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Stephen Lapinsky @stephenlap.bsky.social · Jun 5

Please follow @woccs.bsky.social our new Obstetric Critical Care resource and website WOCCS.org

Stephen Lapinsky @stephenlap.bsky.social · Jun 2

UK population-based cohort study including 14 083 patients with hypertensive disorders of pregnancy.
HDP associated with a doubling of the risk of developing dilated cardiomyopathy. Risk was increased with severity of preeclampsia, older maternal age & postpartum hypertension.

ja.ma/3Fwf0n2

Hypertensive Disorders of Pregnancy and Long-Term Risk of Dilated Cardiomyopathy

This population cohort study uses multiple linked UK electronic health records to examine whether hypertensive disorders of pregnancy are associated with long-term risk of dilated cardiomyopathy.

ja.ma

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Stephen Lapinsky @stephenlap.bsky.social · May 23

Asthma in pregnancy
Study from the Albert Pregnancy Birth Cohort, incidence of asthma was 8.6% & maternal asthma associated with 15% higher risk of PTB, an 11% higher risk of LBW, and a 10% higher risk of C-section. Risk increased with active asthma

www.jaci-inpractice.org/article/S221...

Maternal asthma and adverse perinatal outcomes: An analysis of 434,068 pregnancies in Canada

Maternal asthma is a known risk factor for asthma and allergic diseases in children. However, there is a lack of data on the role of asthma phenotypes in the association with perinatal outcomes.

www.jaci-inpractice.org

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Stephen Lapinsky @stephenlap.bsky.social · May 15

Detailed overview of
“Pregnancy after cancer: FIGO Best practice advice”
in IJGO, by Dr. Cindy Maxwell of @sinaihealth.bsky.social & international experts.

obgyn.onlinelibrary.wiley.com/doi/10.1002/...

OBGYN

Advances in cancer care have led to a growing number of cancer survivors globally. As cancer increasingly affects women and people of reproductive age, more individuals will be experiencing pregnancy....

obgyn.onlinelibrary.wiley.com

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Stephen Lapinsky @stephenlap.bsky.social · Apr 26

Mechanism of preeclampsia: fascinating talk @nasom-obmed.bsky.social 2025 by Dr. Surendra Sharma on the role of impaired autophagy related to tau protein aggregation, and treatable with trehalose

pubmed.ncbi.nlm.nih.gov/38760513/

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Stephen Lapinsky @stephenlap.bsky.social · Apr 26

Top 5 articles in OB Medicine in 2024 presented at @nasom-obmed.bsky.social 2025 meeting

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Stephen Lapinsky @stephenlap.bsky.social · Apr 25

Jayson Potts opening the @nasom-obmed.bsky.social 2025 meeting in Newport, RI

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Stephen Lapinsky @stephenlap.bsky.social · Apr 4

New review on PlGF & sFlt1 in Obstetic care, by @sinaihealth.bsky.social leaders in the field.

journals.sagepub.com/doi/10.1177/...

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Reposted by Stephen Lapinsky

NASOM @nasom-obmed.bsky.social · Apr 4

NASOM annual conference coming up April 25-26, Newport, Rhode Island

Participate in person or virtually

Program:
nasom.org/wp-content/u...

Register at:
nasom.org/event-regist...

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Stephen Lapinsky @stephenlap.bsky.social · Mar 31

Catherine Nelson-Piercy is on BlueSky!

@nelson-piercy.bsky.social

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Stephen Lapinsky @stephenlap.bsky.social · Mar 31

Smoking cessation drugs in pregnancy: large cohort study of 1st trimester exposure shows no significant increased risk of congenital malformations with nicotine replacement & varenicline. (similarly no increased risk for buproprion but limited data)

jamanetwork.com/journals/jam...

Risk of Major Congenital Malformations Following Prenatal Exposure to Smoking Cessation Medicines

This cohort study examines whether prenatal use of smoking cessation pharmacotherapies is associated with increased risks of major congenital malformations.

jamanetwork.com

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Reposted by Stephen Lapinsky

Kevin Ault @kevinault.bsky.social · Mar 22

Since @greenjrnl.bsky.social & @acog-org.bsky.social have recently joined Bluesky and - sadly - #measles is going to be ongoing public health crisis in 2025, I'd like to mention their resources on this topic #ObGynSky + #ReproSky + #MedSky.

pmc.ncbi.nlm.nih.gov/articles/PMC...

What Obstetric Health Care Providers Need to Know About Measles and Pregnancy

From January 1 to April 3, 2015, 159 people from 18 states and the District of Columbia were reported as having measles. Most cases are part of an outbreak linked to a California amusement park. Becau...

pmc.ncbi.nlm.nih.gov

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Reposted by Stephen Lapinsky

Obstetrics & Gynecology (the Green Journal) @greenjrnl.bsky.social · Mar 19

New research examining subcapsular liver hematomas in preeclampsia and HELLP syndrome: ow.ly/M7vR50Vj7OR

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Stephen Lapinsky @stephenlap.bsky.social · Mar 19

Excellent podcast by Catherine Nelson-Piercy and Marie Teil discussing the challenges women with chronic medical diseases face in pregnancy, the lack of data to inform decisions, and the move towards including pregnant women in research studies

scanmail.trustwave.com?c=8248&d=jaz...

scanmail.trustwave.com

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Stephen Lapinsky @stephenlap.bsky.social · Mar 17

Time to register for NASOM 2025
April 25-26, Newport, Rhode Island

Or participate virtually!

Early bird rate ends March 31st

nasom.org/current-year...

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Reposted by Stephen Lapinsky

Jamie Daw @jamiedaw.bsky.social · Mar 11

I received one of the 232 NIH grant "terminations" sent to scientists at Columbia last night. My research focuses on improving maternal and child health in the US. Also affected: ongoing clinical trials, research training programs, and research centers that aim to improve the health of Americans.

Hundreds of research grants at Columbia canceled following Trump edict, administrator says

The National Institutes of Health is terminating 232 grants for scientific research at Columbia University Irving Medical Center, according to an email an administrator sent to faculty.

gothamist.com

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Stephen Lapinsky @stephenlap.bsky.social · Mar 3

Obstetrics & Gynecology, the Green Journal, has left Twitter and is now here!

@greenjrnl.bsky.social

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Reposted by Stephen Lapinsky

NASOM @nasom-obmed.bsky.social · Feb 26

Letter from NASOM President, Jayson Potts, regarding the upcoming NASOM conference.
- now a virtual option
- added session on impact of political changes on women's health

𝙉𝙚𝙬𝙥𝙤𝙧𝙩, 𝙍𝙝𝙤𝙙𝙚 𝙄𝙨𝙡𝙖𝙣𝙙 𝙤𝙣 𝘼𝙥𝙧𝙞𝙡 25 & 26, 2025

Details & registration at:

nasom.org/current-year...

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Reposted by Stephen Lapinsky

CardioOB @cardioob.bsky.social · Feb 23

Pregnancies in women after peri-partum cardiomyopathy #PPCM: global ESC EuroObservational Registry

#CardioSky #CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social

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Stephen Lapinsky @stephenlap.bsky.social · Feb 24

Cystic fibrosis & pregnancy

New data from American Cystic Fibrosis Foundation Patient Registry.

Pregnancy assoc with:
- reduced hazard of death compared to never-pregnant
- no significant impact on lung function.

www.sciencedirect.com/science/arti...

Stephen Lapinsky @stephenlap.bsky.social · Feb 13

I never really thought much about where our fruit came from, but now that we buy non-American, these Italian & Israeli options are great! 🇨🇦

Stephen Lapinsky @stephenlap.bsky.social · Feb 6

Comprehensive review of HLH in the N Engl J Med

www.nejm.org/doi/full/10....

Hemophagocytic Lymphohistiocytosis | NEJM

HLH, a cytokine-mediated hyperinflammation syndrome, causes fever, pancytopenia, and hemophagocytosis and is often fatal. Antiinflammatory agents, etoposide, and interferon-γ antibody are the main ...

www.nejm.org

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Reposted by Stephen Lapinsky

Bethan Goulden @bethangoulden.bsky.social · Jan 28

Another report of pregnancy associated HLH in @OBMedicine, with no driver identified. Important to also highlight the role of anakinra & the 3Fs (fever, falling counts & ⬆️ ferritin) as a quick screen. In the UK, also remember the HLH MDT & @NPEU_UKOSS study.

journals.sagepub.com/doi/10.1177/...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

journals.sagepub.com

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Stephen Lapinsky @stephenlap.bsky.social · Jan 26

I like this, will try! I usually give a 1-2 hr trial of vasopressin. There are definitely vasopressin responders and non-responders - I view it as replacing a hormone deficiency rather than acting purely as pressor.

trial.here

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Stephen Lapinsky @stephenlap.bsky.social · Jan 25

Well Alberta, we (in Toronto) accepted your overflow critically ill COVID patients in 2021. Remember, if they come here they receive evidence-based medicine, no ivermectin included!

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