Rachel C. Schell's research while affiliated with University of Texas Southwestern Medical Center and other places
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Publications (13)
Background
COVID-19 infection is associated with increased morbidity in pregnancy as well as adverse maternal and neonatal outcomes. Little is currently known about how the timing of infection during pregnancy affects these outcomes.
Objective
To evaluate the effect of trimester of COVID-19 infection on disease progression and severity in pregnant...
Background
The definition for anemia in pregnancy is outdated, derived from Scandinavian studies in the 1970's to 1980's. To identity women at risk of blood transfusion, a common cause of Severe Maternal Morbidity, a standard definition of anemia in pregnancy in a modern, healthy United States cohort is needed.Objective
To define anemia in pregnanc...
Objectives Our primary objective was to evaluate how prenatal diagnosis of a major fetal structural anomaly and resulting pregnancy outcome affected postpartum depression risk, as assessed by the Edinburgh Postnatal Depression Scale (EPDS). Secondary objectives were to review the rate of mental health follow-up and subsequent diagnosis of postpartu...
Objectives
To assess pulmonary artery pressure and cardiac remodeling in pregnancy in women with pulmonary hypertension and compare these findings with studies done beyond three months postpartum.
Study design
Pregnant women with pulmonary hypertension from 2006 to 2017 were studied. Pulmonary hypertension was diagnosed when the pulmonary artery p...
Citations
... However, there could be cases in which the prognosis of SARS-CoV-2 infection would be uncertain, and therefore the choice to immediately deliver the baby or not could be difficult, and a prophylactic therapy would be of help in reducing the rate of progression to a severe form of the infection. A recent study observed no difference by trimester of diagnosis in the frequency of COVID-19 disease progression in pregnancy [64]. Certainly, more attention should be paid to infants born from mothers who underwent mAbs therapy because of the risk of immunosuppression. ...
... 1,2,19,20 Consequently, practices to assess anemia often focus on the prevention of severe shorter-term outcomes, such as risks associated with hemorrhage in childbirth, severe maternal morbidity, and mortality. 21 Because iron deficiency is a leading, but not the only, cause of anemia, 4,19 iron deficiency, iron deficiency anemia, and anemia are frequently conflated, which is problematic. Furthermore, the criteria to diagnose iron deficiency, iron deficiency anemia, and anemia varies ( ...
... At present, obstetrical and neonatal outcomes are linked to the severity of COVID-19 and maternal disease. Maternal diseases, include pulmonary problems, hypertensive disorders, obesity, inflammation and clotting activity, and diabetes predispose pregnant women with SARS-CoV-2 to severe adverse outcomes, such as needing advanced oxygen support, ICU admission, and maternal death [7][8][9][10]. In fact, a greater percentage of pregnant women who tested positive for SARS-CoV-2 with severe maternal diseases underwent a caesarean section, delivered preterm, and gave birth to newborns requiring admission into the neonatal intensive care unit (NICU) [7,11]. ...
