Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2017
Observational StudyPostdischarge Opioid Use After Cesarean Delivery.
To characterize postdischarge opioid use and examine factors associated with variation in opioid prescribing and consumption. ⋯ Most women-especially those with normal in-hospital opioid use-are prescribed opioids in excess of the amount needed.
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Obstetrics and gynecology · Jun 2017
Zika Risk and Pregnancy in Clinical Practice: Ongoing Experience as the Outbreak Evolves.
To describe a single U.S. perinatal center's ongoing experience with evaluating pregnant patients with potential exposure to Zika virus infection. ⋯ We identified low rates of confirmed maternal Zika virus infection in our cohort, but the number of patients described here demonstrates the magnitude of concern existing among both patients and physicians regarding possible perinatal Zika virus infection. It also underscores the need for health care providers to be prepared to answer questions, explain laboratory and ultrasound results, and describe testing options for concerned patients and their families.
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Obstetrics and gynecology · Jun 2017
Maternal Racial and Ethnic Disparities in Neonatal Birth Outcomes With and Without Assisted Reproduction.
To explore disparities in prematurity and low birth weight (LBW) by maternal race and ethnicity among singletons conceived with and without assisted reproductive technology (ART). ⋯ Disparities in adverse perinatal outcomes by maternal race and ethnicity persisted for neonates conceived with and without ART.
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Obstetrics and gynecology · May 2017
Evaluation of Introduction of a Delayed Cord Clamping Protocol for Premature Neonates in a High-Volume Maternity Center.
To evaluate adherence to a delayed cord clamping protocol for preterm births in the first 2 years after its introduction, perform a quality improvement assessment, and determine neonatal outcomes associated with protocol implementation and adherence. ⋯ After introduction of an institutional delayed cord clamping protocol followed by continued health care provider education and quality feedback, the frequency of delayed cord clamping progressively increased. Compared with historical controls, performing delayed cord clamping in eligible preterm neonates was associated with improved neonatal hematologic indices, demonstrating the effectiveness of delayed cord clamping in a large-volume maternity unit.
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Obstetrics and gynecology · Apr 2017
Observational StudyFetoscopic Open Neural Tube Defect Repair: Development and Refinement of a Two-Port, Carbon Dioxide Insufflation Technique.
To describe development of a two-port fetoscopic technique for spina bifida repair in the exteriorized, carbon dioxide-filled uterus and report early results of two cohorts of patients: the first 15 treated with an iterative technique and the latter 13 with a standardized technique. ⋯ ClinicalTrials.gov, https://clinicaltrials.gov, NCT02230072.