Publications by authors named "Parnian Hossein Pour"
Article Synopsis
- The study investigates racial disparities in maternal blood transfusions in the US from 2016-2021, analyzing data from nearly 18 million live births.
- It finds that certain racial groups, particularly American Indian and Alaska Native, Black, Filipino, Korean, and Pacific Islander women, have higher odds of receiving blood transfusions compared to White women.
- Additionally, the rates of transfusion and disparities vary significantly depending on the mode of delivery, with notable differences particularly in cesarean deliveries.
Risk of cervical laceration in forceps vs vacuum delivery: A systematic review and meta-analysis.
Acta Obstet Gynecol Scand
January 2025
Article Synopsis
- Cervical laceration during delivery can lead to serious complications like severe postpartum hemorrhage and preterm birth; the study aims to assess the risk of such injuries between forceps and vacuum-assisted deliveries.
- The systematic review included 13 studies, revealing a higher rate of cervical laceration with forceps deliveries (1.04%) compared to vacuum deliveries (0.22%), suggesting a risk increase of 2-5 times for forceps.
- Overall, the quality of evidence was low to moderate, with a notable lack of attention to confounding factors in observational studies, leading to a very low certainty of evidence for those and moderate for randomized controlled trials (RCTs).*
Objectives: Rates of severe maternal morbidity have highlighted persistent and growing racial disparities in the United States (US). We aimed to contrast temporal trends in peripartum hysterectomy by race/ethnicity and quantify the contribution of changes in maternal and obstetric factors to temporal variations in hysterectomy rates.
Methods: We conducted a population-based, retrospective study of 5,739,569 US residents with a previous cesarean delivery, using National Vital Statistics System's Natality Files (2011-2021).