For women diagnosed with a short cervix, there is controversy regarding the proper management and follow-up. In this study, we demonstrate that a significant proportion of women with a short cervix in the second trimester will ultimately have a dilated cervix, which is a more concerning situation and often requires different management. These results indicate
Induction of Labor versus Cesarean Delivery in Twin Pregnancies
Abstract For women with twin pregnancies, we have previously shown that outcomes are similar for attempted vaginal delivery as compared to cesarean delivery. In this study, we demonstrate that this remains true even for women with twin pregnancies who require induction of labor. Listen to More On Healthful Woman “Delivery of Twins – Double the
Subchorionic Hematomas and Adverse Pregnancy Outcomes among Twin Pregnancies
Abstract Subchorionic hematomas, or subchorionic hemorrhages, are common ultrasound findings in early pregnancy. However, their significance is uncertain. Some believe they increase the risk of many pregnancy complications, including pregnancy loss / miscarriage. In prior studies we demonstrated that subchorionic hematoma does not appear to increase the risk adverse outcomes in singleton pregnancies. In this
Association Between First-Trimester Subchorionic Hematomas and Adverse Pregnancy Outcomes After 20 Weeks of Gestation in Singleton Pregnancies
Subchorionic hematomas, or subchorionic hemorrhages, are common ultrasound findings in early pregnancy. However, their significance is uncertain. Some believe they increase the risk of many pregnancy complications, including pregnancy loss / miscarriage. In a prior study we demonstrated that subchorionic hematoma does not appear to increase the risk of miscarriage in singleton pregnancies. In this
COVID-19 in Pregnant Women: Case Series from One Large New York City Obstetrical Practice
Abstract COVID-19 changed the world in 2020. One of the questions we get a lot is how it affects pregnant women. However, most studies only include hospitalized patients, making it seem like outcomes are worse than they might be. In this study, we report our experience with 92 pregnant women (approximately 12% of our pregnant
Pregnancy Outcomes in Patients With Prior Uterine Rupture or Dehiscence
Uterine rupture is a serious pregnancy complication associated with significant maternal and neonatal morbidity and mortality. For women with a history of uterine rupture, there is a risk of recurrence, ranging in the literature from 0-33%. Owing to this, some women with a prior uterine rupture are advised not to have more pregnancies. In 2014,
Frequency of spontaneous resolution of vasa previa with advancing gestational age
Vasa previa, defined as unprotected fetal vessels running through the membranes over the cervix, often ruptures when the membranes rupture, frequently leading to sudden fetal death. This used to be a feared condition among obstetricians, first because of its devastating consequences, but also because, until recently, it was rarely diagnosed prior to the rupture and
Association Between First-Trimester Subchorionic Hematomas and Pregnancy Loss in Singleton Pregnancies
Subchorionic hematomas, or subchorionic hemorrhages, are common ultrasound findings in early pregnancy. However, their significance is uncertain. Some believe they increase the risk of many pregnancy complications, including pregnancy loss / miscarriage. In this study of almost 3000 women, we found that Subchorionic hematoma does not increase the risk of pregnancy loss prior to 20
Cervical Length, Cervical Dilation, and Gestational Age at Cerclage Placement and the Risk of Preterm Birth in Women Undergoing Ultrasound or Exam Indicated Shirodkar Cerclage
Certain high-risk women require cerclage placement in pregnancy to lower the risk of a pregnancy loss or preterm birth and we have previously published our vast experience with this procedure (https://www.mfmnyc.com/blog/mfm-publications/ultrasound-indicated-cerclage-shirodkar-vs-mcdonald/) and (https://www.mfmnyc.com/blog/mfm-publications/outcomes-of-emergency-or-physical-examination-indicated-cerclage-in-twin-pregnancies-compared-to-singleton-pregnancies/). In this study we examined if there were any differences in cerclage outcomes, based on the cervical length, cervical dilation, or gestational
Weight Gain and Pregnancy Outcomes in Underweight Women with Twin Gestations
We have previously shown the critical importance of adequate pregnancy weight gain for women with twin pregnancies (https://www.mfmnyc.com/blog/mfm-publications/weight-gain-in-twin-pregnancies-and-adverse-outcomes/) and (https://www.mfmnyc.com/blog/mfm-publications/the-association-between-maternal-weight-gain-and-spontaneous-preterm-birth-in-twin-pregnancies/). However, most data has been for women who enter pregnancy with a normal weight, as defined by the pre-pregnancy body mass index (BMI). In this study, we found that women who enter pregnancy underweight should
