Publications by authors named "B M Sibai"

Objective: To describe the presentation, outcomes, and management strategies for cases of subcapsular liver hematoma associated with preeclampsia, eclampsia, or HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome.

Methods: This was a case series of individuals with subcapsular liver hematoma managed at a single level IV center over a 10-year period, from 2013 to 2024. Presenting signs and symptoms, laboratory findings, time of onset, management strategies, acute perinatal and maternal outcomes, and long-term outcomes such as subsequent pregnancies were reviewed in the medical record and recorded.

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Despite its critical importance, the placenta receives substantially less attention during obstetric ultrasound examinations compared to the fetus. The evaluation of the placenta is typically limited to determining its location within the uterus, particularly its relationship to the cervix. Abnormal placenta findings are the result of gross anomalies identified by chance during obstetric examinations, rather than from a systematic evaluation.

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Objective:  We aimed to evaluate the relationship between intrapartum continuous glucose monitoring (CGM) and neonatal hypoglycemia (NH) in individuals with diabetes.

Study Design:  a multicenter prospective study (November 2021-December 2022) of laboring individuals with pregestational or gestational diabetes at ≥34 weeks. Cohorts had a blinded CGM placed from admission through delivery and were monitored with fingerstick (FS) according to usual care.

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Article Synopsis
  • Preterm premature rupture of membranes (PPROM) occurs when amniotic fluid leaks before 37 weeks of pregnancy, impacting about 3% of deliveries and 30% of late preterm deliveries.
  • Management strategies for PPROM between 34 to 36 weeks have shifted from solely recommending delivery to considering either delivery or monitoring (expectant management), following a significant trial on the topic.
  • Immediate delivery is advised at 34 weeks due to higher risks of complications for mothers, such as hemorrhage and infection, with limited evidence suggesting that immediate delivery doesn't significantly increase adverse outcomes for newborns compared to expectant management.
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