Publications by authors named "Vanitha J Mohta"
Objective: To assess the association between use of an oxytocin decision support checklist with oxytocin usage and clinical outcomes.
Study Design: We conducted a retrospective cohort study of patients with singleton gestations at 37 weeks or greater who received oxytocin during labor from October 2012 to February 2017 at an integrated community health care system during three exposure periods: (1) prechecklist; (2) after paper checklist implementation; and (3) after checklist integration into the electronic medical record (EMR). The checklist was a clinical decision support tool to standardize the dosing and management of oxytocin.
Objective: Though misoprostol is commonly used for inpatient cervical ripening, its use in outpatient settings has been limited by safety concerns. This study was conducted to assess the association between early fetal heart tracing (FHT) and maternal tocodynamometry patterns and the incidence of adverse fetal and pregnancy outcomes after the administration of oral misoprostol for cervical ripening.
Methods: We conducted a retrospective cohort study of 9908 low-risk patients at ≥37 weeks gestation who received oral misoprostol for cervical ripening prior to rupture of membranes between 01/01/2012 and 12/31/2017 at Kaiser Permanente Northern California hospitals as inpatients.
Article Synopsis
- The study evaluated the effects of outpatient oral misoprostol for cervical ripening among low-risk women with term pregnancies, comparing it to inpatient procedures.
- The analysis included data from over 10,000 patients and focused on delivery times and maternal/neonatal outcomes like cesarean rates and Apgar scores.
- Results indicated differences in demographics, with more white women in the outpatient group, but overall clinical characteristics were similar across groups.