Explanipedia

Development and Validation of the Stanford Obstetric Recovery Checklist (STORK) Open

Pervez Sultan, Perman Pandal, Anarghya Murthy, Nan Guo, Michaela K. Farber , et al. · 2025

Background Existing patient-reported outcome measures (PROMs) evaluating outpatient postpartum recovery lack content validity and were mostly not designed for this population. A Delphi process was performed, aiming to develop a patient-rep…

Cervical Cancer Screening in the United States Military Health System During the COVID-19 Pandemic Open

Suzan Hussain, Michael Dore, Kelsey Van Bokkem, Julie R. Whittington · 2024

Historical Assessment, Practical Management, and Future Recommendations for Abnormal Amniotic Fluid Volumes Open

Julie R. Whittington, Suneet Chauhan, Michael Wendel, Taylor Ghahremani, Megan Pagan , et al. · 2024

Objective: The purpose of this review is to examine the evidence that defines normal and abnormal amniotic fluid volumes (AFVs) and current recommendations on the management of abnormalities of AFV. Methods: The studies establishing normal…

Alternate Birth Strategies Open

Julie R. Whittington, Taylor Ghahremani, Megan Whitham, Amy M. Phillips, Bethany N. Spracher , et al. · 2023

Community birth is defined as birth that occurs outside the hospital setting. Birthing in a birth center can be safe for certain patient populations. Home birth can also be safe in well-selected patient with a well-established transfer inf…

Birth plans: definitions, content, effects, and best practices Open

Taylor Ghahremani, Kathleen Bailey, Julie R. Whittington, Amy M. Phillips, Bethany N. Spracher , et al. · 2023

Window to the Womb: Amniotic Fluid and Postnatal Outcomes Open

Julie R. Whittington, Taylor Ghahremani, Andrew Friski, Andrew Hamilton, Everett F. Magann · 2023

Amniotic fluid volumes are tightly regulated, and amniotic fluid derangement can indicate maternal complications or fetal abnormalities. Ultrasound estimate of amniotic fluid provides a tool to evaluate the maternal-fetal-placental interfa…

Racial and ethnic disparities in NTSV rates among universally insured military patients Open

Rachel B. Deutsch, Nicholas Tackett, Sarah Walz, Aaron Poole, Julie R. Whittington · 2021

Amniotic Fluid Volume Estimation from 20 Weeks to 28 Weeks. Do You Measure Perpendicular to the Floor or Perpendicular to the Uterine Contour? Open

Dawn S. Hughes, Brianna Simmons, Everett F. Magann, Michael Wendel, Julie R. Whittington , et al. · 2021

In pregnancies between 20 and 28 weeks, the correlation of AFI values perpendicular to floor and perpendicular to the uterine contour remains moderate, either measurement can be used to estimate amniotic fluid volume. The correlation for S…

Amniotic Fluid Volume Assessment: Eight Lessons Learned Open

Everett F. Magann, Julie R. Whittington, John C. Morrison, Suneet P. Chauhan · 2021

Actual AFV can be determined by a dye-dilution technique or be directly measured at cesarean. This allows investigators to correlate estimated and actual AFVs. Lessons learned by assessing the relationship of estimated to actual AFVs. 1) U…

Cesarean Delivery Management of Stillbirth: In-Depth Analysis of 75 Cases in a Rural State Open

Abigail M. Ramseyer, Julie R. Whittington, Everett F. Magann, Songthip Ounpraseuth, Wendy N. Nembhard · 2021

This study demonstrates that cesarean delivery remains a common mode of delivery for management of stillbirth and that there is maternal morbidity associated with an abdominal delivery because 22.7% of the women undergoing a cesarean had a…

Hospital Annual Delivery Volume and Presence of Graduate Medical Education Influence Mode of Delivery after Stillbirth Open

Abigail M. Ramseyer, Julie R. Whittington, Everett F. Magann, Brock Warford, Songthip Ounpraseuth , et al. · 2020

Annual hospital delivery volumes and residency teaching programs in obstetrics influence the mode of delivery in the management of stillbirth. Advancing gestational age, Black race, and parity are associated with an increased risk of cesar…

What is the Impact of Abnormal Amniotic Fluid Volumes on Perinatal Outcomes in Normal Compared with At-Risk Pregnancies? Open

Pamela M. Simmons, Julie R. Whittington, Sarah M. Estrada, Songthip Ounpraseuth, Kelsey B Shnaekel , et al. · 2020

Our study attempted to further define risk of adverse pregnancy outcomes by defining the pregnancy as normal or at-risk and amniotic fluid volumes. Contrary to our hypothesis, we did not find an increased risk of many of the adverse perina…

Duration of the Third Stage of Labor and Estimated Blood Loss in Twin Vaginal Deliveries Open

Julie R. Whittington, Megan Pagan, Kristen Daugherty, Kelly Cummings, Songthip Ounpraseuth , et al. · 2020

Objective The main aim of this study was to characterize the duration of the third stage of labor and estimated blood loss in twin vaginal deliveries. Study Design This was a retrospective case–control study. The data was collected from de…

Risk of vascular complications in prophylactic compared to emergent resuscitative endovascular balloon occlusion of the aorta (REBOA) in the management of placenta accreta spectrum Open

Julie R. Whittington, Megan Pagan, Bryan D. Nevil, Kyle J. Kalkwarf, Nadir Sharawi , et al. · 2020

To compare prophylactic and emergent resuscitative endovascular balloon occlusion of the aorta (REBOA) catheter placement in the management of placenta accreta spectrum (PAS). Retrospective chart review of all patients with PAS (January 20…

Signet Ring Cell Carcinoma with Lymphangitic Carcinomatosis in Pregnancy: A Case Report of an Unexpected Maternal Death and Review of the Literature Open

Julie R. Whittington, Dayna D. Whitcombe, Lauren Eads, Susanne K. Jeffus, Charles M. Quick , et al. · 2019

BACKGROUND Cancer in pregnancy is extremely rare, and gastric cancers are rarer still. Diagnosis is difficult in pregnancy due to overlapping symptoms with pregnancy such as nausea, pain, anemia, and fatigue. CASE REPORT A 26-year-old G1 w…

Pyelonephritis in Pregnancy: Relationship of Fever and Maternal Morbidity Open

Tracey DeYoung, Julie R. Whittington, Christopher S. Ennen, Aaron Poole · 2019

Objective To evaluate the relationship between maternal fever at the time of hospital admission and subsequent maternal morbidity in pregnant patients with pyelonephritis. Study Design In this retrospective cohort study, inpatient records …

Relationship Between Maternal Serum Bile Acid Levels and Fetal Cardiac Troponin-I Levels in Asymptomatic Pregnant Patients at Term: A Cross-sectional Observational Study Open

Julie R. Whittington, Lee R Allen, Christopher S. Ennen, Craig M. Zelig · 2019

Bladder Stone in Pregnancy: A Case Report and Review of the Literature Open

Julie R. Whittington, Pamela M. Simmons, Ehab Eltahawy, Everett F. Magann · 2018

BACKGROUND Bladder stones are rare in pregnancy, and can be associated with adverse outcomes such as recurrent urinary tract infection and obstruction of labor. Management of bladder stones discovered in pregnancy has traditionally been do…

Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia Open

Julie R. Whittington, Aaron Poole · 2018

Objective Aim of this study was to introduce posterior axilla sling traction (PAST) in delivering providers and nursing staff as an adjunct to the management of shoulder dystocia and evaluate comfort in performing the maneuver. Methods A p…

Genital Autoinoculation with Vaccinia: A Look at Two Cases Open

Julie R. Whittington, N.L. Rollene, Richard Gist · 2018

We advocate for thorough education on this potential vaccination adverse event. These cases highlight the importance of a broad differential diagnosis when dealing with vulvar lesions, particularly in our military population.

904: Introduction of posterior axilla sling traction in simulated shoulder dystocia Open

Julie R. Whittington, Aaron Poole · 2018

Heterotopic Pregnancy Presenting as Spontaneous Hemothorax Open

Tracey DeYoung, Julie R. Whittington, Timothy E. Sayles · 2017

Introduction: Heterotopic pregnancy is rare, occurring in 1 in 30,000 spontaneously conceived pregnancies. Hemothorax as a presenting sign of ectopic pregnancy is also rare, with only a few case reports in the literature. We present a case…

A Novel Mutation in ACTG2 Gene in Mother with Chronic Intestinal Pseudoobstruction and Fetus with Megacystis Microcolon Intestinal Hypoperistalsis Syndrome Open

Julie R. Whittington, Aaron Poole, Eryn Dutta, Mary B. Munn · 2017

Background. A novel mutation in the ACTG2 gene is described in a pregnant patient followed up for chronic intestinal pseudoobstruction (CIPO) during pregnancy and her fetus with megacystis microcolon intestinal hypoperistalsis syndrome (MM…

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