Publications by authors named "Karen L Florio"
Article Synopsis
- The study looked at how well two different methods measure heart output in pregnant people, especially those with heart problems.
- One method used was NICOM, a noninvasive monitor, while the other was a 2D echocardiogram, which is more traditional.
- Results showed that NICOM often gave higher readings than echocardiograms, making it less accurate for measuring heart output, especially in healthy pregnant women.
Article Synopsis
- - Missouri has high maternal mortality rates, but there are no existing studies on birthing peoples' knowledge regarding this issue, highlighting the need for targeted interventions based on specific population insights.
- - A survey study involving 1,738 respondents found that a majority (78.2%) were aware of pregnancy-related death risks, with many identifying higher rates of maternal mortality among certain groups such as Black and uninsured birthing people.
- - The leading causes of maternal death were perceived to be severe bleeding (56.9%), with specific beliefs about the timing of mortality varying by age, suggesting a need for tailored educational efforts to improve understanding of maternal health.
Background: Treatment with antibiotics at the time of preterm prelabor rupture of membranes (PPROM) has been shown to prolong pregnancy. Due to the recurrent shortage of erythromycin, azithromycin has been substituted in the traditional regimen; however, there are little data on optimal dosing.
Objective: The objective of this study was to determine whether there is a difference in latency from onset of PPROM to delivery in patients who received a single dose of azithromycin compared with a 5-day course.
Patient-Perceived Satisfaction and Knowledge Uptake in a Combined Cardio-Obstetrics Clinic.
J Cardiovasc Dev Dis
December 2022
Heart disease is the leading cause of pregnancy-related mortality in the United States and has led to the development of combined cardio-obstetrics (COB) clinics as a model for prenatal care. In other areas of medicine, these types of collaborative care models have shown improvement in morbidity, mortality, and patient satisfaction. There is some data to suggest that a combined COB clinic improves maternal outcomes but there is no data to suggest patients prefer this type of care model.
View Article and Find Full Text PDFCardiovascular disease and cardiovascular disease-related disorders remain among the most common causes of maternal morbidity and mortality in the United States. Due to increased rates of obesity, delayed childbearing, and improvements in medical technology, greater numbers of women are entering pregnancy with preexisting medical comorbidities. Use of cardiovascular medications in pregnancy continues to increase, and medical management of cardiovascular conditions in pregnancy will become increasingly common.
View Article and Find Full Text PDFMaternal mortality in the United States is the highest among all developed nations, partly because of the increased prevalence of cardiovascular disease in pregnancy and beyond. There is growing recognition that specialists involved in caring for obstetric patients with cardiovascular disease need training in the new discipline of cardio-obstetrics. Training can include integrated formal cardio-obstetrics curricula in general cardiovascular disease training programs, and developing and disseminating joint cardiac and obstetric societal guidelines.
View Article and Find Full Text PDFCreating a maternal cardiac center of excellence: a call to action.
J Matern Fetal Neonatal Med
December 2021
In contrast to most industrialized countries, maternal mortality in the USA is rising. Cardiovascular disease, both acquired heart disease (e.g.
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