Publications by authors named "A Zilberlicht"
Purpose: To assess the postpartum sensitivity and accuracy of serum HbA1c levels, compared to the gold standard of 75-g Oral Glucose Tolerance Test (OGTT), for diagnosis of dysglycemia in patients with a history of gestational diabetes mellitus (GDM).
Methods: A nationwide retrospective analysis of individuals with a history of GDM and with records of both postpartum 2 h-OGTT and serum HbA1c measured anytime between delivery until 12 months post-delivery. Results were stratified into 3 different intervals: 0-3 months, 3-12 months, and > 12 months after delivery, according to the timing of both OGTT and HbA1c performance.
Article Synopsis
- Ectopic pregnancy (EP) affects about 2% of all pregnancies and can be treated with methotrexate (MTX) or surgery, but the effectiveness of single-dose MTX has been declining.
- This study analyzed 299 EP patients treated with MTX from 2001 to 2021 to identify factors linked to treatment failure, focusing on smoking.
- Results showed that higher initial β-hCG levels (>1500 mIU/mL) and smoking significantly increased the likelihood of needing surgical intervention after MTX, suggesting that these factors could hinder the success of single-dose treatment.
Article Synopsis
- The study examines the relationship between mediolateral episiotomy and obstetric anal sphincter injuries (OASIS) in young women post-childbirth, aiming to clarify existing uncertainties.
- Conducted at a tertiary medical center with data from 18,202 vaginal and vacuum-assisted deliveries from 2015 to 2021, the study observed a decline in episiotomy rates and an increase in OASIS during the latter period.
- The results indicate that while episiotomy use has decreased, there’s no significant association between episiotomy and OASIS; instead, the use of epidural analgesia showed a protective benefit against OASIS.
Objective: To evaluate the optimal timing for fetal weight estimation during the third trimester.
Methods: This retrospective cohort study involved fetal weight estimations from both early (28-36 weeks) and late (37 weeks and beyond) third trimester. These estimations were converted to predicted birth weights using the gestation-adjusted projection formula.
Background: Cesarean deliveries (CD) are commonly performed using neuraxial anesthesia. The use of neuraxial morphine has proven beneficial in terms of postoperative pain management; however, its effect on postoperative urine retention remains unclear.
Objectives: To determine whether morphine injection into the neuraxis during CD influences postoperative urinary retention rate.