Consequently, neonatal abstinence syndrome (NAS) has increased 5-fold since 2000. Opioid substitution therapy with methadone was first line but the MOTHER study (2010) suggested buprenorphine may be an acceptable alternative. Our objective was to assess current practice patterns among US providers caring for opioid-dependent pregnant women. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Heather Link, Neil Seligman, Elizabeth Greener Tags: Poster Session I Source Type: research

184: Risk factors for placental abruption during expectant management of preterm premature rupture of membranes
The objective of this analysis was to identify risk factors associated with placental abruption during expectant management of PPROM. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Morgen S. Doty, Jenifer Dinis, Baha M. Sibai Tags: Poster Session I Source Type: research

185: Delivery of non-macrosomic large for gestational age neonates: Morbidity and mortality
At 37-39 wks, neonates may be large for gestational age (LGA; birth weight [BW] ≥ 90% for gestational age [GA]), but not macrosomic (BW ≥ 4,000 g at any GA). There is a paucity of evidence about adverse outcomes among non-macrosomic LGA (NM-LGA). Our primary objective was to evaluate the rate of neonatal mortality and composite neonatal morbidity (CNM) among NM-LGA versus A GA (appropriate for GA; BW at 10-90%); the secondary objective compared composite maternal morbidity (CMM) among the two groups. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Morgen S. Doty, Han-Yang Chen, Baha M. Sibai, Suneet P. Chauhan Tags: Poster Session I Source Type: research

186: Factors influencing maternal outcome after cesarean hysterectomy for placenta accreta, increta and percreta
To evaluate factors that influence maternal outcome in cesarean hysterectomy with invasive placenta (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Holly Casele, Valerian Catanzarite, Nicholas E. Holden, Deborah Poeltler Tags: Poster Session I Source Type: research

187: Proteomic changes of placental and myometrial tissue in placenta accreta
The objective of this study was to use proteomics to characterize myometrial and placental compartments among accreta patients. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Rebecca A. Keller Tags: Poster Session I Source Type: research

188: Morbidly Adherent Placenta (MAP) active multidisciplinary management protocol: Outcome improvement in maternal outcomes and safe for the neonate
To evaluate whether outcomes of women and neonates with morbidly adherent placenta (MAP) improve with the implementation of a pro-active peripartum multidisciplinary approach (PAMA). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Jonathan Stanleigh, Shunit Armon, Faiz Hatib, Boris Zuckerman, Michael Shaya, Alex Ioscovitch, Ofer Sheinfeld, Dvora Greenblat, Misgav Rottenstreich, Rivka Farkash, Aharon Tevet, Arnon Samueloff, Sorina Grisaru-Granovsky Tags: Poster Session I Source Type: research

189: Predictive factors for coagulopathy in the management of morbidly adherent placenta
One of the major complications of morbidly adherent placenta (MAP) is coagulopathy. Prompt treatment may be lifesaving. Our objective was to uncover any predictive factors for the development of coagulopathy during the management of MAP by a well-established, stable multidisciplinary team. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Bahram Salmanian, Hadi Erfani, Karin A. Fox, Steven L. Clark, Martha Rac, Amir A. Shamshirsaz, Ahmed A. Nassr, Niloofar Karbasian, Jun Teruya, Shiu-Ki Hui, Jimmy Espinoza, Michael A. Belfort, Alireza A. Shamshirsaz Tags: Poster Session I Source Type: research

190: UC Fetal Consortium (UCfC) multidisciplinary team approach to invasive placenta: Management across a five institution consortium
The five-institution UCfC has a multidisciplinary team approach to invasive placenta. Compilation of data across this consortium will facilitate identification of best practices. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Victoria Fratto, Edward Miller, Kate Pettit, Megan Stephenson, Yen Truong, Dana Henry, Aisling Murphy, Lena Kim, Nancy Field, Deborah A. Wing, Mary E. Norton, Gladys A. Ramos Tags: Poster Session I Source Type: research

191: Is there a difference in placental pathology between twins vs. singleton pregnancies complicated by small for gestational age?
We aimed to compare placental lesions and neonatal outcome associated with abnormal fetal growth in dichorionic-diamniotic (DCDA) twins vs. singleton pregnancies complicated by small for gestational age (SGA). (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Elad Barber, Eran Weiner, Ohad Feldstein, Ann Dekalo, Letizia Schreiber, Yossi Mizrachi, Jacob Bar, Michal Kovo Tags: Poster Session I Source Type: research

192: Association between placental complications during the third stage of labor and delivering a small for gestational age (SGA) neonate
Small for gestational age (SGA) and third stage of labor complications may represent different manifestations of a common pathological or inadequate placentation process. We aimed to assess the association between third stage of labor placental complications, and adverse pregnancy outcomes, with a special focus on SGA and other placental insufficiency associated disorders. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Alisa Lipski, Gali Pariente, Yael Baumfeld, Reut Rotem, Michal Yezersky, Fernanda Press, Adi Y. Weintraub Tags: Poster Session I Source Type: research

193: Prenatal diagnosis of vasa previa: Outpatient versus inpatient management
The optimal antenatal management and the timing of delivery in women with prenatal diagnosis of vasa previa have not been established. The aim of this study was to compare pregnancy outcome of two different management strategies (outpatient versus inpatient) and a policy of elective cesarean section at 36 weeks of gestation in pregnancies complicated with vasa previa (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Michal Fishel Bartal, Baha Sibai, Hadas Ilan, Sharon Katz, Irit Eisen, Eran Kassif, Rakefet Ullman Yoeli, Yoav Yinon, Shali Mazaki-Tovi Tags: Poster Session I Source Type: research

194: Consistency in fetal movement counts near term and effects on counseling
Counting of fetal movements (FM) by the mother is considered an inexpensive yet potentially efficacious screening test to prevent adverse perinatal outcomes. However considerable variation exists in FM among pregnancies. We have explored whether variation exists within pregnancies as individual variation may translate into different instructions on threshold FM to call for adjunctive testing. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - January 1, 2018 Category: OBGYN Authors: Alessandro Ghidini, Anne M. Newman, Marietta Cacace, Sacha Han, Kaci Chongasing Tags: Poster Session I Source Type: research