Optimal Timing of Delivery in Women with Higher Order Cesareans: A Cohort Study

For women with multiple prior cesarean deliveries, it is currently unknown when is the optimal gestational age to schedule a repeat cesarean delivery.  Waiting until 39 weeks could have potential benefit to the newborn, but puts both the mother and baby at risk if labor begins spontaneously prior to 39 weeks.  In this study, we found that planned cesarean delivery at approximately 37 weeks was associated with certain improved outcomes and no adverse neonatal outcomes.

Long-Term Outcomes of Small for Gestational Age Twins Born at 34 Weeks or Later

Twin pregnancies are at an increased risk of fetal growth restriction.  In this long-term follow-up of twins with fetal growth restriction, we found that for twins born at 34 weeks or later, long-term outcomes were very favorable, even for those twins with severe growth restriction.

The association between obstetrical history and preterm birth in women with uterine anomalies

This study helps clarify the risk of preterm birth for women with uterine anomalies, based on their prior pregnancy history.

Association Between Senior Obstetrician Supervision of Resident Deliveries and Mode of Delivery

This study, which was selected by Obstetrics and Gynecology (the leading US journal for OBGYN research) as one of the winners of the 2017 Roy M. Pitkin Award, which was established in 1998 to honor departments of obstetrics and gynecology that promote and demonstrate excellence in research.  In this study we demonstrated that Having senior obstetricians supervise resident deliveries is significantly associated with an increased rate of forceps deliveries and a decreased rate of cesarean deliveries.  This supports our active role in resident and medical school education.

Long-term outcomes of twins based on the intended mode of delivery

For women with twin pregnancies >34 weeks, planned vaginal delivery was associated with similar long-term outcomes as planned cesarean delivery.  This article supports recent research that demonstrated similar newborn outcomes for vaginal delivery of twins as compared to cesarean delivery.

Mild Fetal Ventriculomegaly: Diagnosis, Evaluation, and Management

See the recent SMFM Consult Series on Mild Fetal Ventriculomegaly, co-authored by Dr. Nathan Fox and Dr. Ana Monteagudo.