: According to the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, pregnant people facing periviable delivery should be counseled on expected neonatal outcomes and available pregnancy options. The objective of this study is to evaluate if rates of neonatology consultation and pregnancy option counseling for those facing periviable delivery differ based on social vulnerability factors or Social Vulnerability Index (SVI). : This was a retrospective cohort study of patients who delivered at 22 0/7 weeks to 25 6/7 weeks of gestation at two academic medical centers with level III or IV neonatal intensive care units from 2019 to 2022.
View Article and Find Full Text PDFSeveral social vulnerability index (SVI) components have been associated with adverse obstetrical outcomes and provider bias. The objective of this study is to assess whether betamethasone administration timing among patients at risk for preterm birth differs by social vulnerability index. A multicenter retrospective cohort study of pregnant people at a large academic healthcare system between January 2019 and January 2023.
View Article and Find Full Text PDFRate coefficients for the reaction of CH with CHO were measured for the first time over the temperature range of 37-603 K, with the CH radicals produced by pulsed laser photolysis and detected by CH radical chemiluminescence following their reaction with O. The low temperature measurements (≤93 K) relevant to the interstellar medium were made within a Laval nozzle gas expansion, while higher temperature measurements (≥308 K) were made within a temperature controlled reaction cell. The rate coefficients display a negative temperature dependence below 300 K, reaching (1.
View Article and Find Full Text PDFHemorrhage is a common postpartum complication which can also occur during abortion. Most cases can be managed with uterine evacuation and uterotonics, but some require additional procedures. We present cases of hemorrhage following dilation and evacuation, and delayed postpartum hemorrhage, where a Foley catheter was used for vacuum-induced hemorrhage control.
View Article and Find Full Text PDFAm J Obstet Gynecol MFM
December 2024