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49 results on '"Eller, Alexandra"'

5. 10 tips for overcoming common challenges of intrapartum fetal monitoring

Author

Esplin, M. Sean and Eller, Alexandra G.

Subjects
Heart beat, Patient monitoring equipment, Health
Abstract

* Use these expert tips to anticipate and address the common challenges of intrapartum FHR monitoring to improve care of the mother and baby and reduce potential liability. Four clinical [...]

Published
2016

21. Perinatal outcomes associated with intrahepatic cholestasis of pregnancy.

Author

Herrera, Christina Annette, Manuck, Tracy A., Stoddard, Gregory J., Varner, Michael W., Esplin, Sean, Clark, Erin A. S., Silver, Robert M., and Eller, Alexandra G.

Subjects
MATERNAL health services, CHOLESTASIS in newborn infant, OBSTRUCTIVE jaundice, BILIARY liver cirrhosis, FETAL development, PREMATURE labor, CHOLESTASIS, EVALUATION of medical care, PREGNANCY, PREGNANCY complications, PRENATAL diagnosis, RETROSPECTIVE studies
Abstract

Objective: The objective of this study is to examine perinatal outcomes associated with cholestasis of pregnancy according to bile acid level and antenatal testing practice.Study Design: Retrospective cohort study of women with symptoms and bile acid testing from 2005 to 2014. Women were stratified by bile acid level: no cholestasis (<10 μmol/L), mild (10-39 μmol/L), moderate (40-99 μmol/L), and severe (≥100 μmol/L). The primary outcome was composite neonatal morbidity (hypoxic ischemic encephalopathy, severe intraventricular hemorrhage, bronchopulmonary dysplasia, necrotizing enterocolitis, or death).Results: 785 women were included; 487 had cholestasis (347 mild, 108 moderate, 32 severe) and 298 did not. After controlling for gestational age (GA), severe cholestasis was associated with the composite neonatal outcome (aRR 5.6, 95% CI 1.3-23.5) and meconium-stained fluid (aRR 4.82, 95%CI 1.6-14.2). Bile acid levels were not correlated with the frequency of testing (p = .50). Women who underwent twice weekly testing were delivered earlier (p = .016) than women tested less frequently, but the difference in GA was ≤4 d. Abnormal testing prompting delivery was uncommon. Among women with cholestasis, there were three stillbirths. One of these women was undergoing antenatal testing, which was normal 1 d prior to the fetal demise.Conclusion: Severe cholestasis is associated with neonatal morbidity which antenatal testing may not predict. [ABSTRACT FROM AUTHOR]

Published
2018
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24. Reply

Author

Bowman, Zachary S., primary, Eller, Alexandra G., additional, and Silver, Robert M., additional

Published
2014
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36. 172: The impact of epidural timing on mode of delivery in nulliparous women at term

Author

Eller, Alexandra, primary, Branch, Ware, additional, Lu, Li, additional, Zhang, Jim, additional, Wilkins, Isabelle, additional, Hibbard, Judith, additional, Burkman, Ronald, additional, Bailit, Jennifer, additional, Gonzalez Quintero, Victor Hugo, additional, Gregory, Kimberly, additional, Haberman, Shoshana, additional, Hatjis, Christos, additional, Hoffman, Mathew, additional, Kominiarek, Michelle, additional, Landy, Helain, additional, Ramirez, Mildred, additional, Reddy, Uma, additional, Troendle, James, additional, and Vanveldhuisen, Paul, additional

Published
2009
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41. Stillbirth at Term

Author

Eller, Alexandra Grosvenor, primary, Branch, D Ware, additional, and Byrne, Janice L. B., additional

Published
2006
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42. Contributors

Author

Acuna, Joann, Aguilera, Marijo, Arigita, Marta, Bahtiyar, Mert O., Baumann, Marc U., Bennasar, Mar, Berkowitz, Richard L., Bhide, Amar, Blaas, Harm-Gerd K., Bleich, April T., Bradshaw, Rachael, Braun, Thorsten, Cahill, Alison G., Campbell, Katherine H., Cedar, Jenna M., Chantraine, Frederic, Chao, Tamara T., Claus, Filip, Coletta, Jaclyn M., Contro, Elena, Copel, Joshua A., Crispi, Fatima, Cruz-Lemini, Monica, Cruz-MartÍnez, Rogelio, D’Alton, Mary E., D’Antonio, Francesco, Dashe, Jodi S., Davis, Sarah M., De Musso, Francesca, De Robertis, Valentina, DeKoninck, Philip, Deprest, Jan, Devlieger, Roland, Diemert, Anke, Dunn, Katherine R., Duzyj, Christina M., Eilers, Meg, Eixarch, Elisenda, Eller, Alexandra G., Eno, Michele, Evers, Jakob, Feltovich, Helen, Fernández, Susana, Figueras, Francesc, Flick, Amy, Flood, Karen, Fuchs, Karin M., Gainer, Julie A., Galerneau, France, Ghartey, Kobina, Ghi, Tullio, Goetzinger, Katherine R., Goldstein, Steven R., Gómez, Olga, Gratacós, Eduard, Gremp, Jessica, Gucciardo, Léonardo, Han, Christina S., Harper, Lorie M., Heard, Asha J., Helvey, Marianne A., Henrich, Wolfgang, Hernandez, Jennifer S., Heuser, Cara C., Hill, Lyndon M., Hobbins, John C., House, Michael, Hovis, Mary, Hulinsky, Rebecca S., Hyett, Jon A., Iyer, Chitra, Jackson, G. Marc, Johnson, Keri L., Jones, Cresta Wedel, Kainer, Franz, Kalache, Karim D., Klein, Laura L., Krakow, Deborah, Lerman-Sagie, Tally, Lerner, Veronica T., Lewin, Sharyn N., Li, Ling, Longman, Ryan E., Magriples, Urania, Malinger, Gustavo, Martin, Stephanie R., Martinez, Josep M., Martinez, Sarah H., Michaelis, Silke A.M., Miller, Russell S., Montero, Freddy J., Moore, Michelle M., Mosquera, Claudia, Murphy, Aisling, Nayeri, Unzila A., Odibo, Anthony O., Ogunyemi, Dotun, Papageorghiou, Aris T., Parikh, Reshma, Park, Felicity J., Peterson, Erika L., Pettker, Christian M., Pilu, Gianluigi, Platt, Lawrence D., Pri-Paz, Shai M., Puerto, Bienvenido, Quinn, Melissa, Raio, Luigi, Rembouskos, Georgios, Resta, Mariachiara, Resta, Maurizio, Richter, Jute, Samuel, Amber, Sandaite, Inga, Sanz-Cortés, Magdalena, Sela, Hen Yitzhak, Shaffer, Wendy K., Silver, Bob, Simpson, Lynn L., Sondrup, Kami, Stupin, Jens H., Tercanli, Sevgi, Thung, Stephen F., Timor-Tritsch, Ilan E., Toi, Ants, Tutschek, Boris, Tuuli, Methodius G., Valsky, Dan Vadim, Van den Veyver, Ignatia B., Van Mieghem, Tim, Vink, Joy, Volpe, Paolo, Werner, Erika F., Werner, Heron, Jr., Yagel, Simcha, Yamamura, Yasuko, and Zacharias, Nikolaos M.

Published
2012
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43. Stillbirth at Term.

Author

Grosvenor Eller, Alexandra, Branch, D. Ware, and Byrne, Janice L. B.

Subjects
*STILLBIRTH, *LABOR complications (Obstetrics), *PREGNANCY complications, *OBSTETRICS, *AUTOPSY
Abstract

The article reports on a case of term stillbirth. A patient who complained of decreased fetal movement was admitted to the hospital. An ultrasound examination confirmed intrauterine fetal death. The stillborn baby was delivered after labor was induced with oxytocin. A geneticist and the autopsy results suggested an unspecified genetic syndrome.

Published
2006
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45. Perinatal outcomes associated with intrahepatic cholestasis of pregnancy.

Author

Herrera, Christina Annette, Manuck, Tracy A., Stoddard, Gregory J., Varner, Michael W., Esplin, Sean, Clark, Erin A. S., Silver, Robert M., and Eller, Alexandra G.

Subjects
*MATERNAL health services, *CHOLESTASIS in newborn infant, *OBSTRUCTIVE jaundice, *BILIARY liver cirrhosis, *FETAL development, *PREMATURE labor, *CHOLESTASIS, *EVALUATION of medical care, *PREGNANCY, *PREGNANCY complications, *PRENATAL diagnosis, *RETROSPECTIVE studies
Abstract

Objective: The objective of this study is to examine perinatal outcomes associated with cholestasis of pregnancy according to bile acid level and antenatal testing practice.Study Design: Retrospective cohort study of women with symptoms and bile acid testing from 2005 to 2014. Women were stratified by bile acid level: no cholestasis (<10 μmol/L), mild (10-39 μmol/L), moderate (40-99 μmol/L), and severe (≥100 μmol/L). The primary outcome was composite neonatal morbidity (hypoxic ischemic encephalopathy, severe intraventricular hemorrhage, bronchopulmonary dysplasia, necrotizing enterocolitis, or death).Results: 785 women were included; 487 had cholestasis (347 mild, 108 moderate, 32 severe) and 298 did not. After controlling for gestational age (GA), severe cholestasis was associated with the composite neonatal outcome (aRR 5.6, 95% CI 1.3-23.5) and meconium-stained fluid (aRR 4.82, 95%CI 1.6-14.2). Bile acid levels were not correlated with the frequency of testing (p = .50). Women who underwent twice weekly testing were delivered earlier (p = .016) than women tested less frequently, but the difference in GA was ≤4 d. Abnormal testing prompting delivery was uncommon. Among women with cholestasis, there were three stillbirths. One of these women was undergoing antenatal testing, which was normal 1 d prior to the fetal demise.Conclusion: Severe cholestasis is associated with neonatal morbidity which antenatal testing may not predict. [ABSTRACT FROM AUTHOR]

Published
2018
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47. LETTERS.

Author

EKLUND, GAYLE, PARTRIDGE, TAMASIN, MILLER, ALEXIS, ELLER, ALEXANDRA G., HEUSER, CARA C., WHITE, GRETCHEN, NUSS, LESLIE, WILLIAMS, PAMELA, and GUNSBERG, FRANK

Published
2022

48. Perinatal outcomes associated with intrahepatic cholestasis of pregnancy .

Author

Herrera CA, Manuck TA, Stoddard GJ, Varner MW, Esplin S, Clark EAS, Silver RM, and Eller AG

Subjects
Adult, Cholestasis, Intrahepatic blood, Female, Humans, Pregnancy, Pregnancy Complications blood, Prenatal Diagnosis, Retrospective Studies, Utah epidemiology, Young Adult, Bile Acids and Salts blood, Cholestasis, Intrahepatic epidemiology, Pregnancy Complications epidemiology, Pregnancy Outcome epidemiology
Abstract

Objective: The objective of this study is to examine perinatal outcomes associated with cholestasis of pregnancy according to bile acid level and antenatal testing practice., Study Design: Retrospective cohort study of women with symptoms and bile acid testing from 2005 to 2014. Women were stratified by bile acid level: no cholestasis (<10 μmol/L), mild (10-39 μmol/L), moderate (40-99 μmol/L), and severe (≥100 μmol/L). The primary outcome was composite neonatal morbidity (hypoxic ischemic encephalopathy, severe intraventricular hemorrhage, bronchopulmonary dysplasia, necrotizing enterocolitis, or death)., Results: 785 women were included; 487 had cholestasis (347 mild, 108 moderate, 32 severe) and 298 did not. After controlling for gestational age (GA), severe cholestasis was associated with the composite neonatal outcome (aRR 5.6, 95% CI 1.3-23.5) and meconium-stained fluid (aRR 4.82, 95%CI 1.6-14.2). Bile acid levels were not correlated with the frequency of testing (p = .50). Women who underwent twice weekly testing were delivered earlier (p = .016) than women tested less frequently, but the difference in GA was ≤4 d. Abnormal testing prompting delivery was uncommon. Among women with cholestasis, there were three stillbirths. One of these women was undergoing antenatal testing, which was normal 1 d prior to the fetal demise., Conclusion: Severe cholestasis is associated with neonatal morbidity which antenatal testing may not predict.

Published
2018
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49. Reply: To PMID 24096181.

Author

Bowman ZS, Eller AG, and Silver RM

Subjects
Female, Humans, Pregnancy, Delivery, Obstetric, Placenta Accreta diagnosis, Uterine Hemorrhage complications
Published
2014
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