Stephen Lapinsky
@stephenlap.bsky.social
Critical Care
Obstetric Medicine
Pulmonary & Critical Care in pregnancy
Sinai Health System & University of Toronto
🇨🇦🇿🇦
Obstetric Medicine
Pulmonary & Critical Care in pregnancy
Sinai Health System & University of Toronto
🇨🇦🇿🇦
Pinned
Please follow @woccs.bsky.social our new Obstetric Critical Care resource and website WOCCS.org
Obstetric Critical Care |
WOCCS.org
June 5, 2025 at 1:08 AM
Please follow @woccs.bsky.social our new Obstetric Critical Care resource and website WOCCS.org
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
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
June 2, 2025 at 1:42 AM
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
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
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...
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
May 23, 2025 at 1:05 AM
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...
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...
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/...
“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
May 15, 2025 at 1:45 AM
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/...
“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/...
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/
pubmed.ncbi.nlm.nih.gov/38760513/
April 26, 2025 at 3:42 PM
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/
pubmed.ncbi.nlm.nih.gov/38760513/
Top 5 articles in OB Medicine in 2024 presented at @nasom-obmed.bsky.social 2025 meeting
April 26, 2025 at 3:39 PM
Top 5 articles in OB Medicine in 2024 presented at @nasom-obmed.bsky.social 2025 meeting
Jayson Potts opening the @nasom-obmed.bsky.social 2025 meeting in Newport, RI
April 25, 2025 at 8:16 PM
Jayson Potts opening the @nasom-obmed.bsky.social 2025 meeting in Newport, RI
New review on PlGF & sFlt1 in Obstetic care, by @sinaihealth.bsky.social leaders in the field.
journals.sagepub.com/doi/10.1177/...
journals.sagepub.com/doi/10.1177/...
April 4, 2025 at 5:11 PM
New review on PlGF & sFlt1 in Obstetic care, by @sinaihealth.bsky.social leaders in the field.
journals.sagepub.com/doi/10.1177/...
journals.sagepub.com/doi/10.1177/...
Reposted by Stephen Lapinsky
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...
Participate in person or virtually
Program:
nasom.org/wp-content/u...
Register at:
nasom.org/event-regist...
April 4, 2025 at 4:17 PM
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...
Participate in person or virtually
Program:
nasom.org/wp-content/u...
Register at:
nasom.org/event-regist...
March 31, 2025 at 10:49 PM
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...
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
March 31, 2025 at 8:28 PM
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...
jamanetwork.com/journals/jam...
Reposted by Stephen Lapinsky
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...
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
March 22, 2025 at 7:35 PM
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...
pmc.ncbi.nlm.nih.gov/articles/PMC...
Reposted by Stephen Lapinsky
New research examining subcapsular liver hematomas in preeclampsia and HELLP syndrome: ow.ly/M7vR50Vj7OR
March 19, 2025 at 3:12 PM
New research examining subcapsular liver hematomas in preeclampsia and HELLP syndrome: ow.ly/M7vR50Vj7OR
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?c=8248&d=jaz...
scanmail.trustwave.com
March 19, 2025 at 8:46 PM
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?c=8248&d=jaz...
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...
April 25-26, Newport, Rhode Island
Or participate virtually!
Early bird rate ends March 31st
nasom.org/current-year...
March 17, 2025 at 12:23 PM
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...
April 25-26, Newport, Rhode Island
Or participate virtually!
Early bird rate ends March 31st
nasom.org/current-year...
Reposted by Stephen Lapinsky
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
March 11, 2025 at 9:05 PM
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.
March 3, 2025 at 12:24 AM
Reposted by Stephen Lapinsky
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...
- 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...
February 26, 2025 at 1:10 PM
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...
- 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...
Reposted by Stephen Lapinsky
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
#CardioSky #CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social
February 23, 2025 at 6:11 PM
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
#CardioSky #CardioObstetrics
academic.oup.com/eurheartj/ad...
@escardio.bsky.social @jgrapsa.bsky.social @anastasiasmihaili.bsky.social @garimasharmamd.bsky.social @emilyswlau.bsky.social
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...
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...
February 24, 2025 at 4:09 PM
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...
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...
I never really thought much about where our fruit came from, but now that we buy non-American, these Italian & Israeli options are great! 🇨🇦
February 13, 2025 at 8:38 PM
I never really thought much about where our fruit came from, but now that we buy non-American, these Italian & Israeli options are great! 🇨🇦
Reposted by Stephen Lapinsky
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/...
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
January 28, 2025 at 6:01 PM
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/...
journals.sagepub.com/doi/10.1177/...
External aortic compression in OB hemorrhage by Alvaro Nieto-Calvache. A simple maneuver to control bleeding and buy time
www.ajog.org/article/S000...
And video:
www.ajog.org/cms/10.1016/...
January 25, 2025 at 3:18 AM
External aortic compression in OB hemorrhage by Alvaro Nieto-Calvache. A simple maneuver to control bleeding and buy time
www.ajog.org/article/S000...
And video:
www.ajog.org/cms/10.1016/...