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Source: Obstetrics and Gynecology
Condition: Pregnancy
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Total 2112 results found since Jan 2013.
Remote Monitoring Compared With In-Office Surveillance of Blood Pressure in Patients With Pregnancy-Related Hypertension: A Randomized Controlled Trial
CONCLUSION: Remote monitoring can increase postpartum blood pressure ascertainment within 10 days of discharge for women with hypertensive disorders of pregnancy and has the potential to promote health equity.CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT04823949.PMID:37734091 | DOI:10.1097/AOG.0000000000005327
Source: Obstetrics and Gynecology - September 21, 2023 Category: OBGYN Authors: Brittany J Arkerson Matthew M Finneran Solita R Harris Jessica Schnorr Eliza R McElwee Lauren Demosthenes Renata Sawyer Source Type: research
Care and Monitoring of Pregnant Patients With Left Ventricular Assist Devices
Obstet Gynecol. 2023 Sep 14. doi: 10.1097/AOG.0000000000005351. Online ahead of print.ABSTRACTCardiovascular disease is one of the leading causes of maternal mortality in the United States. Although still rare, pregnancy in patients with left ventricular assist devices (LVADs) is becoming more common. Typical indications for the use of LVADs in reproductive-aged females include ischemic cardiomyopathy, nonischemic (familial) dilated cardiomyopathy, peripartum cardiomyopathy, and some forms of myocarditis. An LVAD drains blood through a cannula placed into the apex of the left ventricle and then returns it to the proximal a...
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Luis D Pacheco Antonio F Saad Scott D Lick Jose C Iturrizaga George R Saade Source Type: research
Utility of Weekly Laboratory Monitoring in the Expectant Management of Hypertensive Disorders of Pregnancy
Obstet Gynecol. 2023 Sep 14. doi: 10.1097/AOG.0000000000005372. Online ahead of print.ABSTRACTOur retrospective cohort study evaluates the diagnostic yield of weekly laboratory surveillance in outpatient management of hypertensive disorders of pregnancy (HDP) based on patient clinical status at the time of laboratory testing. The study included 459 patients and 1,082 laboratory episodes: 356 (32.9%) episodes were performed in the setting of concerning clinical findings and 726 (67.1%) when the patient was asymptomatic. Overall, the diagnostic yield for abnormal laboratory values (n=11) was 1.0% (95% CI 0.4-1.6%) of all ass...
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Shannon McCloskey Frank B Williams Source Type: research
Letrozole During Frozen Embryo Transfer in Women With Polycystic Ovarian Syndrome: A Randomized Controlled Trial
CONCLUSION: There was no difference in pregnancy outcomes between letrozole application compared with artificial cycle for endometrial preparation in women with PCOS who underwent FET. The risk of GDM was higher in the letrozole application group, and the singleton birth weight was lower in the artificial cycle group.CLINICAL TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR1800014746.PMID:37708500 | DOI:10.1097/AOG.0000000000005367
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Yuan Yuan Qiyuan Chang Yangxing Wen Jun Gao Sunxing Huang Yanwen Xu Canquan Zhou Qingyun Mai Source Type: research
Experiences and Communication Preferences in Pregnancy Care Among Patients With a Spanish Language Preference: A Qualitative Study
CONCLUSION: Our findings highlight the importance of relationship to overcome language discordance among patients with limited English proficiency during pregnancy care. These findings inform potential structural change and patient-clinician dyad interventions to better meet the communication needs of patients with limited English proficiency.PMID:37708499 | DOI:10.1097/AOG.0000000000005369
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Kevin E Salinas Maria Bazan Luis Rivera Haylie Butler Elysia Larson Jeanne-Marie Guise Michele R Hacker Anjali J Kaimal Rose L Molina Source Type: research
Care and Monitoring of Pregnant Patients With Left Ventricular Assist Devices
Obstet Gynecol. 2023 Sep 14. doi: 10.1097/AOG.0000000000005351. Online ahead of print.ABSTRACTCardiovascular disease is one of the leading causes of maternal mortality in the United States. Although still rare, pregnancy in patients with left ventricular assist devices (LVADs) is becoming more common. Typical indications for the use of LVADs in reproductive-aged females include ischemic cardiomyopathy, nonischemic (familial) dilated cardiomyopathy, peripartum cardiomyopathy, and some forms of myocarditis. An LVAD drains blood through a cannula placed into the apex of the left ventricle and then returns it to the proximal a...
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Luis D Pacheco Antonio F Saad Scott D Lick Jose C Iturrizaga George R Saade Source Type: research
Utility of Weekly Laboratory Monitoring in the Expectant Management of Hypertensive Disorders of Pregnancy
Obstet Gynecol. 2023 Sep 14. doi: 10.1097/AOG.0000000000005372. Online ahead of print.ABSTRACTOur retrospective cohort study evaluates the diagnostic yield of weekly laboratory surveillance in outpatient management of hypertensive disorders of pregnancy (HDP) based on patient clinical status at the time of laboratory testing. The study included 459 patients and 1,082 laboratory episodes: 356 (32.9%) episodes were performed in the setting of concerning clinical findings and 726 (67.1%) when the patient was asymptomatic. Overall, the diagnostic yield for abnormal laboratory values (n=11) was 1.0% (95% CI 0.4-1.6%) of all ass...
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: John A Morgan Joseph R Biggio Jane K Martin Naiha Mussarat Shannon McCloskey Frank B Williams Source Type: research
Letrozole During Frozen Embryo Transfer in Women With Polycystic Ovarian Syndrome: A Randomized Controlled Trial
CONCLUSION: There was no difference in pregnancy outcomes between letrozole application compared with artificial cycle for endometrial preparation in women with PCOS who underwent FET. The risk of GDM was higher in the letrozole application group, and the singleton birth weight was lower in the artificial cycle group.CLINICAL TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR1800014746.PMID:37708500 | DOI:10.1097/AOG.0000000000005367
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Yuan Yuan Qiyuan Chang Yangxing Wen Jun Gao Sunxing Huang Yanwen Xu Canquan Zhou Qingyun Mai Source Type: research
Experiences and Communication Preferences in Pregnancy Care Among Patients With a Spanish Language Preference: A Qualitative Study
CONCLUSION: Our findings highlight the importance of relationship to overcome language discordance among patients with limited English proficiency during pregnancy care. These findings inform potential structural change and patient-clinician dyad interventions to better meet the communication needs of patients with limited English proficiency.PMID:37708499 | DOI:10.1097/AOG.0000000000005369
Source: Obstetrics and Gynecology - September 14, 2023 Category: OBGYN Authors: Kevin E Salinas Maria Bazan Luis Rivera Haylie Butler Elysia Larson Jeanne-Marie Guise Michele R Hacker Anjali J Kaimal Rose L Molina Source Type: research
Racial and Ethnic Disparities in Anemia and Severe Maternal Morbidity
CONCLUSION: Antepartum anemia, most prevalent among Black pregnant patients, contributed to disparities in SMM by race and ethnicity. Nearly one in five to six SMM cases among Black, Hispanic, American Indian-Alaska Native, Pacific Islander, and multiracial pregnant patients is attributable in part to antepartum anemia.PMID:37678935 | DOI:10.1097/AOG.0000000000005325
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Irogue I Igbinosa Stephanie A Leonard Francecsa Noelette Shantay Davies-Balch Suzan L Carmichael Elliott Main Deirdre J Lyell Source Type: research
Racial and Ethnic Inequities in Development of Type 2 Diabetes After Gestational Diabetes Mellitus
CONCLUSION: Population-based racial and ethnic inequities are substantial in type 2 diabetes after GDM. Characteristics at the time of delivery partially explain disparities, creating an opportunity to intervene on life-course cardiometabolic inequities, whereas weak associations of common social or structural measures and BMI in Black, Hispanic and South and Southeast Asian individuals demonstrate the need for greater understanding of how structural racism influences postpartum cardiometabolic risk in these groups.PMID:37678923 | DOI:10.1097/AOG.0000000000005324
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Teresa Janevic Katharine McCarthy Shelley H Liu Mary Huyhn Joseph Kennedy Hiu Tai Chan Victoria L Mayer Luciana Vieira Bahman Tabaei Frances Howell Elizabeth Howell Gretchen Van Wye Source Type: research
Bridging Health Disparities and Improving Reproductive Outcomes With Health Center-Affiliated Doula Programs
Obstet Gynecol. 2023 Sep 7. doi: 10.1097/AOG.0000000000005337. Online ahead of print.ABSTRACTDoulas are community perinatal professionals trained in pregnancy health, childbirth preparation, labor support, lactation counseling, and postnatal care. Doulas serve as patient advocates and provide laboring patients with continuous one-to-one support including informational, physical, and emotional support. Research shows that access to continuous labor support contributes to positive health outcomes such as increasing rates of spontaneous vaginal delivery, shorter labor, less need for analgesics, and increased satisfaction with...
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Catherine Marudo Caroline Nicotra Michelle Fletcher Rhonda Lanning Melissa Nelson Ciara Hancock Source Type: research
Structural Racism and Adverse Pregnancy Outcomes Through the Lens of the Maternal Microbiome
Obstet Gynecol. 2023 Sep 7. doi: 10.1097/AOG.0000000000005345. Online ahead of print.ABSTRACTMicrobiome science offers a glimpse into personalized medicine by characterizing health and disease states according to an individual's microbial signatures. Without a critical examination of the use of race as a variable, microbiome studies may be susceptible to the same pitfalls as other areas of science grounded in racist biology. We will examine the use of race as a biological variable in pregnancy-related microbiome research. Emerging data from studies that investigate the intestinal microbiome in pregnancy suggest strong infl...
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Megan Hadley Akosua Yeboaa Oppong Jenell Coleman Anna Maya Powell Source Type: research
Strategies to Promote Maternal Health Equity: The Role of Perinatal Quality Collaboratives
Obstet Gynecol. 2023 Sep 7. doi: 10.1097/AOG.0000000000005347. Online ahead of print.ABSTRACTPerinatal quality improvement is a method to increase obstetric safety and promote health equity. Increasing trends of maternal deaths, life-threatening complications of pregnancy, and persistent racial inequities are unacceptable. This Narrative Review examines the role and strategies of perinatal quality initiatives and collaboratives to deliver safe and equitable maternity care and the evidence of demonstrated success. Key strategies to promote maternal equity through perinatal quality include communicating equity as a priority ...
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Audra R Meadows Ren ée Byfield Debra Bingham Hafsatou Diop Source Type: research
The Power of Language in Hospital Care for Pregnant and Birthing People: A Vision for Change
We describe the use of language in written documentation, verbal communication, and behaviors associated with caring for pregnant people. We also present recommendations for change, including alternative language at the individual, clinician, hospital, health systems, and policy levels. We define birth as the emergence of a new individual from the body of its parent, no matter what intervention or pathology may be involved. Thus, we propose a cultural shift in hospital-based care for birthing people that centers the birthing person and reconceptualizes all births as physiologic events, approached with a spirit of care, par...
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Veronica Barcelona Rose L Horton Katherine Rivlin Sarah Harkins Coretta Green Kenya Robinson Janice J Aubey Anita Holman Dena Goffman Shaconna Haley Maxim Topaz Source Type: research
