Publications by authors named "Alexis Braverman"
Purpose Of The Study: Increased risk for adverse birth outcomes, long work hours, limited control over one's own schedule, and concern for making up time may color resident perceptions of their pregnancy during residency. We aimed to survey residents across four different specialties about their personal experiences with pregnancy during training.
Study Design: Using a novel, validated, anonymous web-based survey instrument, we assessed experiences around pregnancy during residency training nation-wide.
Objective: To estimate the prevalence of post-acute sequelae of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (PASC) after infection with SARS-CoV-2 during pregnancy and to characterize associated risk factors.
Methods: In a multicenter cohort study (NIH RECOVER [Researching COVID to Enhance Recovery]-Pregnancy Cohort), individuals who were pregnant during their first SARS-CoV-2 infection were enrolled across the United States from December 2021 to September 2023, either within 30 days of their infection or at differential time points thereafter. The primary outcome was PASC , defined as score of 12 or higher based on symptoms and severity as previously published by the NIH RECOVER-Adult Cohort, at the first study visit at least 6 months after the participant's first SARS-CoV-2 infection.
Background And Objectives: To examine healthcare workers' attitudes towards pregnant woman using opioids across provider type, specialty, and years of service.
Methods: Cross-sectional, anonymous survey of healthcare workers at an urban, academic medical center regarding attitudes towards pregnant women using opioids.
Results: One hundred and nineteen surveys were completed.
Article Synopsis
- Timely response to obstetrical emergencies focuses on achieving a decision-to-incision time of ≤30 minutes in cesarean deliveries to reduce risks of neonatal complications.
- A study analyzed 610 cesarean sections, revealing that while 68% of emergent cases met the ≤15 minutes target, urgent cases struggled, with only 48% achieving the ≤30 minutes goal.
- Findings indicate higher instances of newborn acidosis and low Apgar scores in emergent deliveries, highlighting that while adherence to DTI targets is challenging, the need for neonatal resuscitation is more linked to surgery urgency rather than the actual DTI time.
Objective: To evaluate key lessons learned from efforts at increasing engagement in integrated prenatal and opioid use disorder services.
Design: An interdisciplinary team consisting of a board-certified obstetrician and registered nurse led the implementation of this multipronged approach driven by several plan-do-study-act cycles to develop an integrated prenatal and opioid use disorder program.
Setting/local Problem: An urban community health center in Chicago, Illinois, where mental health issues, including substance use, are the leading cause of death for pregnant people.