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  1. Article ; Online: Morbidity of Repeat Cesarean Delivery after a Trial of Labor as Compared with Elective Repeat Cesarean Delivery.

    Markovic, Emily S / Fox, Nathan S

    American journal of perinatology

    2023  

    Abstract: Objective:  This study aimed to evaluate if a secondary repeat cesarean after a trial of labor (TOLAC) without uterine rupture is associated with increased morbidity as compared with a scheduled elective repeat cesarean delivery (ERCD).: Study design!# ...

    Abstract Objective:  This study aimed to evaluate if a secondary repeat cesarean after a trial of labor (TOLAC) without uterine rupture is associated with increased morbidity as compared with a scheduled elective repeat cesarean delivery (ERCD).
    Study design:  This was a retrospective cohort study of repeat cesarean delivery (CD) in a single obstetrical practice between 2005 and 2022. Patients were included if they had a singleton pregnancy at term with one prior CD and had a repeat CD this pregnancy resulting in live birth. Patients were excluded if they had a prior myomectomy, more than one prior CD, uterine rupture in a prior or current pregnancy, or placenta previa in this pregnancy. We compared baseline characteristics and outcomes between patients who had a repeat cesarean after TOLAC and ERCD. The primary outcome was a composite of maternal morbidity that included hysterectomy, blood transfusion, cystotomy, bowel injury, intensive care unit admission, thrombosis, reoperation, or maternal mortality.
    Results:  A total of 930 women met inclusion criteria. A total of 176 (18.9%) patients intended to labor and 754 (81.1%) planned an ERCD. There was no difference in the primary outcome between patients with a repeat cesarean after TOLAC compared with patients with ERCD (2.8 vs. 1.2%,
    Conclusion:  For women with one prior CD the morbidity of repeat cesarean after labor is not more than the morbidity of planned repeat CD. Our study can be helpful in delivery planning counseling for patients with one prior CD.
    Key points: · Uterine rupture is a known risk of TOLAC.. · This study aimed to understand morbidity associated with labor.. · No added morbidity of repeat cesarean after labor is inferred in this study..
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-2126-7613
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: In Reply.

    Fox, Nathan S

    Obstetrics and gynecology

    2018  Volume 132, Issue 3, Page(s) 783

    MeSH term(s) Female ; Humans ; Pregnancy
    Language English
    Publishing date 2018-08-17
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000002844
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  3. Article ; Online: Pregnancy Outcomes in Patients With Prior Uterine Rupture or Dehiscence: A 5-Year Update.

    Fox, Nathan S

    Obstetrics and gynecology

    2019  Volume 135, Issue 1, Page(s) 211–212

    MeSH term(s) Cesarean Section ; Cicatrix/pathology ; Female ; Humans ; Pregnancy ; Pregnancy Outcome ; Secondary Prevention ; Surgical Wound Dehiscence ; Ultrasonography, Prenatal ; Uterine Diseases ; Uterine Rupture ; Uterus/pathology
    Language English
    Publishing date 2019-12-05
    Publishing country United States
    Document type Letter
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000003622
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  4. Article ; Online: In Reply.

    Gerber, Rachel S / Fox, Nathan S

    Obstetrics and gynecology

    2020  Volume 130, Issue 3, Page(s) 647

    Language English
    Publishing date 2020-12-02
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000002220
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  5. Article ; Online: Optimal gestational age for cervical length in twins: still an open debate!

    Roman, Amanda / Ramirez, Alexandra / Fox, Nathan S

    American journal of obstetrics & gynecology MFM

    2022  Volume 4, Issue 3, Page(s) 100585

    MeSH term(s) Cervical Length Measurement ; Cervix Uteri/diagnostic imaging ; Female ; Gestational Age ; Humans ; Pregnancy ; Twins
    Language English
    Publishing date 2022-02-02
    Publishing country United States
    Document type Letter ; Comment
    ISSN 2589-9333
    ISSN (online) 2589-9333
    DOI 10.1016/j.ajogmf.2022.100585
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  6. Article: Morbidity of Repeat Cesarean Delivery after a Trial of Labor as Compared with Elective Repeat Cesarean Delivery

    Markovic, Emily S. / Fox, Nathan S.

    American Journal of Perinatology

    2023  

    Abstract: Objective: This study aimed to evaluate if a secondary repeat cesarean after a trial of labor (TOLAC) without uterine rupture is associated with increased morbidity as compared with a scheduled elective repeat cesarean delivery (ERCD).: Study Design: ...

    Abstract Objective: This study aimed to evaluate if a secondary repeat cesarean after a trial of labor (TOLAC) without uterine rupture is associated with increased morbidity as compared with a scheduled elective repeat cesarean delivery (ERCD).
    Study Design: This was a retrospective cohort study of repeat cesarean delivery (CD) in a single obstetrical practice between 2005 and 2022. Patients were included if they had a singleton pregnancy at term with one prior CD and had a repeat CD this pregnancy resulting in live birth. Patients were excluded if they had a prior myomectomy, more than one prior CD, uterine rupture in a prior or current pregnancy, or placenta previa in this pregnancy. We compared baseline characteristics and outcomes between patients who had a repeat cesarean after TOLAC and ERCD. The primary outcome was a composite of maternal morbidity that included hysterectomy, blood transfusion, cystotomy, bowel injury, intensive care unit admission, thrombosis, reoperation, or maternal mortality.
    Results: A total of 930 women met inclusion criteria. A total of 176 (18.9%) patients intended to labor and 754 (81.1%) planned an ERCD. There was no difference in the primary outcome between patients with a repeat cesarean after TOLAC compared with patients with ERCD (2.8 vs. 1.2%, p  = 0.158). Patients with repeat cesarean after labor had significantly more 1-minute Apgar scores less than 7, but no difference in 5-minute Apgar scores. We were powered to detect a difference in the primary outcome from 1.2% in the ERCD group to 3.3% in the repeat cesarean after labor group. Results did not differ when we analyzed patients who intended to TOLAC versus patients who actually labored prior CD.
    Conclusion: For women with one prior CD the morbidity of repeat cesarean after labor is not more than the morbidity of planned repeat CD. Our study can be helpful in delivery planning counseling for patients with one prior CD.
    Key Points: Uterine rupture is a known risk of TOLAC. This study aimed to understand morbidity associated with labor. No added morbidity of repeat cesarean after labor is inferred in this study.
    Keywords cesarean delivery ; counseling ; labor ; maternal morbidity ; TOLAC ; risks
    Language English
    Publishing date 2023-07-11
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-2126-7613
    Database Thieme publisher's database

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  7. Article ; Online: In Reply.

    Fox, Nathan S

    Obstetrics and gynecology

    2016  Volume 128, Issue 2, Page(s) 408–409

    Language English
    Publishing date 2016-05-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000001547
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  8. Article: The Association between Glucose Levels and Adverse Pregnancy Outcomes in Nondiabetic Twin Pregnancies.

    Cheung, Kevin / Fox, Nathan S

    AJP reports

    2020  Volume 10, Issue 3, Page(s) e217–e223

    Abstract: ... ...

    Abstract Objective
    Language English
    Publishing date 2020-08-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2628074-7
    ISSN 2157-7005 ; 2157-6998
    ISSN (online) 2157-7005
    ISSN 2157-6998
    DOI 10.1055/s-0040-1714712
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  9. Article ; Online: Dos and Don'ts in Pregnancy: Truths and Myths.

    Fox, Nathan S

    Obstetrics and gynecology

    2018  Volume 131, Issue 4, Page(s) 713–721

    Abstract: Pregnancy is a time of excitement and anxiety. The reality for pregnant women is that their actions could affect their pregnancies and their fetuses. As such, they need to know what they should and should not do to minimize risk and optimize outcomes. ... ...

    Abstract Pregnancy is a time of excitement and anxiety. The reality for pregnant women is that their actions could affect their pregnancies and their fetuses. As such, they need to know what they should and should not do to minimize risk and optimize outcomes. Whereas this advice used to come from doctors, a few books, and some family and friends, in the age of the internet, women are now bombarded with information and recommendations, which are often confusing at best and conflicting at worst. The objective of this review is to present current, evidence-based recommendations for some of the things that pregnant women should and should not routinely do during pregnancy.
    MeSH term(s) Family ; Female ; Friends ; Health Knowledge, Attitudes, Practice ; Humans ; Information Seeking Behavior ; Internet ; Pregnancy ; Prenatal Care
    Language English
    Publishing date 2018-03-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000002517
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Incidence and Risk Factors for a Malpositioned Intrauterine Device Detected on Three-Dimensional Ultrasound Within Eight Weeks of Placement.

    Connolly, Courtney T / Fox, Nathan S

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

    2021  Volume 41, Issue 6, Page(s) 1525–1536

    Abstract: Objectives: To estimate the incidence of intrauterine device (IUD) malpositioning detected on three-dimensional (3D) transvaginal ultrasound within 8 weeks of placement and identify risk factors for malpositioning.: Methods: Retrospective study of ... ...

    Abstract Objectives: To estimate the incidence of intrauterine device (IUD) malpositioning detected on three-dimensional (3D) transvaginal ultrasound within 8 weeks of placement and identify risk factors for malpositioning.
    Methods: Retrospective study of women who had an IUD placed at a large obstetrics and gynecology practice from January 1, 2015, to December 31, 2020. All patients underwent two-dimensional ultrasound at the time of insertion and routine three-dimensional ultrasound within 8 weeks. Baseline characteristics and potential risk factors were compared between women with correctly positioned and malpositioned IUDs. Odds ratios were calculated by logistic regression to identify risk factors independently associated with malpositioning.
    Results: A total of 763 IUD placements were included, and 127 malpositioned IUDs were identified representing an overall rate of malpositioning of 16.6% (95% confidence interval [CI] 14.0-19.3) with 8.8% (95% CI 6.8-10.8) requiring removal. Patients with malpositioned IUD had higher rates of morbid obesity (13.4% versus 3.8%, adjusted odds ratio [aOR] 2.46, 95% CI 1.10-5.50), prior uterine window or rupture (9.0% versus 2.2%, aOR 2.78, 95% CI 1.06-7.30), copper IUD placement (64.2% versus 47.4%, aOR 1.99, 95% CI 1.31-3.03), and symptoms such as bleeding or pain at follow-up (35.8% versus 20.1%, aOR 2.58, 95% CI 1.67-3.98). Parity, breastfeeding, difficult insertion, and uterine size and positioning were not significant.
    Conclusions: The incidence of malpositioned IUD within 8 weeks of placement on 3D ultrasound is 16.6%, with 8.8% requiring removal. Significant risk factors for malpositioning include morbid obesity, prior uterine window or rupture, and copper IUD placement. These findings support the importance of routine follow-up 3D ultrasound after seemingly successful IUD placement.
    MeSH term(s) Female ; Humans ; Incidence ; Intrauterine Devices/adverse effects ; Obesity, Morbid/etiology ; Pregnancy ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2021-09-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 604829-8
    ISSN 1550-9613 ; 0278-4297
    ISSN (online) 1550-9613
    ISSN 0278-4297
    DOI 10.1002/jum.15836
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