Journal of Perinatology最新文献_第3页

Hemodynamic precision to guide surgical timing for neonates with congenital diaphragmatic hernia: a narrative review.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-19 DOI: 10.1038/s41372-025-02265-6

John T Wren, Neil Patel, Matthew T Harting, Patrick J McNamara

引用次数: 0

Maternal fetal medicine, obstetric, and neonatology perspectives on joint prenatal counseling at periviable gestational ages.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-17 DOI: 10.1038/s41372-025-02260-x

Matthew J Drago, Gabriella Raviv, Andrea Weintraub, Katherine Guttmann

{"title":"Maternal fetal medicine, obstetric, and neonatology perspectives on joint prenatal counseling at periviable gestational ages.","authors":"Matthew J Drago, Gabriella Raviv, Andrea Weintraub, Katherine Guttmann","doi":"10.1038/s41372-025-02260-x","DOIUrl":"https://doi.org/10.1038/s41372-025-02260-x","url":null,"abstract":"Objective: To explore perspectives of maternal fetal medicine specialists (MFMs), obstetricians (OBs), and neonatologists (Neos) about antenatal counseling at periviable gestational ages and examine how those perceptions impact multidisciplinary counseling.Study design: Semi-structured interviews were conducted and thematic analysis performed until thematic saturation.Results: Interviews of 7 Neos and 8 OB/MFMs identified three themes: (1) roles in periviability counseling; (2) training and lifelong learning to develop/enhance communication skills; and (3) managing interdisciplinary dynamics. Participants agreed on consult content and the appropriate subspecialist to discuss specific topics but differed in their approaches. Subspecialty perspectives differed on resuscitation, survival, and developmental outcomes. Formal communication skills training was identified as a means to scaffold conversations into a uniform approach.Conclusion: Despite near universal agreement that joint perviability counseling would be beneficial, logistical barriers and lack of a shared framework may hinder its implementation. Formal communication skills training may support organized joint counseling.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649409","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

Insensible water loss in extremely preterm infants cared for in incubators with 70% and 90% relative humidity.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-16 DOI: 10.1038/s41372-025-02261-w

Narendra Dereddy, Deborah Ruth, Jianbin Zhu, Julie Pepe, William Oh

引用次数: 0

Management of the patent ductus arteriosus among infants born at 23 to 32 weeks' gestation between 2011 to 2022: a report from in the Children's Hospitals Neonatal Consortium.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-15 DOI: 10.1038/s41372-025-02257-6

Mark F Weems, Molly K Ball, Isabella Zaniletti, Sharifa Habib, Shannon Hamrick, Theresa R Grover, Sarah Keene, Karna Murthy, Michael Padula, Ranjit Philip, Rakesh Rao, Shawn Sen, Philip T Levy, Sharada H Gowda

{"title":"Management of the patent ductus arteriosus among infants born at 23 to 32 weeks' gestation between 2011 to 2022: a report from in the Children's Hospitals Neonatal Consortium.","authors":"Mark F Weems, Molly K Ball, Isabella Zaniletti, Sharifa Habib, Shannon Hamrick, Theresa R Grover, Sarah Keene, Karna Murthy, Michael Padula, Ranjit Philip, Rakesh Rao, Shawn Sen, Philip T Levy, Sharada H Gowda","doi":"10.1038/s41372-025-02257-6","DOIUrl":"https://doi.org/10.1038/s41372-025-02257-6","url":null,"abstract":"Objective: This study reports on patent ductus arteriosus (PDA) therapy trends across the Children's Hospital Neonatal Consortium.Study design: We performed a 12-year (2011-2022) retrospective study of premature infants (< 33 weeks) with a PDA. We utilized descriptive statistics to compare demographic, inpatient, and discharge characteristics in 3-year epochs.Result: From 54,813 infants, 19,843 (36%) had a diagnosis of PDA. Use of pharmacotherapy increased 44% (relative) over time, mostly with increased acetaminophen use. There was a 12.7-fold increase in exposure to multiple PDA medications over the study period. While the rate of definitive closure did not change, use of transcatheter PDA closure increased from 0 to 20.3% and surgical ligation decreased from 25.1% to 3.6%.Conclusion: There has been an increase in the use of multiple pharmacotherapies for PDA, especially among infants born <27 weeks' gestation. Transcatheter PDA closure has overtaken surgical ligation as the primary method of definitive PDA closure.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634059","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

Cardiac biomarkers predict low right ventricle performance in neonatal encephalopathy.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-15 DOI: 10.1038/s41372-025-02262-9

Shiran Sara Moore, Anie Lapointe, Emmanouil Rampakakis, Jessica Simoneau, Pierre Elias, Alishia Poccia, Asim Al Balushi, Adel Schwertani, Pia Wintermark, Gabriel Altit

{"title":"Cardiac biomarkers predict low right ventricle performance in neonatal encephalopathy.","authors":"Shiran Sara Moore, Anie Lapointe, Emmanouil Rampakakis, Jessica Simoneau, Pierre Elias, Alishia Poccia, Asim Al Balushi, Adel Schwertani, Pia Wintermark, Gabriel Altit","doi":"10.1038/s41372-025-02262-9","DOIUrl":"https://doi.org/10.1038/s41372-025-02262-9","url":null,"abstract":"Objective: Study the association between cardiac biomarkers and echocardiography parameters of ventricular performance in neonates with neonatal encephalopathy (NE).Methods: Prospective observational study (2016-2021) of neonates undergoing therapeutic hypothermia (TH). Neonates with brain injury had repeated echocardiography and biomarkers measurements on day of life (DOL) 2, 3, 4, and 10. Pearson correlation and generalized linear mixed effect models were used to account for repeated measurements. Receiver operating characteristic curves were constructed to assess sensitivity/specificity.Results: 56 neonates had 128 measurements. Creatine Kinase (CK) and cardiac troponin-I (CTn-I) were associated with right ventricular (RV) function. A CK of 1961 U/L and a CTn-I of 91 ng/L identified low Tricuspid Annular Plane Systolic Excursion (<7 mm) with sensitivities of 93% and 79%, and specificities of 55% and 74%, respectively.Conclusions: Elevated CK and CTn-I were associated with decreased RV performance. Trending these markers can be used to suspect altered RV function and may flag optimal timing for evaluation(s) by echocardiography during TH.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634057","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

Sequential direct bilirubin values in preterm infants.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-15 DOI: 10.1038/s41372-025-02264-7

Abigail McCay, Odinaka Onuigbo, MaCee Boyle, Sahla Esam, Shreya Gaddipati, Charles B Chen, Sanu Yadav, Akshaya Vachharajani

引用次数: 0

Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-15 DOI: 10.1038/s41372-025-02239-8

M Claire Manske, Machelle D Wilson, Barton L Wise, Herman L Hedriana, Joy Melnikow, Daniel J Tancredi

{"title":"Are racial and ethnic disparities in brachial plexus birth injuries explained by known risk factors?","authors":"M Claire Manske, Machelle D Wilson, Barton L Wise, Herman L Hedriana, Joy Melnikow, Daniel J Tancredi","doi":"10.1038/s41372-025-02239-8","DOIUrl":"10.1038/s41372-025-02239-8","url":null,"abstract":"Objective: To investigate the association of maternal race/ethnicity with risk factors for brachial plexus birth injury (BPBI) and quantify the proportion of excess BPBI risk due to these factors.Study design: This retrospective cohort study of all livebirths occurring in California-licensed hospitals from 1996-2012 included 6,278,562 maternal-livebirth infant pairs with 7762 BPBI diagnoses. Multiple logistic regression and causal mediation analyses were used to evaluate the relationship of race/ethnicity and BPBI risk factors.Results: Black and Hispanic birthing-individuals were at increased risk of obesity, diabetes, and limited prenatal care utilization but decreased risk of many BPBI risk factors (shoulder dystocia, macrosomia, prolonged second stage of labor, and vaginal delivery).Conclusions: Black and Hispanic birthing-individuals were at lower risk of many strongly associated risk factors for BPBI, and these factors mediate only a small proportion of their excess BPBI risk, underscoring the importance of identifying alternative risk factors, especially drivers of demographic disparities.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633940","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

Outcomes of spontaneous pneumothorax in neonates: treatments vs. expectant management.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-15 DOI: 10.1038/s41372-025-02259-4

Anat Margaliot, Laurence Mangel, Yarden Waxman, Moria Be'er, Ronella Marom, Jacky Herzlich

{"title":"Outcomes of spontaneous pneumothorax in neonates: treatments vs. expectant management.","authors":"Anat Margaliot, Laurence Mangel, Yarden Waxman, Moria Be'er, Ronella Marom, Jacky Herzlich","doi":"10.1038/s41372-025-02259-4","DOIUrl":"https://doi.org/10.1038/s41372-025-02259-4","url":null,"abstract":"Background: Neonatal pneumothorax is dependent on severity of symptoms and leak size. Treatment of Pneumothorax with Nitrogen washout is controversial.Objective: To compare outcomes of neonates treated for spontaneous pneumothorax (SP) compared with those managed expectantly.Methods: A retrospective review of medical records of neonates (≥34weeks) diagnosed with SP born between 2011 and 2021. Neonatal characteristics and outcomes were compared between neonates treated for SP with either targeted oxygen therapy (to stabilize saturation ≥93%) or nitrogen washout and those under expectant management.Results: Among neonates with respiratory distress and desaturation (n = 64), nitrogen washout reduced median time to resolution compared to targeted oxygen therapy (31 [12-67] vs 81 [31.8-123.5] hours, p = 0.012). Expectantly managed neonates with distress (n = 87) experienced delayed feeding initiation, while time to resolution and hospital stay were similar.Conclusion: Nitrogen washout is superior to targeted oxygen therapy in time to resolution in infants presenting with respiratory distress and desaturation.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634060","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

It's the little things. A framework and guidance for programs to care for infants 22-23 weeks' gestational age.

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-10 DOI: 10.1038/s41372-025-02252-x

Laura B Bernardini, Helen Healy, Ashley N Battarbee, Elizabeth Brennick, Paige Church, Leeann R Pavlek, Thea Tagliaferro, Colm Travers, Kourtney Vier, Jennifer Walsh, Matthew A Rysavy

引用次数: 0

Does ventilatory assistance before umbilical cord clamping reduce the risk of early death or intraventricular hemorrhage in extremely preterm infants?

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-03-08 DOI: 10.1038/s41372-025-02258-5

Kaquanta Barlow, Shoshana Newman-Lindsay, Evan Giusto, Anup Katheria, Satyan Lakshminrusimha

引用次数: 0