Publications by authors named "Ayamo Oben"
Article Synopsis
- The study focuses on understanding the disparity in cases of peripartum cardiomyopathy (PPCM) among Black patients compared to White patients, particularly in relation to the social vulnerability of their communities.
- Conducted at a single center from 2000 to 2017, the study found that Black patients with PPCM were more likely to live in socially vulnerable areas, as indicated by a higher Social Vulnerability Index (SVI) score.
- Results showed that while ejection fractions at diagnosis were similar, Black patients had worse postpartum heart function and lived in communities with higher poverty, unemployment, and single-parent households, highlighting the need for strategies to address these social determinants of health.
Racial Disparities in Breastfeeding Rates in Patients with Heart Disease.
J Racial Ethn Health Disparities
March 2024
Objective: To evaluate racial disparities in breastfeeding rates in patients with heart disease.
Study Design: Retrospective cohort of pregnant patients with maternal cardiac disease managed by a Cardio-Obstetrics program. Patients self-identifying as Non-Hispanic Black (NHB) and Non-Hispanic White (NHW), who attended ≥ 1 prenatal visit at the Cardio-Obstetrics Program and delivered at the same hospital between March 2015 and June 2019 were included.
Article Synopsis
- - The study evaluated breastfeeding practices among mothers with maternal cardiac disease, categorizing them by area deprivation index (ADI) to identify communities at higher risk for lower breastfeeding rates.
- - A total of 148 patients were analyzed, revealing that those from high ADI areas were generally younger and less likely to be in a partnership, yet their breastfeeding intent at admission was similar across all ADI groups.
- - While there were no significant differences in breastfeeding rates at discharge, significant disparities were observed at postpartum visits, with resource-poor community members experiencing higher rates of early breastfeeding cessation, suggesting the need for targeted interventions.
Objective: Elective induction of labor versus expectant management at 39 weeks gestation in low-risk nulliparous patients was shown in the ARRIVE randomized trial of over 6000 patients to decrease risks of cesarean delivery without significant change in the composite perinatal outcome. We aimed to pragmatically analyze the effect of offering elective induction of labor (eIOL) to all low-risk patients.
Methods: Retrospective cohort study of low-risk nulliparous and multiparous patients delivering live, non-anomalous singletons at a single center at greater than or equal to 39 0/7 weeks gestational age.
Breastfeeding practices among patients managed by a comprehensive cardio-obstetrics program.
J Matern Fetal Neonatal Med
December 2023
To evaluate breastfeeding intent, rates at discharge, and continued breastfeeding at follow-up in patients managed in a comprehensive cardio-obstetrics program stratified by severity of maternal cardiac disease. Retrospective cohort of patients managed by a comprehensive cardio-obstetrics program at the University of Alabama at Birmingham (UAB). Patients were included if they had ≥1 prenatal visit with the Cardio-Obstetrics team and delivered at UAB.
View Article and Find Full Text PDFArticle Synopsis
- The Ideal Life Blood Pressure Manager is a device that measures blood pressure and records results without internet access, but its accuracy hadn't been tested before this study.
- The study involved pregnant women grouped by their blood pressure levels, and the device was validated using a standard mercury sphygmomanometer for accurate comparisons.
- Results showed that the device's measurements were generally in line with the trained staff's readings, indicating it met international standards for validity among the participants.
Objective: To estimate the incidence of severe chronic hypertension (cHTN) within 5-7 years after a pregnancy complicated by mild cHTN.
Methods: This was a retrospective cohort study of women with mild cHTN during an index pregnancy between 2012 and 2014. Women were included if they received prenatal care at a single academic center and had mild cHTN during their pregnancy.
Objective: Despite legislation and hospital policies (present in some institutions) mandating a minimum length of stay in an effort to decrease the frequency of hospital readmissions, the effectiveness of this approach remains uncertain.We hypothesized that following cesarean delivery (CD), the rates of maternal readmission or unscheduled health care visits are lower in patients discharged on postoperative day (POD) 3 or ≥4 as compared with those discharged earlier on POD 2.
Methods: This is a secondary analysis of a multicenter randomized trial comparing adjunctive azithromycin for unscheduled CD to prevent infection.
Background: The existence of the "July phenomenon" (worse outcomes related to the presence of new physician trainees in teaching hospitals) has been debated in the literature and media. Previous studies of the phenomenon in obstetrics are limited by the quality and detail of data.
Objective: To evaluate whether the months of June to August, when transitions in trainees occur, are associated with increased maternal and neonatal morbidity.
Racial disparities in reliable contraceptive use in women with heart disease.
Eur J Contracept Reprod Health Care
June 2022
Objective: The aim of the study was to investigate the differences in reliable contraceptive use between black women and white women with maternal cardiac disease.
Methods: The study comprised a retrospective cohort of women with maternal cardiac disease managed by the University of Alabama at Birmingham (UAB) Comprehensive Pregnancy and Heart Program (CPHP). Women were included if they had attended one or more prenatal visits at the UAB CPHP and delivered at the UAB hospital between March 2015 and June 2019.
Objective: We sought to assess the association of hemoglobin A1c (HbA1c) with adverse perinatal outcomes in obese women with gestational diabetes mellitus (GDM).
Study Design: This was a secondary analysis of a multicenter randomized controlled trial assessing early (14-20 weeks) versus routine (24-28 weeks) screening for GDM in obese women. Women were included if they were diagnosed with GDM at either time during pregnancy and had a HbA1c result available.
Background: Serum biomarkers are commonly used to support the diagnosis of infection in non-pregnant patients whose clinical presentation suggests infection. The utility of serum biomarkers for infection in pregnant and postpartum women is uncertain.
Search Strategy: PubMed, CINAHL, EMBASE, ClinicalTrials.
Objective: Delivery timing at 34 to 36 weeks is nationally recommended for pregnancies complicated by placenta accreta spectrum (PAS). However, it has recently been suggested that those with ≥2 prior cesarean deliveries (CD) and PAS should be delivered earlier than 34 weeks because of a higher risk of unscheduled delivery and complications. We sought to evaluate whether the number of prior CD in women with PAS is associated with early preterm delivery (PTD) (<34 weeks).
View Article and Find Full Text PDFStudy Objective: To identify risk factors for primary nonelective cesarean delivery, in a predominantly Hispanic teen population of an urban tertiary care center.
Design: Retrospective descriptive study.
Setting: A tertiary academic center with approximately 3000 deliveries per year.