Publications by authors named "J H Triebwasser"

Article Synopsis
  • * Researchers analyzed data from over 15 million vaginal births between 2016 and 2021, finding an overall OASI incidence of 1.1%, with vaginal parity and operative birth being the strongest predictive factors.
  • * The final model explained 11.8% of the variability in OASI occurrences, indicating that while some clinical factors are useful for prediction, many OASI cases still lack clear explanatory factors, urging further research on underlying mechanisms.
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Article Synopsis
  • The study examines how the time of day affects the likelihood of operative vaginal births (OVBs) compared to spontaneous vaginal births (SVBs) using U.S. birth data from 2016 to 2021.
  • After analyzing over 15 million births, it was found that OVBs were more common during the late afternoon (4:30-7:30 p.m.) and less common in the early morning (3:00-6:00 a.m.).
  • The results suggest that different times of day influence the use of birth intervention methods, indicating a need for further research into the reasons behind these temporal trends.
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SARS-CoV-2 infection can cause severe disease among pregnant persons. Pregnant persons were not included in initial studies of therapeutics for COVID-19, but cumulative experience demonstrates that most are safe for pregnant persons and the fetus, and effective for prevention or treatment of severe COVID-19.

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Objective:  This study aimed to assess the impact of implementation of an induction of labor (IOL) guideline on IOL length and utilization of evidence-based practices.

Study Design:  We conducted a quality improvement project to increase utilization of three evidence-based IOL practices: combined agent ripening, vaginal misoprostol, and early amniotomy. Singletons with intact membranes and cervical dilation ≤2 cm admitted for IOL were included.

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Objective: To determine delivery risk phenotype-specific incidence of early-onset sepsis (EOS) among preterm infants.

Study Design: Retrospective cohort study of infants born <35 weeks' gestation at four perinatal centers during 2017-2021. Infants were classified into one of six delivery risk phenotypes incorporating delivery mode, presence of labor, and duration of rupture of membranes (ROM).

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