Publications by authors named "Awathif Dhanya Mackeen"
Objectives: To determine the optimal glucose challenge test (GCT) cutoff value for the screening of gestational diabetes mellitus (GDM) based on pre-pregnancy BMI.
Methods: An-IRB approved retrospective cohort analysis of singleton pregnancies at a large tertiary healthcare center from January 2004 to December 2020 was performed. The first GCT value completed between 20 and 32 weeks was used.
Article Synopsis
- A lifestyle modification intervention was compared to usual care for pregnant women with obesity to reduce excessive gestational weight gain (GWG) and improve maternal outcomes.
- The study involved a randomized controlled trial with two groups: one received standard care while the other received additional personalized support and resources.
- Although overall GWG was similar between the groups, participants in the intervention group showed better adherence to recommended GWG limits based on their obesity class, indicating some effectiveness of targeted support.
Measuring compliance with a maternal fetal medicine obesity protocol: a secondary analysis.
J Matern Fetal Neonatal Med
November 2021
Background: Current trends in patient safety include protocolization of care with assumed compliance to the protocol by health care providers. In 2016, Schuster et al. found that implementation of a protocol for management of obese pregnant patients that included delivery by estimated due date (EDD) actually resulted in a decrease in cesarean deliveries.
View Article and Find Full Text PDFLabor induction in the patient with preterm premature rupture of membranes.
Semin Perinatol
October 2015
Preterm premature rupture of membranes (PPROM) affects up to one-third of all preterm births and confers serious maternal risks, including intra-amniotic infection, and an increased risk of neonatal complications, including respiratory distress and intraventricular hemorrhage. Management of PPROM is a highly individualized process that requires an accurate determination of gestational age and causal factors, as well as the balancing of maternal and fetal risks. In this review of the existing literature on induction of labor in PPROM, we examine the differences in appropriate management of patients with early (32 weeks 0 days to 33 weeks 6 days) and near term (34 weeks 0 days to 36 weeks 6 days) PPROM, and compare the safety and efficacy of available treatment options.
View Article and Find Full Text PDFObjective: We sought to perform a metaanalysis to synthesize randomized clinical trials of cesarean skin closure by subcuticular absorbable suture vs metal staples for the outcomes of wound complications, pain perception, patient satisfaction, cosmesis, and operating time.
Study Design: A systematic search was performed using MEDLINE, Cochrane Databases, and ClinicalTrials.gov registries.