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  1. Article ; Online: Prenatal Care Visit Frequency: How Much Is Too Much, and How Little Is Too Little?

    Turrentine, Mark A

    Obstetrics and gynecology

    2023  Volume 142, Issue 1, Page(s) 6–7

    MeSH term(s) Pregnancy ; Female ; Humans ; Prenatal Care
    Language English
    Publishing date 2023-06-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005233
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Foreword: Controversies in Gynecology.

    Turrentine, Mark

    Clinical obstetrics and gynecology

    2022  Volume 65, Issue 4, Page(s) 685

    MeSH term(s) Humans ; Gynecology ; Obstetrics
    Language English
    Publishing date 2022-06-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 391207-3
    ISSN 1532-5520 ; 0009-9201
    ISSN (online) 1532-5520
    ISSN 0009-9201
    DOI 10.1097/GRF.0000000000000723
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: It's never too late to prevent neonatal sepsis.

    Turrentine, Mark

    BJOG : an international journal of obstetrics and gynaecology

    2022  Volume 130, Issue 1, Page(s) 32

    MeSH term(s) Infant, Newborn ; Humans ; Neonatal Sepsis/prevention & control
    Language English
    Publishing date 2022-08-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2000931-8
    ISSN 1471-0528 ; 0306-5456 ; 1470-0328
    ISSN (online) 1471-0528
    ISSN 0306-5456 ; 1470-0328
    DOI 10.1111/1471-0528.17275
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Disturbing the neonatal microbiome is a small price to pay for preventing early-onset neonatal group B streptococcus disease: FOR: Intrapartum antibiotic prophylaxis - offering opportunities or creating difficulties?

    Turrentine, Mark A

    BJOG : an international journal of obstetrics and gynaecology

    2019  Volume 127, Issue 2, Page(s) 228

    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Antibiotic Prophylaxis ; Female ; Gastrointestinal Microbiome/drug effects ; Gastrointestinal Microbiome/physiology ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical/prevention & control ; Pregnancy ; Pregnancy Complications, Infectious/drug therapy ; Pregnancy Complications, Infectious/prevention & control ; Streptococcal Infections/prevention & control ; Streptococcus agalactiae/pathogenicity
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2019-11-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2000931-8
    ISSN 1471-0528 ; 0306-5456 ; 1470-0328
    ISSN (online) 1471-0528
    ISSN 0306-5456 ; 1470-0328
    DOI 10.1111/1471-0528.15989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Use of a pocket-device point-of-care ultrasound to assess cervical dilation in labor: correlation and patient experience.

    Connell, Phillip / Turrentine, Mark / Antoniewicz, Leah

    Journal of perinatal medicine

    2023  Volume 51, Issue 7, Page(s) 962–964

    Abstract: Objectives: To estimate the correlation of cervical dilation between pocket-device point-of-care transperineal ultrasound (TPUS) and digital cervical examination (DCE).: Methods: Laboring pregnant individuals ≥37 weeks of gestation presenting were ... ...

    Abstract Objectives: To estimate the correlation of cervical dilation between pocket-device point-of-care transperineal ultrasound (TPUS) and digital cervical examination (DCE).
    Methods: Laboring pregnant individuals ≥37 weeks of gestation presenting were prospectively evaluated for cervical dilation with a handheld pocket-sized ultrasound (Butterfly iQ+
    Results: From April 2022 to July 2022, 30 pregnant individuals were assessed. The median cervical dilation by TPUS vs. DCE was 5.1 and 5 cm, respectively, with a Pearson's correlation coefficient, r=0.86 (95% CI 0.72 to 0.93), p<0.001. Transperineal ultrasound had a significantly less pain score than DCE, median pain score 0 vs. 2 for TPUS and DCE respectively, p<0.001. All individuals preferred the TPUS over the DCE.
    Conclusions: Measurement of cervical dilation using a pocket-device point-of-care TPUS has a strong positive correlation with DCE and offers a non-invasive, convenient alternative to traditional digital exams in term, laboring patients.
    MeSH term(s) Pregnancy ; Female ; Humans ; Dilatation ; Point-of-Care Systems ; Ultrasonography ; Labor Stage, First ; Patient Outcome Assessment
    Language English
    Publishing date 2023-01-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 123512-6
    ISSN 1619-3997 ; 0300-5577 ; 0936-174X
    ISSN (online) 1619-3997
    ISSN 0300-5577 ; 0936-174X
    DOI 10.1515/jpm-2022-0518
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cesarean Delivery Rate in Nulliparous Women in the Second Stage of Labor When Using Zhang Compared With Friedman Labor Curves: A Systematic Review and Meta-analysis.

    Limas, Maria M / Shah, Sohum C / Turrentine, Mark A

    Obstetrics and gynecology

    2023  Volume 141, Issue 6, Page(s) 1089–1097

    Abstract: Objective: To estimate the cesarean delivery rate in the second stage of labor in nulliparous women when using the Zhang compared with the Friedman labor curve by performing a systematic review and meta-analysis.: Data sources: We explored MEDLINE, ... ...

    Abstract Objective: To estimate the cesarean delivery rate in the second stage of labor in nulliparous women when using the Zhang compared with the Friedman labor curve by performing a systematic review and meta-analysis.
    Data sources: We explored MEDLINE, EMBASE, Web of Science, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ClinicalTrials.gov, and Cochrane Central Register of Controlled Trials for studies comparing the cesarean delivery rate in the second stage of labor in nulliparous women when using the Zhang compared with the Friedman labor curve.
    Methods of study selection: Two reviewers separately ascertained studies, obtained data, and gauged study quality. The cesarean delivery rate was compared, and odds ratios (ORs) with 95% CIs were estimated.
    Tabulation, integration, and results: Five retrospective cohort studies and two randomized controlled trials were identified with 20,165 nulliparous women (10,861 with the Zhang labor curve vs 9,304 with the Freidman labor curve). Studies evaluated women with delivery from June 2010 to May 2017. Two studies were from the United States; two were from Israel; and one each was from China, France, and Norway. The median point prevalence of cesarean delivery in the second stage was 4.0% (95% CI 2.1-14.5%) in cases managed with the Zhang labor curve compared with 5.6% (95% CI 1.8-28.6%) in cases managed with the Friedman labor curves. The overall cesarean delivery rate in the second stage of labor was similar when the Zhang labor curve compared with the Friedman labor curve was used (pooled OR 0.86, 95% CI 0.47-1.57, I2=93%). When the two randomized controlled trials were excluded, the results of the cohort studies continued to demonstrate that the overall cesarean delivery rate in the second stage of labor was similar (pooled OR 0.84, 95% CI 0.42-1.69, I2=92%).
    Conclusion: Nulliparous women have similar cesarean delivery rates in the second stage of labor when either the Zhang or Friedman labor curve is used.
    Systematic review registration: PROSPERO, CRD42022346425.
    MeSH term(s) Pregnancy ; Female ; Humans ; Labor Stage, Second ; Retrospective Studies ; Cesarean Section ; Parity ; China
    Language English
    Publishing date 2023-05-03
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005180
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Limits of Viability.

    Pettker, Christian M / Turrentine, Mark A / Simhan, Hyagriv N

    Obstetrics and gynecology

    2023  Volume 142, Issue 3, Page(s) 725–726

    MeSH term(s) Humans ; Gestational Age ; Fetal Viability
    Language English
    Publishing date 2023-08-03
    Publishing country United States
    Document type Editorial
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005280
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: It's All How You "Spin" It: Interpretive Bias in Research Findings in the Obstetrics and Gynecology Literature.

    Turrentine, Mark

    Obstetrics and gynecology

    2016  Volume 129, Issue 2, Page(s) 239–242

    Abstract: Scientific publications can be subject to varying degrees of interpretive bias, also known as spin. The rate of spin in randomized controlled trials (RCTs) with nonsignificant primary outcomes in the general obstetrics and gynecology literature is ... ...

    Abstract Scientific publications can be subject to varying degrees of interpretive bias, also known as spin. The rate of spin in randomized controlled trials (RCTs) with nonsignificant primary outcomes in the general obstetrics and gynecology literature is unknown. A decade (January 2006 through December 2015) of the tables of contents of Obstetrics & Gynecology and the American Journal of Obstetrics & Gynecology were screened, with 503 RCTs identified. Limiting assessment to only parallel-group RCTs with a nonsignificant primary outcome (P≥.05) resulted in the identification of 194 studies. The abstracts of the articles reported the primary outcome in 93% of studies with 79% containing a precision estimate but only 25% noting an effect size. The extent of any type of spin occurred in 43% of abstracts and 50% of the main text. In articles that contained spin in the abstract, the more common types were: emphasizing statistically significant secondary results despite a nonsignificant primary outcome (40%); interpreting statistically nonsignificant primary results as showing treatment equivalence or comparable effectiveness (37%); and emphasizing the beneficial effect of the treatment despite statistically nonsignificant results (15%). Half of parallel-group RCTs with nonsignificant primary outcomes published in the two leading journals in general obstetrics and gynecology contains some level of spin. As readers of the medical literature, we should be aware of the concept of spin, the diversity and heterogeneity of spin in the reporting of conclusions, and its effects, particularly when discussing articles that may change clinical practice.
    MeSH term(s) Bias ; Biomedical Research ; Data Interpretation, Statistical ; Gynecology ; Humans ; Obstetrics ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2016-11-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000001818
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Clinical Conundrums: Is One Clinician's Quandary the Next Clinical Trial?

    Turrentine, Mark A

    Obstetrics and gynecology

    2017  Volume 130, Issue 1, Page(s) 5–6

    MeSH term(s) Cervix Uteri ; Decision Making ; Female ; Humans ; Parturition
    Language English
    Publishing date 2017-05-03
    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.0000000000002117
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reducing Hemorrhage-Related Maternal Morbidity Using Interdisciplinary Simulation Training.

    Gerard, Jessica L / Turrentine, Mark A / Leong-Kee, Susan

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2022  Volume 19, Issue 1, Page(s) 21–26

    Abstract: Introduction: Postpartum hemorrhage (PPH) remains a major cause of preventable maternal morbidity in the United States. Postpartum hemorrhage simulations were developed to improve provider recognition and treatment; however, there exist few studies that ...

    Abstract Introduction: Postpartum hemorrhage (PPH) remains a major cause of preventable maternal morbidity in the United States. Postpartum hemorrhage simulations were developed to improve provider recognition and treatment; however, there exist few studies that investigate their effects on individual outcomes. Our objective is to estimate the effect of a simulation-based educational intervention on PPH-related maternal morbidity outcomes.
    Methods: We conducted a retrospective cohort analysis of hemorrhage outcomes at a single institution between March 2012 and January 2016 during the implementation of a high-fidelity PPH simulation. Women with PPH defined as an estimated blood loss greater than 500 mL for vaginal delivery and 1000 mL for cesarean delivery were included. The primary outcome was a composite of hemorrhage-related maternal morbidity (maternal death, hysterectomy, intensive care unit admission, blood transfusion, or unanticipated procedures to treat postpartum bleeding). Multivariable logistic regression adjusted for confounding variables between presimulation and postsimulation outcomes.
    Results: During the study period, 19,927 deliveries occurred with 4.5% of patients (888) experiencing hemorrhage. Women in the presimulation (n = 278) versus postsimulation groups (n = 610) had similar demographics. Although the PPH rate increased after simulation [2.8% pre vs. 6.1% post, odds ratio (OR), 2.25; 95% confidence interval (CI), 1.95-2.60], composite hemorrhage-related morbidity was lower after simulation training (44% pre vs. 35% post; OR, 0.70; 95% CI, 0.52-0.93). This reduction persisted after adjusting for confounding variables of mode of delivery and time from delivery to first uterotonic use (adjusted OR, 0.66; 95%, CI 0.49-0.89).
    Conclusions: Despite an increased PPH rate, simulation education was associated with a reduction in a hemorrhage-related maternal composite morbidity.
    MeSH term(s) Pregnancy ; Humans ; Female ; Postpartum Hemorrhage/epidemiology ; Postpartum Hemorrhage/therapy ; Retrospective Studies ; Delivery, Obstetric/methods ; Cesarean Section ; Simulation Training
    Language English
    Publishing date 2022-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000702
    Database MEDical Literature Analysis and Retrieval System OnLINE

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