Gladys A. Ramos
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Breastfeeding patterns among parturients with diabetes: A secondary analysis of the MOMPOD randomized clinical trial Open
Introduction Insulin resistance is associated with decreased milk supply in lactating people. Metformin is hypothesized to increase breast milk production by decreasing insulin resistance, suggesting use may increase breastfeeding success.…
Simplifying Management of Cholestasis: A Proposal for a Classification System Open
Given the stillbirth risk associated with intrahepatic cholestasis of pregnancy, management to reduce this adverse outcome has primarily involved planned delivery as early as 36 weeks gestation. While earlier planned delivery has decreased…
Association Between Metformin Use in Early Gestational or Type 2 Diabetes in Pregnancy and Preterm Preeclampsia Open
OBJECTIVE: To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS: This is a planned secondary analysis of the MOMPOD study (Medic…
Metformin Plus Insulin for Preexisting Diabetes or Gestational Diabetes in Early Pregnancy Open
Importance: Insulin is recommended for pregnant persons with preexisting type 2 diabetes or diabetes diagnosed early in pregnancy. The addition of metformin to insulin may improve neonatal outcomes. Objective: To estimate the effect of met…
Chronic villitis as a distinctive feature of placental injury in maternal SARS-CoV-2 infection Open
Chronic villitis seems to be the most specific histopathologic finding associated with SARS-CoV-2 maternal infection. Chronic villitis involves damage to the vasculosyncytial membrane of the chorionic villi, which are involved in gas and n…
Metformin Plus Insulin for Preexisting Diabetes or Gestational Diabetes in Early Pregnancy Open
Importance Insulin is recommended for pregnant persons with preexisting type 2 diabetes or diabetes diagnosed early in pregnancy. The addition of metformin to insulin may improve neonatal outcomes. Objective To estimate the effect of metfo…
View article: Associations Between Preconception Glycemia and Preterm Birth: The Potential Role of Health Care Access and Utilization
Associations Between Preconception Glycemia and Preterm Birth: The Potential Role of Health Care Access and Utilization Open
Background: Preconception diabetes is strongly associated with adverse birth outcomes. Less is known about the effects of elevated glycemia at levels below clinical cutoffs for diabetes. In this study, we estimated associations between pre…
Orthopedic Provider Gender Preference Among Patients in an Orthopedic Surgery Residency Program of a Hispanic American Community Open
This study illustrates that Hispanic Americans have no gender preference when choosing an orthopedic provider. Therefore, patient preference should not be considered a factor contributing to women's under-representation in our orthopedic s…
Chronic hypertension and risk of preterm delivery: National Longitudinal Study of Adolescents to Adult Health Open
Background Chronic hypertension during pregnancy is associated with increased risk of adverse birth outcomes. In 2017, the American College of Cardiology and American Heart Association (ACC/AHA) lowered thresholds to classify hypertension …
Placenta Accreta Spectrum Treatment With Intraoperative Multivessel Embolization: the PASTIME protocol Open
A multidisciplinary pathway including a single-surgery protocol with multivessel uterine embolization is associated with a decrease in blood transfusion requirements and estimated blood loss with no increase in operative complications. The…
Assessing the multidisciplinary team approaches to placenta accreta spectrum across five institutions within the University of California fetal Consortium (UCfC) Open
To describe the multidisciplinary approaches to placenta accreta spectrum (PAS) across five tertiary care centers that comprise the University of California fetal Consortium (UCfC) and to identify potential best practices. Retrospective re…
Whole‐exome sequencing reveals novel <i>USP9X</i> variant in female fetus with isolated agenesis of the corpus callosum Open
Key Clinical Message Whole‐exome sequencing in a female fetus detected a USP9X variant. This X‐linked gene was recently associated with intellectual disability and distinct pattern of malformation in females. Isolated agenesis of the corpu…