The Experts below are selected from a list of 135 Experts worldwide ranked by ideXlab platform
Catherine Nelsonpiercy - One of the best experts on this subject based on the ideXlab platform.
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does your institution subscribe to Obstetric Medicine
Obstetric Medicine, 2012Co-Authors: Catherine Nelsonpiercy, Sandra LoweAbstract:This year will see the fourth anniversary of the launch of the journal Obstetric Medicine. Many thanks to all those who completed the reader’s survey. This has reassured us that most of you find the journal useful and believe that it fills what was previously a gap. We will be using the results of this survey to appeal the decision not to include Obstetric Medicine in MEDLINE. We know that all of you will feel more comfortable writing, reviewing and commissioning copy for the journal once it is listed in MEDLINE. However, the long-term success of the journal also depends on securing enough institutional subscriptions to ensure financial viability. All members of ISOM, MOMS, NASOM and SOMANZ receive the journal at a substantially subsidized cost and we do not wish to change this. We feel it is and should remain an important benefit of membership of these societies. However, we would really appreciate your help in approaching your own institution’s library. Please consider completing a library recommendation form at http://www. rsmpress.com/librarians/recommend.php. Subscription information can also be found at www.obmed.rsmjournals.com. Obstetric Medicine, along with other RSM journals, is available online on the newly released RSM H2O platform hosted by the world’s leading electronic content provider, HighWire, which offers instant access to full text, where available, with links to references and cited articles. Your Librarian would benefit from:
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tinzaparin use in pregnancy an international retrospective study of the safety and efficacy profile
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2011Co-Authors: Catherine Nelsonpiercy, Marc A. Rodger, Raymond Powrie, Jean-yvonne Borg, David J. Talbot, John Stinson, Ian A. GreerAbstract:Abstract Objectives This study audited pregnancies where the mother received tinzaparin (at any stage before delivery), with a primary objective of determining the maternal safety of this low molecular weight heparin when administered as treatment and/or prophylaxis; the secondary objective was to audit fetal and neonatal safety in this cohort. Efficacy outcomes were also recorded. Study design The audit period was 1996–2009; consecutive, retrospective pregnancy records at participating hospitals were reviewed. For those records documenting tinzaparin use and pregnancy outcome, information was extracted into a standardised case report form; these were reviewed for adverse events, which were submitted for adjudication by independent experts in Obstetric Medicine and haematology. Endpoints were presented using descriptive statistics for all pregnancies, and by reason for tinzaparin use (treatment of venous thromboembolism [VTE] and prophylaxis). Results There were 28 participating hospital centres in eight countries (Belgium, Canada, Denmark, Ireland, Netherlands, Sweden, Spain and the UK). Data were collected from 1267 pregnancies (1120 women; 1303 fetuses); in 254 pregnancies the women received tinzaparin as treatment (median dose 13,000 international units [IU]/day, range 3500–23,100 IU/day; median duration 72 days; 94.1% once-daily), and in 1013 pregnancies the women received tinzaparin for prophylaxis (median dose 4500 IU/day, range 2500–21,811 IU/day, median duration 183 days, 94.6% once-daily). There were 871 (70.2%) vaginal deliveries (78 assisted) and 369 (29.8%) caesarean sections (27 delivery data missing). Overall, 495 (39.3%) women had neuraxial anaesthesia; however, there were no reported associated haematomas. There were no maternal deaths. Of pregnancies with available data (1060), 86.9% had blood loss ≤500 mL, 11.0% of >500 to ≤1000 mL, 0.9% >1000 to ≤1500 mL and 1.1% >1500 mL. There were 1245 (95.5%) live births, 15 (1.2%) stillbirths, 40 (3.1%) miscarriages and 3 (0.2%) terminations. Six (0.5%) neonatal deaths occurred (five at Conclusions These data provide reassuring maternal and fetal outcome information in pregnancies exposed to tinzaparin.
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Obstetric Medicine comes of age
Obstetric Medicine, 2011Co-Authors: Catherine Nelsonpiercy, Sandra LoweAbstract:In this September issue of Obstetric Medicine, we congratulate our co-editor Professor Karen Rosene-Montella on her appointment as Chairman of our Editorial Board. Karen has been an integral member of our editing team since the conception and launch of Obstetric Medicine: The Medicine of Pregnancy. As incoming Chairman she replaces the indefatigable Professor Richard Lee. Dick's vision, determination and enthusiasm, in association with our publishers the Royal Society of Medicine, has allowed us to produce a truly international journal representing this specialized field of Medicine. We are very grateful for his efforts and look forward to his contributions as Emeritus Editor-in-Chief.
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meeting the increasing need for training in Obstetric Medicine
Obstetric Medicine, 2010Co-Authors: Karen Rosenemontella, Sandra Lowe, Catherine NelsonpiercyAbstract:As increasing numbers of women of child-bearing age enter pregnancy with chronic medical conditions and an increasing number are overweight or obese, the role of Obstetric Medicine expands as well. The challenge to safely prepare these women for pregnancy, care for them during pregnancy and develop plans for their long-term care will be enormous. We must be able to develop a workforce across disciplines to answer this need. In the latest UK Confidential Enquiries into Maternal Deaths,1 in which the individual deaths were reviewed in detail, ‘the assessors were struck by the number of health care professionals who appeared to fail to be able to identify and manage common medical conditions or potential emergencies outside their immediate area of expertise’. In this edition of the journal, we are pleased to publish ‘Validation of a Canadian Curriculum in Obstetric Medicine’. This is an instrument specific to Canadian Residency training that has had country-wide validation. In addition, there have been contributions from the North American and the International Society of Obstetric Medicine's work on an international curriculum, spearheaded by our UK editor-in-chief, Professor Catherine Nelson-Piercy, and by Professor Raymond Powrie of the USA.
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training in Obstetric Medicine a global issue
Obstetric Medicine, 2009Co-Authors: Sandra Lowe, Catherine Nelsonpiercy, Karen RosenemontellaAbstract:The journal celebrates its first birthday this month. It has been well received and we would like to thank all those of you who have written, re-written, reviewed, re-reviewed and edited the many submissions we have received. If you have ideas for topics that you would like to appear as review articles please do contact one of the editorial board. We are also keen to receive any general feedback about the journal.
Oier Atekabarrutia - One of the best experts on this subject based on the ideXlab platform.
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334 Obstetric internal Medicine in spain
Pregnancy Hypertension, 2018Co-Authors: Oier AtekabarrutiaAbstract:Introduction Obstetric Medicine is an unrecognised and little known subspecialty in Spain and Europe. Currently in Spain, interactive clinical and academic forums between internists and Obstetricians are limited to local or isolated initiatives. Objective To gather reliable data about the clinical and academic implication of internists on the care of pregnant women with medical disorders in Spain. Methods A web-based survey was sent by email to all members (8000) of the Spanish Society of Internal Medicine in March 2017. Responses were collected for 2 months. Results We received 260 responses from 167 hospitals in 43 (of 50) Spanish provinces, and 6 abroad. Overall, 62.93% responders belong to a university hospital. For 74.81% of them internists are the doctors most frequently involved in medical disorders in pregnancy, followed by Obstetricians (45.74%) and other medical specialists (43.02%). Around 18.82% have a specific unit/clinic of medical diseases in pregnancy at their hospital. Of those, 8 centres deal with various general disorders, another 8 focus on cardiovascular and hypertensive disorders, and 12 on systemic autoimmune diseases. Nearly 20.39% responders receive more than one referral per week from the Obstetrics department; 18.29% are seen by an internist specialised in the field. Similarly, 12.55% of participants have at least a member in their unit involved in teaching and/or research in the field, whereas 14.84% identifies opportunities for specific training around them. Most of responders (92.55%) do not know any society that focuses on medical complications of pregnancy. Discussion Despite the fact that internists are frequently involved in the care of pregnant women with medical disorders in Spain, generally they lack training resources, the specific area is not included in their specialty training program and they rarely participate in research/teaching in that field. Formal colaboration between internists and obstetritians, and structured training activities may still be pertinent.
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developing Obstetric Medicine training in latin america
Obstetric Medicine, 2017Co-Authors: Jose Rojassuarez, Niza Suarez, Oier AtekabarrutiaAbstract:Maternal mortality is an important indicator of health in populations around the world. The distribution of maternal mortality ratio globally shows that middle- and low-income countries have ∼99% o...
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global Obstetric Medicine collaborating towards global progress in maternal health
Obstetric Medicine, 2015Co-Authors: Tabassum Firoz, Oier Atekabarrutia, Jose Rojassuarez, C N Wijeyaratne, Eliana Castillo, Hennie Lombaard, Laura A MageeAbstract:Globally, the nature of maternal mortality and morbidity is shifting from direct Obstetric causes to an increasing proportion of indirect causes due to chronic conditions and ageing of the maternal population. Obstetric Medicine can address an important gap in the care of women by broadening its scope to include colleagues, communities and countries that do not yet have established Obstetric Medicine training, education and resources. We present the concept of global Obstetric Medicine by highlighting three low- and middle-income country experiences as well as an example of successful collaboration. The article also discusses ideas and initiatives to build future partnerships within the global Obstetric Medicine community.
Sandra Lowe - One of the best experts on this subject based on the ideXlab platform.
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Obstetric Medicine the neonatologists s perspective
Obstetric Medicine, 2013Co-Authors: Peter Campbell, Sandra LoweAbstract:Complex pregnancy is a game of pass the parcel. In every case report we receive, the authors remind us of the need for multidisciplinary care. Frequently, when the music stops, it is the neonatologist who is left ‘holding the baby’. It was not long ago that neonatal clinicians faced a neonatal death almost weekly in level 3 units. A close colleague was recently relating that in one week he attended five babies that died. I remember as a registrar I would prepare the monthly perinatal morbidity/mortality meeting and there would be several deaths and dozens of major morbidities.
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does your institution subscribe to Obstetric Medicine
Obstetric Medicine, 2012Co-Authors: Catherine Nelsonpiercy, Sandra LoweAbstract:This year will see the fourth anniversary of the launch of the journal Obstetric Medicine. Many thanks to all those who completed the reader’s survey. This has reassured us that most of you find the journal useful and believe that it fills what was previously a gap. We will be using the results of this survey to appeal the decision not to include Obstetric Medicine in MEDLINE. We know that all of you will feel more comfortable writing, reviewing and commissioning copy for the journal once it is listed in MEDLINE. However, the long-term success of the journal also depends on securing enough institutional subscriptions to ensure financial viability. All members of ISOM, MOMS, NASOM and SOMANZ receive the journal at a substantially subsidized cost and we do not wish to change this. We feel it is and should remain an important benefit of membership of these societies. However, we would really appreciate your help in approaching your own institution’s library. Please consider completing a library recommendation form at http://www. rsmpress.com/librarians/recommend.php. Subscription information can also be found at www.obmed.rsmjournals.com. Obstetric Medicine, along with other RSM journals, is available online on the newly released RSM H2O platform hosted by the world’s leading electronic content provider, HighWire, which offers instant access to full text, where available, with links to references and cited articles. Your Librarian would benefit from:
-
Obstetric Medicine comes of age
Obstetric Medicine, 2011Co-Authors: Catherine Nelsonpiercy, Sandra LoweAbstract:In this September issue of Obstetric Medicine, we congratulate our co-editor Professor Karen Rosene-Montella on her appointment as Chairman of our Editorial Board. Karen has been an integral member of our editing team since the conception and launch of Obstetric Medicine: The Medicine of Pregnancy. As incoming Chairman she replaces the indefatigable Professor Richard Lee. Dick's vision, determination and enthusiasm, in association with our publishers the Royal Society of Medicine, has allowed us to produce a truly international journal representing this specialized field of Medicine. We are very grateful for his efforts and look forward to his contributions as Emeritus Editor-in-Chief.
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meeting the increasing need for training in Obstetric Medicine
Obstetric Medicine, 2010Co-Authors: Karen Rosenemontella, Sandra Lowe, Catherine NelsonpiercyAbstract:As increasing numbers of women of child-bearing age enter pregnancy with chronic medical conditions and an increasing number are overweight or obese, the role of Obstetric Medicine expands as well. The challenge to safely prepare these women for pregnancy, care for them during pregnancy and develop plans for their long-term care will be enormous. We must be able to develop a workforce across disciplines to answer this need. In the latest UK Confidential Enquiries into Maternal Deaths,1 in which the individual deaths were reviewed in detail, ‘the assessors were struck by the number of health care professionals who appeared to fail to be able to identify and manage common medical conditions or potential emergencies outside their immediate area of expertise’. In this edition of the journal, we are pleased to publish ‘Validation of a Canadian Curriculum in Obstetric Medicine’. This is an instrument specific to Canadian Residency training that has had country-wide validation. In addition, there have been contributions from the North American and the International Society of Obstetric Medicine's work on an international curriculum, spearheaded by our UK editor-in-chief, Professor Catherine Nelson-Piercy, and by Professor Raymond Powrie of the USA.
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training in Obstetric Medicine a global issue
Obstetric Medicine, 2009Co-Authors: Sandra Lowe, Catherine Nelsonpiercy, Karen RosenemontellaAbstract:The journal celebrates its first birthday this month. It has been well received and we would like to thank all those of you who have written, re-written, reviewed, re-reviewed and edited the many submissions we have received. If you have ideas for topics that you would like to appear as review articles please do contact one of the editorial board. We are also keen to receive any general feedback about the journal.
Karen Rosenemontella - One of the best experts on this subject based on the ideXlab platform.
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meeting the increasing need for training in Obstetric Medicine
Obstetric Medicine, 2010Co-Authors: Karen Rosenemontella, Sandra Lowe, Catherine NelsonpiercyAbstract:As increasing numbers of women of child-bearing age enter pregnancy with chronic medical conditions and an increasing number are overweight or obese, the role of Obstetric Medicine expands as well. The challenge to safely prepare these women for pregnancy, care for them during pregnancy and develop plans for their long-term care will be enormous. We must be able to develop a workforce across disciplines to answer this need. In the latest UK Confidential Enquiries into Maternal Deaths,1 in which the individual deaths were reviewed in detail, ‘the assessors were struck by the number of health care professionals who appeared to fail to be able to identify and manage common medical conditions or potential emergencies outside their immediate area of expertise’. In this edition of the journal, we are pleased to publish ‘Validation of a Canadian Curriculum in Obstetric Medicine’. This is an instrument specific to Canadian Residency training that has had country-wide validation. In addition, there have been contributions from the North American and the International Society of Obstetric Medicine's work on an international curriculum, spearheaded by our UK editor-in-chief, Professor Catherine Nelson-Piercy, and by Professor Raymond Powrie of the USA.
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training in Obstetric Medicine a global issue
Obstetric Medicine, 2009Co-Authors: Sandra Lowe, Catherine Nelsonpiercy, Karen RosenemontellaAbstract:The journal celebrates its first birthday this month. It has been well received and we would like to thank all those of you who have written, re-written, reviewed, re-reviewed and edited the many submissions we have received. If you have ideas for topics that you would like to appear as review articles please do contact one of the editorial board. We are also keen to receive any general feedback about the journal.
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Obstetric Medicine bridging the gap
Obstetric Medicine, 2009Co-Authors: Sandra Lowe, Catherine Nelsonpiercy, Karen RosenemontellaAbstract:Obstetric Medicine emerged as a specialty to address an important gap in care. When pregnant women had medical problems beyond the scope of Obstetricians, but physicians trained in internal Medicine did not yet have the expertise to be comfortable providing care, patients were often orphaned by the health-care system. Training programmes and national and international curricula were developed to train Obstetric internists, and Obstetric Medicine societies led worldwide efforts in education and collaboration. Despite progress in clinical care, teaching and research in Obstetric Medicine, an important fragmentation of care still exists.
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reply to first issue of Obstetric Medicine
Obstetric Medicine, 2009Co-Authors: Catherine Nelsonpiercy, Sandra Lowe, Karen RosenemontellaAbstract:We thank Dr Dennis for her letter highlighting the importance of anaesthetists in the multidisciplinary team caring for pregnant women with medical problems; a sentiment with which we (and we are sure most of our readers) all agree. Furthermore, we would stress the importance of Obstetric anaesthetists in particular, rather than anaesthetists in general, as they have a unique knowledge and expertise of normal and abnormal physiology and pharmacology in pregnant and puerperal women.
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welcome to Obstetric Medicine the Medicine of pregnancy
Obstetric Medicine, 2008Co-Authors: Sandra Lowe, Catherine Nelsonpiercy, Karen RosenemontellaAbstract:It is with a sense of pride and hope that we welcome you to the inaugural edition of Obstetric Medicine: the Medicine of Pregnancy. The editors-in-chief and the editorial board represent physicians from across the globe who have dedicated their careers to improving care for pregnant women with medical illness. A special thanks must go to Professor Michael de Swiet and Dr Richard V Lee, our UK and USA grandfathers of Obstetric Medicine, who have served as mentors to each of us. This new journal would not exist were it not for Richard Lee who had the vision and determination and has been the driving force behind its development. To him we are extremely grateful. Despite a vast improvement in maternal mortality from Obstetric causes (haemorrhage, infection, preeclampsia/eclampsia) in the developed nations, there has been little change in the rates of maternal mortality from medical illness. Cardiac disease and thromboembolism continue to be the leading causes of indirect and direct maternal mortality respectively. Sadly, in developing nations maternal mortality rates are similar to those that existed in the UK and USA in the 1950s. The improvement in the safety of Obstetric services in our richest nations has not translated to similar outcomes worldwide. Additionally, HIV/AIDS continues to ravage mothers and babies in the developing world. Dr Lewis’s review in this first edition of Obstetric Medicine lends heart-wrenching clarity to this issue. Those who practise in the area of Obstetric Medicine are well aware of the variety of professionals involved in the care of pregnant women. Michael de Swiet, highlights that ‘huge advances have been made in reducing maternal mortality from traditional Obstetric causes. It is now time to pay more attention to the medical problems of pregnancy. Although the situation will be improved by training more physicians (internists) in the medical problems of pregnancy, there will never be enough of these physicians to provide all the medical care that is needed. Those responsible for the Obstetric care of pregnant women (midwives, general practitioners and Obstetricians) must be more aware of (and receive training in) the significance of medical conditions; both to treat sick pregnant women with a medical problem and to recognise when they should be referred to a physician’. Improving outcomes for pregnant women with medical illness must start prior to pregnancy. Emphasis on the need for prepregnancy counselling and adequate contraception will be found throughout the issues of Obstetric Medicine. Women with diabetes, obesity, hypertension, heart disease, epilepsy, thromboembolism, autoimmune disorders and psychiatric illness will benefit from prepregnancy interventions. ‘To be effective, the knowledge of Obstetric Medicine of all doctors caring for medical problems in women of childbearing age must be improved.’ Great strides have been made in teaching, which include the development of fellowships and an international curriculum in Obstetric Medicine that will be discussed in future editions of Obstetric Medicine. This first issue includes all the abstracts from the ISOM meeting in Washington, as well as those from the joint ISSHP/ISOM sessions. For this reason space for review articles is limited but there are many seminal reviews
Niharika Mehta - One of the best experts on this subject based on the ideXlab platform.
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skin disease in pregnancy the approach of the Obstetric Medicine physician
Clinics in Dermatology, 2016Co-Authors: Niharika Mehta, Kenneth K Chen, George KroumpouzosAbstract:This review presents the approach of the Obstetric Medicine physician to skin disease in pregnancy. It elaborates on common skin-related problems during gestation, such as pruritus, with or without eruption, and drug eruptions. An algorithmic approach to the differential diagnosis of pruritus in pregnancy is outlined. Also, the review focuses on how to diagnose promptly endocrinopathies presenting with skin manifestations in pregnancy, such as Addison disease, diabetes, and hyperthyroidism. The prompt diagnosis of endocrine disorders can help to optimize management and improve outcomes. Finally, the authors outline their approach to minimizing maternal and fetal risks associated with skin disease. The risks associated with Obstetric cholestasis, pemphigoid gestationis, and impetigo herpetiformis are discussed. Prompt diagnosis helps to minimize the serious risks associated with certain infections. Preconception counseling and a multidisciplinary approach are crucial to preventing risks associated with rheumatic skin disease and genodermatoses. Challenging, real-life Obstetric Medicine cases are discussed.
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handbook of Obstetric Medicine 4th edn
Obstetric Medicine, 2011Co-Authors: Niharika MehtaAbstract:The term ‘handbook’ is generally applied to written works intended to serve as a ready reference. Such books are designed to be easily consulted and provide quick answers in a certain area. The Handbook of Obstetric Medicine certainly fulfils all aspects of such a definition. Its 319 pages contain clear, well laid-out information that covers many common clinical situations faced by a provider caring for a pregnant woman with medical illness.
