Jeffrey L. Ecker
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View article: Society for Maternal‐Fetal Medicine Position Statement: Decriminalization of substance use disorder in pregnancy
Society for Maternal‐Fetal Medicine Position Statement: Decriminalization of substance use disorder in pregnancy Open
The Society for Maternal‐Fetal Medicine supports evidence‐based screening for and treatment of substance use disorder in pregnancy. The Society for Maternal‐Fetal Medicine strongly opposes any policies or practices that are aimed toward or…
View article: Barriers to Follow-up for Women with a History of Gestational Diabetes
Barriers to Follow-up for Women with a History of Gestational Diabetes Open
Women with gestational diabetes (GDM) are at increased risk for type 2 diabetes (T2DM), but many do not receive recommended follow-up. We sought to identify barriers to follow-up screening.
View article: Insulin Resistant Gestational Glucose Intolerance Is Associated With Adverse Perinatal Outcomes
Insulin Resistant Gestational Glucose Intolerance Is Associated With Adverse Perinatal Outcomes Open
Background: Women with gestational diabetes mellitus (GDM) and gestational glucose intolerance (GGI, abnormal initial GDM screening test) and their infants have an increased risk of adverse perinatal outcomes including large for gestationa…
View article: Human Herpesviruses 6A and 6B in Reproductive Diseases
Human Herpesviruses 6A and 6B in Reproductive Diseases Open
Human herpesviruses 6A (HHV-6A) and human herpesvirus 6B (HHV-6B)—collectively, HHV-6A/B—are recently-discovered but ancient human viruses. The vast majority of people acquire one or both viruses, typically very early in life, producing an…
View article: Diabetes Screening Reminder for Women With Prior Gestational Diabetes: A Randomized Controlled Trial
Diabetes Screening Reminder for Women With Prior Gestational Diabetes: A Randomized Controlled Trial Open
To evaluate whether an electronic health record reminder improves rates of screening for type 2 diabetes (T2DM) in women with prior gestational diabetes (GDM).
View article: Congenital thrombotic thrombocytopenic purpura (TTP) with placental abruption despite maternal improvement: a case report
Congenital thrombotic thrombocytopenic purpura (TTP) with placental abruption despite maternal improvement: a case report Open
Background Thrombotic thrombocytopenic purpura (TTP) is a rare but serious complication in pregnancy that places the mother and fetus at high risk for morbidity and mortality. This case illustrates novel pregnancy complications associated …
View article: Risk of Preeclampsia and Pregnancy Complications in Women With a History of Acute Kidney Injury
Risk of Preeclampsia and Pregnancy Complications in Women With a History of Acute Kidney Injury Open
An episode of clinically recovered acute kidney injury (r-AKI) has been identified as a risk factor for future hypertension and cardiovascular disease. Our objective was to assess whether r-AKI was associated with future preeclampsia and o…
View article: Metabolic and Hypertensive Complications of Pregnancy in Women with Nephrolithiasis
Metabolic and Hypertensive Complications of Pregnancy in Women with Nephrolithiasis Open
Background and objectives Kidney stones are associated with future development of hypertension, diabetes, and the metabolic syndrome. Our objective was to assess whether stone formation before pregnancy was associated with metabolic and hy…
View article: Fetal Outcomes After Diabetic Ketoacidosis During Pregnancy
Fetal Outcomes After Diabetic Ketoacidosis During Pregnancy Open
Historical literature reports risk of fetal demise after diabetic ketoacidosis (DKA) in pregnancy as high as 25–60% (1,2). However, estimates have generally been based on small sample sizes, with limited investigation of other fetal outcom…
View article: Labor, delivery, and anesthesia experiences of women with physical disability
Labor, delivery, and anesthesia experiences of women with physical disability Open
Background Although many women with physical disabilities report poor quality reproductive health care, little research has addressed labor, delivery, and anesthesia experiences of these women. This study was conducted to explore these exp…
View article: Pregnancy Outcomes after Clinical Recovery from AKI
Pregnancy Outcomes after Clinical Recovery from AKI Open
The effect of clinically recovered AKI (r-AKI) on future pregnancy outcomes is unknown. We retrospectively studied all women who delivered infants between 1998 and 2007 at Massachusetts General Hospital to assess whether a previous episode…
View article: Association of Labor Induction With Offspring Risk of Autism Spectrum Disorders
Association of Labor Induction With Offspring Risk of Autism Spectrum Disorders Open
In this nationwide sample of live births we observed no association between induction of labor and offspring ASD within sibling comparison. Our findings suggest that concern for ASD should not factor into the clinical decision about whethe…
View article: Heterogeneous Contribution of Insulin Sensitivity and Secretion Defects to Gestational Diabetes Mellitus
Heterogeneous Contribution of Insulin Sensitivity and Secretion Defects to Gestational Diabetes Mellitus Open
OBJECTIVE To characterize physiologic subtypes of gestational diabetes mellitus (GDM). RESEARCH DESIGN AND METHODS Insulin sensitivity and secretion were estimated in 809 women at 24–30 weeks' gestation, using oral glucose tolerance test–b…
View article: Physical Accessibility of Routine Prenatal Care for Women with Mobility Disability
Physical Accessibility of Routine Prenatal Care for Women with Mobility Disability Open
Inaccessible examination tables and weight scales impede some pregnant women with physical disabilities from getting routine prenatal physical examinations and weight measurement. This represents substandard care. Adjustable height examina…
View article: The Apgar Score
The Apgar Score Open
The Apgar score provides an accepted and convenient method for reporting the status of the newborn infant immediately after birth and the response to resuscitation if needed. The Apgar score alone cannot be considered as evidence of, or a …
View article: Calcium Channel Blocker Exposure in Late Pregnancy and the Risk of Neonatal Seizures
Calcium Channel Blocker Exposure in Late Pregnancy and the Risk of Neonatal Seizures Open
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View article: Diabetes Screening Reminder for Women With Prior Gestational Diabetes
Diabetes Screening Reminder for Women With Prior Gestational Diabetes Open
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View article: Statins and congenital malformations: cohort study
Statins and congenital malformations: cohort study Open
Our analysis did not find a significant teratogenic effect from maternal use of statins in the first trimester. However, these findings need to be replicated in other large studies, and the long term effects of in utero exposure to statins…
View article: Clinical Practice Guideline Executive Summary: Labor After Cesarean/Planned Vaginal Birth After Cesarean
Clinical Practice Guideline Executive Summary: Labor After Cesarean/Planned Vaginal Birth After Cesarean Open
Cesarean deliveries are a common surgical procedure in the United States, accounting for 1 in 3 US births. The primary purpose of this guideline is to provide clinicians with evidence to guide planning for labor and vaginal birth after ces…