[But, Ho Ming]. / Thesis (M. Phil.)--Chinese University of Hongkong. / Bibliography: leaves [1]-6 (Last group)

"Submitted in partial fulfillment of the requirements for the degree of Master of Business Administration from the Naval Postgraduate School, December 2009." / Advisor(s): Laverson, Alan J. ; Mislick, Gregory K. "December 2009." "MBA Professional report"--Cover. Description based on title screen as viewed on January 27, 2010. Author(s) subject terms: Obstetrics, TRICARE, OB care, DRG 370, 371, 372, 373, Diagnostic Related Group, Military Treatment Facility, MTF, BUMED, Navy Medicine, OB/GYN, midwives, deliveries, Naval Medical Center Portsmouth, NMCP, Naval Medical Center San Diego, NMCSD, Naval Hospital Camp Pendleton, NHCP, Naval Hospital Camp Lejeune, NHCL, Purchased Care, PC, Direct Care, DC. Includes bibliographical references (p. 39-41). Also available in print.

Thesis (M.D.)--College of Medicine of Maryland, 1812. / Microform version available in the Readex Early American Imprints series.

Objective: The fetal fibronection (fFN) test is an excellent test to rule out preterm birth (PTB) as it has a negative predictive value of 98-99%. However, some patients in this group of women still deliver preterm, which puts the infant at risk for many chronic complications such as cerebral palsy and developmental delay. To date, there is limited data about PTB in the setting of a negative fFN. The purpose of this study is to look at maternal, fetal, and placental characteristics of women who had a spontaneous preterm delivery (PTD) with a negative fFN test and compare them with maternal, fetal, and placental characteristics of women who had a spontaneous PTD with a positive fFN test. Methods: This retrospective chart review was conducted at Baystate Medical Center between 2006 and 2009. Women were included in the study if they delivered within 14 days of the fFN test at this institution. Demographic characteristics, clinical antecedents for delivery, and placenta pathology reports were compared between women with a positive fFN test and a negative fFN test. Clinical antecedents for delivery were either (a) Preterm premature rupture of membranes (PPROM) leading to preterm labor (PTL) (b) abruption leading to PTL or (c) idiopathic PTL. Placenta histological reports were reviewed and organized into the following categories (a) normal placenta (b) evidence of inflammation (c) evidence of ischemic changes or (d) evidence of both inflammation and ischemic changes. Comparison between groups was conducted using Wilcoxon rank sum test and Fisher's exact test. Results: A total of 82 women had fFN testing and delivered preterm. Of these, 58 women had spontaneous PTL and a placental pathology report. Demographic characteristics were found to be similar between the two groups. Women with a positive fFN test were found to deliver earlier (p=0.038). Overall, there was a trend toward an increase in placental ischemic changes in the fFN negative group (68.8% versus 23.8%) but this did not achieve statistical significance. Conclusion: Women delivering spontaneously preterm after a positive fFN test may have different pregnancy characteristics than women delivering spontaneously preterm after a negative fFN test. Women in the positive fFN test group tended to deliver earlier than women in the negative fFN test group, suggesting that the mechanism contributing to PTB is likely to be different between the two groups. The data suggests that there is a trend toward women with a negative fFN having placental ischemic changes. More studies should be done to see if this trend continues. Clinically, this information would be helpful because these women may not be a good candidate for this test and may need to be hospitalized and given steroid treatment when showing signs of PTL. However, until further information is available, women with suspected ischemic placentas should not yet be excluded from fFN testing. Clearly, further studies are needed to explore the relationship between placental ischemia and fFN testing.

The purpose of this study is to drive deeper into women’s health especially as it pertains to the mortality rate of African American women. In the following thesis the researchers hope to learn more about the intersection between pregnancy and heart disease in black women. Prior to being pregnant black women were more ask risk for developing a cardio vasculature. This health disparity has been researched but no large conclusion has been made. The research points to the fact that black people have more of the health issues that put them at a greater risk for heart disease. In addition to having pre-existing conditions, women are at risk of developing many heart related illnesses while pregnant such as preeclampsia, pulmonary embolism, and sepsis. These risks are magnified when the patient is African American. In addition to exploring the medical discrepancies, the aim of this thesis is also to look at the implicit bias that are present in the medical field and how eliminating those would decrease the mortality incidences of African American women.

No description available.

published_or_final_version / Nursing Studies / Master / Master of Nursing

Thesis (M.Nurs.)--University of Hong Kong, 2008. / Includes bibliographical references (p. 81-90)

Thesis (Dr. P.H.)--University of Michigan, 1944. / Type-written (carbon copy). Bibliography: leaves 140-1444.

Thesis (Dr. P.H.)--University of Michigan, 1944. / Type-written (carbon copy). Bibliography: leaves 140-1444.