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https://www.readbyqxmd.com/read/27854378/interventions-for-women-with-mid-trimester-short-cervix-are-they-effective-which-ones-work
#1
EDITORIAL
Anthony M Vintzileos, Gerard H A Visser
The aim of this Editorial is to review Level I evidence regarding the effectiveness of interventions in women identified as having short cervix on mid-trimester ultrasound, discuss some of the remaining challenges and outline areas for future research.
November 11, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27810437/impact-of-obesity-on-robotic-assisted-sacrocolpopexy
#2
Lindsay M Kissane, Rose Calixte, Bogdan Grigorescu, Peter Finamore, Anthony Vintzileos
STUDY OBJECTIVE: To compare operative time in women stratified by BMI, undergoing robotic assisted sacrocolpopexy. Secondary objectives included characterizing peri-operative characteristics and reoperation rates. DESIGN: Retrospective cohort study. DESIGN: Classification: II-2 SETTING: University affiliated teaching hospital. PATIENTS: 179 consecutive patients who underwent robotic assisted sacrocolpopexy by a single surgeon from 2009 through 2013...
October 31, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27661402/placental-implantation-abnormalities-a-modern-approach
#3
Sevan A Vahanian, Anthony M Vintzileos
PURPOSE OF REVIEW: Placental implantation abnormalities (PIAs) comprise a large group of disorders associated with significant maternal, fetal, and neonatal morbidity. RECENT FINDINGS: Risk factors include prior uterine surgery/myometrial scarring and the presence of placenta previa with or without prior cesarean delivery. Newly identified risk factors include previous prelabor cesarean delivery and previous postpartum hemorrhage. PIAs contribute substantially to preterm birth with prematurity rates ranging from 38 to 82%...
December 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27568857/decelerations-tachycardia-and-decreased-variability-have-we-overlooked-the-significance-of-longitudinal-fetal-heart-rate%C3%A2-changes-for-detecting-intrapartum-fetal%C3%A2-hypoxia
#4
EDITORIAL
Anthony M Vintzileos, John C Smulian
No abstract text is available yet for this article.
September 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27018469/cervical-ripening-agents-in-the-second-trimester-of-pregnancy-in-women-with-a-scarred-uterus-a-systematic-review-and-metaanalysis-of-observational-studies
#5
REVIEW
Maria Andrikopoulou, Jessica A Lavery, Cande V Ananth, Anthony M Vintzileos
OBJECTIVE: The aim of this systematic review and metaanalysis was to determine the efficacy and safety of cervical ripening agents in the second trimester of pregnancy in patients with previous cesarean delivery. STUDY DESIGN: Data sources were PubMed, EMBASE, CINAHL, LILACS, Google Scholar, and clinicaltrials.gov (1983 through 2015). Eligibility criteria were cohort or cross-sectional studies that reported on efficacy and safety of cervical ripening agents in patients with previous cesarean delivery...
August 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27018468/the-use-of-cervical-sonography-to-differentiate-true-from-false-labor-in-term-patients-presenting-for-labor-check
#6
Nadia B Kunzier, Wendy L Kinzler, Martin R Chavez, Tracy M Adams, Donald A Brand, Anthony M Vintzileos
BACKGROUND: Cervical length by transvaginal ultrasound to predict preterm labor is widely used in clinical practice. Virtually no data exist on cervical length measurement to differentiate true from false labor in term patients who present for labor check. False-positive diagnosis of true labor at term may lead to unnecessary hospital admissions, obstetrical interventions, resource utilization, and cost. OBJECTIVE: We sought to determine if cervical length by transvaginal ultrasound can differentiate true from false labor in term patients presenting for labor check...
September 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26932755/improving-the-ultrasound-detection-of-isolated-fetal-limb-abnormalities
#7
Maria Andrikopoulou, Sevan A Vahanian, Martin R Chavez, Jean Murphy, Nazeeh Hanna, Anthony M Vintzileos
OBJECTIVE: The prenatal detection rate of isolated fetal limb abnormalities ranges from 4 to 29.5%. Our aim was to determine the accuracy of a detailed ultrasound protocol in detecting isolated fetal limb abnormalities Methods: This is a retrospective study of infants born at our institution with isolated limb defects from 2009 to 2014. Antepartum and postpartum records were reviewed for genetic testing results. We routinely image both upper and lower extremities, including all long bones, hands, feet, fingers and toes...
March 29, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26782646/a-comparison-of-obstetrical-outcomes-and-costs-between-misoprostol-and-dinoprostone-for-induction-of-labor
#8
Kunzier Nadia Bennett, Hyein Park, Joseph Cioffi, Rose Calixte, Anthony Vintzileos
OBJECTIVE: The objective of this study is to compare resource utilization (efficiency) and obstetrical/cost outcomes of single dose misoprostol versus dinoprostone for induction of labor (IOL) at term. METHODS: Retrospective cohort of induced deliveries 37-41 weeks gestation presenting with a Bishop score ≤4 using single-dose-50 mcg vaginal misoprostol or 10 mg-dinoprostone vaginal-inserts. Dinoprostone patients were compared (5:1) with misoprostol patients...
November 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26672681/sawtooth-fetal-heart-rate-pattern-due-to-in-utero-fetal-central-nervous-system-injury
#9
Maria Andrikopoulou, Anthony M Vintzileos
No abstract text is available yet for this article.
March 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26478104/effectiveness-and-short-term-safety-of-modified-sodium-hyaluronic-acid-carboxymethylcellulose-at-cesarean-delivery-a-randomized-trial
#10
RANDOMIZED CONTROLLED TRIAL
Daniel G Kiefer, Jolene C Muscat, Jarrett Santorelli, Martin R Chavez, Cande V Ananth, John C Smulian, Anthony M Vintzileos
BACKGROUND: The rising cesarean birth rate has drawn attention to risks associated with repeat cesarean birth. Prevention of adhesions with adhesion barriers has been promoted as a way to decrease operative difficulty. However, robust data demonstrating effectiveness of such interventions are lacking. OBJECTIVE: We report data from a multicenter trial designed to evaluate the short-term safety and effectiveness of a modified sodium hyaluronic acid (HA)-carboxymethylcellulose (CMC) absorbable adhesion barrier for reduction of adhesions following cesarean delivery...
March 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26446819/intracardiac-fetal-transfusion-for-parvovirus-induced-hydrops-fetalis-a-salvage-procedure
#11
LETTER
M Baraa Allaf, Sandhya Matha, Martin R Chavez, Anthony M Vintzileos
No abstract text is available yet for this article.
November 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26428506/placental-implantation-abnormalities-and-risk-of-preterm-delivery-a-systematic-review-and-metaanalysis
#12
REVIEW
Sevan A Vahanian, Jessica A Lavery, Cande V Ananth, Anthony Vintzileos
We sought to evaluate the extent of the association between placental implantation abnormalities (PIA) and preterm delivery in singleton gestations. We conducted a systematic review of English-language articles published from 1980 onward using PubMed, MEDLINE, EMBASE, CINAHL, LILACS, and Google Scholar, and by identifying studies cited in the references of published articles. Search terms were PIA defined as ≥ 1 of the following: placenta previa, placenta accreta, vasa previa, and velamentous cord insertion...
October 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26428505/using-ultrasound-in-the-clinical-management-of-placental-implantation-abnormalities
#13
REVIEW
Anthony M Vintzileos, Cande V Ananth, John C Smulian
Placental implantation abnormalities, including placenta previa, placenta accreta, vasa previa, and velamentous cord insertion, can have catastrophic consequences for both mother and fetus, especially as pregnancy progresses to term. In these situations, current recommendations for management usually call for an indicated preterm delivery even in asymptomatic patients. However, the recommended gestational age(s) for delivery in asymptomatic patients are empirically determined without consideration of the recent literature regarding the usefulness of specific ultrasound findings to help individualize management...
October 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26393335/severe-placental-abruption-clinical-definition-and-associations-with-maternal-complications
#14
Cande V Ananth, Jessica A Lavery, Anthony M Vintzileos, Daniel W Skupski, Michael Varner, George Saade, Joseph Biggio, Michelle A Williams, Ronald J Wapner, Jason D Wright
BACKGROUND: Placental abruption traditionally is defined as the premature separation of the implanted placenta before the delivery of the fetus. The existing clinical criteria of severity rely exclusively on fetal (fetal distress or fetal death) and maternal complications without consideration of neonatal or preterm delivery-related complications. However, two-thirds of abruption cases are accompanied by fetal or neonatal complications, including preterm delivery. A clinically meaningful classification for abruption therefore should include not only maternal complications but also adverse fetal and neonatal outcomes that include intrauterine growth restriction and preterm delivery...
February 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26364833/efficacy-of-midtrimester-short-cervix-interventions-is-conditional-on-intraamniotic-inflammation
#15
RANDOMIZED CONTROLLED TRIAL
Daniel G Kiefer, Morgan R Peltier, Sean M Keeler, Orion Rust, Cande V Ananth, Anthony M Vintzileos, Nazeeh Hanna
BACKGROUND: Midtrimester ultrasound is a valuable method for identifying asymptomatic women at risk for spontaneous preterm delivery (PTD). However, response to various treatments (cerclage, progestogen) has been variable in the clinical setting. It remains unclear how other biomarkers may be used to guide intervention strategies. OBJECTIVE: We applied an amniotic fluid inflammatory scoring system to determine if the degree of inflammation is associated with intervention efficacy in patients with midtrimester short cervix...
February 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26333643/obstetrics-and-gynecology-hospitalist-fellowships
#16
REVIEW
Anthony M Vintzileos
This article establishes the rationale and development of an obstetrics and gynecology (OB/GYN) hospitalist fellowship program. The pool of OB/GYN hospitalists needs to be drastically expanded to accommodate the country's needs. Fellowship programs should provide extra training and confidence for recent resident graduates who want to pursue a hospitalist career. Fellowships should train physicians in a way that aligns their interests with those of the hospital with respect to patient care, teaching, and research...
September 2015: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/26226553/ultrasound-guided-manipulation-of-fetal-entrapment-by-a-large-uterine-fibroid
#17
Cheryl Dinglas, Nadia Kunzier, Jenna Sanchi, Martin Chavez, Anthony Vintzileos
No abstract text is available yet for this article.
December 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26202082/disentanglement-of-discordant-monochorionic-monoamniotic-twins-in-a-triplet-pregnancy-an-innovative-approach-utilizing-fetoscopic-laser-coagulation-with-micro-laparoscopic-scissor-dissection
#18
Nadia B Kunzier, Baraa Allaf, Martin R Chavez, Diana Abenanti-Richmond, Anthony M Vintzileos
Triplet gestations are associated with high perinatal morbidity. Dichorionic-diamniotic triplet pregnancies with growth discordance, polyhydramnios and structural anomalies carry a significantly increased risk of fetal morbidity and mortality from the baseline risks of high-order multiple pregnancies. Intrauterine fetal death of one fetus of a monochorionic pregnancy may cause neurological injury to the surviving fetus. We present a case where an innovative technique was created combining use of the fetoscopic laser and miniature laparoscopic instruments to selectively reduce and disentangle the umbilical cord of the acranial growth-restricted fetus from the structurally normal fetus's umbilical cord in a dichorionic-diamniotic triplet pregnancy...
July 21, 2015: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/25660293/ultrasound-guided-retrieval-and-position-replacement-of-a-dislodged-fetal-pleuro-amniotic-shunt-a-novel-approach-for-a-known-complication-of-feto-amniotic-shunting
#19
Tracy M Adams, Nadia B Kunzier, Martin R Chavez, Anthony M Vintzileos
Untreated fetal pleural effusion can cause significant perinatal morbidity and mortality. Treatment of pleural effusions with pleuro-amniotic shunting has been shown to improve outcomes. Pleuro-amniotic shunting is associated with complications including ruptured membranes, preterm labor and shunt dislodgement into either the amniotic cavity or the fetal thorax. Shunt dislodgement into the thoracic cavity can cause prenatal complications from the shunt itself or may necessitate neonatal surgery for removal...
2016: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/25460843/the-timing-of-administration-of-antenatal-corticosteroids-in-women-with-indicated-preterm-birth
#20
Tracy M Adams, Wendy L Kinzler, Martin R Chavez, Anthony M Vintzileos
OBJECTIVE: We sought to determine the timing of administration of antenatal corticosteroids (AS) for indicated preterm births and to identify which indications are associated with the most optimal timing of administration. STUDY DESIGN: This was a retrospective cohort of patients who received AS in anticipation of indicated preterm birth from 2009 through 2012 at Winthrop University Hospital, Mineola, NY. Medical records of patients who received AS, as identified through the hospital pharmacy database, were reviewed...
May 2015: American Journal of Obstetrics and Gynecology
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