Legal-Malpractice, OBGYNE, Pediatrics / 19.10.2024

[caption id="attachment_64118" align="aligncenter" width="500"]medical-negligence Image source[/caption] Cerebral Palsy is a neurological disorder that affects movement, posture, and coordination. It is caused by damage to the brain during or shortly after birth and can lead to lifelong disabilities. While there are many known causes of cerebral palsy, medical negligence during childbirth is one of them. When a child is born with cerebral palsy due to medical negligence, it can have devastating effects on both the child and their family. In such cases, seeking help from lawyers for a child's birth injury may be necessary in order to receive justice and compensation for the harm caused. Medical negligence refers to any act or failure to act by a healthcare professional that falls below the accepted standard of care, resulting in harm to the patient. In the case of cerebral palsy, several forms of medical negligence can occur during childbirth and lead to this condition. This is what is discussed in this article.
OBGYNE, Pediatrics / 19.10.2024

[caption id="attachment_64115" align="aligncenter" width="500"]birth injuries Source[/caption] When a new baby is brought into the world, many parents have one of the happiest moments of their lives. However, for some parents, it is not a happy moment, as some babies are born with injuries that could alter their lives completely. Birth injuries are any physical wounds sustained during labor or delivery. These injuries can range in severity from minor cuts and bruises to more severe conditions, including brain damage or cerebral palsy. Birth injury is terrible enough for a child, but parents' lives are also affected, and this is something that should not be disregarded. Caring for a child with a birth injury entails enormous emotional, financial, and practical demands that can negatively impact parents' mental, physical, and financial health. You might need the help of lawyers experienced in birth injuries to fight for your rights.

OBGYNE / 25.09.2024

The journey from conception to bringing a new life into the world is filled with anticipation, preparation, and a series of important healthcare services. Maternity services are designed to provide comprehensive care for women throughout pregnancy, childbirth, and the postpartum period. These services ensure that both mother and baby have the best possible outcomes with the support of specialized healthcare professionals. But navigating the world of maternity care can often be overwhelming for expectant parents. In this article, we will explore the various aspects of maternity services, helping soon-to-be parents to make informed decisions for a healthy pregnancy and delivery.

Integrating Pediatric Care Into Your Postpartum Plan

pregnancy-maternal-care.png A critical but sometimes overlooked aspect of postpartum care is establishing a pediatric care plan for the newborn. Early well-child visits are essential for monitoring growth, administering vaccinations, and addressing any health concerns that may arise. These appointments also guide parents on milestones and the general development of their child. One innovative example of integrative maternity services is the model provided by modern maternity care centers. Such centers focus on a seamless transition from pregnancy to pediatric care, ensuring continuity and a holistic approach to both mother and baby's health. They work under the philosophy that a well-cared-for mother raises a healthy and happy child.
Author Interviews, Breast Cancer, JAMA, OBGYNE, Surgical Research / 04.10.2023

MedicalResearch.com Interview with: [caption id="attachment_60897" align="alignleft" width="128"]Gabriele Martelli, MDBreast Unit, Surgery Fondazione IRCCS Istituto Nazionale dei Tumori Milan, Italy Dr. Martelli[/caption] Gabriele Martelli, MD Breast Unit, Surgery Fondazione IRCCS Istituto Nazionale dei Tumori Milan, Italy MedicalResearch.com: What is the background for this study? Response: Approximately 8% of breast cancer cases are associated with pathogenic germline variants of the BRCA1 or BRCA2 genes. Women with a pathogenic BRCA1 variant have lifetime risks of breast or ovarian cancer of 45% to 80% and 30% to 60%, respectively. Women with a pathogenic BRCA2 variant have lifetime risks of breast or ovarian cancer of 35% to 60% and 10% to 25%, respectively. BRCA1 breast cancer is often more aggressive than sporadic disease, while BRCA2 breast cancer is often of similar aggressivity to sporadic disease. However, few studies have investigated outcomes of breast-conserving surgery, prophylactic mastectomy, or prophylactic salpingo-oophorectomy in patients with BRCA1/2 breast cancer. We conducted a cohort study to assess outcomes of breast-conserving surgery vs mastectomy, prophylactic mastectomy vs no prophylactic mastectomy, and prophylactic salpingo-oophorectomy vs no prophylactic salpingo-oophorectomy in patients with BRCA1/2 breast cancer.
Author Interviews, JAMA, OBGYNE, Pediatrics, USPSTF / 09.08.2023

MedicalResearch.com Interview with:x [caption id="attachment_60752" align="alignleft" width="133"]Dr. Nicholson Dr. Nicholson[/caption] Wanda K. Nicholson, M.D., M.P.H., M.B.A. Senior Associate Dean for Diversity, Equity, and Inclusion Professor of Prevention and Community Health Milken Institute School of Public Health George Washington University Vice chair of the U.S. Preventive Services Task Force MedicalResearch.com: What is the background for this study? Response: Neural tube defects are when a baby’s spinal cord or brain don’t develop properly during pregnancy, which can cause serious complications including disability and death. The good news is that taking folic acid supplements before and during early pregnancy is proven to help prevent this from happening.
Author Interviews, JAMA, OBGYNE / 07.07.2023

MedicalResearch.com Interview with: [caption id="attachment_60581" align="alignleft" width="160"]Dorothy A. Fink, MDDeputy Assistant Secretary for Women's Health Director, Office on Women's Health US Department of Health & Human Services Rockville, MD Dr. Fink[/caption] Dorothy A. Fink, MD Deputy Assistant Secretary for Women's Health Director, Office on Women's Health US Department of Health & Human Services Rockville, MD MedicalResearch.com: What is the background for this study? Response: Delivery-related mortality in U.S. hospitals has decreased for all racial and ethnic groups, age groups, and modes of delivery while the prevalence of severe maternal mortality (SMM) increased for all patients, with higher rates for racial and ethnic minority patients of any age. This study specifically looked at inpatient delivery-related outcomes and found a 57% decrease from 2008-2021. The decreasing mortality rates within the inpatient delivery setting demonstrated as statistically significant and a welcome finding for all women. This study also looked with greater granularity at the impact of race, ethnicity, and age. Mortality for American Indian women decreased 92%, Asian women decreased 73%, Black women decreased 76%, Hispanic women decreased 60%, Pacific Islander women decreased 79%, and White women decreased 40% during the study period.
Author Interviews, Duke, OBGYNE / 26.04.2023

MedicalResearch.com Interview with: [caption id="attachment_60352" align="alignleft" width="200"]DHIP Dazzle Day - Team FemTech
Team FemTech[/caption] TEAM FEMTECH Feng Yi Low, MD student (Class of 2024), Duke-NUS Medical School Casey Ang Fann Ting, Biomedical Engineering student, College of Design and Engineering, National University of Singapore (NUS) Anar Sanjaykumar Kothary, MBA student, NUS Business School   MedicalResearch.com: What is the background for this innovation? What is the problem you sought to mitigate? Response: A safe and low cost solution to reduce the incidence of moderate to severe vaginal tears during childbirth. Vaginal tears are a serious complication during delivery. 90% of women will experience it during childbirth. It is even more prominent in the Asian context as Asian women are 74% more likely to experience tearing due to various factors such as their skin composition as well as stature to name a few.
Author Interviews, Infections, JAMA, OBGYNE, Pediatrics / 08.03.2023

MedicalResearch.com Interview with: [caption id="attachment_60144" align="alignleft" width="150"]Anna Roca PhDMRC Unit The Gambia at the London School of Hygiene and Tropical Medicine Fajara, The Gambia Dr. Roca[/caption] Anna Roca PhD MRC Unit The Gambia at the London School of Hygiene and Tropical Medicine Fajara, The Gambia MedicalResearch.com: What is the background for this study? Response: Context specific interventions are needed to decrease the high burden of severe neonatal morbidity and mortality in sub-Saharan Africa. Severe bacterial infections are a main cause of neonatal mortality in the continent. Oral intra-partum azithromycin is a cheap intervention easily scalable. Before embarking on this trial, we conducted a proof-of-concept trial that showed the intervention reduced maternal and neonatal bacterial carriage of the most prevalent bacteria causing neonatal sepsis in the continent.
Author Interviews, Infections, NIH, OBGYNE / 01.03.2023

MedicalResearch.com Interview with:
William A. Petri, MD PhDWilliam A. Petri, MD PhD Wade Hampton Frost Professor of Medicine and Vice Chair for Research of the Department of Medicine Professor of Medicine, Microbiology, Immunology and Cancer Biology, and Pathology, Medicine: Infectious Diseases and International Health, Medicine: Infectious Diseases and International Health
MedicalResearch.com: What is the background for this study? MedicalResearch.com We tested if prophylactic antibiotics could prevent sepsis and death in women in the late stages of normal vaginal labor and delivery. It was previously known that antibiotic were effective for this purpose in women undergoing C-section. The study was a randomized placebo-controlled trial at 8 international sites of nearly 30,000 women.
Author Interviews, COVID -19 Coronavirus, Nature, OBGYNE, Pediatrics / 28.02.2023

MedicalResearch.com Interview with: [caption id="attachment_60097" align="alignleft" width="150"]Dr Jessica Miller, PhDMurdoch Children’s Researcher Professor David Burgner, Murdoch Children’s Group Leader, Infection and Immunity Murdoch Children’s Research Institute Royal Children's Hospital Victoria Australia Dr. MIller[/caption] Dr Jessica Miller, PhD Murdoch Children’s Researcher and Professor David Burgner, Murdoch Children’s Group Leader, Infection and Immunity Murdoch Children’s Research Institute Royal Children's Hospital Victoria Australia   MedicalResearch.com: What is the background for this study? Response: Early reports following the initial COVID-19 lockdowns showed huge variation in changes to preterm birth and stillbirth rates, deeming it difficult to understand the pattern worldwide. It was uncertain if the observed variations were due to differences in study design and methodology, immediate impacts of lockdowns or changes in health service utilization. Previous reports from single populations or facilities were unlikely to be representative of the population and could not be compared across populations. Lockdowns affected health, social and economic factors that could lead to reductions in preterm birth rates. Changes in hygiene practices and abruptions to traffic following lockdown led to alterations in non-COVID infections and air pollution, which are known to trigger inflammation and contribute to preterm birth. Given the uncertainty in the earlier reports, we aimed to conduct a rigorous, standardised analysis using high-quality, total-population data from across the world in order to summarize and compare rates across countries. Our large global study included 52 million births between 2015-2020 from 26 countries and represents one of the first large-scale analyses of birth outcomes during the early months of COVID-19.
Author Interviews, OBGYNE, STD / 04.11.2022

MedicalResearch.com Interview with: Sean HughesSean M Hughes MA Department of Obstetrics and Gynecology University of Washington Seattle, WA MedicalResearch.com: What is the background for this study? Response: Young women are at elevated risk of getting sexually transmitted infections at the age when they typically start to have sexual intercourse. It’s not known whether this elevated risk is a consequence of behavioral factors (such as choices around use of barrier protection), physiological factors (such as a difference in the immune system) or a combination of both. In this study, we investigated a physiological factor: the immune system in the vagina.
Author Interviews, NEJM, OBGYNE, Surgical Research / 31.03.2022

MedicalResearch.com Interview with: [caption id="attachment_58976" align="alignleft" width="200"]Professor Mohamed Abdel-fattah, MD, FRCOG Chair in Gynaecology Consultant Gynaecologist & Sub-specialist Urogynaecologist School Medicine, Medical Sciences and Nutrition University Of Aberdeen Co-Director Aberdeen Centre For Women’s Health Research Lead – MBChB intercalated degree programme Chief Investigator – CATHETER II, FUTURE, and SIMS RCTs Prof. Abdel-Fattah[/caption] Professor Mohamed Abdel-Fattah, MD, FRCOG Chair in Gynaecology Consultant Gynaecologist & Sub-specialist Urogynaecologist School Medicine, Medical Sciences and Nutrition University Of Aberdeen Co-Director Aberdeen Centre For Women’s Health Research Lead – MBChB intercalated degree programme Chief Investigator – CATHETER II, FUTURE, and SIMS RCTs MedicalResearch.com:  Why was this study necessary? Response:At the time of study design, the main surgical option for treating stress urinary incontinence was the insertion of a standard mid-urethral sling, usually using a general anaesthetic. However, single incision mini-slings were introduced to clinical practice without robust assessment. They were considered promising due to several potential advantages including using less mesh more possibility to be performed under local anaesthetic. A number of small studies with short-term follow-up (i.e. low quality evidence) showed mini-slings to have similar success rates to standard mid-urethral slings, but required shorter hospital stay and was less painful immediately after surgery. Several systematic reviews at the time recommended an adequately powered robust randomised trial to compare the clinical and cost-effectiveness of mini-slings to standard mid-urethral slings with adequate term follow-up. 
Author Interviews, Fertility, OBGYNE / 15.03.2022

MedicalResearch.com Interview with: Dr. Lora Shahine MD FACOG Host of the fertility podcast Baby or Bust https://www.lorashahine.com/ Dr. Shahine is double board-certified in reproductive endocrinology and infertility as well as obstetrics and gynecology Clinical assistant professor at the University of Washington Pacific NorthWest Fertility MedicalResearch.com: How did you become interested in reproductive medicine? Response: I love the combination of technology, women’s health, and helping people during a vulnerable time with all the emotions that come with it. I knew becoming a reproductive endocrinologist would mean a career of learning and helping people build families. MedicalResearch.com: When should women consider freezing their eggs?   Response: There is no one perfect age. The younger someone freezes eggs (in their 20s), the higher quality the eggs will be and the higher success in the future but the more likely someone may not need the. The older someone freezes eggs (in their late 30s and 40s), the lower quality and the lower chance of success over time. For many people and in general - the research supports its most cost effect to freeze eggs in your mid 30s.
Author Interviews, JAMA, OBGYNE, STD / 16.02.2022

MedicalResearch.com Interview with: [caption id="attachment_58781" align="alignleft" width="150"]Irene A. Stafford, M.S., M.D. Associate Professor Associate Program Director Maternal - Fetal Medicine Fellowship Department of Obstetrics and Gynecology Division of Maternal Fetal Medicine McGovern Medical School at UTHealth Dr. Stafford[/caption] Irene A. Stafford, M.S., M.D. Associate Professor Associate Program Director Maternal - Fetal Medicine Fellowship Department of Obstetrics and Gynecology Division of Maternal Fetal Medicine McGovern Medical School at UTHealth Houston MedicalResearch.com:  What is the background for this study? Response: We have observed disproportionately high-rates syphilis in the US over the last several years, and here in Texas. As this is now leading to health alerts in our cities, it is key we bring attention to this infection regarding risks to the pregnant patient and her fetus. Syphilis carries a nearly 40% neonatal mortality rate, so testing and treating is key in preventing this devastating neonatal infection. We need to encourage and offer testing at intake to pregnancy care, and any time a patient desires to be tested for STI.  
Author Interviews, COVID -19 Coronavirus, JAMA, OBGYNE, Pediatrics / 23.04.2021

MedicalResearch.com Interview with: [caption id="attachment_57214" align="alignleft" width="200"]Prof. Papageorghiou Prof. Papageorghiou[/caption] Aris Papageorghiou MBChB, MRCOG Professor of Fetal Medicine and the Clinical Research Director Oxford Maternal and Perinatal Health Institute University of Oxford MedicalResearch.com: What is the background for this study? Response: Our study was really guided by a key question: does Covid-19 in pregnancy increase the risk of adverse maternal and neonatal outcomes as compared with pregnant women who do not have the infection? The question is highly relevant because of the known deleterious effects of other coronavirus infections in pregnancy, e.g. SARS (severe acute respiratory syndrome) and MERS-CoV (Middle East respiratory syndrome coronavirus). In order to answer this question we undertook this multinational cohort study.