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  1. Article ; Online: Maternal Hemorrhage-Regional Versus General Anesthesia: Does It Really Matter?

    Beilin, Yaakov

    Anesthesia and analgesia

    2018  Volume 127, Issue 4, Page(s) 805–807

    MeSH term(s) Anesthesia, General ; Cesarean Section ; Female ; Humans ; Placenta ; Placenta Previa ; Pregnancy ; Retrospective Studies
    Language English
    Publishing date 2018-09-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000003330
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  2. Article ; Online: Analgesia use among 984 women with preeclampsia: A retrospective observational single-center study.

    Beilin, Yaakov / Katz, Daniel Joshua

    Journal of clinical anesthesia

    2020  Volume 62, Page(s) 109741

    Abstract: Study objective: To determine the incidence of platelet count <100,000 mm: Design: Retrospective analysis of all women with preeclampsia who presented to the labor floor during calendar years 2012-2015.: Setting: Academic medical center in New ... ...

    Abstract Study objective: To determine the incidence of platelet count <100,000 mm
    Design: Retrospective analysis of all women with preeclampsia who presented to the labor floor during calendar years 2012-2015.
    Setting: Academic medical center in New York City, United States.
    Patients: Nine hundred and eighty four women with preeclampsia.
    Measurements: Data collected included all platelet counts recorded for a period of 72 h prior to delivery. Demographic data, laboratory data including complete blood count with platelets, blood urea nitrogen (BUN) Creatinine (CR), alanine aminotransferase (ALT), aspartate aminotransferase (AST), International Normalization Ratio (INR), and fibrinogen level, placement of neuraxial anesthesia and presence of epidural hematoma were also recorded.
    Main results: We identified 984 women with preeclampsia who had a median presenting platelet count of 195,000 mm
    Conclusions: These findings suggest that the incidence of thrombocytopenia in women with preeclampsia, especially platelet count <70,000 mm
    MeSH term(s) Analgesia ; Anesthesia, Obstetrical/adverse effects ; Female ; Humans ; New York City ; Pre-Eclampsia/epidemiology ; Pregnancy ; Retrospective Studies
    Language English
    Publishing date 2020-02-14
    Publishing country United States
    Document type Journal Article ; Observational Study
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2020.109741
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  3. Article ; Online: Is There an Association between Platelet Count and Blood Loss in the Parturient? A Retrospective Study.

    Beilin, Yaakov / Liu, Helen / Hyers, Benjamin M / Mijovic, Vasilije / Katz, Daniel

    American journal of perinatology

    2023  

    Abstract: Objective:  The influence of thrombocytopenia on blood loss and postpartum hemorrhage (PPH) has been conflicting. Our aim was to determine if there is an association between predelivery platelet count and quantitative blood loss (QBL) and PPH in both ... ...

    Abstract Objective:  The influence of thrombocytopenia on blood loss and postpartum hemorrhage (PPH) has been conflicting. Our aim was to determine if there is an association between predelivery platelet count and quantitative blood loss (QBL) and PPH in both vaginal (VD) and cesarean deliveries (CD).
    Study design:  We conducted a retrospective database study at a single institution from April 1, 2017 to September 9, 2020. The platelet count closest to time of delivery and the QBL was assessed separately for VD and CD.
    Results:  A total of 22,479 records were reviewed, of which 16,822 (75%) were VD and 5,657 (25%) were CD. A total of 2,600 (12%) patients had thrombocytopenia, defined as a platelet count <150,000/mm
    Conclusion:  We found a statistically significant association between lower predelivery platelet counts and QBL and PPH. The clinical significance of these results is debatable, because at all platelet count ranges, differences in blood loss were small.
    Key points: · Hemorrhage is etiology of morbidity and mortality in obstetric parturients.. · We found a small increase in blood loss in those with thrombocytopenia.. · The clinical relevance of these findings is debatable since the increased blood loss was small..
    Language English
    Publishing date 2023-12-23
    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/s-0043-1778009
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  4. Article ; Online: Race and Intention to Breastfeed are the Strongest Predictors of Exclusive Breastfeeding: a Retrospective Study.

    Sartor, Lauren / Pyram-Vincent, Chantal / Lin, Hung-Mo / Ouyang, Yuxia / Wax, David B / Beilin, Yaakov

    Journal of racial and ethnic health disparities

    2023  

    Abstract: Introduction: Racial disparities exist in maternal and neonatal care including breastfeeding (BF). The purpose of this study is to assess factors associated with BF success by race with a specific focus on pre-birth BF plan and time duration from birth ... ...

    Abstract Introduction: Racial disparities exist in maternal and neonatal care including breastfeeding (BF). The purpose of this study is to assess factors associated with BF success by race with a specific focus on pre-birth BF plan and time duration from birth until initiation of skin-to-skin contact and from birth to the first feed or breastfeed.
    Methods: A database query of our electronic medical records was performed for all patients who had a vaginal delivery that met our study criteria. Demographic information, pre-delivery feeding plan (exclusive BF, exclusive formula, or mixed), time to first feed and first breastfeed, and time to skin-to-skin were compared among different postpartum feeding practices (exclusive BF, exclusive formula, mixed), and compared across race/ethnic groups using ANOVA, Chi-square, and Fisher's exact statistical tests as appropriate. Logistic regression was used to investigate the independent effect of each variable on exclusive BF.
    Results: The study analyzed 12,578 deliveries. There was a significant difference in intended feeding plans among the different racial groups. Approximately 61% of Black patients intended to exclusively BF as compared to 79% of the other groups. Overall, 3994 (32%) patients breastfed exclusively, 872 (7%) exclusively used formula, and 7712 (61%) used a mix of breast and formula. White patients were most likely to exclusively BF (35%) and Black patients were least likely (21%), p < 0.001. Our model found that self-identified race and pre-delivery feeding plan were the strongest predictors of exclusive BF.
    Conclusions: The main findings of this study are that self-identified race and intention to BF are the strongest predictors of exclusive BF. Black patients intend to BF at a significantly lower rate than other racial groups, for reasons not determined by this study, and this affects feeding practice. Our findings are notable because prehospital intention to BF can be modified by outreach, education, and changes to in-hospital practices.
    Language English
    Publishing date 2023-10-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760524-3
    ISSN 2196-8837 ; 2197-3792
    ISSN (online) 2196-8837
    ISSN 2197-3792
    DOI 10.1007/s40615-023-01819-8
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  5. Article ; Online: Management of post-partum hemorrhage and the role of the obstetric anesthesiologist.

    Katz, Daniel / Beilin, Yaakov

    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

    2019  Volume 34, Issue 9, Page(s) 1487–1493

    Abstract: Purpose of review: The landscape of post-partum hemorrhage management is rapidly changing. Modifications to definitions, bundles, and care plans occur frequently with management strategies becoming more complex. It has become apparent that the ... ...

    Abstract Purpose of review: The landscape of post-partum hemorrhage management is rapidly changing. Modifications to definitions, bundles, and care plans occur frequently with management strategies becoming more complex. It has become apparent that the management of these patients requires a multidisciplinary approach with the involvement of obstetricians, anesthesiologists, gynecologist/oncologists, nursing, and care associates. This review article is meant to be an evidence-based review of post-partum hemorrhage with practical recommendations and a look at future directions of the management of post-partum hemorrhage from the vantage point of the obstetric anesthesiologist in an effort to enhance the collaborative treatment of this at risk population.
    MeSH term(s) Anesthesiologists ; Female ; Humans ; Postpartum Hemorrhage/etiology ; Postpartum Hemorrhage/therapy ; Postpartum Period ; Pregnancy
    Language English
    Publishing date 2019-07-10
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2077261-0
    ISSN 1476-4954 ; 1057-0802 ; 1476-7058
    ISSN (online) 1476-4954
    ISSN 1057-0802 ; 1476-7058
    DOI 10.1080/14767058.2019.1638360
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  6. Article ; Online: Factor XI Deficiency: The Key Is Individualization.

    Beilin, Yaakov / Katz, Daniel J

    Anesthesia and analgesia

    2018  Volume 128, Issue 1, Page(s) e10–e9

    MeSH term(s) Factor XI ; Factor XI Deficiency ; Female ; Humans ; Pregnancy
    Chemical Substances Factor XI (9013-55-2)
    Language English
    Publishing date 2018-11-02
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000003869
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  7. Article ; Online: Finding the ever elusive vertebral midline: does Mother know best?

    Beilin, Yaakov

    Journal of clinical anesthesia

    2011  Volume 23, Issue 1, Page(s) 1–2

    MeSH term(s) Adult ; Analgesia, Epidural/adverse effects ; Analgesia, Obstetrical/adverse effects ; Female ; Humans ; Mothers ; Needles ; Nerve Block/adverse effects ; Pain/etiology ; Pregnancy
    Language English
    Publishing date 2011-02
    Publishing country United States
    Document type Comment ; Editorial
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2010.06.003
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  8. Article ; Online: An update on obstetric anesthesia.

    Beilin, Yaakov

    Seminars in cardiothoracic and vascular anesthesia

    2010  Volume 14, Issue 1, Page(s) 64–65

    Abstract: Many women in the United States receive analgesia for labor and delivery. The ideal labor analgesic technique would confer complete pain relief without side effects. The analgesic technique would not cause any lower extremity motor blockade nor interfere ...

    Abstract Many women in the United States receive analgesia for labor and delivery. The ideal labor analgesic technique would confer complete pain relief without side effects. The analgesic technique would not cause any lower extremity motor blockade nor interfere with the progress or course of labor and would be sufficiently flexible to produce anesthesia for instrumental or cesarean deliveries. Furthermore, the baby would be vigorous at birth. Modern obstetric analgesia techniques and medications achieve these goals. This article reviews current labor analgesia techniques and medications used during labor and delivery.
    MeSH term(s) Analgesia, Epidural/methods ; Analgesia, Obstetrical/methods ; Cesarean Section ; Delivery, Obstetric ; Female ; Humans ; Infant, Newborn ; Labor, Obstetric ; Pregnancy
    Language English
    Publishing date 2010-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2012371-1
    ISSN 1940-5596 ; 1089-2532
    ISSN (online) 1940-5596
    ISSN 1089-2532
    DOI 10.1177/1089253210362796
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  9. Article ; Online: Review of the Alternatives to Epidural Blood Patch for Treatment of Postdural Puncture Headache in the Parturient.

    Katz, Daniel / Beilin, Yaakov

    Anesthesia and analgesia

    2017  Volume 124, Issue 4, Page(s) 1219–1228

    Abstract: Labor neuraxial anesthesia is commonly used in the parturient, and postdural puncture headache is the most common complication of the technique. Although epidural blood patch is the best treatment, there are some patients in whom this treatment is ... ...

    Abstract Labor neuraxial anesthesia is commonly used in the parturient, and postdural puncture headache is the most common complication of the technique. Although epidural blood patch is the best treatment, there are some patients in whom this treatment is refused or contraindicated. The goal of this article is to review the efficacy of the most studied alternate modalities to treat postdural puncture headache. This will include a discussion of the various oral or intravenous therapies and the non-blood-containing epidural injections. Last, the evidence behind interventional pain modalities and acupuncture will be examined.
    MeSH term(s) Acupuncture Therapy/methods ; Anti-Inflammatory Agents, Non-Steroidal/pharmacology ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Blood Patch, Epidural/methods ; Female ; Fluid Therapy/methods ; Humans ; Injections, Epidural ; Nerve Block/methods ; Parturition/drug effects ; Parturition/physiology ; Post-Dural Puncture Headache/diagnosis ; Post-Dural Puncture Headache/therapy ; Pregnancy ; Treatment Outcome ; Xanthines/pharmacology ; Xanthines/therapeutic use
    Chemical Substances Anti-Inflammatory Agents, Non-Steroidal ; Xanthines ; methylxanthine (28109-92-4)
    Language English
    Publishing date 2017-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000001840
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  10. Article ; Online: In Response.

    Katz, Daniel / Beilin, Yaakov

    Anesthesia and analgesia

    2017  Volume 127, Issue 2, Page(s) e24

    MeSH term(s) Bupivacaine ; Double-Blind Method ; Epinephrine ; Female ; Humans ; Morphine ; Pregnancy ; Prospective Studies
    Chemical Substances Morphine (76I7G6D29C) ; Bupivacaine (Y8335394RO) ; Epinephrine (YKH834O4BH)
    Language English
    Publishing date 2017-12-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000002760
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