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387 results on '"Blitz, Matthew J."'

56. Utilizing machine learning and electronic medical records to predict postpartum preeclampsia

Author

Hirschberg, Carly I., primary, Sirendi, Marek, additional, Howe, Christina, additional, Chatterjee, Ipsita, additional, Hayden, Dean, additional, Ton, Trung Nghia, additional, Tan, Zachary, additional, Suarez, Fernando, additional, Blitz, Matthew J., additional, Combs, Adriann, additional, Nimaroff, Michael, additional, and Rochelson, Burton, additional

Published
2023
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74. Temporal Trend in SARS-CoV-2 Symptoms in Pregnant Women.

Author

London, Viktoriya, Blitz, Matthew J., Solmonovich, Rachel, Silver, Michael, and Minkoff, Howard

Subjects
*RESEARCH, *COVID-19, *TIME, *PATIENTS, *RETROSPECTIVE studies, *HOSPITAL admission & discharge, *HOSPITAL maternity services, *SEVERITY of illness index, *POLYMERASE chain reaction, *LONGITUDINAL method, *PREGNANCY
Abstract

Objective The objective of this study was to examine temporal trends in the clinical presentation of patients diagnosed with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in pregnancy. Study Design This is a retrospective cohort study of pregnant women who were universally screened for SARS-CoV-2 and tested positive. This multi-center study of admissions to labor and delivery units in New York City and Long Island included all SARS-CoV-2-infected pregnant women admitted to labor and delivery units between April 10th and June 4th 2020. Six Northwell Health hospitals and Maimonides Medical Center were included in the study. The main measures of the study included patient reports of COVID-19 symptoms: fever, cough, chest pain, shortness of breath, nausea, vomiting, and intensive care unit (ICU) admissions. The main outcome measure was the percentage of all infected women who reported any of the above symptoms. Results In total, 427 infected pregnant women were included in the study. There was a statistically significant decline in the percentage of patients presenting with any symptoms over the course of the study. In addition, disease severity, symptoms of fever, cough, and chest pain/shortness of breath also significantly declined over time, and no ICU admissions were noted after the third week of April. Conclusion There was a temporal shift away from symptomatic presentation in pregnant women diagnosed with SARS-CoV-2 over the course of the first months of the epidemic in New York. Further studies are necessary to elucidate the cause of this change in presentation among pregnant women, to determine whether this trend is also observed in other patient populations. Key Points Retrospective cohort review of 427 SARS-CoV-2-infected pregnant women admitted to labor and delivery units. A significant decline in the percentage of patients presenting with symptoms over time was noted. Further studies are necessary to elucidate the cause of this change in presentation. Theories for the noted trend: viral evolution, decreased viral inoculums, and prolonged polymerase chain reaction positivity. [ABSTRACT FROM AUTHOR]

Published
2023
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77. Time interval to delivery in asymptomatic twin pregnancies with a short cervix at 23–28 weeks' gestation.

Author

Gulersen, Moti, Blitz, Matthew J., Lenchner, Erez, Lal, Tara, Rochelson, Burton, and Bornstein, Eran

Subjects
*RESEARCH, *PREMATURE infants, *TIME, *GESTATIONAL age, *RETROSPECTIVE studies, *CERVIX uteri, *RISK assessment, *COMPARATIVE studies, *DESCRIPTIVE statistics, *DELIVERY (Obstetrics), *MULTIPLE pregnancy, *LONGITUDINAL method
Abstract

To evaluate the risk and timing of spontaneous preterm birth (PTB) in asymptomatic twin pregnancies with a short cervical length (CL≤25 mm) at 23–28 weeks of gestation. Multicenter retrospective cohort study of asymptomatic twin pregnancies with a short CL between 23 and 28 weeks' gestation within a university health system from 1/2012 to 12/2019. Cases were divided into 4 groups based on CL measurement (≤10 mm, 11–15 mm, 16–20 mm, and 21–25 mm). The primary outcome was time interval from presentation to delivery. Secondary outcomes included delivery within one and two weeks of presentation, and delivery prior to 32, 34, and 37 weeks, respectively. 104 patients were included. The time interval from presentation to delivery was significantly different among the four groups (p<0.001), with the CL≤10 mm group having the shortest time interval to delivery. Regardless of the CL measurement, spontaneous PTB within one and two weeks was extremely uncommon and occurred in only one patient within the study cohort (1/104, 1.0%). The risk of spontaneous PTB was highest in the shortest CL group (CL ≤ 10 mm; 53.8% PTB<32 weeks, 61.5% PTB<34 weeks, 92.3% PTB<37 weeks). Asymptomatic twin pregnancies with a CL ≤ 10 mm had the shortest time interval to delivery and thus represent a specifically high risk group for sPTB. Although all patients were at high risk of sPTB, only one delivered within 1 or 2 weeks of presentation. [ABSTRACT FROM AUTHOR]

Published
2023
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92. The Risk of Readmission after Early Postpartum Discharge during the COVID-19 Pandemic

Author

Gulersen, Moti, additional, Husk, Gregg, additional, Lenchner, Erez, additional, Blitz, Matthew J., additional, Rafael, Timothy J., additional, Rochelson, Burton, additional, Chakravarthy, Shruti, additional, Grunebaum, Amos, additional, Chervenak, Frank A., additional, Fruhman, Gary, additional, Jones, Monique De Four, additional, Schwartz, Benjamin, additional, Nimaroff, Michael, additional, and Bornstein, Eran, additional

Published
2021
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96. Perinatal outcome after persistence of abnormal umbilical artery Doppler indices in the growth-restricted fetus following betamethasone administration.

Author

Prasannan, Lakha, Blitz, Matthew J., Augustine, Stephanie, Kohn, Nina, Rochelson, Burton, and Pessel, Cara

Subjects
*UMBILICAL arteries, *BETAMETHASONE, *FETAL growth retardation, *PREGNANCY outcomes, *FETAL abnormalities
Abstract

An optimal approach for providing sufficient antenatal surveillance for fetal growth restriction (FGR) has yet to be elucidated. Moreover, there is scant literature on the fetal response to betamethasone and its effect on fetal Dopplers. To compare persistence of umbilical artery Doppler abnormalities after corticosteroid administration and adverse perinatal outcome in growth restricted fetuses. Retrospective cohort study (2008–2018) of singleton gestations with FGR (EFW <10th percentile) and umbilical artery Doppler abnormalities (absent or reversed end diastolic velocity) between 24 and 34 weeks of gestation at two institutions. Included patients had Dopplers performed before betamethasone administration and again within 1 week. Excluded were multiple gestations, chromosomal abnormalities, fetal anomalies, or missing outcome information. Pregnancies with persistently abnormal Dopplers were compared with those in which an improvement of Dopplers was noted. The primary outcome was a composite that consisted of indicated preterm birth <32 weeks, 1 or 5 min APGAR score <7, intrauterine fetal demise, and neonatal demise. Secondary outcomes included length of NICU stay, ventilator support, gestational age at delivery, interval between steroids and delivery, and birth weight. Fifty-three FGR pregnancies met inclusion criteria. Umbilical artery Dopplers improved after steroids in 32% (n = 17). No difference in the frequency of the primary outcome was observed between the persistently abnormal Doppler and improved Doppler groups (72.2% vs. 70.6%, respectively), and there was no difference in any of the secondary outcomes. Perinatal outcomes in FGR pregnancies were not affected by improved versus persistently abnormal umbilical artery Dopplers after betamethasone administration. [ABSTRACT FROM AUTHOR]

Published
2022
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99. Race/ethnicity and spatiotemporal trends in SARS-CoV-2 prevalence on obstetrical units in New York

Author

Blitz, Matthew J., Rochelson, Burton, Prasannan, Lakha, Shan, Weiwei, Chervenak, Frank A., Nimaroff, Michael, and Bornstein, Eran

Subjects
Adult, SARS-CoV-2, Social Determinants of Health, prevalence, Physical Distancing, New York, COVID-19, race/ethnicity, Health Status Disparities, Article, geography, COVID-19 Testing, Spatio-Temporal Analysis, Pregnancy, Communicable Disease Control, Ethnicity, Humans, Female, Healthcare Disparities, Pregnancy Complications, Infectious, Obstetrics and Gynecology Department, Hospital, temporality
Published
2020

100. Intensive Care Unit Admissions for Pregnant and Non-Pregnant Women with COVID-19

Author

Blitz, Matthew J., Grünebaum, Amos, Tekbali, Asma, Bornstein, Eran, Rochelson, Burton, Nimaroff, Michael, and Chervenak, Frank A.

Subjects
SARS-CoV-2, Pneumonia, Viral, novel coronavirus, respiratory failure, COVID-19, shock, Article, multiorgan dysfunction, Coronavirus, Betacoronavirus, Intensive Care Units, Pregnancy, pneumonia, Humans, Female, Pregnancy Complications, Infectious, Coronavirus Infections, Pandemics, hospital birth
Published
2020

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