Publications by authors named "Shobha Jagannatham"
Article Synopsis
- The study aimed to determine if patients with obesity undergoing scheduled cesarean deliveries under neuraxial anesthesia have a higher risk of fetal acidosis, indicated by umbilical artery pH levels below 7.1, and significant base deficit levels.
- A multicenter analysis of over 6,000 patients revealed that those with obesity had a notably increased likelihood of low umbilical artery pH and high base deficit compared to those without obesity, even after adjusting for various factors.
- Despite the increased risks of fetal acidosis and base deficits associated with maternal obesity, the study found no significant differences in secondary outcomes like neonatal NICU admissions and Apgar scores between the two groups.
Objectives: Our objective was to implement an electronic medical record reminder to perform the early gestational diabetes mellitus (GDM) screening test and to evaluate if this intervention increased screening rates.
Study Design: We performed a retrospective chart review of all deliveries at Mount Sinai West in January 2020 to determine the number of patients that met criteria for and actually underwent early GDM screening. A total of 314 patients had complete charts with pregnancy data.