2024
Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment model
Jean-Baptiste M, Julmisse M, Adeyemo O, Julmiste T, Illuzzi J. Integrated group antenatal and pediatric care in Haiti: A comprehensive care accompaniment model. PLOS ONE 2024, 19: e0300908. PMID: 38995942, PMCID: PMC11244772, DOI: 10.1371/journal.pone.0300908.Peer-Reviewed Original ResearchConceptsGroup antenatal careUsual careIncidence of pre-eclampsiaPediatric carePost-partum family planningImprove quality of careSecondary analysis of qualitative dataConvergent mixed methods studyAntenatal care attendanceUsual care groupModels of careHigh-quality careQuality of careCommunity-based careMaternal-newborn dyadsAnalysis of qualitative dataFamily planning methodsPostpartum careAntenatal careCare attendanceMaternal mortalityPsychosocial supportCare groupAssociated with increased engagementMaternal empowerment
2020
Trial of Labor After Two Prior Cesarean Deliveries: Patient and Hospital Characteristics and Birth Outcomes.
Dombrowski M, Illuzzi JL, Reddy UM, Lipkind HS, Lee HC, Lin H, Lundsberg LS, Xu X. Trial of Labor After Two Prior Cesarean Deliveries: Patient and Hospital Characteristics and Birth Outcomes. Obstetrics And Gynecology 2020, 136: 109-117. PMID: 32541284, PMCID: PMC7321852, DOI: 10.1097/aog.0000000000003845.Peer-Reviewed Original ResearchConceptsComposite severe maternal morbidityTrial of laborPrior cesarean deliverySevere maternal morbidityCesarean deliveryMaternal morbidityNewborn complicationsHospital characteristicsPropensity score-matched analysisSevere neonatal morbiditySuccessful vaginal birthSingleton live birthsAssociation of patientCohort of mothersBirth certificate dataSample eligibility criteriaModest increaseNeonatal morbidityNeonatal outcomesHospital dischargeBirth outcomesVaginal birthClear contraindicationsLive birthsMultivariable regressionPrevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut
Campbell KH, Tornatore JM, Lawrence KE, Illuzzi JL, Sussman LS, Lipkind HS, Pettker CM. Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut. JAMA 2020, 323: 2520-2522. PMID: 32453390, PMCID: PMC7251498, DOI: 10.1001/jama.2020.8904.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsymptomatic DiseasesBetacoronavirusClinical Laboratory TechniquesConnecticutCoronavirus InfectionsCOVID-19COVID-19 TestingDelivery, ObstetricFemaleHumansInfectious Disease Transmission, Patient-to-ProfessionalPandemicsParturitionPersonal Protective EquipmentPneumonia, ViralPregnancyPregnancy Complications, InfectiousPrevalenceSARS-CoV-2Association of Oxytocin Rest During Labor Induction of Nulliparous Women With Mode of Delivery.
McAdow M, Xu X, Lipkind H, Reddy UM, Illuzzi JL. Association of Oxytocin Rest During Labor Induction of Nulliparous Women With Mode of Delivery. Obstetrics And Gynecology 2020, 135: 569-575. PMID: 32028487, DOI: 10.1097/aog.0000000000003709.Peer-Reviewed Original ResearchConceptsMode of deliveryInduction of laborNeonatal morbidityCesarean deliveryNulliparous womenLatent laborOxytocin infusionLatent phaseMultivariable logistic regression analysisContinuous oxytocin infusionRetrospective cohort analysisLarge academic medical centerBody mass indexLogistic regression analysisAcademic medical centerContinuous oxytocinSingleton gestationsLabor inductionGestational ageMass indexPotential confoundersMaternal ageOdds ratioCohort analysisMedical Center
2019
Gestational Weight Gain and Severe Maternal Morbidity at Delivery Hospitalization.
Platner MH, Ackerman C, Howland RE, Xu X, Pettker CM, Illuzzi JL, Reddy UM, Chung S, Lipkind HS. Gestational Weight Gain and Severe Maternal Morbidity at Delivery Hospitalization. Obstetrics And Gynecology 2019, 133: 515-524. PMID: 30741805, DOI: 10.1097/aog.0000000000003114.Peer-Reviewed Original ResearchMeSH KeywordsAdultBlood TransfusionBody Mass IndexDelivery, ObstetricEclampsiaFemaleGestational Weight GainGuidelines as TopicHeart FailureHospitalizationHumansInternational Classification of DiseasesMiddle AgedNew York CityPregnancyPulmonary EdemaRespiration, ArtificialRetrospective StudiesRisk FactorsYoung AdultConceptsSevere maternal morbidityMaternal morbidityGestational weight gainBody mass indexOdds ratioDelivery hospitalizationsIOM guidelinesHeart failureWeight gainBirth certificate data setsGestational weight gain categoriesNew York City dischargeOverall severe maternal morbidityPrepregnancy body mass indexGestational weight gain guidelinesAcute heart failurePrepregnancy BMI categoryTerm singleton live birthsWeight gain categoriesRetrospective cohort studyWeight gain guidelinesLife-threatening diagnosisClinical Modification codesSingleton live birthsMultivariable logistic regressionSevere cardiovascular morbidity in women with hypertensive diseases during delivery hospitalization
Ackerman CM, Platner MH, Spatz ES, Illuzzi JL, Xu X, Campbell KH, Smith GN, Paidas MJ, Lipkind HS. Severe cardiovascular morbidity in women with hypertensive diseases during delivery hospitalization. American Journal Of Obstetrics And Gynecology 2019, 220: 582.e1-582.e11. PMID: 30742823, DOI: 10.1016/j.ajog.2019.02.010.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCardiomyopathiesCardiovascular DiseasesCerebrovascular DisordersCohort StudiesEclampsiaEducational StatusElectric CountershockEthnicityFemaleHeart ArrestHeart FailureHospitalizationHumansHypertension, Pregnancy-InducedInformation Storage and RetrievalInsurance, HealthLogistic ModelsMiddle AgedMultivariate AnalysisMyocardial InfarctionNew York CityObesity, MaternalPovertyPre-EclampsiaPregnancyRetrospective StudiesSeverity of Illness IndexVentricular FibrillationYoung AdultConceptsSevere cardiovascular morbidityCardiovascular morbidityDelivery hospitalizationsHypertensive disordersSevere featuresNormotensive womenGestational hypertensionCardiovascular diseaseRetrospective cohort studyClinical risk factorsPregnancy-related deathsMultivariable logistic regressionChronic hypertensionDiligent screeningSingleton gestationsCohort studyHypertensive diseaseDiabetes mellitusMaternal deathsRisk factorsInclusion criteriaDiseases-10HospitalizationMorbidityPreeclampsia
2018
Placenta Accreta: A Spectrum of Predictable Risk, Diagnosis, and Morbidity
Duzyj CM, Cooper A, Mhatre M, Han CS, Paidas MJ, Illuzzi JL, Sfakianaki AK. Placenta Accreta: A Spectrum of Predictable Risk, Diagnosis, and Morbidity. American Journal Of Perinatology 2018, 36: 1031-1038. PMID: 30500963, DOI: 10.1055/s-0038-1676111.Peer-Reviewed Original ResearchConceptsClinical risk factorsPlacenta accretaRisk factorsMethods Retrospective studyPlacenta accreta spectrumCohort of womenDepth of invasionMixed methods retrospective studyUnanticipated morbidityClinical outcomesAntenatal predictionPrevious cesareanRetrospective studySonographic evaluationAdverse outcomesPathological diagnosisPathological spectrumSonographic examinationAccretaSonographic featuresDeep invasionKruskal-Wallis testInvasion decreasesInvasive placentationMann-WhitneyA Study to Assess the Feasibility of Implementing a Web‐Based Decision Aid for Birth after Cesarean to Increase Opportunities for Shared Decision Making in Ethnically Diverse Settings
Shorten A, Shorten B, Fagerlin A, Illuzzi J, Kennedy HP, Pettker C, Raju D, Whittemore R. A Study to Assess the Feasibility of Implementing a Web‐Based Decision Aid for Birth after Cesarean to Increase Opportunities for Shared Decision Making in Ethnically Diverse Settings. Journal Of Midwifery & Women's Health 2018, 64: 78-87. PMID: 30334330, DOI: 10.1111/jmwh.12908.Peer-Reviewed Original ResearchConceptsWeb-based decision aidHealth care providersDecision aid implementationCare providersDecisional conflict scoresDecision aidDiverse practice settingsDecision aid contentElectronic health recordsRoutine careVaginal birthBirth outcomesOutpatient settingBirth preferencesClinic workflowWomen's knowledgeCesareanDecisional conflictKnowledge scorePractice settingsAid usageAid useBirth choicesPregnancy decisionsHealth recordsHospital variation in utilization and success of trial of labor after a prior cesarean
Xu X, Lee HC, Lin H, Lundsberg LS, Campbell KH, Lipkind HS, Pettker CM, Illuzzi JL. Hospital variation in utilization and success of trial of labor after a prior cesarean. American Journal Of Obstetrics And Gynecology 2018, 220: 98.e1-98.e14. PMID: 30278176, DOI: 10.1016/j.ajog.2018.09.034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCesarean SectionCohort StudiesDatabases, FactualFemaleGestational AgeHospitals, High-VolumeHospitals, Low-VolumeHumansInfant, NewbornMaternal AgePatient SafetyPregnancyPregnancy OutcomeRetrospective StudiesRisk AssessmentTrial of LaborUterine RuptureVaginal Birth after CesareanConceptsSuccess of trialCesarean deliveryTrial of laborHospital variationSuccess rateLow success rateNewborn hospital discharge recordsPatient clinical risk factorsSevere unexpected newborn complicationsNewborn respiratory complicationsUnexpected newborn complicationsClinical risk factorsPrior cesarean deliveryHospital discharge recordsPatient case mixBirth certificate dataMidwife-attended birthsAnesthesia availabilityNewborn infectionRespiratory complicationsUterine ruptureNewborn morbidityPrior cesareanNewborn complicationsVaginal birthOptimal maternal and neonatal outcomes and associated hospital characteristics
Campbell KH, Illuzzi JL, Lee HC, Lin H, Lipkind HS, Lundsberg LS, Pettker CM, Xu X. Optimal maternal and neonatal outcomes and associated hospital characteristics. Birth 2018, 46: 289-299. PMID: 30251270, DOI: 10.1111/birt.12400.Peer-Reviewed Original ResearchMeSH KeywordsAdultBirth CertificatesCaliforniaCesarean SectionFemaleGestational AgeHospitalsHumansInfant, NewbornInfant, Newborn, DiseasesMorbidityObstetric Labor ComplicationsObstetricsPatient DischargePoisson DistributionPregnancyQuality Indicators, Health CareRegression AnalysisRisk FactorsYoung AdultConceptsRisk-standardized ratesMorbidity rateNeonatal outcomesObstetrical performancePatient clinical risk factorsFuture quality improvement effortsMaternal morbidity ratesNeonatal morbidity ratesProcedures/surgeriesSevere newborn morbiditySevere maternal morbidityClinical risk factorsShock/resuscitationHospital discharge recordsMaternal-newborn outcomesQuality improvement effortsPrevalent morbidityMaternal morbidityNeonatal morbidityRespiratory complicationsIntravascular coagulationNewborn morbidityHeart failureTerm birthsHospital variation
2017
Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study
Xu X, Lee H, Lin H, Lundsberg L, Pettker C, Lipkind H, Illuzzi J. Hospital variation in cost of childbirth and contributing factors: a cross‐sectional study. BJOG An International Journal Of Obstetrics & Gynaecology 2017, 125: 829-839. PMID: 29090498, DOI: 10.1111/1471-0528.15007.Peer-Reviewed Original ResearchConceptsChildbirth hospitalisationsHospital variationObstetric interventionsHospital variancePatient clinical risk factorsSevere maternal morbiditySevere newborn morbidityClinical risk factorsMaternal sociodemographic characteristicsHospital discharge dataCross-sectional studyUrban-rural statusCross-sectional analysisCosts of childbirthHigh-cost hospitalsVertex birthsMaternal morbidityCaesarean deliveryNewborn morbidityBirth attendantsRisk factorsHospital typeCare capacityHospitalisationBetter outcomesMissed opportunities for HPV immunization among young adult women
Oliveira CR, Rock RM, Shapiro ED, Xu X, Lundsberg L, Zhang LB, Gariepy A, Illuzzi JL, Sheth SS. Missed opportunities for HPV immunization among young adult women. American Journal Of Obstetrics And Gynecology 2017, 218: 326.e1-326.e7. PMID: 29223597, PMCID: PMC5924702, DOI: 10.1016/j.ajog.2017.11.602.Peer-Reviewed Original ResearchConceptsHuman papillomavirus immunizationYoung adult womenGynecology clinicAdult womenMissed clinical opportunitiesVaccine-eligible visitsVaccine-eligible womenHuman papillomavirus vaccineMultivariable logistic regressionCross-sectional studyHospital-based obstetricsYears of ageYoung adult populationSignificant racial disparitiesUrban obstetricsPostpartum visitClinic visitsEligible womenPapillomavirus vaccinePatient characteristicsHPV immunizationHuman papillomavirusAdjusted oddsMedical recordsDifferent vaccines
2016
Variation in Hospital Intrapartum Practices and Association With Cesarean Rate
Lundsberg LS, Illuzzi JL, Gariepy AM, Sheth SS, Pettker CM, Lee HC, Lipkind HS, Xu X. Variation in Hospital Intrapartum Practices and Association With Cesarean Rate. Journal Of Obstetric Gynecologic & Neonatal Nursing 2016, 46: 5-17. PMID: 27886948, DOI: 10.1016/j.jogn.2016.07.011.Peer-Reviewed Original ResearchConceptsCesarean rateIntrapartum practicesIntrapartum interventionsIntrapartum careLow-risk womenLower cesarean ratesRegular reviewHospital cesarean rateCross-sectional surveyRank sum testKendall's tau-b correlation coefficientLiberal indicationsLabor inductionVaginal birthHospital variationNewborn careAntibody screenCesarean birthIntravenous lineObstetric servicesHospital characteristicsEligible hospitalsMassachusetts hospitalsFetal monitoringClinical staffPlanned home birth and the association with neonatal hypoxic ischemic encephalopathy
Wasden SW, Chasen ST, Perlman JM, Illuzzi JL, Chervenak FA, Grunebaum A, Lipkind HS. Planned home birth and the association with neonatal hypoxic ischemic encephalopathy. Journal Of Perinatal Medicine 2016, 45: 1055-1060. PMID: 27865094, DOI: 10.1515/jpm-2016-0292.Peer-Reviewed Original ResearchConceptsHypoxic-ischemic encephalopathyNeonatal hypoxic-ischemic encephalopathyHome birthHospital birthsPregnancy characteristicsIschemic encephalopathyNormal controlsVital recordsCase-control studyMode of deliveryBirth certificate dataVital records dataLocation of birthYear of birthObstetric informationGestational ageHospital deliveryPotential confoundersLocation of deliveryCertificate dataLogistic regressionRecord dataBirthOddsNeonatesPerspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study
Kennedy HP, Doig E, Tillman S, Strauss A, Williams B, Pettker C, Illuzzi J. Perspectives on Promoting Hospital Primary Vaginal Birth: A Qualitative Study. Birth 2016, 43: 336-345. PMID: 27500371, DOI: 10.1111/birt.12245.Peer-Reviewed Original ResearchConceptsFirst-time mothersVaginal birthHospital settingPrimary cesarean deliveryCesarean delivery rateLong-term riskCesarean deliveryEarly laborCaregivers' knowledgeWomen's knowledgeCaregiver perspectivesChildbirth preparationSecondary aimNortheastern hospitalsPractice styleBirthLabor managementMothersPowerful mediatorHospitalPrimary aimPotential strategyCaregiversWomenBirth environment
2015
Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth
Xu X, Gariepy A, Lundsberg LS, Sheth SS, Pettker CM, Krumholz HM, Illuzzi JL. Wide Variation Found In Hospital Facility Costs For Maternity Stays Involving Low-Risk Childbirth. Health Affairs 2015, 34: 1212-1219. PMID: 26153317, DOI: 10.1377/hlthaff.2014.1088.Peer-Reviewed Original ResearchConceptsCesarean deliveryHospital costsMaternity staysSerious maternal morbidityNationwide Inpatient SampleCoordination of careValue of careMaternal morbidityHospital admissionInpatient SampleDelivery system reformRural hospitalsUS hospitalsHospital practiceSafe reductionHospitalChildbirthStayLong stayHigh rateCareLower proportionUnited StatesFacility costs
2014
Low-to-moderate prenatal alcohol consumption and the risk of selected birth outcomes: a prospective cohort study
Lundsberg LS, Illuzzi JL, Belanger K, Triche EW, Bracken MB. Low-to-moderate prenatal alcohol consumption and the risk of selected birth outcomes: a prospective cohort study. Annals Of Epidemiology 2014, 25: 46-54.e3. PMID: 25453352, PMCID: PMC4255148, DOI: 10.1016/j.annepidem.2014.10.011.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol DrinkingConfidence IntervalsConfounding Factors, EpidemiologicConnecticutFemaleFetal Growth RetardationGestational AgeHumansInfant, Low Birth WeightInfant, NewbornLogistic ModelsMassachusettsMaternal-Fetal ExchangeOdds RatioPregnancyPregnancy ComplicationsPregnancy OutcomePremature BirthProspective StudiesRisk FactorsConceptsIntrauterine growth restrictionLow birthweightPreterm deliveryBirth lengthBirth outcomesGrowth restrictionAlcohol exposureOdds ratioLower oddsModerate prenatal alcohol exposureModerate alcohol exposureThird-trimester drinkingProspective cohort studyMultivariable logistic regressionConfidence intervalsPrenatal alcohol consumptionPrenatal alcohol exposurePregnancy drinkingNeonatal outcomesPerinatal outcomesSingleton infantsCohort studyAlcohol drinkingReduced oddsHead circumferencePatient and provider perspectives on Bedsider.org, an online contraceptive information tool, in a low income, racially diverse clinic population
Gressel GM, Lundsberg LS, Illuzzi JL, Danton CM, Sheth SS, Xu X, Gariepy A. Patient and provider perspectives on Bedsider.org, an online contraceptive information tool, in a low income, racially diverse clinic population. Contraception 2014, 90: 588-593. PMID: 25139723, DOI: 10.1016/j.contraception.2014.07.010.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultContraceptionContraception BehaviorCounselingFamily Planning ServicesFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansInformation Seeking BehaviorInternetPatient Education as TopicPerceptionPovertyPregnancyUnited StatesWomen's HealthYoung AdultConceptsClinic providersPatient participantsDiverse clinic populationProvider perspectivesHealth careUrban clinic settingWomen ages 18Women's health careProviders/staffNew contraceptive methodsStructured interview guideUrban MedicaidUrban clinicClinic populationActive womenClinic settingUnplanned pregnancyContraceptive methodsPatientsProviders' understandingContraceptive educationAge 18Contraceptive toolAmerican CongressClinicKnowledge, attitudes, and practices regarding conception and fertility: a population-based survey among reproductive-age United States women
Lundsberg LS, Pal L, Gariepy AM, Xu X, Chu MC, Illuzzi JL. Knowledge, attitudes, and practices regarding conception and fertility: a population-based survey among reproductive-age United States women. Fertility And Sterility 2014, 101: 767-774.e2. PMID: 24484995, DOI: 10.1016/j.fertnstert.2013.12.006.Peer-Reviewed Original ResearchConceptsHealth care providersReproductive health-related informationAge groupsWomen's health care providersReproductive-age womenPopulation-based surveyPercent of womenUnited States womenHealth-related informationIrregular mensesOvulatory cyclesMAIN OUTCOMEUS womenCare providersOlder womenReproductive healthProvider engagementStates womenCross-sectional sampleYoung womenOverall knowledgeWomenOne-thirdOvulationProcreative success
2013
Outcomes of Care in Birth Centers: Demonstration of a Durable Model
Stapleton SR, Osborne C, Illuzzi J. Outcomes of Care in Birth Centers: Demonstration of a Durable Model. Journal Of Midwifery & Women's Health 2013, 58: 3-14. PMID: 23363029, DOI: 10.1111/jmwh.12003.Peer-Reviewed Original ResearchConceptsBirth center careBirth centersCenter careVaginal birthCenter studyCesarean birthMortality rateSan Diego Birth Center StudyMidwifery-led birth centersNational Birth Center StudyAssisted vaginal birthBirth center modelProspective cohort studySpontaneous vaginal birthFetal mortality rateObstetric intervention ratesOnset of laborNeonatal mortality rateOutcomes of careBirth center birthsNeonatal outcomesCohort studyCenter admissionsMaternal deathsObstetric interventions