2003
Role of Psychosocial and Nutritional Stress on Poor Pregnancy Outcome
Hobel C, Culhane J. Role of Psychosocial and Nutritional Stress on Poor Pregnancy Outcome. Journal Of Nutrition 2003, 133: 1709s-1717s. PMID: 12730488, DOI: 10.1093/jn/133.5.1709s.Peer-Reviewed Original ResearchConceptsCorticotropin-releasing hormoneLow birth weightPreterm birthBirth weightAge-matched control subjectsRole of PsychosocialIndependent risk factorMaternal psychosocial stressPoor pregnancy outcomesStrenuous physical activityInitiation of laborElevated corticotropin-releasing hormonePlausible biological pathwaysPreterm laborPregnancy outcomesImmunomodulatory effectsControl subjectsEpidemiological evidenceRisk factorsClinical studiesPhysical activityEpidemiological dataMaternal stressPsychosocial stressClinical programs
2002
Hospital Variation in Episiotomy Use and the Risk of Perineal Trauma During Childbirth
Webb D, Culhane J. Hospital Variation in Episiotomy Use and the Risk of Perineal Trauma During Childbirth. Birth 2002, 29: 132-136. PMID: 12000414, DOI: 10.1046/j.1523-536x.2002.00173.x.Peer-Reviewed Original ResearchConceptsFourth-degree perineal lacerationsDegree perineal lacerationsEpisiotomy useHospital variationPerineal lacerationsPerineal traumaEpisiotomy ratePublished Epidemiological StudiesAdjusted odds ratioHospital discharge dataUse of episiotomyRate of episiotomyMajor maternity hospitalsUnited States womenNulliparous womenObstetrical providersMaternity hospitalOdds ratioClinical studiesStudy populationSurgical proceduresEpidemiological dataEpidemiological studiesSuch lacerationsHospital level