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Antidepressants in pregnancy tied to health risks for kids

Wednesday, October 26, 2016

Children exposed to a common type of antidepressant in the womb may be at an increased risk of complications soon after birth and years later, according to two new studies.

One study suggests newborns are more likely to need intensive care after birth if their mothers take selective serotonin reuptake inhibitors (SSRIs) during pregnancy. A second study finds those same children may be at an increased risk for speech and language disorders years later.

Links between SSRIs and these types of birth outcomes have been seen before in previous studies that weren't as reliable, said Dr. Eva Pressman, chair of obstetrics and gynecology at the University of Rochester Medical Center in New York.

Even with these associations, she said, women should make decisions about their SSRI use only after talking with their healthcare providers about their specific circumstances.

"If you don’t apply the specifics of the situation, you can do more harm than good by avoiding medication," Pressman, who wasn't involved with the new studies, told Reuters Health. "Individualized care becomes exceedingly important."

Read More: Antidepressants in pregnancy tied to health risks for kids

Breastfeeding support through URMC for mothers, babies

Tuesday, October 18, 2016

For mothers, breastfeeding can be an intimidating and difficult task. To help with the process, the University of Rochester Medical Center created a new outpatient facility solely for mothers and their babies.Read More: Breastfeeding support through URMC for mothers, babies

Richard K. Miller Honored by International Federation of Placenta Associations

Tuesday, October 18, 2016

Richard K. Miller, Ph.D., professor of Obstetrics and Gynecology, Environmental Medicine and Pathology and Laboratory Medicine received the highest honor awarded by the International Federation of Placenta Associations (IFPA) – the IFPA Senior Award in Placentology – at the organization’s annual meeting in September. The award recognizes the work of an established senior investigator who has led placental research groups for a substantial period of time and made significant contributions to the understanding of placental and reproductive functions. Award winners have also demonstrated a sustained commitment to the development of younger placental researchers and to the placental/reproductive research community as a whole.

Nicholas Illsley, D.Phil., current president of IFPA and senior scientist in the department of Obstetrics and Gynecology at Hackensack University Medical Center said of Miller: “He is one of those visionaries who has put so much into placentology and into its organizations like IFPA and perhaps most importantly, into its science and its scientists. I and many others are grateful for his efforts.”

Miller’s lab focuses on the role of the placenta as the anchor, controller and conduit during pregnancy, as well as a site for toxic action. He has developed processes for collecting placenta samples and is using these samples to develop predictive tools that will help determine if children are at risk for a variety of health problems. He was invited to give a lecture at the IFPA meeting and reviewed the technologies developed here in Rochester, as well as his discoveries related to vitamin B12 and transcobalamin II; transplacental infectivity of HIV, CMV and Echo 11; the use of magnetic resonance and ultrasound technologies and most recently elastography; and the assessment of the toxicity of environmental agents, such as metals (cadmium, gadolinium, lead) and plasticizers, using in vitro models and environmental studies using the placenta in Rochester, the Ukraine, Tennessee and across the U.S. as part of the NIH National Children’s Study.

He dedicated his lecture to four mentors: Henry A. Thiede, M.D.; Robert L. Brent, M.D., Ph.D.; William O. Berndt, Ph.D.; and Maurice Panigel, M.D., Ph.D. He also recognized many of his collaborators, as well as the 25 fellows and graduate students he has trained throughout his career.

The IFPA is comprised of four placental research organizations from different regions around the world, including: the Australian and New Zealand Placental Research Association; the European Placenta Group; the Japan Placenta Association; and the Placenta Association of the Americas. Miller was instrumental in the creation of the IFPA, which grew out of the Rochester Trophoblast Conferences created in Rochester by Thiede and Curtis Lund during the early 1960s. In the past 56 years, the IFPA has grown to have a membership of more than 800 clinicians and basic scientists worldwide.

UR Medicine clinic helps moms, babies to breastfeed

Wednesday, September 28, 2016

Many hospitals are promoting breastfeeding as part of evidence-based care. Yet they also discharge the new family a day or two after delivery. Such a short stay may mean moms are going home brimming more with good intentions than full of confidence and milk.Read More: UR Medicine clinic helps moms, babies to breastfeed

UR Medicine Launches Outpatient Lactation Medicine/Breastfeeding Practice

Wednesday, September 21, 2016

UR Medicine is launching the area’s first physician-led outpatient practice dedicated to lactation medicine and breastfeeding. The practice will provide women with medical care and support for breastfeeding issues before conception, during pregnancy, and after childbirth."Read More: UR Medicine Launches Outpatient Lactation Medicine/Breastfeeding Practice

URMC’s periFACTS OB/GYN Academy Celebrates 25th Anniversary

Wednesday, September 14, 2016

PeriFACTS OB/GYN Academy is celebrating its 25th anniversary this month. On September 16, 1991, periFACTS sent its first transmission via fax machine to a local hospital. Since then the program, educational offerings, and subscribers have grown and are now accessed by more than 11,000 nurses, doctors, and students locally, across the United States, and abroad.

Read More: URMC’s periFACTS OB/GYN Academy Celebrates 25th Anniversary

Richard K. Miller, Ph.D., Receives Agnish Fellowship

Tuesday, June 21, 2016

photo of Dr. MillerRichard K. Miller, Ph.D., professor of Obstetrics and Gynecology, Environmental Medicine and Pathology and Laboratory Medicine will receive the Agnish Fellowship at the Teratology Society’s 56th Annual Meeting held June 25 to 29 in San Antonio. The Teratology Society is an international professional group of nearly 700 scientists conducting research related to birth defects and the Agnish Fellowship is awarded each year to a long-standing member who has made a major contribution to education in the field.

Miller has dedicated his career to the study of pregnancy and exposures that could potentially cause harm. His laboratory focuses on how viruses, metals, antiretroviral therapy, vitamins, nanoparticles and hyperthermia affect typical fetal development. He has trained more than 25 fellows and graduate students and served as scientific director of the NIH-sponsored Women's Reproductive Health Research Scholars Program to train ob/gyns as clinical scientists at the University of Rochester from 1999 to 2010.

Miller is past president of the Teratology Society and founder and longtime director of MotherToBaby UR Medicine (formerly known as the Perinatal Environmental and Drug Consultation Service), a service that provides advice to women and families regarding environmental, occupational or therapeutic exposures before or during pregnancy. He is also co-director of the New York State Center of Excellence in Children’s Environmental Health at the University of Rochester, called the Finger Lakes Children’s Environmental Health Center.

Michele Burtner, MS, CNM, IBCLC Selected as a Fellow for the Duke-Johnson & Johnson Nurse Leadership Program

Thursday, June 2, 2016

Michele BurtnerMichele Burtner, MS, CNM, IBCLC of Pittsford, NY has been selected as a fellow for the Duke-Johnson & Johnson Nurse Leadership Program. The Duke-Johnson & Johnson Nurse Leadership Program, a one year experience, is a partnership between Duke University School of Medicine, Duke University School of Nursing and Johnson & Johnson. The program was created to provide leadership development for advanced practice nurses. Selected fellows, start the program in May 2016, and will participate in three leadership retreats throughout the year as well as distance-based learning activities and a transformative health leadership project. The program will provide each fellow with the leadership and management skills required to effectively address the needs of their communities - especially that of underserved populations -- and to become change agents within their practice settings and the evolving health care environment.

Community Talk on Zika Virus Features Infectious Disease Expert from Brazil

Tuesday, April 19, 2016

As the warm summer season approaches, the possibility of a Zika outbreak in the United States looms large. The greatest concern is for women of childbearing age, as studies continue to link exposure to the virus in pregnancy to serious birth defects like microcephaly, hearing loss and blindness.

Esper Kallas, M.D., Ph.D., an infectious diseases specialist and professor of Medicine at the University of Sao Paulo, Brazil will speak about Zika virus on Monday, May 9 at 7:30 pm in the Eisenhart Auditorium at the Rochester Museum and Science Center. The event is free and open to the public. Kallas will be joined by a panel of experts from the University of Rochester Medical Center:

Read More: Community Talk on Zika Virus Features Infectious Disease Expert from Brazil

Dyson Day Lecture Examines Effective Teen Pregnancy Prevention

Thursday, April 7, 2016

Monroe County offers some of the best pediatric health care in the country. Yet, children in Monroe County have poor outcomes in a number of important areas. At the 16th Annual Anne E. Dyson Memorial Grand Rounds, set for Wednesday, March 9 at 8:00 a.m. in the Class of ’62 Auditorium, local panelists will discuss the connections between teen and unplanned pregnancy and poverty, and the evidence-based programs that can address unintended pregnancy in Rochester.

Read More: Dyson Day Lecture Examines Effective Teen Pregnancy Prevention