Childhood lead poisoning prevention through prenatal housing inspection and remediation in St. Louis, MO.

Abstract:

OBJECTIVE:We assessed the screening and remediation of home lead hazards prenatally in a high-risk population, hypothesizing that average blood-lead level and the number of poisonings would drop by 25%. STUDY DESIGN:One hundred fifty-two women underwent prenatal home inspections by certified lead inspectors. The hazards that were identified were remediated. The blood-lead levels of children of participating women were compared with matched control subjects. RESULTS:Blood-lead levels were obtained from 60 children and compared with matched control subjects. The average blood-lead level of children in the treatment group was 2.70 μg/dL vs 3.73 μg/dL in control subjects (P = .019). The percentage of children with levels >10 μg/dL in the treatment group was 0% vs 4.2% in control subjects (P = .128). CONCLUSION:Screening and remediation of houses of pregnant women is effective to reduce the average blood-lead level and number of children that exceed the federal level of concern for lead poisoning in a high-risk population.

journal_name

Am J Obstet Gynecol

authors

Berg DR,Eckstein ET,Steiner MS,Gavard JA,Gross GA

doi

10.1016/j.ajog.2012.01.001

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

199.e1-4

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(12)00002-6

journal_volume

206

pub_type

杂志文章
  • Magnesium sulfate is the ideal anticonvulsant in preeclampsia-eclampsia.

    abstract::The pathogenesis of eclamptic convulsions is unknown. A review of the world literature indicates considerable controversy regarding the ideal anticonvulsant to prevent or control these convulsions. Parenteral magnesium sulfate is the drug of choice to control eclamptic convulsions in North America, but it is rarely us...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(90)90002-o

    authors: Sibai BM

    更新日期:1990-05-01 00:00:00

  • Factors associated with adverse perinatal outcomes for term breech fetuses with planned vaginal delivery.

    abstract:OBJECTIVE:We sought to identify factors associated with adverse perinatal outcomes (APO) among term breech neonates with planned vaginal deliveries. STUDY DESIGN:We conducted univariable and multilevel multivariable analysis of the data collected in the multicenter prospective observational study PREsentation et MODe ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2012.08.027

    authors: Azria E,Le Meaux JP,Khoshnood B,Alexander S,Subtil D,Goffinet F,PREMODA Study Group.

    更新日期:2012-10-01 00:00:00

  • A comparison of tocolysis with nifedipine or ritodrine: analysis of efficacy and maternal, fetal, and neonatal outcome.

    abstract::Nifedipine, a dihydropyridone calcium entry blocker, has been used with increasing frequency in the treatment of preterm labor. We studied 66 patients in this prospective, randomized trial to evaluate the efficacy and maternal, fetal, and neonatal outcome associated with tocolysis with nifedipine or ritodrine. Deliver...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0002-9378(11)90679-6

    authors: Ferguson JE 2nd,Dyson DC,Schutz T,Stevenson DK

    更新日期:1990-07-01 00:00:00

  • Does maternal diabetes delay fetal pulmonary maturity?

    abstract:OBJECTIVE:The purpose of our study was to determine whether a relationship exists between diabetic glucose control and the immaturity rate of fetal pulmonary maturity test results. STUDY DESIGN:One thousand consecutive women who had fetal pulmonary maturity testing before delivery were studied. Diabetic patients were ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(12)90819-4

    authors: Piper JM,Langer O

    更新日期:1993-03-01 00:00:00

  • Amniotic fluid levels of glial fibrillary acidic protein in fetal rats with retinoic acid induced myelomeningocele: a potential marker for spinal cord injury.

    abstract:OBJECTIVE:The objective of this study was to determine whether amniotic fluid levels of glial acidic fibrillary protein (GFAP) would reflect myelomeningocele-related neurodegeneration in the rat model of retinoic acid-induced myelomeningocele, which is a model that is very similar to human myelomeningocele and develops...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.09.032

    authors: Danzer E,Zhang L,Radu A,Bebbington MW,Liechty KW,Adzick NS,Flake AW

    更新日期:2011-02-01 00:00:00

  • Immunoreactive endorphin peptides and prolactin in umbilical vein and maternal blood.

    abstract::Immunoreactive endorphin peptides (ir EP) and prolactin (PRL) were measured by radioimmunoassay in venous blood from the umbilical cord of 86 neonates, 23 postpartum mothers, and 40 randomly selected blood bank donor control subjects. We also assayed these hormones in serosanguineous placental tissue fluid following d...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(81)90103-4

    authors: Kimball CD,Chang CM,Huang SM,Houck JC

    更新日期:1981-05-15 00:00:00

  • Increased vascular endothelial cell production of interleukin-6 in severe preeclampsia.

    abstract:OBJECTIVE:The purpose of this study was to determine whether plasma from women with severe preeclampsia stimulates the production of endothelial cell interleukin-6 production and whether vitamin E could inhibit this process. STUDY DESIGN:Human umbilical vein endothelial cells were cultured in the presence of 5% plasma...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2003.134

    authors: Takacs P,Green KL,Nikaeo A,Kauma SW

    更新日期:2003-03-01 00:00:00

  • Rabbit alveolar beta-adrenergic receptors increase with gestational age.

    abstract::Pulmonary beta-adrenergic receptors, which mediate the actions of endogenous catecholamines, increase before birth, an important step in pulmonary maturation. This increase, which occurs primarily in the alveoli, may be hastened by corticosteroids. However, because the lung is composed of more than 40 cell types, we a...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(90)90863-3

    authors: Lewis V,Goldfien AC,Day JP,Roberts JM

    更新日期:1990-01-01 00:00:00

  • Psychological development of children who received intrauterine transfusions.

    abstract::The intellectual, visual-motor, and social development of 15 children, 3 to 10 years of age, who received IUT for eythroblastosis fetalis was compared with that of 15 children of similar age who had required only exchange transfusions for the treatment of the same disorder. No over-all differences were found between t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90304-1

    authors: Knobbe T,Meier P,Wenar C,Cordero L

    更新日期:1979-04-15 00:00:00

  • Buserelin versus danazol in the treatment of endometriosis-associated infertility.

    abstract::A total of 62 infertile women with a laparoscopic diagnosis of endometriosis were allocated randomly to two treatment groups, one of which (32 patients) received oral danazol 600 micrograms/day and the other (30 patients) received intranasal buserelin 1200 micrograms/day for 6 months. Suppression of serum levels of es...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0002-9378(89)90739-4

    authors: Fedele L,Bianchi S,Arcaini L,Vercellini P,Candiani GB

    更新日期:1989-10-01 00:00:00

  • Evaluation of the fetal assessment score in pregnancies at risk for intrauterine hypoxia.

    abstract:OBJECTIVE:Our purpose was to define the diagnostic value of a new fetal assessment score that is based on each of the components of the Apgar score. STUDY DESIGN:A fetal assessment score was established to study the main fetal vital functions: (1) cardiovascular (heart rate, color of the skin in the Apgar score), now ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(93)90618-s

    authors: Arabin B,Snyjders R,Mohnhaupt A,Ragosch V,Nicolaides K

    更新日期:1993-09-01 00:00:00

  • The relationship between prematurely ruptured membranes and fetal immunoglobulin production.

    abstract::Cord blood and maternal sera were studied in a series of 227 cases of prematurely ruptured membranes (PRM) with respect to: (1) fetal immunoglobulin (lg) synthesis associated with PRM, (2) the interrelationship between different lg classes during infection, and (3) the relationship between lg values and the duration o...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(79)90948-7

    authors: Cederqvist LL,Zervoudakis IA,Ewool LC,Litwin SD

    更新日期:1979-08-01 00:00:00

  • Developments in mammography.

    abstract::Mammography is presented for the primarily nonradiologic audience. A brief historical review calls attention to some of the milestones in mammography and how it has changed. Xerororadiography is discussed, as it is one of the newer developments and is rapidly gaining broad acceptance in the United States. Clinical app...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90164-2

    authors: Wolfe JN

    更新日期:1976-02-01 00:00:00

  • Predictors of umbilical artery acidosis in preterm delivery.

    abstract:OBJECTIVE:The purpose of this study was to investigate the significance of preterm acidosis and its risk factors. STUDY DESIGN:From a cohort of 786 consecutive singleton neonates who were born after spontaneous or iatrogenic preterm delivery at 24.0-33.6 weeks of gestation from January 1993 to December 2005 with an ev...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2007.07.009

    authors: Andreani M,Locatelli A,Assi F,Consonni S,Malguzzi S,Paterlini G,Ghidini A

    更新日期:2007-09-01 00:00:00

  • Calculated capillary hydrostatic pressure in normal pregnancy and preeclampsia.

    abstract::Capillary hydrostatic pressure has been calculated in normal pregnancy and preeclampsia. In humans, capillary hydrostatic pressure cannot be measured directly but may be calculated when the colloid osmotic pressure in plasma and interstitial fluid and interstitial fluid hydrostatic pressure are known (Starling equatio...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80355-1

    authors: Oian P,Maltau JM

    更新日期:1987-07-01 00:00:00

  • Heart rate and blood pressure variabilities are increased in pregnancy-induced hypertension.

    abstract:OBJECTIVE:Our purpose was to study whether cardiovascular changes in pregnancy-induced hypertension are associated with the increase in sympathetic control of hemodynamics and change in sympathovagal balance. STUDY DESIGN:Fourteen women with pregnancy-induced hypertension and 16 women with uncomplicated pregnancies of...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(97)70041-3

    authors: Ekholm EM,Tahvanainen KU,Metsälä T

    更新日期:1997-11-01 00:00:00

  • Antenatal glucocorticoid therapy increases glucose delivery to cerebral circulations during acute hypoxemia in fetal sheep during late gestation.

    abstract:OBJECTIVE:To determine the effects of 2 maternal injections with dexamethasone on the calculated oxygen and glucose deliveries to fetal cerebral and peripheral circulations during acute hypoxemia in sheep. STUDY DESIGN:Beginning at 124 days, ewes received 2 intramuscular injections of either dexamethasone (2 x 12 mg, ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.01.012

    authors: Jellyman JK,Gardner DS,McGarrigle HH,Fowden AL,Giussani DA

    更新日期:2009-07-01 00:00:00

  • Combined analysis with amniotic fluid index and estimated fetal weight for prediction of severe macrosomia at birth.

    abstract:OBJECTIVE:To evaluate combined analysis with amniotic fluid index (AFI) and estimated fetal weight (EFW) for prediction of severe macrosomia at birth. STUDY DESIGN:In this retrospective case-control study, 50 term severe macrosomic newborns (birthweight [BW] > or = 97th percentile) were included in the study group and...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.11.019

    authors: Hackmon R,Bornstein E,Ferber A,Horani J,O'Reilly Green CP,Divon MY

    更新日期:2007-04-01 00:00:00

  • Maternal glucose injections do not alter the suppression of fetal breathing following maternal ethanol ingestion.

    abstract::In order to determine whether intravenous injections of glucose could reverse the effects of maternal ingestion of ethanol (0.25 gm/kg), glucose (25 gm intravenously) or an equal volume of saline solution was administered to eight pregnant women at 37 to 40 weeks' gestation after ingestion of ethanol. Fetal breathing ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(84)90765-8

    authors: McLeod W,Brien J,Carmichael L,Probert C,Steenaart N,Patrick J

    更新日期:1984-03-01 00:00:00

  • A genome-wide association study of polycystic ovary syndrome identified from electronic health records.

    abstract:BACKGROUND:Polycystic ovary syndrome is the most common endocrine disorder affecting women of reproductive age. A number of criteria have been developed for clinical diagnosis of polycystic ovary syndrome, with the Rotterdam criteria being the most inclusive. Evidence suggests that polycystic ovary syndrome is signific...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2020.04.004

    authors: Zhang Y,Ho K,Keaton JM,Hartzel DN,Day F,Justice AE,Josyula NS,Pendergrass SA,Actkins K,Davis LK,Velez Edwards DR,Holohan B,Ramirez A,Stanaway IB,Crosslin DR,Jarvik GP,Sleiman P,Hakonarson H,Williams MS,Lee MTM

    更新日期:2020-10-01 00:00:00

  • Ectopic pregnancy associated with the intrauterine device: a study of seventy cases.

    abstract::Seventy cases of ectopic pregnancy associated with an IUD comprised 10% of all ectopics in a 9 year period. This increased to 15% in the last 19 months as more IUD's were in use. In two thirds of the ectopics the IUD had been in situ more than 1 year. Unusual bleeding and cramping attributed to the IUD obscured the di...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(76)90843-7

    authors: Hallatt JG

    更新日期:1976-07-15 00:00:00

  • In vivo administration of allopurinol affects ovulation and early embryonic development in rabbits.

    abstract::The potential role of the hypoxanthine-xanthine oxidase system in human chorionic gonadotropin-induced ovulation, nuclear maturation, and preimplantation development was investigated in the rabbit by use of the xanthine oxidase inhibitor allopurinol. Allopurinol (50 mg/kg) or vehicle was injected, followed by human ch...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90955-1

    authors: Miyazaki T,Kuo TC,Dharmarajan AM,Atlas SJ,Wallach EE

    更新日期:1989-12-01 00:00:00

  • Treatment of vaginal dysplasia: just a simple loop electrosurgical excision procedure?

    abstract::We report a case of sigmoid perforation, peritonitis, and adult respiratory distress syndrome after a loop excision procedure for carcinoma in situ of the cervix and dysplasia of the vagina. Treatment of vaginal dysplasia with loop excision is potentially dangerous. Safer methods of management include carbon dioxide l...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2000.102701

    authors: Powell JL,Asbery DS

    更新日期:2000-03-01 00:00:00

  • The use of color Doppler imaging for prenatal diagnosis of umbilical cord anomalies: report of three cases.

    abstract::Color Doppler imaging could easily and rapidly detect the absence of an umbilical artery, despite the presence of oligohydramnios in one case and multiple cord loops involving a normal cord in the other case. In the third case, which on gray-scale imaging appeared as an indeterminate cystic structure of the cord, colo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90663-7

    authors: Jauniaux E,Campbell S,Vyas S

    更新日期:1989-11-01 00:00:00

  • The rhesus macaque as an animal model for pelvic organ prolapse.

    abstract:OBJECTIVE:The purpose of this study was to characterize the pelvic floor of the rhesus macaque as an experimental model for human pelvic organ prolapse and to initiate an evaluation of the effects of estradiol and progesterone on the rhesus paravaginal attachment. STUDY DESIGN:Histologic specimens were prepared from t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.121723

    authors: Otto LN,Slayden OD,Clark AL,Brenner RM

    更新日期:2002-03-01 00:00:00

  • Changes in hemorheology with fetal intravascular transfusion.

    abstract:OBJECTIVE:Our aim was to determine the changes in fetal hemorheologic parameters caused by fetal intravascular transfusion for alloimmune anemia. STUDY DESIGN:Fetal blood samples were collected before and after 95 fetal transfusions in 31 women. Fetal hematocrit, whole-blood viscosity at a variety of shear rates, plas...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(94)70271-3

    authors: Welch R,Rampling MW,Anwar A,Talbert DG,Rodeck CH

    更新日期:1994-03-01 00:00:00

  • Treatment of thyrotoxicosis during pregnancy with propranolol.

    abstract::The treatment of two pregnant thyrotoxic patients with propranolol alone is discussed. One patient had a spontaneous remission during pregnancy wile taking propranolol. In the other patient treatment with propranolol allowed postponement of definitive therapy until after delivery, when the fetus was no longer at risk....

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(75)90648-1

    authors: Bullock JL,Harris RE,Young R

    更新日期:1975-01-15 00:00:00

  • Observations on the log human chorionic gonadotropin-time relationship in early pregnancy and its practical implications.

    abstract::In this study, we examined whether the doubling time of human chorionic gonadotropin is different at different stages of early pregnancy and whether the use of multiple nomograms for doubling time of human chorionic gonadotropin rather than a single critical value can improve the diagnosis of ectopic pregnancy. Forty-...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(87)80349-6

    authors: Kadar N,Romero R

    更新日期:1987-07-01 00:00:00

  • Trends in malpractice claims for obstetric and gynecologic procedures, 2005 through 2014.

    abstract:BACKGROUND:Interest in medical malpractice and areas of medicolegal vulnerability for practicing obstetricians and gynecologists has grown substantially, and many providers report changing surgical practice out of fear of litigation. Furthermore, education on medical malpractice and risk management is lacking for obste...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2017.05.037

    authors: Glaser LM,Alvi FA,Milad MP

    更新日期:2017-09-01 00:00:00

  • First-trimester uterine scar assessment by transvaginal ultrasound.

    abstract:OBJECTIVE:The objective of the study was to describe the assessment of lower segment uterine scar (LSCS) by transvaginal ultrasound (TVUS) during a first-trimester scan. STUDY DESIGN:Patients with a history of LSCS were prospectively enrolled over a 6 month period. Four groups were defined: type 1A, thin scar within c...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.ajog.2011.06.104

    authors: Stirnemann JJ,Chalouhi GE,Forner S,Saidji Y,Salomon LJ,Bernard JP,Ville Y

    更新日期:2011-12-01 00:00:00