Andrew Kotaska
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View article: Who is captain of the ship? Navigating the birth voyage together
Who is captain of the ship? Navigating the birth voyage together Open
View article: Fetal Pillow Deflates: Low‐Lithotomy Caesarean Delivers
Fetal Pillow Deflates: Low‐Lithotomy Caesarean Delivers Open
View article: The effect of changing screening practices and demographics on the incidence of gestational diabetes in British Columbia, 2005–2019
The effect of changing screening practices and demographics on the incidence of gestational diabetes in British Columbia, 2005–2019 Open
Most of the observed increase in the incidence of gestational diabetes was attributable to changes in screening practices (primarily changes in screening methods) rather than changing population factors. Our findings highlight the importan…
View article: Weight gain in pregnancy and infant birthweight after the onset of the COVID-19 pandemic: an interrupted time series analysis
Weight gain in pregnancy and infant birthweight after the onset of the COVID-19 pandemic: an interrupted time series analysis Open
View article: Association of SARS-CoV-2 Infection During Pregnancy With Maternal and Perinatal Outcomes
Association of SARS-CoV-2 Infection During Pregnancy With Maternal and Perinatal Outcomes Open
In this exploratory surveillance study conducted in Canada from March 2020 to October 2021, SARS-CoV-2 infection during pregnancy was significantly associated with increased risk of adverse maternal outcomes and preterm birth.
View article: Genital mycoplasma and preterm birth: a difficult puzzle to solve. Letter re: Genital mycoplasma infection and spontaneous preterm birth outcome: a prospective cohort study
Genital mycoplasma and preterm birth: a difficult puzzle to solve. Letter re: Genital mycoplasma infection and spontaneous preterm birth outcome: a prospective cohort study Open
Genital mycoplasma and preterm birth: a difficult puzzle to solve. Letter re: Genital Mycoplasma infection and spontaneous preterm birth outcome: a prospective cohort studySir.In their recent paper, Cunha and colleagues analyzed data from …
View article: Postpartum Heparin Thromboprophylaxis
Postpartum Heparin Thromboprophylaxis Open
Andrew Kotaska, MD, FRCS(C): Andrew Kotaska, MD, FRCS(C)Worldwide, increasing numbers of postpartum women are receiving low-molecular-weight heparin for venous thromboembolism (VTE) prophylaxis. Five national guidelines recommend liberal l…
View article: Canadian Surveillance of COVID-19 in Pregnancy (CANCOVID-Preg): A Rapidly Coordinated National Response Using Established Regional Infrastructures
Canadian Surveillance of COVID-19 in Pregnancy (CANCOVID-Preg): A Rapidly Coordinated National Response Using Established Regional Infrastructures Open
View article: Canadian surveillance of COVID-19 in pregnancy: Epidemiology and maternal and infant outcomes
Canadian surveillance of COVID-19 in pregnancy: Epidemiology and maternal and infant outcomes Open
View article: Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens
Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens Open
View article: Venous thromboembolism prophylaxis may cause more harm than benefit: an evidence-based analysis of Canadian and international guidelines
Venous thromboembolism prophylaxis may cause more harm than benefit: an evidence-based analysis of Canadian and international guidelines Open
A majority of deep vein thromboses identified in screening studies of hospitalized patients remain clinically insignificant. Guidelines based on these studies markedly overestimate the risk of clinical venous thromboembolism (VTE) and the …
View article: Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens
Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens Open
View article: Re: Postpartum venous thromboembolism prophylaxis: harm versus benefit
Re: Postpartum venous thromboembolism prophylaxis: harm versus benefit Open
View article: Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens
Author's reply re: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens Open
View article: Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens
Postpartum venous thromboembolism prophylaxis may cause more harm than benefit: a critical analysis of international guidelines through an evidence‐based lens Open
Based on prediction models and expert opinion, most obstetric venous thromboembolism guidelines recommend low‐molecular‐weight heparin for many postpartum women, including most delivering by caesarean. Scrutiny reveals major oversights: pr…
View article: Informed consent and refusal in obstetrics: A practical ethical guide
Informed consent and refusal in obstetrics: A practical ethical guide Open
The ethical principle of autonomy gives women a fundamental right to security of person. The principles of beneficence and nonmaleficence are caregivers' duties to "do what is best," and "do no harm." Usually, women and caregivers agree on…
View article: An evaluation of the guidelines of the Society of Obstetricians and Gynaecologists of Canada
An evaluation of the guidelines of the Society of Obstetricians and Gynaecologists of Canada Open
Clinical practice guidelines hope to offer unbiased, evidence-based guidance for clinicians. This paper examines levels of evidence contained within the guidelines of the Society of Obstetricians and Gynaecologists of Canada and compares c…