Publications by authors named "V S Watkins"
The association between first trimester physical activity levels and perinatal outcomes.
Am J Obstet Gynecol MFM
December 2024
Objective: Physical activity in pregnancy decreases the risk of adverse maternal and neonatal outcomes. This study evaluates the association between first trimester physical activity, assessed by Kaiser Physical Activity Survey (KPAS) scores, and adverse perinatal outcomes.
Study Design: This is a secondary analysis of a prospective cohort study in which patients were administered the KPAS in each trimester.
Article Synopsis
- The study investigates pregnancy and delivery outcomes for women with hereditary hemorrhagic telangiectasia (HHT), focusing on severe maternal morbidity (SMM) and other related complications.
- A significant rise in HHT diagnoses during pregnancy was observed from 2010 to 2021, with women diagnosed showing higher rates of complications compared to those without HHT.
- Key findings include increased risks for SMM, preterm birth, cesarean delivery, respiratory bleeding, and cerebrovascular complications in pregnant women with HHT.
Article Synopsis
- A systematic review and meta-analysis were conducted to assess alloimmunization rates in patients receiving red blood cells (RBCs) matched for standard ABO+D blood type versus those additionally matched for c, E, and Kell antigens (cEK).
- Among the 10 studies analyzed, involving 91,221 transfused patients, those receiving cEK-matched RBCs had a significantly lower alloimmunization rate of 1.9% compared to 6.2% for ABO+D-only matching.
- The findings suggest that implementing cEK matching protocols could reduce alloimmunization risks, particularly important for patients with reproductive potential under the age of 50, highlighting a need for routine testing in this demographic.