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Posts by Stephen Lapinsky

Obstetric Critical Care |

Please follow @woccs.bsky.social our new Obstetric Critical Care resource and website WOCCS.org

10 months ago 6 1 0 0
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Hypertensive Disorders of Pregnancy and Long-Term Risk of Dilated Cardiomyopathy This population cohort study uses multiple linked UK electronic health records to examine whether hypertensive disorders of pregnancy are associated with long-term risk of dilated cardiomyopathy.

UK population-based cohort study including 14β€―083 patients with hypertensive disorders of pregnancy.
HDP associated with a doubling of the risk of developing dilated cardiomyopathy. Risk was increased with severity of preeclampsia, older maternal age & postpartum hypertension.

ja.ma/3Fwf0n2

10 months ago 5 1 3 0
Maternal asthma and adverse perinatal outcomes: An analysis of 434,068 pregnancies in Canada Maternal asthma is a known risk factor for asthma and allergic diseases in children. However, there is a lack of data on the role of asthma phenotypes in the association with perinatal outcomes.

Asthma in pregnancy
Study from the Albert Pregnancy Birth Cohort, incidence of asthma was 8.6% & maternal asthma associated with 15% higher risk of PTB, an 11% higher risk of LBW, and a 10% higher risk of C-section. Risk increased with active asthma

www.jaci-inpractice.org/article/S221...

11 months ago 3 0 0 0
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OBGYN Advances in cancer care have led to a growing number of cancer survivors globally. As cancer increasingly affects women and people of reproductive age, more individuals will be experiencing pregnancy....

Detailed overview of
β€œPregnancy after cancer: FIGO Best practice advice”
in IJGO, by Dr. Cindy Maxwell of @sinaihealth.bsky.social & international experts.

obgyn.onlinelibrary.wiley.com/doi/10.1002/...

11 months ago 1 0 0 0
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Mechanism of preeclampsia: fascinating talk @nasom-obmed.bsky.social 2025 by Dr. Surendra Sharma on the role of impaired autophagy related to tau protein aggregation, and treatable with trehalose

pubmed.ncbi.nlm.nih.gov/38760513/

11 months ago 5 0 1 0
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Top 5 articles in OB Medicine in 2024 presented at @nasom-obmed.bsky.social 2025 meeting

11 months ago 4 0 1 0
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Jayson Potts opening the @nasom-obmed.bsky.social 2025 meeting in Newport, RI

11 months ago 1 0 0 0
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New review on PlGF & sFlt1 in Obstetic care, by @sinaihealth.bsky.social leaders in the field.

journals.sagepub.com/doi/10.1177/...

1 year ago 3 1 1 0
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NASOM annual conference coming up April 25-26, Newport, Rhode Island

Participate in person or virtually

Program:
nasom.org/wp-content/u...

Register at:
nasom.org/event-regist...

1 year ago 3 2 0 0

Catherine Nelson-Piercy is on BlueSky!

@nelson-piercy.bsky.social

1 year ago 3 1 0 1
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Risk of Major Congenital Malformations Following Prenatal Exposure to Smoking Cessation Medicines This cohort study examines whether prenatal use of smoking cessation pharmacotherapies is associated with increased risks of major congenital malformations.

Smoking cessation drugs in pregnancy: large cohort study of 1st trimester exposure shows no significant increased risk of congenital malformations with nicotine replacement & varenicline. (similarly no increased risk for buproprion but limited data)

jamanetwork.com/journals/jam...

1 year ago 3 1 0 0
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What Obstetric Health Care Providers Need to Know About Measles and Pregnancy From January 1 to April 3, 2015, 159 people from 18 states and the District of Columbia were reported as having measles. Most cases are part of an outbreak linked to a California amusement park. Becau...

Since @greenjrnl.bsky.social & @acog-org.bsky.social have recently joined Bluesky and - sadly - #measles is going to be ongoing public health crisis in 2025, I'd like to mention their resources on this topic #ObGynSky + #ReproSky + #MedSky.

pmc.ncbi.nlm.nih.gov/articles/PMC...

1 year ago 20 9 3 1
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New research examining subcapsular liver hematomas in preeclampsia and HELLP syndrome: ow.ly/M7vR50Vj7OR

1 year ago 2 3 0 0

Excellent podcast by Catherine Nelson-Piercy and Marie Teil discussing the challenges women with chronic medical diseases face in pregnancy, the lack of data to inform decisions, and the move towards including pregnant women in research studies

scanmail.trustwave.com?c=8248&d=jaz...

1 year ago 1 0 0 0
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Time to register for NASOM 2025
April 25-26, Newport, Rhode Island

Or participate virtually!

Early bird rate ends March 31st

nasom.org/current-year...

1 year ago 2 1 0 0
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Hundreds of research grants at Columbia canceled following Trump edict, administrator says The National Institutes of Health is terminating 232 grants for scientific research at Columbia University Irving Medical Center, according to an email an administrator sent to faculty.

I received one of the 232 NIH grant "terminations" sent to scientists at Columbia last night. My research focuses on improving maternal and child health in the US. Also affected: ongoing clinical trials, research training programs, and research centers that aim to improve the health of Americans.

1 year ago 1347 671 72 37

Obstetrics & Gynecology, the Green Journal, has left Twitter and is now here!

@greenjrnl.bsky.social

1 year ago 9 1 0 1
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Letter from NASOM President, Jayson Potts, regarding the upcoming NASOM conference.
- now a virtual option
- added session on impact of political changes on women's health

π™‰π™šπ™¬π™₯𝙀𝙧𝙩, π™π™π™€π™™π™š 𝙄𝙨𝙑𝙖𝙣𝙙 𝙀𝙣 𝘼π™₯π™§π™žπ™‘ 25 & 26, 2025

Details & registration at:

nasom.org/current-year...

1 year ago 1 1 0 0
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Pregnancies in women after peri-partum cardiomyopathy #PPCM: global ESC EuroObservational Registry

#CardioSky #CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social

1 year ago 7 7 0 0
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Cystic fibrosis & pregnancy

New data from American Cystic Fibrosis Foundation Patient Registry.

Pregnancy assoc with:
- reduced hazard of death compared to never-pregnant
- no significant impact on lung function.

www.sciencedirect.com/science/arti...

1 year ago 0 0 0 0
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I never really thought much about where our fruit came from, but now that we buy non-American, these Italian & Israeli options are great! πŸ‡¨πŸ‡¦

1 year ago 0 0 0 0
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Hemophagocytic Lymphohistiocytosis | NEJM HLH, a cytokine-mediated hyperinflammation syndrome, causes fever, pancytopenia, and hemophagocytosis and is often fatal. Antiinflammatory agents, etoposide, and interferon-Ξ³ antibody are the main ...

Comprehensive review of HLH in the N Engl J Med

www.nejm.org/doi/full/10....

1 year ago 3 0 0 0
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Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

Another report of pregnancy associated HLH in @OBMedicine, with no driver identified. Important to also highlight the role of anakinra & the 3Fs (fever, falling counts & ⬆️ ferritin) as a quick screen. In the UK, also remember the HLH MDT & @NPEU_UKOSS study.

journals.sagepub.com/doi/10.1177/...

1 year ago 1 1 0 0

I like this, will try! I usually give a 1-2 hr trial of vasopressin. There are definitely vasopressin responders and non-responders - I view it as replacing a hormone deficiency rather than acting purely as pressor.

1 year ago 1 0 0 0

Well Alberta, we (in Toronto) accepted your overflow critically ill COVID patients in 2021. Remember, if they come here they receive evidence-based medicine, no ivermectin included!

1 year ago 13 1 0 0
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External aortic compression in OB hemorrhage by Alvaro Nieto-Calvache. A simple maneuver to control bleeding and buy time

www.ajog.org/article/S000...

And video:
www.ajog.org/cms/10.1016/...

1 year ago 4 1 0 0
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Hey everyone…had a conversation with the @uoftpandemics.bsky.social SM manager about why they should get off twitter

A plea: their bsky account is a shell right now, but if we could get them some followers here I bet we could get them to switch

Please consider following πŸ™πŸ™πŸ™

1 year ago 753 372 120 29
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Early warning scores in maternal sepsis
Detailed evaluation of several EWS in a large WHO database of OB sepsis:
- OB & sepsis specific scores performed better
- none accurate enough for clinical use
- incomplete data is a problem

www.thelancet.com/journals/ecl...

1 year ago 1 0 0 0
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Pregnancy in Adult Congenital Heart Disease

#CardioObstetrics #ACHD #CardioSky #MedSky
www.acc.org/Latest-in-Ca...
@accintouch.bsky.social @shantelleb.bsky.social @isabellemalhame.bsky.social @csilvers.bsky.social @garimasharmamd.bsky.social @erinmichos.bsky.social @mchonig.bsky.social

1 year ago 11 5 0 0
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Top Articles Collection 2024

We are looking for your 3 favorite articles in Obstetric Medicine for 2024.

Submit these via the link below, and join us at our Annual Meeting in April for the presentation!

www.surveymonkey.com/r/NASOMTAC24

1 year ago 1 1 0 0