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Kecia Gaither

Kecia Gaither

Brookdale University Hospital
USA

Title: Peripartum cardiomyopathy: The urban experience

Biography

Kecia Gaither is a double board certified physician in Ob/Gyn and Maternal Fetal Medicine, with a Masters Degree in Public Health. As a women’s health advocate and expert, Gaither has appeared on NBC TV, as well as other national consumer health and lifestyle outlets across print, radio ,and online. She is the co-author of the book, “The Confident Woman" - a must read for women who desire increased confidence, self-esteem and empowerment. With her foray into social media, Dr. Gaither's combined perspective as a maternal child specialist and public health proponent has allowed her to reach thousands via her Twitterfeed-- @KeciaGaitherMD. She is a reviewer for, and has been published by, multiple scientific journals. Dr. Gaither was an appointee of NYC Mayor Michael Bloomberg to the HIV Planning Council of NY. Dr. Gaither was additionally listed as one of America's Top Obstetricians by the Consumers Research Council of America in 2007, 2010, 2012, and 2013. Her interests are HIV, obesity in pregnancy, womens' public health initiatives, environmental health, preterm labor, and prenatal diagnosis

Abstract

Objective: Peripartum cardiomyopathy is a rare clinical entity of unknown etiology, unique to the pregnant woman, which is associated with high maternal morbidity and mortality. The diagnosis is fraught with controversies regarding its definition, pathophysiology, diagnosis and management. The objective of this study was to identify and analyze underlying clinical characteristics contributing to the genesis of the disorder in an urban hospital setting Design: This was a retrospective study in which data was compiled from the medical records of 13 women in our institution from 2008-2013, who were diagnosed with peripartum cardiomypathy. Descriptive analysis was performed using means and proportions for continuous and categorical variables respectively. Statistical analyses were performed using SDSS version 20.0.0 Results: Established risk factors were age > 30 years, African American race, cesarean delivery, preeclampsia and obesity ( BMI> 32 kg/m2); novel associations of anemia and asthma were identified Conclusion: Peripartum cardiomyopathy has an exceptional potential for recovery with early identification. Women of African American descent with established risk factors may benefit from a more thorough evaluation of their cardiovascular status during their prenatal care, to potentially avoid the presentation/severity of the disease entity, with particular attention to: • Baseline cardiovascular function (EKG, ECHO) • Expeditious reversal of anemia • Dietary intervention to lower BMI

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