Explanipedia

Substance Use Disorder as a Contributing Factor to Pregnancy-Associated Deaths Open

Ryan Duggal, Amanda A. Allshouse, Maria Small, Marcela C. Smid · 2025

Substance use disorder (SUD) is increasingly linked with risk of accidental overdose and suicide among pregnant and postpartum people. However, less is understood about SUD as a contributing factor to natural manner of death among peripart…

Racial, Ethnic, and Color-Based Discrimination and Pre-Pregnancy Risk Factors for Preeclampsia Among Nulliparous Patients Open

Alexa Campbell, Maria Small, Sarahn M. Wheeler, Jerome J. Federspiel · 2025

We observed a positive, dose-dependent association between self-reported REC discrimination and our outcome of obesity and/or chronic hypertension. By demonstrating this relationship in an obstetric cohort, we aim to highlight the role of …

Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action Open

Julia M. Moyett, L Guevara, Divya P. Mallampati, M. Kathryn Menard, Brenna L. Hughes , et al. · 2023

Background Cardiac disease is a leading cause of severe maternal morbidity (SMM). We sought to estimate the effects of race and rural-urban status on cardiac-specific severe maternal morbidity (“cardiac SMM”) in North Carolina. Methods Thi…

Evaluating the Association Between Fibrinogen and Rotational Thromboelastometry and the Progression to Severe Obstetric Hemorrhage Open

Mary Yurashevich, Morgan Rosser, Maria Small, Chad A. Grotegut, Nancy Kota , et al. · 2023

Aim This study aims to investigate the ability of fibrinogen and rotational thromboelastometry (ROTEM) parameters measured at obstetric hemorrhage protocol initiation to predict severe hemorrhage. Methods In this retrospective study we inc…

EPV283/#72 Development of a gestational trophoblastic neoplasia registry and protocol in an obgyn residency in Rwanda Open

Lisa Bazzett‐Matabele, Blaise Dushimiyimana, G Uwitonze, Theodomir Sebazungu, Diomède Ntasumbumuyange , et al. · 2021

Objectives Gestational Trophoblastic Neoplasia (GTN) cure rates reach >90% in settings where early diagnosis and management strategies exist. GTN is more common in African countries, where many factors effecting outcomes are not readily av…

Single vs. extended antibiotic for prevention of surgical infection in emergent cesarean delivery Open

David Nitrushwa, Rahel Ghebre, Marie Aimee Unyuzimana, Urania Magriples, Maria Small , et al. · 2021

Objective: Emergency Cesarean Section (ECS) improves maternal and neonatal outcomes but can be associated with complications including Surgical Site Infections (SSI). Prophylactic antibiotics reduce SSIs but inappropriate use increases ant…

Assessment of perinatal outcomes of pregnant women with severe versus simple malaria Open

Alfred Kwizera, Diomede Ntasumumuyange, Maria Small, Stephen Rulisa, Alexandra N. Moscovitz , et al. · 2021

Objective Malaria in pregnancy is associated with adverse perinatal outcomes. The objective was to compare outcomes of simple and severe malaria and to determine whether they vary by trimester or severity of infection. Methods Prospective …

773 Risk factors for adverse maternal outcomes following expectantly managed preterm prelabor rupture of membranes Open

Alice J. Darling, Hailey M. Harris, Gregory Zemtsov, Sarahn M. Wheeler, Matthew R. Grace , et al. · 2021

Seasonal variation in preeclampsia and eclampsia in Kigali Open

Leon Mutabazi, Lisa Bazzett‐Matabele, Maria Small, Diomède Ntasumbumuyange, S. Rulisa , et al. · 2020

BACKGROUND: Hypertensive disorders complicate up to 10% of all pregnancies. The World Health Organization estimates the incidence of preeclampsia and eclampsia to be higher in developing countries. OBJECTIVES: To document the prevalence of…

Factors influencing tubal ligation acceptance in Rwanda Open

Karegeya B Adolphe, S. Rulisa, Kenneth Ruzindana, Diomède Ntasumbumuyange, Maria Small , et al. · 2020

Objective: This study was conducted to determine the factors that will influence the decision to take up a tubal ligation Materials & Methods: Cross sectional comparative study conducted at two large University Teaching Hospitals and five …

Addressing Maternal Deaths in North Carolina Open

Maria Small, Belinda Pettiford, Tara Owens Shuler, Kathleen Jones‐Vessey · 2020

Maternal mortality in North Carolina remains a challenge to families, health systems, and communities. The Maternal Mortality Review Committee is part of the process required to prevent these events. In this commentary, we present an abbre…

OP03.03: Obstetrics and gynecology residents can accurately classify benign ovarian tumours with the International Ovarian Tumour Analysis (IOTA) guidelines Open

J.V. Sebajuri, Maria Small, Urania Magriples, Diomède Ntasumbumuyange, Stephen Rulisa , et al. · 2019

Recognition of benign versus malignant tumours is essential in gynecologic ultrasound. The IOTA guidelines have been proposed as a key component of residency training. The objective was to examine whether they could be accurately used by O…

Increased Rwandan Access to Obstetrician–Gynecologists Through a U.S.–Rwanda Academic Training Partnership Open

Maria Small, Urania Magriples, Rahel Ghebre, Lisa Bazzett‐Matabele, David Ntirushwa , et al. · 2019

OBJECTIVE: To evaluate the first 5 years of the Human Resources for Health Rwanda program from the program onset in the July 2012–2016 academic years, and its effects on access to care through examination of: 1) the number of trained obste…

The “honeycomb sign”: gestational trophoblastic disease in the largest tertiary center in Rwanda Open

Maria Small · 2019

627: Single vs. extended antibiotics for prevention of surgical infection in emergent cesarean delivery in Rwanda Open

David Nitrushwa, Rahel Ghebre, Marie Aimee Unyuzimana, Urania Magriples, Maria Small , et al. · 2018

613: Assessment of Perinatal Outcomes of pregnant women with simple vs severe malaria Open

Alfred Kwizera, Urania Magriples, Stephen Rulisa, Maria Small, Diomède Ntasumbumuyange · 2018

58: Human resources for maternal health: expanding geographic access to obstetrician/gynecologists in rwanda Open

Maria Small, Urania Magriples, Rahel Ghebre, Lisa Bazzett‐Matabele, David Ntirushwa , et al. · 2018

293: Impact of BMI and gestational weight gain on term pregnancy outcome in Rwanda Open

Pascal Nkubito, Diomède Ntasumbumuyange, Stephen Rulisa, Maria Small, Urania Magriples · 2018

OC03 Open

Jean Marie Vianney Sebajuri, Diomède Ntasumbumuyange, Stephen Rulisa, Maria Small, Lisa Bazzett‐Matabele · 2018

IOTA guidelines have been proposed as simple rules to help providers distinguish malignant from benign ovarian masses. We applied these guidelines to patients managed in the largest tertiary care teaching hospital in Rwanda. Patients under…

Preventability of maternal near miss and mortality in Rwanda: A case series from the University Teaching Hospital of Kigali (CHUK) Open

Christophe Benimana, Maria Small, Stephen Rulisa · 2018

The most common preventable causes of MNM and deaths were medical errors, shortage of medical supplies, and lack of patient education/understanding of obstetric emergencies. Reduction in medical errors, improved supply/equipment availabili…

938: Preventability of Maternal Near Miss and Mortality in Rwanda Open

Maria Small, Stephen Rulisa, Christophe Benimana · 2018

EP25.13: Theca lutein cysts in the setting of primary hypothyroidism Open

Johnson Bosco Rukundo, Urania Magriples, Diomède Ntasumbumuyange, Maria Small, Stephen Rulisa , et al. · 2017

Theca lutein cysts, or hyperreactio luteinalis, are luteinised ovarian follicle cysts due to overstimulation from high levels of human chorionic gonadotropin (hCG) or hypersensitivity to hCG. This is a rare condition of bilateral ovarian c…

Erratum to: Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda Open

Denis Rwabizi, Stephen Rulisa, Aidan Findlater, Maria Small · 2017

Gastric Rupture in Pregnancy: Case Series from a Tertiary Institution in Rwanda and Review of the Literature Open

David Ntirushwa, Febronie Muhorakeye, Lisa Bazzett‐Matabele, Theogene Rurangwa, Maria Small , et al. · 2016

Background Gastric rupture is a rare, life-threatening condition during pregnancy. Case study We present three cases of gastric perforation during pregnancy and the puerperium. The first patient presented with gastric perfora…

370: Zika Virus screening and testing: preferences for prenatal diagnosis and tolerance of uncertainty Open

James M. Edwards, Margaret S. Villers, R. Phillips Heine, Maria Small · 2016

EP19.04: Use of ultrasound in diagnosis and management of post‐Caesarean section peritonitis at a referral hospital in Rwanda Open

Johanna Halfon, Maria Small, Stephen Rulisa · 2016

Post-Caesarean section peritonitis is the leading cause of maternal morbidity and mortality at the main referral hospital in Rwanda. Ultrasound is routinely used at time of diagnosis to identify abdominal free fluid and to identify abscess…

EP25.10: The “Honeycomb sign”: prevalence of gestational trophoblastic disease in the largest tertiary centre in Rwanda Open

Denis Rwabizi, Stephen Rulisa, L. Matabele‐Bazett, Maria Small · 2016

To describe the incidence of gestational trophoblastic disease (GTD) and its diagnostic approaches at largest public, teaching hospital in Rwanda. We performed a review of the University Teaching Hospital of Kigali (CHUK) ultrasound databa…

P28.12: Point of care ultrasound use for emergency obstetric and gynecological conditions in a tertiary care hospital in Rwanda Open

Stephen Rulisa, Theogene Rurangwa, K. P. Lewis, Maria Small · 2016

Point of care ultrasound may expedite early diagnosis of life threatening conditions and avoid therapeutic delays. Few studies evaluate point of care ultrasound in resource poor settings. We prospectively reviewed all patients admitted to …

Maternal near miss and mortality due to postpartum infection: a cross-sectional analysis from Rwanda Open

Denis Rwabizi, Stephen Rulisa, Aidan Findlater, Maria Small · 2016

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