Journal of Perinatology最新文献_第10页

Birth outcomes of individuals who have experienced incarceration during pregnancy. 在怀孕期间经历过监禁的人的分娩结果。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-13 DOI: 10.1038/s41372-024-02170-4

Emma Rose Miller-Bedell, Lillian Sie, Suzan L Carmichael, Nana Matoba, Ya'el Weiner, Joseph J Kim, Arash Anoshiravani, Dominika Seidman, Deirdre J Lyell, Henry C Lee

{"title":"Birth outcomes of individuals who have experienced incarceration during pregnancy.","authors":"Emma Rose Miller-Bedell, Lillian Sie, Suzan L Carmichael, Nana Matoba, Ya'el Weiner, Joseph J Kim, Arash Anoshiravani, Dominika Seidman, Deirdre J Lyell, Henry C Lee","doi":"10.1038/s41372-024-02170-4","DOIUrl":"https://doi.org/10.1038/s41372-024-02170-4","url":null,"abstract":"Objectives: Describe the prevalence, health, and birth outcomes of incarcerated pregnant individuals in California between 2011 and 2015.Study design: A population-based cohort study was performed using linked birth certificate and hospital discharge data. Associations between incarceration and birth outcomes were examined, including multivariable logistic regression to estimate odds ratios and 95% confidence intervals.Results: Amongst 1401 incarcerated and 551,029 nonincarcerated pregnant people across 112 delivery hospitals, 33% of incarcerated individuals had late initiation of prenatal care; 2.4% experienced severe maternal morbidity, compared to 18.9% and 1.6% of controls, respectively (p < 0.05). Births to incarcerated individuals had higher adjusted likelihoods of prematurity (OR 1.42, 95% CI 1.21, 1.67), small for gestational age (OR 1.31, 95% CI 1.11, 1.56), and NICU admission (OR 1.64, 95% CI, 1.40, 1.93) relative to controls.Conclusion: Incarcerated individuals have greater likelihood of negative birth outcomes. Identification of approaches to reduce these harms is warranted.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ABCs of base therapy in neonatology: role of acetate, bicarbonate, citrate and lactate 新生儿基础治疗 ABC：醋酸盐、碳酸氢盐、柠檬酸盐和乳酸盐的作用。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-12 DOI: 10.1038/s41372-024-02169-x

Gagandeep Dhugga, Deepika Sankaran, Satyan Lakshminrusimha

引用次数: 0

Implementation of an EOS calculator-based protocol decreased infant antibiotic exposure in chorioamnionitis without correlation with placental histopathology 实施基于 EOS 计算器的方案可减少绒毛膜羊膜炎婴儿的抗生素暴露量，但与胎盘组织病理学无关。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-09 DOI: 10.1038/s41372-024-02167-z

Tonya Robinson, Kimberly Knott, Zhanxu Liu, Maiying Kong, Sucheta Telang

{"title":"Implementation of an EOS calculator-based protocol decreased infant antibiotic exposure in chorioamnionitis without correlation with placental histopathology","authors":"Tonya Robinson, Kimberly Knott, Zhanxu Liu, Maiying Kong, Sucheta Telang","doi":"10.1038/s41372-024-02167-z","DOIUrl":"10.1038/s41372-024-02167-z","url":null,"abstract":"To determine the impact of the Early Onset Sepsis (EOS) calculator on antibiotic exposure in infants born to mothers with clinical chorioamnionitis and correlate EOS calculator-guided recommendations with placental histopathology. Retrospective observational study comparing infants ≥ 36 weeks gestation exposed to maternal clinical chorioamnionitis admitted to the neonatal intensive care unit (NICU) before (Group 1, n = 69) and after (Group 2, n = 139) implementation of an EOS calculator protocol for chorioamnionitis. Infant antibiotic exposure and placental pathology were reviewed. Comparisons were made using Mann-Whitney and chi-square tests. There was a statistically significant decrease in antibiotic exposure from Group 1 to Group 2 (p < 0.001) with no EOS cases missed. No correlation was found between EOS calculator-based treatment and participant placental histopathology (p = 0.966). Implementation of an EOS calculator protocol specific to our study population reduced antibiotic exposure. No correlations were found between EOS calculator-based antibiotic treatment and histological chorioamnionitis.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"104-110"},"PeriodicalIF":2.4,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balancing survival and suffering: factors influencing parental decision making after periviable consultation. 平衡生存与痛苦：影响父母在围产期会诊后做出决定的因素。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-09 DOI: 10.1038/s41372-024-02166-0

Eric A Raynal, Isabella K Pallotto, Jennifer M Brady, DonnaMaria E Cortezzo, Ellen A Lipstein

{"title":"Balancing survival and suffering: factors influencing parental decision making after periviable consultation.","authors":"Eric A Raynal, Isabella K Pallotto, Jennifer M Brady, DonnaMaria E Cortezzo, Ellen A Lipstein","doi":"10.1038/s41372-024-02166-0","DOIUrl":"https://doi.org/10.1038/s41372-024-02166-0","url":null,"abstract":"Objective: The objective of this study was to identify factors birthing parents consider related to potential resuscitation of a periviable infant.Study design: Birthing parents who received a prenatal consult from a newborn intensive care unit provider between 22.0 and 24.6 weeks gestational age were eligible to participate in a semi-structured interview focused on their periviable decision making. Interview transcripts were coded and analyzed using thematic content analysis.Result: Qualitative analysis shows that birthing parents attribute their decision to a balance between vitality and suffering, with the balance point influenced by various elements. While parents described the choice they made, none reported that the information they received during the prenatal consult had a significant impact.Conclusion: This study highlights the minimal impact that information given during a periviable consult has on parental decision making. Information from this study can be used to develop an improved model of perinatal consultation.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of rapid enteral feed advancement with early human milk fortification in very low birth weight preterm infants > 30 weeks gestation in a resource limited setting- a randomized controlled trial. 在资源有限的情况下，对妊娠期大于 30 周的超低出生体重早产儿进行快速肠内喂养和早期母乳强化的效果--随机对照试验。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-07 DOI: 10.1038/s41372-024-02164-2

Anitha Ananthan, Ganesh Bhatkar, Haribalakrishna Balasubramanian, Muthu Vijayanathan, Lakshmi Srinivasan

{"title":"Effects of rapid enteral feed advancement with early human milk fortification in very low birth weight preterm infants > 30 weeks gestation in a resource limited setting- a randomized controlled trial.","authors":"Anitha Ananthan, Ganesh Bhatkar, Haribalakrishna Balasubramanian, Muthu Vijayanathan, Lakshmi Srinivasan","doi":"10.1038/s41372-024-02164-2","DOIUrl":"https://doi.org/10.1038/s41372-024-02164-2","url":null,"abstract":"Objective: To study the effects of rapid enteral feed advancement with early feed fortification in stable very low birth weight (VLBW) infants >30 weeks gestation.Study design: Preterm infants (N = 92) were randomized to a) rapid feed advancement-early fortification - REF group (enteral feed advanced at 25-30 ml/kg/day, fortification at 50 ml/kg/day) or b) slow feed advancement-late fortification-SLF group (feed advanced at 15-20 ml/kg/day, fortification at 100 ml/kg/day).Results: The primary outcome-time to regain birth weight was significantly lower in REF group (9 days vs 13 days, P = 0.02). REF group reached full enteral feeds earlier (6 days vs 9 days, P = 0.001), had lower rates of sepsis (13% vs 38%, P = 0.007) and shorter hospital stay (10 days vs 15 days, P = 0.01). At one year, the median Z-scores for weight [-1.5 vs -2.2, P < 0.001] and head circumference [1.1 vs 0, P < 0.001) were significantly higher in the REF group.Conclusions: In VLBW preterm infants >30 weeks, rapid feed advancement with early fortification resulted in early postnatal regain of birth weight with positive effects on growth at one year.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of furosemide versus chlorothiazide exposures with serum sodium, potassium, and chloride among infants with bronchopulmonary dysplasia 呋塞米与氯噻嗪的接触与支气管肺发育不良婴儿血清钠、钾和氯化物的关系。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-05 DOI: 10.1038/s41372-024-02159-z

Timothy D. Nelin, Matthew Huber, Erik A. Jensen, Sara B. DeMauro, Heidi Morris, Scott A. Lorch, Kathleen Gibbs, Stamatia Alexiou, Natalie Napolitano, Anna Bustin, Nicolas A. Bamat

{"title":"Association of furosemide versus chlorothiazide exposures with serum sodium, potassium, and chloride among infants with bronchopulmonary dysplasia","authors":"Timothy D. Nelin, Matthew Huber, Erik A. Jensen, Sara B. DeMauro, Heidi Morris, Scott A. Lorch, Kathleen Gibbs, Stamatia Alexiou, Natalie Napolitano, Anna Bustin, Nicolas A. Bamat","doi":"10.1038/s41372-024-02159-z","DOIUrl":"10.1038/s41372-024-02159-z","url":null,"abstract":"To examine the association of novel furosemide versus thiazide diuretic exposure with changes in serum sodium, potassium, and chloride levels among infants with grade 2/3 bronchopulmonary dysplasia (BPD). Retrospective cohort study of infants admitted to a level IV neonatal intensive care unit (NICU) with grade 2/3 BPD. We measured within-subject change in serum sodium, potassium, and chloride before and after diuretic initiation using multivariable regression to adjust for differences in dosing and clinical covariates. We identified 94 infants contributing 137 novel diuretic exposures. No significant difference was noted in the association between chlorothiazide versus furosemide and serum sodium, potassium, or chloride change in multivariable modeling. Changes in serum electrolytes were similar for chlorothiazide and furosemide, questioning the perception that chlorothiazide leads to less electrolyte derangement among preterm infants with grade 2/3 BPD.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 3","pages":"312-318"},"PeriodicalIF":2.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41372-024-02159-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Point-of-care lung ultrasound for continuous positive airway pressure discontinuation in preterm infants 早产儿停止持续气道正压治疗时的护理点肺部超声波检查。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-04 DOI: 10.1038/s41372-024-02157-1

Faith Myers, Reedhi Dasani, Jacklin Tong, Shelby Vallandingham-Lee, Christine Manipon, Alex Dahlen, Daniele De Luca, Yogen Singh, Alexis S. Davis, Valerie Y. Chock, Shazia Bhombal

{"title":"Point-of-care lung ultrasound for continuous positive airway pressure discontinuation in preterm infants","authors":"Faith Myers, Reedhi Dasani, Jacklin Tong, Shelby Vallandingham-Lee, Christine Manipon, Alex Dahlen, Daniele De Luca, Yogen Singh, Alexis S. Davis, Valerie Y. Chock, Shazia Bhombal","doi":"10.1038/s41372-024-02157-1","DOIUrl":"10.1038/s41372-024-02157-1","url":null,"abstract":"To determine if the lung ultrasound score (LUS) is predictive of successful continuous positive airway pressure (CPAP) discontinuation in preterm neonates born <32 weeks’ gestation with history of respiratory distress syndrome. Retrospective study of preterm infants requiring CPAP. Univariate and multivariate logistic regression performed to formulate a predictive score using clinical variables with and without LUS. Area under the curve (AUC) was compared to determine the added predictive ability of LUS. Forty-one patients with discontinuation attempts associated with a LUS were included. Lower LUS obtained within 0–7 days prior to CPAP discontinuation was associated with successful CPAP discontinuation (OR 0.46 [0.23, 0.91]; p = 0.025). Cross-validated AUC for clinical variables alone (Model 1) was 0.85 (95% CI: 0.74–0.93) versus 0.90 (95% CI: 0.81–0.97) when LUS was incorporated (Model 2, p < 0.001). AUC of LUS alone was 0.83 (95% CI: 0.68–0.93, p < 0.0001). In preterm infants requiring CPAP, LUS aids in the prediction of successful CPAP discontinuation and may significantly improve a predictive tool.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"68-72"},"PeriodicalIF":2.4,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time to positivity of Coagulase Negative Staphylococcus In Neonatal Blood Cultures as an adjunct tool to help discriminate between sepsis and contamination 新生儿血培养物中凝固酶阴性葡萄球菌的阳性反应时间，作为帮助鉴别败血症和污染的辅助工具。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-11-02 DOI: 10.1038/s41372-024-02158-0

Silvia Carbonell-Sahuquillo, Beatriz Olea, Raquel Pérez-Suárez, Estela Giménez, Javier Colomina, David Navarro, Javier Estañ-Capell

{"title":"Time to positivity of Coagulase Negative Staphylococcus In Neonatal Blood Cultures as an adjunct tool to help discriminate between sepsis and contamination","authors":"Silvia Carbonell-Sahuquillo, Beatriz Olea, Raquel Pérez-Suárez, Estela Giménez, Javier Colomina, David Navarro, Javier Estañ-Capell","doi":"10.1038/s41372-024-02158-0","DOIUrl":"10.1038/s41372-024-02158-0","url":null,"abstract":"To assess the usefulness of time to positivity (TTP) to distinguish between sepsis and contamination in coagulase-negative staphylococci (CoNS) isolates. Unicentric retrospective observational. Medical records of 168 patients with suspected sepsis and positive blood culture for CoNS were reviewed. Patients were subdivided into sepsis (29%) and probable contamination (71%). Logistic regression analyses were performed to evaluate different risk factors and clinical signs and symptoms associated with sepsis. TTP cut-off value that best discriminated sepsis from contamination was found to be 18 h. Regression analysis revealed that TTP ≤ 18 h, gestational age ≤32 weeks, taquycardia/bradycardia and hypoactivity/lethargy were independent predictors of sepsis. TTP is useful in distinguishing sepsis from contamination, especially in neonates with lower gestational age (<32 weeks). The clinical signs that most increase the discriminatory power of TTP are the presence of tachycardia/bradycardia or hypoactivity.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"111-115"},"PeriodicalIF":2.4,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perspectives and needs of neonatology division directors regarding gender equity. 新生儿科主任对性别平等的看法和需求。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-30 DOI: 10.1038/s41372-024-02126-8

Kerri Z Machut, Lisa Owens, Lauren Gadek, Jasmeet Kataria-Hale, Krithika Lingappan, Renate Savich, Alla Kushnir, Dena Hubbard, Christiane E L Dammann

{"title":"Perspectives and needs of neonatology division directors regarding gender equity.","authors":"Kerri Z Machut, Lisa Owens, Lauren Gadek, Jasmeet Kataria-Hale, Krithika Lingappan, Renate Savich, Alla Kushnir, Dena Hubbard, Christiane E L Dammann","doi":"10.1038/s41372-024-02126-8","DOIUrl":"https://doi.org/10.1038/s41372-024-02126-8","url":null,"abstract":"Gender inequities in pediatrics are extensively documented despite women predominating the workforce. As a landscape assessment of gender equity in university-based neonatology divisions in the United States, we collected gender equity measures from academic neonatology division directors; 83% (n = 106) participated. The majority recognized addressing gender inequity was a middle-to-top priority, though they reported minimal gender inequities in their division. Most division directors are men and a higher proportion of full professors are men, but they reported minimal differences in time to promotion, leadership positions, and awards. Half of centers analyzed compensation by gender; all reported no gender difference. The existence of gender-equity-promoting strategies was variable and uncertain by many directors. They reported lack of bandwidth, personnel, and resources as the largest barriers to tracking and addressing gender inequities. These perceived minimal gender inequities diverge from published objective data and highlight the need to track and report metrics accurately and systematically.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supporting parents' emotional and mental health in the antenatal consultation. 在产前咨询中支持父母的情绪和心理健康。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-26 DOI: 10.1038/s41372-024-02156-2

S K Kukora, T Branche, E R Miller, N Henner, V Kapadia, M F Haward

引用次数: 0