Publications by authors named "L E Brustman"
Article Synopsis
- A universal transvaginal ultrasound (UTVUS) protocol was introduced at an institution to standardize ultrasound practices during the anatomy scan, aiming to improve outcomes like preterm birth and neonatal complications.
- A retrospective study analyzed 2,118 singleton pregnancies, comparing outcomes between a group that underwent risk-based TVUS (pre group) and a group that received UTVUS (post group), with no significant differences in adverse outcomes such as preterm birth or NICU admissions.
- The implementation of UTVUS did lead to increased use of vaginal progesterone but ultimately did not demonstrate a reduction in negative pregnancy effects compared to the previous selective ultrasound approach.
Objective: We sought to create a machine learning (ML) model to identify variables that would aid in the prediction of surgical morbidity in cases of placenta accreta spectrum (PAS).
Study Design: A multicenter analysis including all cases of PAS identified by pathology specimen confirmation, across five tertiary care perinatal centers in New York City from 2013 to 2022. We developed models to predict operative morbidity using 213 variables including demographics, obstetrical information, and limited prenatal imaging findings detailing placental location.
Objective: This study aimed to evaluate the most effective regimen to raise hemoglobin (Hb) by comparing alternate-day dosing of iron to daily dosing in pregnant women with iron deficiency anemia.
Study Design: Women with Hb < 11.0 g/dL and ferritin ≤ 25 µg/L between 12 and 34 weeks' gestation were recruited.
Article Synopsis
- The study explored health inequities in maternal and neonatal outcomes for patients with placenta accreta spectrum across various racial and ethnic groups.
- Researchers analyzed data from 408 pregnancies, finding that most diagnoses were made before birth and that the patient demographic largely consisted of non-Hispanic White and non-Hispanic Black individuals.
- Ultimately, the study concluded that after accounting for various factors like age and income, there were no significant differences in adverse outcomes among the different racial and ethnic groups studied.
Maternal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can affect placental function, but the possibility of intrauterine transmission has been debated. Several authors have published inclusion criteria for vertical transmission, but few reports exist that are able to meet the suggested requirements. Despite the fact that the majority of fetuses born to infected mothers do well, others become critically ill.
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