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Obstetrics and Gynecology Commons

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Lehigh Valley Health Network

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Articles 1 - 30 of 61

Full-Text Articles in Obstetrics and Gynecology

Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Shelter Adolescents., Brittney A Gaudet, Nina Liu, Allison N Kayne, Taylor L Jarvill, Cecilia Zemanek, Jeffrey M Downen, Hoonani M Cuadrado, Amy B Smith, Marna R Greenberg, Jessica L Jacoby, Joanne N Quinones Sep 2021

Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Shelter Adolescents., Brittney A Gaudet, Nina Liu, Allison N Kayne, Taylor L Jarvill, Cecilia Zemanek, Jeffrey M Downen, Hoonani M Cuadrado, Amy B Smith, Marna R Greenberg, Jessica L Jacoby, Joanne N Quinones

Department of Emergency Medicine

Objective: To determine whether biopsychosocial factors are associated with sexual activity and contraceptive utilization among homeless shelter adolescents. Methods: A retrospective study of 440 adolescents at a shelter in Pennsylvania between February 2015 and September 2019 was conducted. The cohort was evaluated to determine what relationship age, gender identity, substance use, and trauma history have with sexual activity and contraceptive utilization. Results: Sexual activity was significantly related to age (mean 15.8+1.4 years in sexually active vs. 14.7+1.6 years in abstinent youth, p<0.001); remote history of self-harm behavior (relative risk ratio (RR) 1.23 [95% CI 1.03-1.46]; p=0.02), history of aggressive behavior (RR 1.21 [95% CI 1.01-1.46]; p=0.04), history of trauma (RR 1.24 [95% CI 1.04-1.48]; p=0.03), and substance use (RR 2.27 [95%CI 1.86-2.77]; p<0.001). There were 55.7% sexually active females vs. 42.50% males reporting contraception use (p=0.01). After adjustment, older age and substance use remained significantly associated with sexual activity (adjusted odds ratio (AOR) 1.58 [95% CI 1.36-1.83]; p<0.001 and AOR 5.18 [95% CI 3.28-8.18]; p<0.001, respectively). Conclusions: Females self-reported sexual activity using contraception more than males. After adjustment, older age and substance use were associated with sexual activity. By better understanding the impact these factors can have on contraceptive utilization, informed policy and practice interventions can be developed and implemented to help increase safe sex practices in spaces where homeless adolescents access healthcare.


The Impact Of Covid-19 On Pregnancy And Neonatal Outcomes, Jessica Davis, Joanne Quiñones Md, Msce, Michael Young Aug 2021

The Impact Of Covid-19 On Pregnancy And Neonatal Outcomes, Jessica Davis, Joanne Quiñones Md, Msce, Michael Young

Research Scholars

No abstract provided.


Racial And Ethnic Disparities In Severe Maternal Morbidity During Delivery At A Pennsylvania Hospital System, Vanessa Singh, Kay Young, Obianuju Egwuowu Aug 2021

Racial And Ethnic Disparities In Severe Maternal Morbidity During Delivery At A Pennsylvania Hospital System, Vanessa Singh, Kay Young, Obianuju Egwuowu

Research Scholars

No abstract provided.


Analysis Of Risk Factors And Outcomes For Obstetric Trauma Patients, Lauren Salbinski, Matthew D. Painter Md, Danielle L. Hashmi Do Aug 2021

Analysis Of Risk Factors And Outcomes For Obstetric Trauma Patients, Lauren Salbinski, Matthew D. Painter Md, Danielle L. Hashmi Do

Research Scholars

No abstract provided.


Detection Of Unknown Pregnancy With Complications Using Point-Of-Care Ultrasound., Allison N Kayne, Julie A Fritzges, Michelle W. Huang Md, Elizabeth M. Evans Do Jul 2021

Detection Of Unknown Pregnancy With Complications Using Point-Of-Care Ultrasound., Allison N Kayne, Julie A Fritzges, Michelle W. Huang Md, Elizabeth M. Evans Do

Department of Emergency Medicine

Eclampsia, a condition diagnosed in pre-eclamptic patients who experience seizures, can lead to maternal and fetal death if not treated early. The present case discusses the clinical management of an 18-year-old female who presented to the emergency department (ED) after a generalized tonic-clonic seizure. A physical examination revealed that she was also hypertensive. Based on these symptoms which required urgency due to the patient's instability, and the suspicion that the patient could be pregnant, point-of-care ultrasound (POCUS) was performed. In this case, a POCUS was a faster more accessible modality than a urine or serum human chorionic gonadotropin test. Although …


Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Adolescents, Brittany Gaudet Bs, Msph, Nina Liu Bs, Jeffrey Downen Bs, Ms, Taylor Jarvill Ba, Cecilia E. Zemanek Bs, Michele N. Karn Bs, Hoonani M. Cuadrado Mspas, Pa-C, Joanne Quiñones Md, Msce Mar 2021

Relationship Between Sexual Activity, Contraceptive Utilization And Biopsychosocial Characteristics Among Homeless Adolescents, Brittany Gaudet Bs, Msph, Nina Liu Bs, Jeffrey Downen Bs, Ms, Taylor Jarvill Ba, Cecilia E. Zemanek Bs, Michele N. Karn Bs, Hoonani M. Cuadrado Mspas, Pa-C, Joanne Quiñones Md, Msce

USF-LVHN SELECT

No abstract provided.


Impact Of A Multidisciplinary Program On Pregnancy Outcomes In The Setting Of Placenta Accreta Spectrum, Joanne Quiñones Md, Msce, Chelsea Giagni Md, Jose Lazaro Md, Meredith Rochon Md, John C. Smulian Md, Mph, William E. Scorza Md Feb 2020

Impact Of A Multidisciplinary Program On Pregnancy Outcomes In The Setting Of Placenta Accreta Spectrum, Joanne Quiñones Md, Msce, Chelsea Giagni Md, Jose Lazaro Md, Meredith Rochon Md, John C. Smulian Md, Mph, William E. Scorza Md

Department of Obstetrics & Gynecology

No abstract provided.


Acute Kidney Injury And Hemophagocytic Lymphohistiocytosis (Hlh) Caused By Human Granulocytic Anaplasmosis (Hga), Grace Chong Do, Wael Hanna Md, Joseph Scurozo, Tayyab Ali Md May 2019

Acute Kidney Injury And Hemophagocytic Lymphohistiocytosis (Hlh) Caused By Human Granulocytic Anaplasmosis (Hga), Grace Chong Do, Wael Hanna Md, Joseph Scurozo, Tayyab Ali Md

Department of Medicine

No abstract provided.


Web-Based Glucose Monitoring Using The Telcare® Wireless System For Management Of Pregnant Women With Pregestational Diabetes., Marc A. Vengrove Do, Facp, Emma Qureshey Md, Helai Hesham Md, Meredith Rochon Md, Joshua Cohen Bs, John C. Smulian Md, Mph May 2018

Web-Based Glucose Monitoring Using The Telcare® Wireless System For Management Of Pregnant Women With Pregestational Diabetes., Marc A. Vengrove Do, Facp, Emma Qureshey Md, Helai Hesham Md, Meredith Rochon Md, Joshua Cohen Bs, John C. Smulian Md, Mph

Department of Medicine

No abstract provided.


Reply To The Letter To The Editor, Anthony M. Vintzileos Md, John C. Smulian Md, Mph Mar 2017

Reply To The Letter To The Editor, Anthony M. Vintzileos Md, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.


Reply., Anthony M. Vintzileos Md, John C. Smulian Md, Mph Feb 2017

Reply., Anthony M. Vintzileos Md, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.


Induction Of Labor In Women Of Advanced Maternal Age., Joanne Quiñones Md, Msce, Grazelda Kwakye-Ackah, Abbey Burger, Gregory Kainz, Guillermo De La Vega Md Jan 2017

Induction Of Labor In Women Of Advanced Maternal Age., Joanne Quiñones Md, Msce, Grazelda Kwakye-Ackah, Abbey Burger, Gregory Kainz, Guillermo De La Vega Md

Department of Obstetrics & Gynecology

No abstract provided.


Recruitment Feasibility Study For Reducing Postpartum Smoking Among Low-Income And Hispanic Women, Helai Hesham Md, Sandra L. Curet Md, Suresh G. Nair Md, Hope Kincaid Mph, Cph, Cynthia Beitler, Lourdes T. Matos, Clare Lenhart Phd, Mph Apr 2016

Recruitment Feasibility Study For Reducing Postpartum Smoking Among Low-Income And Hispanic Women, Helai Hesham Md, Sandra L. Curet Md, Suresh G. Nair Md, Hope Kincaid Mph, Cph, Cynthia Beitler, Lourdes T. Matos, Clare Lenhart Phd, Mph

Department of Obstetrics & Gynecology

No abstract provided.


Humoral Hypercalcemia Of Twin Pregnancy: Not A Laughing Matter, Areeb Zamir Md, Angela Manglitz Do, Gretchen A. Perilli Md Apr 2016

Humoral Hypercalcemia Of Twin Pregnancy: Not A Laughing Matter, Areeb Zamir Md, Angela Manglitz Do, Gretchen A. Perilli Md

Department of Medicine

Background: Humoral hypercalcemia due to high serum levels of Parathyroid Hormone-Related Protein (PTHrP) is very rare in the setting of benign disease. PTHrP has a significant impact on developmental stages of life and is expressed in a variety of tissues including placental tissue and mammary glands. Therefore, PTHrP has a large role in the homeostasis of calcium between the mother and fetus.

Clinical case: A 25 year old female presented to the emergency department six days post-partum of spontaneous vaginal delivery of twins at 28 and 4/7 weeks. Her chief complaints included bilateral leg pain, weakness, and difficulty ambulating …


Novel Collaborative Cardiology And Maternal Fetal Medicine Practice – Continued Experience At The Heart And Pregnancy Program, Joanne Quiñones Md, Msce, Margaret Bettin, Irena B. Cabrera Md, Adetola Louis-Jacques Md, Amy M. Ahnert Md, Ronald S. Freudenberger Md Feb 2016

Novel Collaborative Cardiology And Maternal Fetal Medicine Practice – Continued Experience At The Heart And Pregnancy Program, Joanne Quiñones Md, Msce, Margaret Bettin, Irena B. Cabrera Md, Adetola Louis-Jacques Md, Amy M. Ahnert Md, Ronald S. Freudenberger Md

Department of Obstetrics & Gynecology

No abstract provided.


Length Of The Second Stage Of Labor And Risk Of Preterm Delivery In A Subsequent Pregnancy, Joanne Quiñones Md, Msce, Daniel Gomez Md, Matthew Hoffman Md, Cande V. Ananth Phd, Mph, John C. Smulian Md, Mph, Lauren A. Plante Md, Daniel W. Skupsk Md, Karin M. Fuchs Md, William E. Scorza Md Feb 2016

Length Of The Second Stage Of Labor And Risk Of Preterm Delivery In A Subsequent Pregnancy, Joanne Quiñones Md, Msce, Daniel Gomez Md, Matthew Hoffman Md, Cande V. Ananth Phd, Mph, John C. Smulian Md, Mph, Lauren A. Plante Md, Daniel W. Skupsk Md, Karin M. Fuchs Md, William E. Scorza Md

Department of Obstetrics & Gynecology

No abstract provided.


Invasive Placental Disease: The Impact Of A Multi-Disciplinary Approach To Management, John C. Smulian Md, Mph, Ana-Liza Pascual, Helai Hesham Md, Emma Qureshy Ms1, M Bijoy Thomas Md, Amy M. Depuy Md, Amanda B. Flicker Md, William E. Scorza Md Jan 2016

Invasive Placental Disease: The Impact Of A Multi-Disciplinary Approach To Management, John C. Smulian Md, Mph, Ana-Liza Pascual, Helai Hesham Md, Emma Qureshy Ms1, M Bijoy Thomas Md, Amy M. Depuy Md, Amanda B. Flicker Md, William E. Scorza Md

Department of Obstetrics & Gynecology

No abstract provided.


Use Of Commercial Tests For Aneuploidy Screening Using Cell-Free Fetal Dna In Clinical Practice (Poster), Adetola Louis-Jacques Md, Courtney R. Burans Ms, Cgc, Sarah Robinson, Elizabeth A. Schofield, Joanne Quiñones Md, Msce, John C. Smulian Md, Mph, Meredith Rochon Md Apr 2014

Use Of Commercial Tests For Aneuploidy Screening Using Cell-Free Fetal Dna In Clinical Practice (Poster), Adetola Louis-Jacques Md, Courtney R. Burans Ms, Cgc, Sarah Robinson, Elizabeth A. Schofield, Joanne Quiñones Md, Msce, John C. Smulian Md, Mph, Meredith Rochon Md

Department of Obstetrics & Gynecology

No abstract provided.


The Effect Of Commercial Tests For Aneuploidy Screening Using Cell-Free Fetal Dna On Rates Of Invasive Testing In Clinical Practice, Adetola Louis-Jacques Md, Courtney R. Burans Ms, Cgc, Sarah Robinson, Elizabeth A. Schofield, Joanne Quiñones Md, Msce, John C. Smulian Md, Mph, Meredith Rochon Md Apr 2014

The Effect Of Commercial Tests For Aneuploidy Screening Using Cell-Free Fetal Dna On Rates Of Invasive Testing In Clinical Practice, Adetola Louis-Jacques Md, Courtney R. Burans Ms, Cgc, Sarah Robinson, Elizabeth A. Schofield, Joanne Quiñones Md, Msce, John C. Smulian Md, Mph, Meredith Rochon Md

Department of Obstetrics & Gynecology

No abstract provided.


Does Cervical Ripening Via Intracervical Balloon Placement Increase The Risk Of Chorioamnionitis In Patients With Premature Rupture Of Membranes At Term?, Irena B. Cabrera Md, Joanne Quiñones Md, Msce, Danielle E. Durie Md, Jacob Rust, John C. Smulian Md, Mph, William E. Scorza Md Apr 2014

Does Cervical Ripening Via Intracervical Balloon Placement Increase The Risk Of Chorioamnionitis In Patients With Premature Rupture Of Membranes At Term?, Irena B. Cabrera Md, Joanne Quiñones Md, Msce, Danielle E. Durie Md, Jacob Rust, John C. Smulian Md, Mph, William E. Scorza Md

Department of Obstetrics & Gynecology

No abstract provided.


Amniotic Fluid Index Or Deepest Vertical Pocket?, Joanne Quiñones Md, Msce, R Melody Reynolds Md, Daniel G. Kiefer Md, Meredith Rochon Md, Katie Karabasz-Brown, John C. Smulian Md, Mph Apr 2014

Amniotic Fluid Index Or Deepest Vertical Pocket?, Joanne Quiñones Md, Msce, R Melody Reynolds Md, Daniel G. Kiefer Md, Meredith Rochon Md, Katie Karabasz-Brown, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.


Rct Evaluating Safety & Efficacy Of Sodium Hyaluronate/Carboxymethylcellulose At Cesarean Delivery, Daniel G. Kiefer Md, Jolene C. Muscat Md, Jarrett Santorelli Bs, Martin R. Chavez Md, Cande V. Ananth Phd, Mph, John C. Smulian Md, Mph, Anthony M. Vintzileos Md Apr 2014

Rct Evaluating Safety & Efficacy Of Sodium Hyaluronate/Carboxymethylcellulose At Cesarean Delivery, Daniel G. Kiefer Md, Jolene C. Muscat Md, Jarrett Santorelli Bs, Martin R. Chavez Md, Cande V. Ananth Phd, Mph, John C. Smulian Md, Mph, Anthony M. Vintzileos Md

Department of Obstetrics & Gynecology

No abstract provided.


Utility Of Recommendation Letters And Correlation With Specific Residency Applicant Qualities, Joseph E. Patruno Md, Amanda B. Flicker Md, Craig Koller Med, Amy B. Smith Phd, Hubert K. Huang Ms, Med, Taylor N. Weilnau Feb 2014

Utility Of Recommendation Letters And Correlation With Specific Residency Applicant Qualities, Joseph E. Patruno Md, Amanda B. Flicker Md, Craig Koller Med, Amy B. Smith Phd, Hubert K. Huang Ms, Med, Taylor N. Weilnau

Department of Obstetrics & Gynecology

No abstract provided.


A Multi-Center, Two-Arm, Single-Blind Randomized Trial Of Two Different Intravenous Fluids During Labor (Poster)., Lisa M. Dapuzzo-Argiriou Md, John C. Smulian Md, Mph, Meredith Rochon Md, Luisa Galdi Do, Jessika Kissling Md, Peter F. Schnatz Do, George Neubert Md, Angel Gonzalez-Rios Md, James Airoldi Md, Mary Anne Carrillo Md, Jaimie Maines Md, Allen R. Kunselman Ms, John Repke Md, Richard S. Legro Md Feb 2014

A Multi-Center, Two-Arm, Single-Blind Randomized Trial Of Two Different Intravenous Fluids During Labor (Poster)., Lisa M. Dapuzzo-Argiriou Md, John C. Smulian Md, Mph, Meredith Rochon Md, Luisa Galdi Do, Jessika Kissling Md, Peter F. Schnatz Do, George Neubert Md, Angel Gonzalez-Rios Md, James Airoldi Md, Mary Anne Carrillo Md, Jaimie Maines Md, Allen R. Kunselman Ms, John Repke Md, Richard S. Legro Md

Department of Obstetrics & Gynecology

No abstract provided.


Comparison Of Vaginal Cuff Closure Outcomes In Patients Having Robotic-Assisted Total Laparoscopic Hysterectomy: V-Loc Vs. Vicryl (Poster), Martin A. Martino Md, R Melody Reynolds Md, A Ei Haraki Md, Rachel Morcrette Pa-C, Kyle M. Langston Pa-C, Gregory F. Kainz Md, Richard Boulay Md, M Bijoy Thomas Md Mar 2013

Comparison Of Vaginal Cuff Closure Outcomes In Patients Having Robotic-Assisted Total Laparoscopic Hysterectomy: V-Loc Vs. Vicryl (Poster), Martin A. Martino Md, R Melody Reynolds Md, A Ei Haraki Md, Rachel Morcrette Pa-C, Kyle M. Langston Pa-C, Gregory F. Kainz Md, Richard Boulay Md, M Bijoy Thomas Md

Department of Obstetrics & Gynecology

No abstract provided.


Participation In Perinatal Interventional Research: Which Characteristics Matter?, Hai-Yen T. Nguyen Md, Joanne Quiñones Md, Msce, Daniel G. Kiefer Md, Anita Kurt Phd, Rn, Felisa Saldutti, John C. Smulian Md, Mph Jan 2013

Participation In Perinatal Interventional Research: Which Characteristics Matter?, Hai-Yen T. Nguyen Md, Joanne Quiñones Md, Msce, Daniel G. Kiefer Md, Anita Kurt Phd, Rn, Felisa Saldutti, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.


“24” – Hours To Discharge After Robotic Surgery For Complex Gynecologic Malignancies (Standards Of Care Even Jack Bauer Couldn’T Achieve, Sarah R. Mason Rn, Nicole Reimer Bsn, Rn, Ocn Jan 2013

“24” – Hours To Discharge After Robotic Surgery For Complex Gynecologic Malignancies (Standards Of Care Even Jack Bauer Couldn’T Achieve, Sarah R. Mason Rn, Nicole Reimer Bsn, Rn, Ocn

Patient Care Services / Nursing

No abstract provided.


Information Flow And Clinical Outcomes In A Fully Functional Perinatal Continuum Of Care, Donald Levick Md, Michael Sheinberg Md, Chad D. Meyerhoefer Phd, Mary E. Deily, Shin-Yi Chou Phd, Susan A. Sherer Phd Jan 2013

Information Flow And Clinical Outcomes In A Fully Functional Perinatal Continuum Of Care, Donald Levick Md, Michael Sheinberg Md, Chad D. Meyerhoefer Phd, Mary E. Deily, Shin-Yi Chou Phd, Susan A. Sherer Phd

Administration & Leadership

No abstract provided.


The Challenge Of Early Inpatient Postpartum Depression Screening, Elizabeth A. Berger Do, John C. Smulian Md, Mph, Joanne Quiñones Md, Msce, Rory L. Marraccini Md, Amy Wu Bs, Elizabeth A. Smulian Bs, Sandra L. Curet Md Jan 2013

The Challenge Of Early Inpatient Postpartum Depression Screening, Elizabeth A. Berger Do, John C. Smulian Md, Mph, Joanne Quiñones Md, Msce, Rory L. Marraccini Md, Amy Wu Bs, Elizabeth A. Smulian Bs, Sandra L. Curet Md

Department of Obstetrics & Gynecology

No abstract provided.


Aligning Network Quality Goals: Mammography Metrics (Poster), Mark Wendling Md, Michael Sheinberg Md Jan 2013

Aligning Network Quality Goals: Mammography Metrics (Poster), Mark Wendling Md, Michael Sheinberg Md

Department of Obstetrics & Gynecology

No abstract provided.