Publications by authors named "Jonathan S Hirshberg"
Article Synopsis
- The study investigates the impact of the 2022 Dobbs decision on access to second- and third-trimester abortions using fetal potassium chloride (KCl) injections in Colorado, a state with protective laws.
- An increase in the number of patients seeking KCl injections was observed, with a 6.4-fold rise post-Dobbs, highlighting a significant increase in the distance traveled for procedures (from 29.8 to 383.9 miles on average).
- While the area deprivation index remained unchanged, the data suggests a growing need for these abortion procedures, indicating ongoing access challenges even in states with protective legislation.
Obstructive shock due to cardiac tamponade is a rare, life-threatening occurrence in the peripartum period. Etiologies include preeclampsia, infection, autoimmune conditions, and malignancy. Early recognition of the underlying disease process allows for multidisciplinary treatment and a favorable outcome.
View Article and Find Full Text PDFOffering onsite COVID-19 vaccination to high-risk obstetrical patients: initial findings.
Am J Obstet Gynecol MFM
November 2021
Objective: The COVID-19 pandemic has had a disproportionate effect on pregnant women, with higher rates of viral infection and disease severity. The development of highly effective vaccines has significantly reduced SARS-CoV-2 transmission and clinical disease. However, vaccine uptake has been low in the pregnant population.
View Article and Find Full Text PDFDiseases of the gallbladder and biliary tract are extremely common in developed nations. Because of the physiology of pregnancy, their incidence increases during gestation. This article represents a review of the existing literature on the entire spectrum of biliary disease.
View Article and Find Full Text PDFObjective: To investigate the association between the intraoperative diagnosis of placenta accreta at the time of cesarean hysterectomy and pathological diagnosis.
Study Design: This is a retrospective cohort study of all patients undergoing cesarean hysterectomy for suspected placenta accreta from 2000 to 2016 at Barnes-Jewish Hospital. The primary outcome was the presence of invasive placentation on the pathology report.
Background: Previous research has indicated that symptom severity and amygdala reactivity during the viewing of facial expressions of emotion are related in depression. However, it remains unclear how early in development this can be detected.
Methods: A sample of 11 depressed preschoolers (4.