In the United States, 98.3% of patients give birth in hospitals, 1.1% give birth at home, and 0.
View Article and Find Full Text PDFAm J Obstet Gynecol MFM
September 2021
Objective: Fetal malpresentation complicates approximately 3% to 4% of all term births. It requires special considerations for delivery and exposes the mother and neonate to obstetrical interventions and potential adverse outcomes, such as umbilical cord prolapse, head entrapment and birth trauma, hypoxic ischemic encephalopathy, cesarean delivery, and cesarean delivery-related complications. We set out to explore the maternal and fetal factors associated with noncephalic malpresentation at term, with specific interest on the impact of maternal race and ethnicity on fetal malpresentation.
View Article and Find Full Text PDFThe coronavirus disease 2019 (COVID-19) pandemic has placed great demands on many hospitals to maximize their capacity to care for affected patients. The requirement to reassign space has created challenges for obstetric services. We describe the nature of that challenge for an obstetric service in New York City.
View Article and Find Full Text PDFObjective: To evaluate the association between planned home birth and neonatal hypoxic ischemic encephalopathy (HIE).
Methods: This is a case-control study in which a database of neonates who underwent head cooling for HIE at our institution from 2007 to 2011 was linked to New York City (NYC) vital records. Four normal controls per case were then randomly selected from the birth certificate data after matching for year of birth, geographic location, and gestational age.
Objective: Non-steroidal anti-inflammatory drug (NSAID) use has the potential to adversely affect blood pressure in women with hypertensive disorders of pregnancy. We sought to evaluate this association.
Study Design: Women affected with severe hypertensive disorders of pregnancy were identified by retrospective chart review.
Objective: Our objective was to describe the utilization of sequential screening and evaluate the impact on estimated Down syndrome risk.
Methods: We reviewed records of all those undergoing first-trimester screening over a 3-year period. All patients received first-trimester Down syndrome risk, and had options of invasive testing and sequential testing.
Objective: Our objective was to determine whether women > or = age 35 are more likely to undergo invasive testing after risk adjustment as compared with younger women at similar adjusted risk.
Study Design: Results of first-trimester combined aneuploidy risk assessment of singleton pregnancies from 2007-2008 were reviewed. For each level of adjusted risk, the rate of invasive testing (CVS or amniocentesis) was compared for those < age 35 and those > or = age 35.
Objective: The purpose of our study was to better define the rate and variables associated with cancer underestimation when lobular neoplasia is found at minimally invasive breast biopsy.
Materials And Methods: The records of 32,420 patients who underwent imaging-guided needle biopsy of the breast for mammographic or sonographic abnormalities from 1988 to 2000 were retrospectively reviewed. The 278 cases in which lobular neoplasia was the highest-risk lesion at biopsy were included.