Publications by authors named "M Branda"

Introduction: The reported gross and histopathologic changes in the placenta associated with SARS-CoV-2 infection are heterogeneous. We sought to summarize placental histopathologic findings from pregnancies affected by SARS-CoV-2 infection according to timing of infection and symptom severity.

Methods: We conducted a retrospective cohort study of patients with SARS-CoV-2 infection during pregnancy who had deliveries at Mayo Clinic, Rochester, Minnesota, from April 2020 through June 2021.

View Article and Find Full Text PDF

Objectives: To assess the effectiveness of the ICAN Discussion Aid in improving patients' experience of receiving care for their chronic conditions and health professionals' experience of providing their care.

Methods: We conducted a pragmatic, mixed-methods, cluster-randomized trial of the ICAN Discussion Aid at 8 clinics in 4 independent health systems in the US from January 2017 and to August 2018. Sites were randomized 1:1 in pairs.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between the obstetric co-morbidity index (OBCMI) and severe maternal morbidity (SMM) in women transferred for antepartum care to a high-level maternal facility from 2016 to 2020.
  • Findings show that women transferred for maternal reasons had a higher median OBCMI and a significantly greater prevalence of SMM compared to those transferred for fetal conditions, indicating a disparity in risks based on the reason for transfer.
  • An OBCMI score of ≥4 was identified as a predictive marker for SMM, showing high sensitivity and was associated with increased complications such as operative delivery and prolonged hospital stays.
View Article and Find Full Text PDF

Objectives: Fetal growth restriction (FGR) is commonly associated with placental dysfunction, increasing perinatal morbidity and mortality. Visualizing placental vessels in utero would be advantageous for identifying functional FGR cause and determining proper management strategies. We aimed to utilize high-sensitivity ultrasound microvessel imaging (HUMI) for quantifying placental vessel density (VD) in pregnancies diagnosed with FGR.

View Article and Find Full Text PDF

The fetal sheep model has been widely used in fetal therapy research. However, there is a significant degree of variability among published normal values. Our study aimed to evaluate the literature available on normal values for hemodynamics, blood gases, and acid-base status in the sheep fetus and to determine the best possible estimation of such physiologic values.

View Article and Find Full Text PDF