Robin B Kalish

Weill Cornell Medical College, New York, New York, United States

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Publications (111)478.53 Total impact

  • Robin B. Kalish · David Krantz · Shannon Coombs · Stephen T. Chasen

    No preview · Article · Jan 2016 · American Journal of Obstetrics and Gynecology
  • Armin Razavi · Stephen Chasen · Ritu Gyawali · Robin Kalish

    No preview · Article · Jan 2015 · American Journal of Obstetrics and Gynecology
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    ABSTRACT: While treatment decisions for antepartum depression must be personalized to each woman and her illness, guidelines from the American Psychiatric Association and the American College of Obstetrics and Gynecology include the recommendation of psychotherapy for mild-to-moderate depression in pregnant women. Although we previously demonstrated the efficacy of interpersonal psychotherapy for antepartum depression in a sample of Hispanic women, this study provides a larger, more diverse sample of African American, Hispanic, and white pregnant women from 3 New York City sites in order to provide greater generalizability. A 12-week bilingual, parallel-design, controlled clinical treatment trial compared interpersonal psychotherapy for antepartum depression to a parenting education program control group. An outpatient sample of 142 women who met DSM-IV criteria for major depressive disorder was randomly assigned to interpersonal psychotherapy or the parenting education program from September 2005 to May 2011. The 17-item Hamilton Depression Rating Scale (HDRS-17) was the primary outcome measure of mood. Other outcome scales included the Edinburgh Postnatal Depression Scale (EPDS) and the Clinical Global Impressions scale (CGI). The Maternal Fetal Attachment Scale (MFAS) assessed mother's interaction with the fetus. Although this study replicated previous findings that interpersonal psychotherapy is a beneficial treatment for antepartum depression, the parenting education program control condition showed equal benefit as measured by the HDRS-17, EPDS, CGI, and MFAS. This study supports the recommendation for the use of interpersonal psychotherapy for mild-to-moderate major depressive disorder in pregnancy. The parenting education program may be an alternative treatment that requires further study. ClinicalTrials.gov identifier: NCT00251043.
    No preview · Article · Apr 2013 · The Journal of Clinical Psychiatry
  • Robin Kalish · Gloria Felix · Shane Wasden

    No preview · Article · Jan 2013 · American Journal of Obstetrics and Gynecology
  • Stephen T Chasen · Robin B Kalish
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    ABSTRACT: Background: A significant proportion of second-trimester abortions are done for fetal anomalies. Our objective was to evaluate the impact of ultrasound at <14 weeks on the gestational age at abortion for structural fetal abnormalities. Study design: Retrospective review identified all patients undergoing abortion following sonographic diagnosis of structural fetal anomalies at a single institution from 2004-2011. First-trimester ultrasound findings were reviewed, and abnormalities were categorized as "diagnostic" or "nondiagnostic." Chi-square analysis and Mann-Whitney U test were used for statistical comparison. Results: One hundred thirty-two patients who underwent abortion due to structural fetal abnormalities were included, 109 of whom underwent ultrasound at 11-13 weeks. In those scanned at <14 weeks, there were diagnostic findings in 36 cases (33.0%) and abnormal nuchal translucency or other nondiagnostic finding leading to early second-trimester ultrasound in 16 cases (14.7%). In those scanned at <14 weeks, median gestational age at abortion was earlier compared to those who underwent initial anatomic evaluation in the second trimester, 19 weeks (13.5-21) versus 21 weeks (19-22), p=.001. Conclusion: Ultrasound at <14 weeks was associated with an earlier gestational age at abortion in pregnancies with structural fetal abnormalities.
    No preview · Article · Oct 2012 · Contraception
  • Robin B. Kalish · David Krantz · Kayla Williams · Stephen T. Chasen

    No preview · Article · Jan 2012 · American Journal of Obstetrics and Gynecology
  • Robin B. Kalish · Blair Chance · Stephen T. Chasen

    No preview · Article · Jan 2011 · American Journal of Obstetrics and Gynecology
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    ABSTRACT: This template was produced by the Working Group on Multiple Pregnancy and was endorsed by the International Board of the World Association of Perinatal Medicine. The purpose of this document is to expand the 2007 Istanbul international consensus statement on the perinatal care of multiple pregnancy and to focus on the care of monochorionic (MC) twins. The document represents the view and opinion of individuals who composed this ad hoc committee and discusses various aspects that are specific and relevant to the care of MC twin gestations.
    No preview · Article · Feb 2010 · Journal of Perinatal Medicine
  • Robin B. Kalish · Camille Stanback · Stephen T. Chasen

    No preview · Article · Dec 2009 · American Journal of Obstetrics and Gynecology
  • Stephen T. Chasen · Robin B. Kalish

    No preview · Article · Dec 2009 · American Journal of Obstetrics and Gynecology
  • Stephen T Chasen · Robin B Kalish · Frank A Chervenak
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    ABSTRACT: The purpose of this study was to evaluate the impact of restrictive versus routine use of "detailed" second-trimester sonography. Records of singleton pregnancies undergoing evaluation from 2004 to 2008 were reviewed. A detailed examination (Current Procedural Terminology [CPT] code 76811) was routinely performed on all patients. Major structural abnormalities were categorized on the basis of whether the structure would be included in a "basic" examination (CPT code 76805). Risk factors for anomalies were identified. The Fisher exact test and Student t test were used for statistical comparison. Major anomalies were identified in 218 patients, 75 of whom elected to undergo abortion. In 88 patients (40.4%), the abnormal structure would not be included in a basic examination. Risk factors were not more prevalent in those with anomalies requiring a detailed examination for diagnosis or in those patients who chose to undergo abortion. Restricting detailed evaluation to those with risk factors would have prevented detection of a substantial proportion of anomalies.
    No preview · Article · Sep 2009 · Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine
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    ABSTRACT: To examine the relationship between levels of first-trimester serum analytes used in aneuploidy risk assessment and obstetric outcomes in twin pregnancy. Twin pregnancies undergoing first-trimester risk assessment from 2003 to 2005 were identified. Pregnancy-associated plasma protein A (PAPP-A) and free beta-human chorionic gonadotropin (beta-hCG) were measured at 9-14 weeks. The association between extreme biochemical values (< 5th and > 95th percentile) and adverse outcomes was examined. Fisher's exact test and Mann-Whitney U were used for comparison. A total of 326 pregnancies were included. Median maternal age was 35 years. Median gestational age at delivery was 36 weeks. There were no significant associations between extreme free beta-hCG or high PAPP-A values and the rates of any adverse outcomes. Low PAPP-A (< 0.52 multiples of the median) was associated with higher rates of discordant growth (50% vs. 13%; p = 0.001) and hypertensive disorders of pregnancy (41.2% vs. 15.5%, p = 0.01). In twin pregnancies, low PAPP-A is associated with discordant growth and hypertensive disorders.
    No preview · Article · May 2009 · The Journal of reproductive medicine

  • No preview · Article · Apr 2009 · Journal of Pediatric and Adolescent Gynecology
  • Source
    Nathan S Fox · Shari E Gelber · Robin B Kalish · Stephen T Chasen
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    ABSTRACT: The objective of the study was to estimate practice patterns regarding bed rest in women with preterm premature rupture of membranes (PPROM) and arrested preterm labor. This was a mail-based survey of all Society for Maternal-Fetal Medicine members in the United States asking whether they would recommend bed rest in the setting of arrested preterm labor or PPROM at 26 weeks. Bed rest was defined as no more than 1-2 hours per day out of bed, with permitted activities including bathroom use, bathing, and brief ambulation inside the home/hospital. Seventy-one percent and 87% would recommend bed rest for women with cervical dilation and arrested preterm labor and women with PPROM, respectively, even though the majority believed bed rest was associated with minimal or no benefit. Female sex, nonacademic practice, and practice location in the South or West were independently associated with the recommendation for bed rest. Despite the belief that bed rest is associated with minimal or no benefit, most maternal-fetal medicine specialists recommend bed rest for arrested preterm labor and PPROM. Randomized, prospective trials are needed to evaluate the efficacy of bed rest in these settings.
    Preview · Article · Dec 2008 · American journal of obstetrics and gynecology
  • Robin B. Kalish · Rachel Moquete · Stephen T. Chasen

    No preview · Article · Dec 2008 · American Journal of Obstetrics and Gynecology

  • No preview · Article · Dec 2008 · American Journal of Obstetrics and Gynecology
  • Shira Fishman · Robin B. Kalish · Stephen T. Chasen

    No preview · Article · Dec 2008 · American Journal of Obstetrics and Gynecology
  • Nathan S Fox · Shari E Gelber · Robin B Kalish · Stephen T Chasen
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    ABSTRACT: There is limited evidence supporting the effectiveness of history-indicated cerclage in preventing spontaneous pregnancy loss or preterm birth. This study was undertaken to estimate the practice patterns of maternal-fetal medicine specialists in regards to history-indicated cerclage. We performed a mail-based survey of all SMFM specialists in the US. Subjects were asked whether they would recommend a history-indicated cerclage at 12-14 weeks in a patient whose prior pregnancy was her first pregnancy and ended in a spontaneous, painless loss at 19 weeks with no identifiable cause. A total of 827 (46%) of SMFM members responded of which 75% would recommend a history-indicated cerclage for this patient. Twenty-one percent would not recommend one, but would place one if desired by the patient. Only 4% would not place a history-indicated cerclage in this scenario. A total of 71% believed a history-indicated cerclage was associated with moderate or significant benefit, and 89% believed it involved minimal or no risk. Female gender, non-academic practice, practicing in the southern region and greater interval since residency training were all independently associated with the recommendation for a history-indicated cerclage. Despite limited level-I evidence supporting its use, a history-indicated cerclage is recommended by most maternal-fetal medicine specialists.
    No preview · Article · Nov 2008 · Journal of Perinatal Medicine
  • Nathan S Fox · Shari E Gelber · Robin B Kalish · Stephen T Chasen
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    ABSTRACT: To estimate maternal-fetal medicine specialists' practice patterns and perceived risks and benefits to tocolysis. We performed a mail-based survey of all Society for Maternal-Fetal Medicine (SMFM) members in the United States. Subjects were asked whether they would recommend tocolysis and what would be their first-line tocolytic in five scenarios: 1) acute preterm labor; 2) maintenance tocolysis after arrested preterm labor; 3) repeat acute preterm labor; 4) preterm premature rupture of membranes (PROM) without contractions; and 5) preterm PROM with contractions. A total of 827 (46%) SMFM members responded. Ninety-six percent, 56%, 56%, 32%, and 29% would recommend tocolysis for acute preterm labor, repeat acute preterm labor, preterm PROM with contractions, preterm PROM without contractions, and maintenance tocolysis, respectively. The most common first-line tocolytic was magnesium for acute preterm labor (45%) and repeat acute preterm labor (41%); nifedipine was the most common maintenance tocolysis (79%). Eighty percent believed tocolysis was associated with moderate or significant benefit in the setting of acute preterm labor; however, fewer than 50% responded similarly for the other four scenarios. In all five scenarios, more than 50% of respondents indicated there was minimal or no risk associated with tocolysis. Having a nonacademic practice was independently associated with the recommendation for tocolysis. Almost all maternal-fetal medicine specialists recommend tocolysis in the setting of acute preterm labor, and many recommend tocolysis for other indications. Magnesium and nifedipine are the most commonly prescribed first-line tocolytics. III.
    No preview · Article · Aug 2008 · Obstetrics and Gynecology
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    ABSTRACT: We have recently identified three salient questions within the patient choice cesarean delivery controversy. First, is performing cesarean delivery on maternal request consistent with good professional medial practice? Second, how should physicians respond to or counsel patients who request patient choice cesarean delivery? Third, should patient choice cesarean delivery be routinely offered to all pregnant women? In a well informed patient, performing a cesarean delivery on maternal request is medically and ethically acceptable. Physicians, as patient advocates and promoters of overall health and welfare of their patients, however, should, in the absence of an accepted medical indication, recommend against medically unindicated cesarean delivery. While we believe that current evidence supports a physician's decision to accede to an informed patient's request for such a delivery, it does not follow that obstetricians should routinely offer elective cesareans to all patients. When a patient makes a request for an elective cesarean delivery, obstetricians, in their capacity as patient advocate, must help guide their patient through the labyrinth of detailed medical information toward a decision that respects both the patient's autonomy and the physician's obligation to optimize the health of both the mother and the newborn.
    Preview · Article · May 2008 · Current Opinion in Obstetrics and Gynecology

Publication Stats

1k Citations
478.53 Total Impact Points

Institutions

  • 2001-2016
    • Weill Cornell Medical College
      • Department of Obstetrics and Gynecology
      New York, New York, United States
    • Utrecht University
      Utrecht, Utrecht, Netherlands
  • 2001-2012
    • Cornell University
      • Department of Obstetrics and Gynecology
      Итак, New York, United States
  • 2008
    • The Ohio State University
      Columbus, Ohio, United States
  • 2003-2008
    • New York Presbyterian Hospital
      • Department of Obstetrics and Gynecology
      New York, New York, United States
    • University of Pittsburgh
      • Department of Obstetrics, Gynecology and Reproductive Sciences
      Pittsburgh, Pennsylvania, United States
    • Johns Hopkins University
      Baltimore, Maryland, United States
    • University of Texas Medical Branch at Galveston
      • Department of Obstetrics and Gynecology
      Galveston, Texas, United States
  • 2004
    • Tufts University
      Бостон, Georgia, United States