2023
Disparities in adherence to retesting guidelines in women with Trichomonas vaginalis infection
Getaneh F, Oliveira C, Pathy S, Sheth S. Disparities in adherence to retesting guidelines in women with Trichomonas vaginalis infection. American Journal Of Obstetrics And Gynecology 2023, 229: 284.e1-284.e10. PMID: 37393012, PMCID: PMC10530237, DOI: 10.1016/j.ajog.2023.06.045.Peer-Reviewed Original ResearchConceptsHospital-based obstetricsNon-Hispanic black womenTrichomonas vaginalis infectionPregnant subgroupsClinic populationSubgroup analysisVaginalis infectionNon-Hispanic white womenGuideline-concordant testingRetrospective cohort studyTrichomonas vaginalisMultivariable logistic regressionSingle marital statusHigh prevalence ratesNon-Hispanic blacksCharacteristics of womenBlack womenHigh rateCohort studyGynecology clinicTobacco smokingGuideline recommendationsEntire cohortAssociated FactorsPrevalence ratesAssociation between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
Paneru B, Karmacharya A, Bharati A, Makaju S, Adhikari B, Kafle D, Shakya S, Spiegelman D, Seth S, Stangl A, Shrestha A, Shrestha A. Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal. PLOS ONE 2023, 18: e0285771. PMID: 37200234, PMCID: PMC10194964, DOI: 10.1371/journal.pone.0285771.Peer-Reviewed Original ResearchConceptsCervical cancer screening uptakeCancer screening uptakeScreening uptakeMultivariable logistic regressionCancer Stigma ScaleCancer stigmaCervical cancerAge of menarcheFirst sexual intercourseLogistic regressionNepalese womenSexual intercourseReproductive health variablesCervical cancer screeningEffective screening programsSemi-urban areasCross-sectional studyPercent of womenMean total scoreFamily planning usersScreening servicesCancer screeningCommon cancerDisease burdenScreening program
2022
Health Disparities in Uterine Cancer
Whetstone S, Burke W, Sheth SS, Brooks R, Cavens A, Huber-Keener K, Scott DM, Worly B, Chelmow D. Health Disparities in Uterine Cancer. Obstetrics And Gynecology 2022, 139: 645-659. PMID: 35272301, PMCID: PMC8936152, DOI: 10.1097/aog.0000000000004710.Peer-Reviewed Original ResearchConceptsHealth care cliniciansUterine cancerWomen's health care cliniciansHealth disparitiesEvidence-based educational materialsCare cliniciansGynecologic cancerEvidence summariesGynecologic oncologyPractice guidelinesEarly diagnosisAmerican CollegeGeneral obstetricsEvidence reviewDisease controlCancerPanel of expertsSubstantive knowledge gapsEducational materialsCliniciansPreventionContent expertsLiterature reviewRelevant literatureReviewExecutive Summary of the Uterine Cancer Evidence Review Conference
Chelmow D, Brooks R, Cavens A, Huber-Keener K, Scott DM, Sheth SS, Whetstone S, Worly B, Burke W. Executive Summary of the Uterine Cancer Evidence Review Conference. Obstetrics And Gynecology 2022, 139: 626-643. PMID: 35272316, PMCID: PMC8936160, DOI: 10.1097/aog.0000000000004711.Peer-Reviewed Original ResearchConceptsHealth care cliniciansUterine cancerEarly diagnosisWomen's health care cliniciansEvidence-based educational materialsCare cliniciansGynecologic cancerEvidence summariesGynecologic oncologyPatient advocacy organizationsPractice guidelinesAmerican CollegeGeneral obstetricsPanel membersEvidence reviewDisease controlPanel of expertsSubstantive knowledge gapsCancerCliniciansRelevant literaturePreventionEducational materialsDiagnosisContent expertsOverlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders
Gibson B, Hoff E, Haas A, Adams ZM, Price CR, Goddard-Eckrich D, Sheth SS, Dasgupta A, Meyer JP. Overlapping needs for sexual and reproductive health and HIV prevention in women with substance use disorders. Women's Health 2022, 18: 17455065211070543. PMID: 35023410, PMCID: PMC8771433, DOI: 10.1177/17455065211070543.Peer-Reviewed Original ResearchConceptsSubstance use disordersPre-exposure prophylaxisUse disordersHIV preventionReproductive healthReproductive health service utilizationHigh HIV risk behaviorHealth service utilizationUnique health issuesCross-sectional evaluationHIV risk behaviorsHigh unmet needReproductive health behaviorsReproductive health needsConcurrent clinical trialsForm of contraceptionTime of assessmentPregnancy intentionReproductive ageClinical trialsUnintended pregnancyService utilizationCriminal justice involvementDrug treatmentContraceptive use
2021
Association of Inadvertent 9-Valent Human Papillomavirus Vaccine in Pregnancy With Spontaneous Abortion and Adverse Birth Outcomes
Kharbanda EO, Vazquez-Benitez G, DeSilva MB, Naleway AL, Klein NP, Hechter RC, Glanz JM, Donahue JG, Jackson LA, Sheth SS, Greenberg V, Panagiotakopoulos L, Mba-Jonas A, Lipkind HS. Association of Inadvertent 9-Valent Human Papillomavirus Vaccine in Pregnancy With Spontaneous Abortion and Adverse Birth Outcomes. JAMA Network Open 2021, 4: e214340. PMID: 33818618, PMCID: PMC8022219, DOI: 10.1001/jamanetworkopen.2021.4340.Peer-Reviewed Original ResearchConceptsVaccine exposureHuman papillomavirus vaccineAdverse birth outcomesBirth outcomesSGA birthLive birthsPapillomavirus vaccinePreterm birthSpontaneous abortionCox proportional hazards regression modelProportional hazards regression modelsVaccine Safety DatalinkMean maternal ageMedical record reviewAge 45 yearsTime of pregnancyHazards regression modelsBirth defectsMajor structural birth defectsAge 26 yearsElectronic health recordsCohort studySingleton pregnanciesFinal cohortRecord review
2020
Evaluation of an Inpatient Postpartum Human Papillomavirus Immunization Program.
Avni-Singer L, Oliveira CR, Torres A, Shapiro ED, Niccolai LM, Sheth SS. Evaluation of an Inpatient Postpartum Human Papillomavirus Immunization Program. Obstetrics And Gynecology 2020, 136: 1006-1015. PMID: 33030866, PMCID: PMC7584732, DOI: 10.1097/aog.0000000000004097.Peer-Reviewed Original ResearchConceptsHPV immunization programImmunization programsHPV vaccinePostpartum womenHuman papillomavirus immunization programmesLow-income patient populationCharacteristics of patientsRates of immunizationHospital-based obstetricsProportion of womenChi-squared testEligible visitsOutpatient doseOutpatient dosesHospital stayVaccine seriesCohort studyHospital dischargeGynecology clinicVaccine uptakePatient populationAdditional dosesSubsequent doseLogistic regressionDoseReproductive Life Goals: A Systematic Review of Pregnancy Planning Intentions, Needs, and Interventions Among Women Involved in U.S. Criminal Justice Systems
Hoff E, Adams ZM, Grimshaw A, Goddard-Eckrich DA, Dasgupta A, Sheth SS, Meyer JP. Reproductive Life Goals: A Systematic Review of Pregnancy Planning Intentions, Needs, and Interventions Among Women Involved in U.S. Criminal Justice Systems. Journal Of Women's Health 2020, 30: 412-428. PMID: 32589492, PMCID: PMC7957381, DOI: 10.1089/jwh.2019.7951.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsReproductive health servicesPregnancy preventionHealth servicesSystematic reviewAdverse health outcomesHigh rateInterventional studyUndesired pregnancyInclusion criteriaIndependent reviewersMultilevel barriersHealth outcomesHealth disparitiesLiterature reviewReproductive coercionMinimal accessHealth carePreventionWomenPregnancyInitial screenPlanning interventionsSystematic literature reviewReproductive justice frameworkInterventionChapter 11 Neurocritical care of the pregnant patient
Burn MS, Sheth SS, Sheth KN. Chapter 11 Neurocritical care of the pregnant patient. Handbook Of Clinical Neurology 2020, 171: 205-213. PMID: 32736751, DOI: 10.1016/b978-0-444-64239-4.00011-4.ChaptersMeSH KeywordsCritical CareCritical IllnessFemaleHumansIntensive Care UnitsPregnancyPregnancy ComplicationsConceptsIntensive care unitNeurologic emergencyNormal physiologic changesMultidisciplinary care teamCommon neurologic emergencyMethod of deliveryHypertensive disordersNonpregnant populationPregnant patientsNonpregnant patientsFetal exposureObstetric patientsPrompt recognitionCare unitCerebrovascular disordersNeurocritical careShunt malfunctionFetal carePatient outcomesPhysiologic changesCare teamObstetric anesthesiologistIntracranial neoplasmsPregnancyPatients
2018
Risk of Spontaneous Abortion After Inadvertent Human Papillomavirus Vaccination in Pregnancy
Kharbanda EO, Vazquez-Benitez G, Lipkind HS, Sheth SS, Zhu J, Naleway AL, Klein NP, Hechter R, Daley MF, Donahue JG, Jackson ML, Kawai AT, Sukumaran L, Nordin JD. Risk of Spontaneous Abortion After Inadvertent Human Papillomavirus Vaccination in Pregnancy. Obstetrics And Gynecology 2018, 132: 35-44. PMID: 29889760, PMCID: PMC6019196, DOI: 10.1097/aog.0000000000002694.Peer-Reviewed Original ResearchMeSH KeywordsAbortion, SpontaneousAdolescentAdultChildDatabases, FactualFemaleHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18HumansMaternal ExposurePapillomaviridaePapillomavirus InfectionsPregnancyProportional Hazards ModelsRetrospective StudiesRisk FactorsStillbirthTime FactorsVaccinationYoung AdultConceptsHuman papillomavirus vaccinationSpontaneous abortionSpontaneous abortion riskPapillomavirus vaccinationCox modelAbortion riskQuadrivalent human papillomavirus vaccinationTime-dependent covariate Cox modelRetrospective observational cohortVaccine Safety DatalinkWeeks of gestationYears of agePregnancy exposureChart reviewMultiple gestationsObservational cohortWomen 12Mean agePregnancy endStandard Cox modelLive birthsPregnancyExposure windowsVaccinationHealth systemImpact of a clinical interventions bundle on uptake of HPV vaccine at an OB/GYN clinic
Deshmukh U, Oliveira CR, Griggs S, Coleman E, Avni-Singer L, Pathy S, Shapiro ED, Sheth SS. Impact of a clinical interventions bundle on uptake of HPV vaccine at an OB/GYN clinic. Vaccine 2018, 36: 3599-3605. PMID: 29759380, PMCID: PMC6314176, DOI: 10.1016/j.vaccine.2018.05.039.Peer-Reviewed Original ResearchConceptsIntervention bundleOB/GYN clinicPrevalence of womenUninsured womenVaccine uptakeAttributable reductionsMissed opportunityHPV vaccine seriesVaccine-eligible visitsVaccine-eligible womenHPV vaccine uptakeMonthly rateYoung adult womenLast study monthInterrupted time series modelHPV vaccineVaccine seriesMedical recordsHispanic womenAdult womenWhite womenStudy periodYoung adultsVaccineWomen
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 staff
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 costsAssociation between depression and nonadherence to antiretroviral therapy in pregnant women with perinatally acquired HIV
Sheth SS, Coleman J, Cannon T, Milio L, Keller J, Anderson J, Argani C. Association between depression and nonadherence to antiretroviral therapy in pregnant women with perinatally acquired HIV. AIDS Care 2015, 27: 350-354. PMID: 25616659, DOI: 10.1080/09540121.2014.998610.Peer-Reviewed Original ResearchConceptsHistory of depressionHIV RNA levelsAntiretroviral therapyThird trimesterMedication adherencePregnant womenMean HIV RNA levelUndetectable HIV RNA levelsCharts of womenHIV infection characteristicsLifelong chronic illnessRNA levelsRetrospective cohort studyPoor medication adherenceUnique psychosocial challengesOptimal medication adherenceTreatment of depressionUnstable living situationsPregnant patientsCohort studyPreconception periodPregnancy outcomesART nonadherenceHIV treatmentPrenatal care
2014
Patient 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 CongressClinic