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2. Diabetes and Pregnancy

Author

Malkani, Natasha P., Rosenberg, Emily A., Lassey, Sarah C., Toth, Peter P., Series Editor, Sharma, Garima, editor, Scott, Nandita S., editor, Davis, Melinda B., editor, and Economy, Katherine E., editor

Published
2023
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10. Pregnancies Complicated by Diabetes and Effect on Fetal Growth in Patients With Congenital Heart Disease

Author

Lee, Jennifer, primary, Duncan, Madeline E., additional, Economy, Katherine E., additional, Rosenberg, Emily A., additional, Gauvreau, Kimberlee, additional, Joyce, Caitlyn, additional, Lassey, Sarah C., additional, Valente, Anne Marie, additional, Aggarwal, Shivani R., additional, Aldweib, Nael, additional, Alshawabkeh, Laith, additional, Barker, Nancy, additional, Buber, Yonatan, additional, Carabuena, Jean Marie, additional, Carazo, Matthew, additional, Drakeley, Sheila, additional, Duarte, Valeria, additional, Easter, Sarah Rae, additional, Assenza, Gabriele Egidy, additional, Graf, Julia, additional, Gurvitz, Michelle, additional, Halpern, Daniel, additional, Harmon, Amy, additional, Hickey, Kelsey, additional, Hynes, Jenna, additional, Knapp, William P., additional, Landzberg, Michael, additional, Marenco, Anais, additional, Mullen, Mary, additional, Opotowsky, Alexander, additional, Partington, Sara, additional, Rajpal, Saraubh, additional, Rodriguez-Monserrate, Carla P., additional, Rouse, Carrie, additional, Schefter, Zoë J., additional, Shafer, Keri, additional, Singh, Michael N., additional, Stefanescu Schmidt, Ada C., additional, Tsao, Allison L., additional, Upadhyay, Shailendra, additional, and Wu, Fred, additional

Published
2023
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13. Pregnancies Complicated by Diabetes and Effect on Fetal Growth in Patients With Congenital Heart Disease

Author

Aggarwal, Shivani R., Aldweib, Nael, Alshawabkeh, Laith, Barker, Nancy, Buber, Yonatan, Carabuena, Jean Marie, Carazo, Matthew, Drakeley, Sheila, Duarte, Valeria, Easter, Sarah Rae, Assenza, Gabriele Egidy, Graf, Julia, Gurvitz, Michelle, Halpern, Daniel, Harmon, Amy, Hickey, Kelsey, Hynes, Jenna, Knapp, William P., Landzberg, Michael, Marenco, Anais, Mullen, Mary, Opotowsky, Alexander, Partington, Sara, Rajpal, Saraubh, Rodriguez-Monserrate, Carla P., Rouse, Carrie, Schefter, Zoë J., Shafer, Keri, Singh, Michael N., Stefanescu Schmidt, Ada C., Tsao, Allison L., Upadhyay, Shailendra, Wu, Fred, Lee, Jennifer, Duncan, Madeline E., Economy, Katherine E., Rosenberg, Emily A., Gauvreau, Kimberlee, Joyce, Caitlyn, Lassey, Sarah C., and Valente, Anne Marie

Published
2023
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19. Obstetrical Forceps With Passive Rotation and Sensor Feedback

Author

Massachusetts Institute of Technology. Department of Biological Engineering, Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology. Department of Mechanical Engineering, Beaudoin, Judith Michelle, Chin, Lillian T., Zlotnick, Hannah M., Cervantes, Thomas Michael, Slocum, Alexander H, Robinson, Julian N., Lassey, Sarah C., Massachusetts Institute of Technology. Department of Biological Engineering, Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology. Department of Mechanical Engineering, Beaudoin, Judith Michelle, Chin, Lillian T., Zlotnick, Hannah M., Cervantes, Thomas Michael, Slocum, Alexander H, Robinson, Julian N., and Lassey, Sarah C.

Abstract

An improved tool for operative vaginal delivery can reduce maternal and fetal trauma during the delivery and recovery processes. When a delivery cannot be completed naturally due to maternal exhaustion or fetal distress, physicians must perform an operative vaginal delivery (OVD), with forceps or a vacuum, or a Cesarean section (C-section). Although C-sections are more prevalent in the United States than OVDs, they require longer maternal hospital stays and recovery time and increase risk of maternal infection and fetal breathing problems. In 2015, the American College of Obstetrics and Gynecology pushed to increase the number of OVDs to limit C-section associated delivery risks. However, the current tools for OVD either have steep learning curves, are unable to be used for all fetal head presentations, or have associated maternal and fetal risks. There is a need for an easy to use, safe, and reliable tool for operative vaginal delivery. Topics: Feedback, Rotation, Sensors, Vacuum, Gynecology, Obstetrics, Risk

Published
2019

24. Outcomes of Spontaneous Labor in Women Undergoing Trial of Labor after Cesarean as Compared with Nulliparous Women: A Retrospective Cohort Study.

Author

Lassey, Sarah C., Robinson, Julian N., Kaimal, Anjali J., and Little, Sarah E.

Subjects
*CESAREAN section, *DELIVERY (Obstetrics), *HEMORRHAGE, *LABOR (Obstetrics), *LONGITUDINAL method, *EVALUATION of medical care, *PREGNANCY, *PREGNANCY complications, *UTERINE rupture, *VAGINA, *SECONDARY analysis, *RETROSPECTIVE studies, *PREOPERATIVE period, *NULLIPARAS, *TELAPREVIR
Abstract

Objective The objective of this study was to compare spontaneous labor outcomes in women undergoing trial of labor after cesarean (TOLAC) and nulliparas to better counsel women. Study Design A 4-year retrospective cohort.We included women at term in spontaneous labor with vertex singletons and no more than one prior cesarean delivery. In planned secondary analysis, we focused on a subset of women with a prior cesarean and a predicted likelihood of a successful vaginal delivery of 70% or more based on the Maternal-Fetal Medicine Units-vaginal birth after cesarean (VBAC) calculator. Results Our cohort included 606 TOLACS and 606 nulliparas. Women undergoing TOLAC were more likely to undergo cesarean delivery (25.7 vs. 14.7%; p < 0.001). Severe maternal hemorrhage (1.5 vs. 0.2%; p = 0.02) and uterine rupture (1.9 vs. 0.0%; p < 0.01) were more likely in the TOLAC group. For the subset of women with a predicted likelihood of VBAC of 70% or more, there were no differences in cesarean delivery (16.7 vs. 14.7%; p = 0.51), maternal, or immediate neonatal complications. Conclusion Women undergoing TOLAC were more likely to have a cesarean delivery, hemorrhage, or uterine rupture. Those with more than 70% predicted likelihood of VBAC were no more likely to experience these outcomes. These findings help contextualize the risks of TOLAC for women considering this option. [ABSTRACT FROM AUTHOR]

Published
2018
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