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Cottrell Hanh N HN The University of Toledo, Toledo, - - 2014
The aim of the this study was to evaluate the association between early pregnancy levels of serum sex hormone-binding globulin in the first trimester and the development of gestational diabetes mellitus (GDM). Currently, no effective markers in early pregnancy have been established to identify women at risk for GDM. Prospective ...
Feldman Daniele S DS Cedars Sinai Medical Center, Los Angeles, - - 2014
Many hospitals across the nation use laborists, yet little evidence exists to suggest how this affects patient outcomes. We aim to determine if the presence of a laborist is associated with primary cesarean delivery rates. We designed and validated a survey to collect information on policies and practices on labor ...
Grese Laura N LN University of Tennessee Health Science Center, Memphis, - - 2014
Cervical insufficiency is characterized by recurrent painless cervical dilation and spontaneous midtrimester delivery. Diagnosis is clinical and retrospective, often ending in poor obstetric outcomes. Management involves cerclage, which is placed based on history of recurrent spontaneous preterm birth or midtrimester loss. Other indications are evidence of cervical shortening and midtrimester ...
Hossain Semonti K SK Tufts University School of Medicine, Cambridge, - - 2014
According to the World Bank, Haiti has a maternal mortality ratio of 350 per 100,000 births and an infant mortality rate of 53 per 1,000 births. The objective of this study was to evaluate acceptance of maternity waiting homes as a strategy to decrease maternal mortality in Milot, Haiti. A ...
Stern Lisa L Planned Parenthood Federation of America, New York, - - 2014
Previous research shows that female physicians are more likely than women in the general population to choose intrauterine contraception as their birth control method. This research aims to describe current contraceptive use among a broader range of female family planning providers and to compare their contraceptive choices with the general ...
Kelly Jeannie C JC Tufts Medical Center, Boston, - - 2014
Efforts to lower cesarean delivery rates have largely been unsuccessful. At our community hospital, a multifaceted strategy was initiated to lower cesarean delivery rates, and we analyzed the results over a 4-year period. Beginning in 2011, we reviewed cesarean delivery indications daily, initiated a physician and nursing education program, encouraged ...
Kilfoyle Kimberly A KA Warren Alpert Medical School of Brown University, Women & Infants Hospital, Providence, - - 2014
An examination of the relationship between sociodemographic factors and nonurgent use of the emergency department (ED) during pregnancy. We conducted a cross-sectional study of postpartum women who delivered between June and August 2012. Consenting participants completed a demographic, obstetric, and emergency care questionnaire and validated health literacy screening tool. Additional ...
Liwan Henny H Sparrow Health System, Lansing, - - 2014
The study objective is to examine the use of transvaginal ultrasound-measured cervical length to predict no delivery within 24 hours in term singleton pregnancy with symptoms of labor. Transvaginal cervical length measurement was obtained between July 2011 and October 2012 in women who presented with complaints concerning labor. Data on ...
Ludlow Katherine D KD Columbia University Medical Center, New York, - - 2014
Thromboembolism remains a leading cause of maternal morbidity and mortality. Subcutaneous compression devices serve as a clinically effective, cost-effective, noninvasive means of thromboprophylaxis. Use of these devices perioperatively during cesarean delivery is supported by the American College of Obstetricians and Gynecologists. Unfortunately, data from other fields suggest that appropriate use ...
Meena Monika M C. Chandigarh, - - 2014
Thyroid autoimmunity can affect the course of pregnancy and its outcome. Although the adverse effects of thyroid antibodies in hypo- or hyperthyroidism have been increasingly identified, their effect in euthyroid women still remain a matter of debate. This study aimed to assess the prevalence of antithyroid peroxidase antibodies in pregnant ...
Moreno Maritzel A MA San Juan City Hospital, San Juan, Puerto - - 2014
In Puerto Rico the elective induction rate is as high as 37% and ranks in the third position of global reports for preterm birth rates with 16.7%. The objective of this study was to identify practice patterns, perceptions, and understanding of the Hard Stop Policy for limiting elective inductions before ...
Wang Nan A NA University of Pittsburgh, Pittsburgh, - - 2014
We studied the safety of same-day placement of an intrauterine contraceptive for women at high risk for sexually transmitted infection (STI) and undesired pregnancy. Between September 2011 and May 2013, our inner-city clinic offered same-day testing for STI and intrauterine contraceptive placement to all women seeking emergency contraception or pregnancy ...
Nelson Cecil C Medical University of South Carolina, Charleston, - - 2014
Preterm premature rupture of membranes (PPROM) complicates one third of all preterm births and 4% of all births. Controversy exists surrounding safety of inpatient compared with outpatient management. The primary aim of is to examine the predictors of potentially catastrophic complications associated with PPROM. A retrospective case-control study was performed ...
Ngai Ivan I Montefiore Medical Center-Einstein College of Medicine, Bronx, - - 2014
The objective of this study was to compare the outcome of pregnancy in women diagnosed with gestational diabetes mellitus (GDM) before 24 weeks of gestation with those diagnosed after 24 weeks of gestation. The records of women with a GDM were reviewed over a 5-year period. All women are routinely ...
Pettit Kate E KE University of California, San Diego, San Diego, - - 2014
Our objective was to assess the effect of the availability of noninvasive prenatal testing using circulating cell-free fetal DNA on the uptake of routine chorionic villus sampling (CVS) or genetic amniocentesis for advanced maternal age greater than or equal to 35 years. Retrospective cohort study of all women who chose ...
Rabinowitz Matthew M Natera Inc., San Carlos, - - 2014
Single nucleotide polymorphism-based noninvasive prenatal testing accurately detects fetal monosomy, trisomy, and triploidy with sample-specific confidences for each call. Here, this noninvasive prenatal testing is expanded to detect microdeletions. A single nucleotide polymorphism-targeted multiplex polymerase chain reaction pool was designed to cover eight deletion syndromes: 1p36, Cri-du-Chat, DiGeorge, Wolf-Hirschhorn, Prader ...
Rabinowitz Matthew M Natera Inc., San Carlos, - - 2014
We determined performance of a massively multiplexed polymerase chain reaction assay targeting single nucleotide polymorphisms in identifying fetal trisomies 21, 18, 13 and monosomy X from cell-free DNA isolated from maternal plasma. Cell-free DNA was isolated from 1,050 pregnant women (including 490 externally blinded, 519 low-risk, and 124 aneuploid samples) ...
Onwere Stephen N SN Abia State University Teaching Hospital, Aba, - - 2014
Abuse during pregnancy is of particular concern because it is a threat to both maternal and child health. The knowledge of the prevalence, nature, and perpetrators of domestic violence will assist in developing a strategy for health care professionals to screen and refer abused women for effective interventions. To determine ...
Buchanan Tommy R TR Jr Drexel University College of Medicine, Philadelphia, - - 2014
Colposcopic evaluation is integral to proper patient care and duty-hour limitations are feared to hinder learning this art. We aim to observe adequate resident training in colposcopy by assessing whether clinical findings in a resident-centered colposcopy clinic are equivalent to the expected national trends for health care practitioners who have ...
Scott Ashley Elizabeth AE University of Illinois at Chicago, Chicago, - - 2014
The American College of Obstetricians and Gynecologists has guidelines regarding the management of pregnancies complicated by obesity. It is unclear if prenatal care providers follow these guidelines. A retrospective cohort study of women with a prepregnancy body mass index greater than 30 kg/m, singleton gestation, first prenatal visit less than ...
Subramaniam Akila A University of Alabama at Birmingham, Birmingham, - - 2014
Short interpregnancy interval-the time between last birth and next conception-is associated with adverse pregnancy outcomes, including preterm birth. Our objective was to evaluate the relationship between the interpregnancy interval and next pregnancy midtrimester cervical length in women at high risk for recurrent spontaneous preterm birth. Retrospective review identified high-risk women ...
Tucker Edmonds Brownsyne M BM Indiana University School of Medicine, Indianapolis, - - 2014
The objective of this study was to determine health care provider characteristics that predict periviable cesarean delivery practice patterns. We surveyed 295 obstetrician-gynecologists attending the American College of Obstetricians and Gynecologists' 2013 Annual Clinical Meeting about mode of delivery decisions for periviable (22-24 weeks of gestation) preterm premature rupture of ...
Weedin Elizabeth A EA University of Oklahoma Health Sciences Center, Oklahoma City, - - 2014
Ovarian artery aneurysm rupture can be a life-threatening event and although rare, with less than 25 cases present in the English literature, it is an important pathological process. As a result of the asymptomatic nature of most ovarian artery aneurysms, the condition is likely underdiagnosed and thus risk factors for ...
Wright Tricia E TE University of Hawaii John A. Burns School of Medicine, Honolulu, - - 2014
Methamphetamines are one of the most commonly abused illicit drugs in pregnancy, yet little is known about birth outcomes of exposed neonates. Previous studies were limited because of confounding factors: other drugs of abuse, including tobacco; poverty; poor diet; and lack of prenatal care. This study presents data on birth ...
Wu Clara Q CQ McGill University, Montreal, Quebec, - - 2014
Controversies exist regarding the optimal medical management of antiphospholipid syndrome in pregnancy to prevent obstetric complications. We therefore conducted a systematic review and meta-analysis to evaluate the effect of different pharmacotherapies on pregnancy outcomes in women with antiphospholipid syndrome. We searched the Cochrane Library, EMBASE, and MEDLINE from inception to ...
Daniel David D SUNY Downstate College of Medicine, Brooklyn, - - 2014
Contraception is an important topic that is taught in medical school. The objective of this study is to assess contraceptive knowledge in incoming interns who have just graduated compared with students just entering medical school. A cross-sectional study was performed using a survey regarding nine methods of contraception (natural family ...
Harris Sara C SC University of Hawaii, Honolulu, - - 2014
In 2012, American College of Obstetricians and Gynecologists issued new screening guidelines for cervical cancer. In these recommendations, women younger than 21 years no longer require Pap testing as a result of the effective clearance of human papillomavirus infection and infrequent progression to cancer. This study aims to examine the ...
Basil Jack J TriHealth, Cincinnati, - - 2014
As more patients are identified with BRCA mutations, the number of prophylactic breast and gynecology surgeries is increasing. To accommodate these patients in one surgical setting, previous reports have demonstrated that it is safe to perform combination surgery in one operative setting. Literature shows it is safe to perform the ...
Hurtt Callie C CC University of Arizona, Phoenix, - - 2014
To describe the short-term perioperative outcomes and overall survival among women with venous thromboembolism (VTE) at initial epithelial ovarian cancer diagnosis. Women presenting with VTE within 30 days of epithelial ovarian cancer diagnosis between January 2, 2003, and December 29, 2011, who had primary debulking surgery or primarily managed with ...
Kreafle Johanna E JE University of Miami Miller School of Medicine, Miami, - - 2014
We aimed to evaluate the feasibility and tolerability of hyperthermic intraperitoneal chemotherapy after cytoreduction surgery for recurrent ovarian cancer. In a single-institution, pilot study, patients underwent optimal cytoreductive surgery in combination with hyperthermic intraperitoneal chemotherapy followed by consolidation chemotherapy from September 2011 to May 2013. Optimal cytoreduction was defined as ...
Mir Saira S Emory University, Atlanta, - - 2014
Although type-specific detection of human papillomavirus (HPV) 16 or 18 is recommended to improve specificity of HPV DNA cotesting, further risk stratification is needed. Women in two urban clinics were enrolled into a biorepository for cervical cancer biomarker discovery. Total nucleic acids (consisting of both DNA and RNA) or DNA ...
Reynolds Evelyn E University of Kansas Medical Center, Kansas City, - - 2014
Women with cancer and women undergoing gynecologic surgery are at risk for developing a venous thromboembolism (VTE), which may result in significant morbidity and mortality. Known risk factors for women with gynecologic cancers include malignancy, advanced age, prolonged duration of surgery, and hospitalization. A retrospective chart review was performed on ...
Confino Edmund E Northwestern University Feinberg School of Medicine, Chicago, - - 2014
Although the incidence of placenta accreta is increasing, little is known about accreta after early trimester pregnancy loss. This study describes this important and novel entity and summarizes the outcome of hysteroscopic resection. A retrospective analysis of patients referred to an academic surgical center for evaluation of bleeding, persistent β-human ...
Holmquist Sabrina A SA University of Chicago, Chicago, - - 2014
Clinical evaluations often account for greater than 50% of a medical student's final obstetrics-gynecology clerkship grade. However, clinical evaluations suffer from poor reliability and validity. This study aims to increase interrater reliability of resident clinical evaluations of third-year medical students using a single educational seminar. Obstetrics-gynecology residents participated in a ...
Boelig Rupsa C RC Thomas Jefferson University, Philadelphia, - - 2014
Third-trimester cervical length has been correlated with delivery timing. Given that second-trimester ultrasonography is routine practice, we sought to evaluate whether second-trimester cervical length is associated with prolonged pregnancy. We performed a secondary analysis of data involving women with singleton gestations between 18 0/7 and 23 6/7 weeks of gestation ...
Horton Amanda A Temple University Hospital, Philadelphia, - - 2014
Estimated fetal weight is used routinely in the evaluation of the labor patient. Precise estimated fetal weight is necessary to provide adequate and accurate counseling to our patients. With the growing obesity epidemic, it is likely the clinical relevance of estimated fetal weight by Leopold's maneuvers is declining. The objective ...
Memon Hafsa U HU Johns Hopkins University School of Medicine, Baltimore, - - 2014
This study compared the relative odds of levator ani muscle injury using three-dimensional ultrasonography after forceps compared with vacuum delivery. This was a retrospective cohort study. Women who had undergone at least one forceps delivery were compared with women who had undergone at least one vacuum birth. Participants were 5-10 ...
Rodewald Katherine J KJ The Ohio State University Wexner Medical Center, Columbus, - - 2014
Fourth-year medical students may be inexperienced in skills needed in the first year of obstetrics and gynecology residency. The objective of this study is to assess the effectiveness of an obstetrics-gynecology workshop to improve proficiency and confidence immediately before residency. A skills workshop was conducted in the spring of 2013 ...
Romaguera Josefina J University of Puerto Rico, San Juan, - - 2014
Despite the availability of the first human papillomavirus (HPV) vaccine since 2006, vaccination rates in Puerto Rico are very low. The objective of this study is to describe awareness and uptake of the HPV vaccine among a population-based sample of women in Puerto Rico. Data analysis was from a population-based, ...
Turner Aaron L AL Cedars-Sinai Medical Center, Los Angeles, - - 2014
To determine the rate of prenatal invasive diagnostic procedures performed over time in the era of noninvasive cell free fetal DNA prenatal testing. This is a retrospective review of the number of invasive prenatal diagnostic procedures (chorionic villus sampling and amniocentesis) performed between January 2010 and June 2013 among women ...
Geisler John P JP University of Toledo, Toledo, - - 2014
The objective of this study was to determine the cost-effectiveness of urodynamic testing in women who have either pure stress incontinence or mixed incontinence with predominant stress incontinence. A decision analysis model was used based on recent randomized controlled data. Costs and complications were based on literature and Medicare. Sensitivity ...
Finkelstein Jill J The George Washington University, Washington, - - 2014
Because minimally invasive surgery is becoming the standard for gynecologic cases, it is imperative that residents develop strong laparoscopic skills. Research surrounding laparoscopic curricula mostly comes from general surgery such as Fundamentals of Laparoscopic Surgery curriculum. A Fundamentals of Laparoscopic Surgery-based laparoscopic curriculum was designed and implemented for postgraduate year ...
Lavery J Patrick JP Bronson Hospital, Kalamazoo, - - 2014
MORE, an international patient safety program started in 2002, has trained over 14,400 participants. It is a 3-year program (additional years optional) in which participants (physicians, midwives, nurses, and others) facilitate communication and learn together to improve patient safety and outcomes on obstetric services. It was initiated in the United ...
Marzano David D University of Michigan, Ann Arbor, - - 2014
The University of Michigan introduced a new clinical practice guideline detailing an urgency classification for obstetric procedures. Past guidelines had been disseminated using e-mails and electronic learning modules. We hypothesized that a simulation-based curriculum to educate members of the team would provide a meaningful experience and lead to compliance with ...
Nitsche Joshua F JF Wake Forest School of Medicine, Winston-Salem, - - 2014
Ultrasound-guided needle procedures are difficult skills to master considering the decrease in the need for invasive testing with the emergence of cell-free fetal DNA testing. Because these procedures will continue to be needed in the foreseeable future, simulation will need to take on a larger role in the training. Three ...
Patel Jasmine J SUNY Downstate Medical Center, Brooklyn, - - 2014
Whereas cadaveric dissection is essential to learning anatomy and its structural relationships, it is expensive and donors are limited. Lectures alone lack the kinesthetic learning that gross dissection offers. The objective was to determine whether clay modeling with concurrent lecture is an effective way of reviewing female pelvic anatomy for ...
Stohl Hindi E HE UCLA David Geffen School of Medicine, Torrance, - - 2014
Shoulder dystocia is an unpredictable obstetric emergency with the potential for significant morbidity. Accurate and comprehensive documentation is critical for clinical decision-making and risk management. This study evaluates physicians' shoulder dystocia delivery notes to assess for comprehensiveness and identify potential areas for improvement. Physician narrative delivery notes for vaginal deliveries ...
Crittle Kristen N KN Washington University at St Louis/Meharry Medical College, Nashville, - - 2014
The Centers for Disease Control and Prevention (CDC) publishes recommendations for the diagnosis and treatment of pelvic inflammatory disease (PID) every 4 years; however, it is unclear whether health care providers adhere to guidelines. This study will determine the rate of clinician compliance with CDC recommendations. The Contraceptive CHOICE Project ...
Patel Jasmine J SUNY Downstate Medical Center, Brooklyn, - - 2014
The tradition of a lecture-based obstetrics-gynecology curriculum has been changing. The haptic approach to teaching has proven to be successful for undergraduate and medical students. The objective was to determine whether a combination of clay modeling with concurrent lecture is an effective way of reviewing female pelvic anatomy and teaching ...
Pilkinton Marjorie M St Luke's-Roosevelt Hospital, New York, - - 2014
Restructuring of the health care system emphasizes the relationship between rising costs of medical tests and patient care. We hypothesized attending physicians have more knowledge of the cost of laboratory and imaging tests than residents at a tertiary hospital. Secondary outcomes looked at health care practitioners' attitudes regarding the importance ...
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