Publications by authors named "Angela T Bianco"
Background: Postpartum hemorrhage (PPH) contributes significantly to maternal morbidity and mortality. The use of cell salvage has been implemented in operating rooms across the world, but only a limited number of institutions have protocols for use of cell salvage during vaginal hemorrhage at the time of vaginal delivery. Observations suggest that blood salvaged from vaginal delivery is comparable to blood salvaged during cesarean delivery.
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- This study aimed to determine if factors like BMI, advanced maternal age (AMA), and length of the second stage of labor could enhance predictions of obstetric anal sphincter injury (OASIS) during forceps-assisted vaginal deliveries (FAVD).
- A total of 979 singleton pregnancies were analyzed, and it was found that 20.4% of patients experienced OASIS, but the inclusion of new predictive factors did not significantly improve prediction accuracy compared to established models.
- The conclusion suggests that incorporating these factors into decision-making for FAVD does not increase the likelihood of predicting OASIS effectively.
Recently, a novel coronavirus, precisely severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), that causes the disease novel coronavirus disease 2019 (COVID-19) has been declared a worldwide pandemic. Over a million cases have been confirmed in the United States. As of May 5, 2020, New York State has had over 300,000 cases and 24,000 deaths with more than half of the cases and deaths occurring in New York City (NYC).
View Article and Find Full Text PDFPain perception during transabdominal chorionic villus sampling: a randomized trial comparing topical ethyl chloride anesthetic spray and lidocaine injection.
J Matern Fetal Neonatal Med
February 2021
Chorionic villus sampling is an important invasive procedure used for early antenatal genetic testing that can be associated with anxiety and fear of pain. Pain analgesia prior to chorionic villus sampling can be offered with subdermal lidocaine; however, lidocaine injection itself is associated with pain. Our objective was to determine whether administration of topical ethyl chloride anesthetic spray is associated with decreased pain perception during transabdominal chorionic villus sampling compared to 1% lidocaine subdermal injection.
View Article and Find Full Text PDFBackground: With an increasing rate of induction of labor, it is important to choose induction methods that are safe and efficient in achieving a vaginal delivery. The optimal method for inducing nulliparous women with an unfavorable cervix is not known.
Objective: We sought to determine if induction of labor with simultaneous use of oxytocin and Foley balloon vs sequential use of Foley balloon followed by oxytocin decreases the time to delivery in nulliparous women.
Predictive value of combined serum biomarkers for adverse pregnancy outcomes.
Eur J Obstet Gynecol Reprod Biol
October 2014
Objective: To determine if a combination of first and second trimester serum biomarkers (pregnancy-associated plasma protein A (PAPP-A), free βhCG, and maternal serum alpha-fetoprotein (msAFP)) may be utilized to develop a predictive model for adverse pregnancy outcomes.
Study Design: We conducted a retrospective analysis including all women who delivered at our institution between 2007 and 2010. We estimated the area under the ROC curve (AUC) to compare predictive abilities of PAPP-A, free βhCG, and msAFP singularly, and in combination for adverse pregnancy outcomes.