Publications by authors named "Laura C Colicchia"
Article Synopsis
- * A total of 120 patients were included; findings showed similar cervical changes between the two device types, with most patients (74.8%) achieving vaginal delivery and expressing high satisfaction, especially those using osmotic dilators.
- * The study concludes that outpatient cervical ripening is generally safe and satisfying, with low stress levels and a common recommendation for the procedure among patients.
Social Contributors to Glycemic Control in Gestational Diabetes Mellitus.
Obstet Gynecol
December 2016
Objective: To evaluate the association of social factors with glycemic control in women with gestational diabetes mellitus (GDM).
Methods: A survey instrument assessing social support, access to healthy food, cooking and meal preparation, chaotic lifestyle, employer support, and physical and emotional responses to food was developed and administered to women with GDM at maternal-fetal medicine office visits. Validated scales were used to measure social support and life chaos (defined as organization, instability, and the ability to plan and prepare for the future).
Objective: To assess how obstetric health care providers counsel patients regarding prenatal genetic screening and how these conversations influence patients' screening decisions.
Methods: This cohort study analyzed transcripts and audio recordings of 210 first prenatal visits collected as part of a larger study on patient-provider communication. Conversations were coded in an iterative process to determine compliance with American College of Obstetricians and Gynecologists (College) prenatal genetic screening recommendations and to identify recurrent themes.
Optimizing Subsequent Pregnancy Outcomes for Women with a Prior Preterm Birth.
Am J Perinatol
February 2016
Women with a prior preterm birth are at increased risk of recurrent preterm delivery in a subsequent pregnancy. Interventions during the preconception and prenatal periods can decrease this risk. Review of the circumstances of the prior delivery can elucidate whether delivery was spontaneous or indicated, anticipate recurrence risk, and guide management in a subsequent pregnancy.
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- The study aimed to evaluate the recurrence risk of Group B streptococcus (GBS) colonization in women during a second pregnancy and identify factors influencing this risk.
- A systematic review and meta-analysis of five studies were conducted, which revealed that women who were colonized with GBS in their first pregnancy had a significantly higher chance of being colonized again in their next pregnancy.
- The analysis suggested that heavy colonization increases this risk further, and various demographic factors did not appear to influence the recurrence likelihood.