Journal of Perinatology最新文献_第9页

Real-time ultrasound to assess the umbilical catheter position in neonates: a randomized, controlled trial. 实时超声评估新生儿脐导管位置：随机对照试验。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-09 DOI: 10.1038/s41372-024-02128-6

Lalita Ponin, Chayatat Ruangkit, Nichanan Ruangwattanapaisarn, Pracha Nuntnarumit

{"title":"Real-time ultrasound to assess the umbilical catheter position in neonates: a randomized, controlled trial.","authors":"Lalita Ponin, Chayatat Ruangkit, Nichanan Ruangwattanapaisarn, Pracha Nuntnarumit","doi":"10.1038/s41372-024-02128-6","DOIUrl":"https://doi.org/10.1038/s41372-024-02128-6","url":null,"abstract":"Objective: To compare real-time ultrasound (RT-US) use as an adjunct tool to verify umbilical catheter placement versus standard care without ultrasound.Study design: Neonates requiring umbilical venous catheter (UVC) and umbilical artery catheter (UAC) placement were randomized into the standard formula (No-US) and the RT-US groups. X-rays were used to confirm the catheter position.Result: Fifty and forty-nine neonates were in the RT-US and No-US groups, respectively. RT- US showed a significantly higher rate of initial X-ray-confirmed proper catheter position than No-US (p < 0.001). The rates of proper positions of UVCs and UACs were significantly higher in the RT-US group than in the No-US group (both p < 0.001). Neonates in the RT-US group required fewer catheter adjustments and subsequent X-rays than those in the No-US group.Conclusion: RT-US enhances the accuracy of UVC and UAC placement, reduces catheter adjustments, and the number of X-rays required.Trial registration: TCTR20190622001.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391326","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 after intranasal human milk therapy in preterm infants with intraventricular hemorrhage. 早产儿脑室内出血鼻内人乳疗法后的疗效。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-09 DOI: 10.1038/s41372-024-02147-3

Alessia Gallipoli, Sharon Unger, Amr El Shahed, Chun-Po Steve Fan, Marisa Signorile, Diane Wilson, Rebecca Hoban

{"title":"Outcomes after intranasal human milk therapy in preterm infants with intraventricular hemorrhage.","authors":"Alessia Gallipoli, Sharon Unger, Amr El Shahed, Chun-Po Steve Fan, Marisa Signorile, Diane Wilson, Rebecca Hoban","doi":"10.1038/s41372-024-02147-3","DOIUrl":"https://doi.org/10.1038/s41372-024-02147-3","url":null,"abstract":"Objective: Intraventricular hemorrhage (IVH) is a common cause of brain injury in preterm infants. Fresh human milk (HM) contains stem cells (SCs) that could potentially be delivered via intranasal HM (IHM). In this IHM pilot study, we describe outcomes.Study design: Infants <33 weeks gestation with IVH were given IHM until maximum 28 days of age. Short-term neurologic outcomes and follow-up testing were compared to historic HM-fed infants. Longitudinal outcomes were plotted using linear mixed models. Weighted G-computation quantified treatment effects. Propensity score models calculated inverse probability weights for IVH grade, gestational age, and sex.Result: 37 infants (35.1% grade 3-4 IVH) were compared to 191 historic controls (17.8% grade 3-4 IVH). Post-hemorrhagic ventricular dilatation was common (25.7% IHM patients). Most weighted outcomes, although not significant, favored IHM at 4-12 and 18 months corrected age.Conclusion: This phase 1 study suggests powered trials of IHM for brain injury are needed. CLINICAL TRIAL REGISTRY NAME: clinicaltrials.gov identifier NCT04225286.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391325","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

The role of QI collaboratives in neonatology. 新生儿科 QI 合作的作用。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-09 DOI: 10.1038/s41372-024-02124-w

Roopali Bapat, Stephen Pearlman

引用次数: 0

The effect of furosemide on extremely premature infants treated with nonsteroidal anti-inflammatory drugs for persistent patent ductus arteriosus. 呋塞米对使用非甾体抗炎药治疗动脉导管未闭的极早产儿的影响。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-08 DOI: 10.1038/s41372-024-02148-2

Mar Romero-Lopez, Samantha Su, Rafael Bravo, Danielle R Rios, Tina Oak Findley, Covi Anne Tibe, Patrick J McNamara

引用次数: 0

Maternity care practices supportive of breastfeeding in U.S. advanced neonatal care units, United States, 2022 美国高级新生儿护理病房支持母乳喂养的产妇护理措施，美国，2022 年。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-07 DOI: 10.1038/s41372-024-02139-3

E. Anstey, A. Noiman, E. Boundy, J. Nelson

引用次数: 0

Hepatitis C infection screening and connection to care among postpartum patients and exposed infants in two community hospitals, 3-year follow-up — Oregon, 2019–2024 两家社区医院产后患者和暴露婴儿的丙型肝炎感染筛查和护理连接，3 年随访 - 俄勒冈州，2019-2024 年。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-05 DOI: 10.1038/s41372-024-02138-4

Genevieve L. Buser, Horia Marginean, Mayen Dada, Savannah Woodward, Alexis Young, Chiayi Chen, Mark W. Tomlinson

{"title":"Hepatitis C infection screening and connection to care among postpartum patients and exposed infants in two community hospitals, 3-year follow-up — Oregon, 2019–2024","authors":"Genevieve L. Buser, Horia Marginean, Mayen Dada, Savannah Woodward, Alexis Young, Chiayi Chen, Mark W. Tomlinson","doi":"10.1038/s41372-024-02138-4","DOIUrl":"10.1038/s41372-024-02138-4","url":null,"abstract":"Determine prevalence of hepatitis C virus (HCV) positivity among postpartum patients to inform prenatal screening recommendations, postpartum connection to care, and infant HCV screening practices. Convenience sample of postpartum patients at one urban and one suburban hospital to undergo rapid fingerstick testing for hepatitis C antibodies. Of 2060 postpartum participants successfully screened, 20 (0.97%) had evidence of past or current HCV infection. One co-infection with syphilis occurred. After a median follow-up of 3.75 years, 6 of 12 participants (50.0%) with chronic HCV infection completed treatment with cure, and 9 of 20 infants (45.0%) completed screening. One neonatal transmission event occurred (5.8%). HCV infection was more common in our postpartum population than other viral infections routinely screened for during pregnancy. Efforts to decrease perinatal HCV transmission should focus on early postpartum connection to treatment team, early screening in infants aged 2–6 months, and pediatric test completion.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":"45 1","pages":"122-127"},"PeriodicalIF":2.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377990","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

Success and opportunities of the American Academy of Pediatrics Marshall Klaus research grant program in neonatal-perinatal medicine. 美国儿科学会马歇尔-克劳斯新生儿围产期医学研究补助金计划的成功与机遇。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-05 DOI: 10.1038/s41372-024-02137-5

Albertina Lee, Joern-Hendrik Weitkamp, Angie Tune, Jim Couto, Krithika Lingappan

{"title":"Success and opportunities of the American Academy of Pediatrics Marshall Klaus research grant program in neonatal-perinatal medicine.","authors":"Albertina Lee, Joern-Hendrik Weitkamp, Angie Tune, Jim Couto, Krithika Lingappan","doi":"10.1038/s41372-024-02137-5","DOIUrl":"https://doi.org/10.1038/s41372-024-02137-5","url":null,"abstract":"Background: Physician-scientists are a crucial link between clinical practice and research. The American Academy of Pediatrics (AAP) initiated the Marshall Klaus Perinatal Research Award to enhance the development of research skills among physicians training in Neonatal-Perinatal Medicine.Methods: In this study, we sought to identify trends in funding along with geographical and demographic variables of the applicants and mentees and assess the applicants' scholarly productivity and funding from the National Institutes of Health (NIH). We reviewed the data of applicants and awardees from 2015-2024.Results: We found that basic science applications had a higher funding likelihood than clinical/translational applications. The geographical distribution of awardees is skewed. There was a significant association between awardee status and K08 or K23 funding attainment.Conclusions: Future efforts should support more equitable award distribution and a diverse research landscape in neonatal-perinatal medicine.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377991","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

A quality improvement initiative to reduce excess inhaled therapy use in the neonatal intensive care unit. 一项旨在减少新生儿重症监护室过量使用吸入疗法的质量改进计划。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-03 DOI: 10.1038/s41372-024-02132-w

Avery Zierk, Mary Jo Gumbel, Rachel Mackenzie, Kelle Matthews, Francis Simmons, Anna Bustin, Christina DeFelice, Heidi Morris, Leane Soorikian, Kimberly Swartz, Amanda Nickel, Kathleen Gibbs

{"title":"A quality improvement initiative to reduce excess inhaled therapy use in the neonatal intensive care unit.","authors":"Avery Zierk, Mary Jo Gumbel, Rachel Mackenzie, Kelle Matthews, Francis Simmons, Anna Bustin, Christina DeFelice, Heidi Morris, Leane Soorikian, Kimberly Swartz, Amanda Nickel, Kathleen Gibbs","doi":"10.1038/s41372-024-02132-w","DOIUrl":"https://doi.org/10.1038/s41372-024-02132-w","url":null,"abstract":"Objective: Inhaled medications are commonly used at our single-center, Level IV neonatal intensive care unit (NICU). We lacked a standardized process for measuring efficacy of these medications to guide optimal duration of use, potentially leading to their overuse.Methods: We utilized quality improvement methodology to reduce the length of inhaled hypertonic saline (HTS) course durations and high frequency albuterol use. Interventions included education, data sharing, and implementation of a respiratory therapy assessment tool.Results: The average inhaled HTS course duration decreased from 8.7 to 4.2 days. The percentage of q4 albuterol administrations per total albuterol doses administered monthly decreased from 39 to 20%.Conclusion: Developing a shared mental model between interprofessional providers for the indication and effect of inhaled agents and standardizing assessment of these medications' efficacy can reduce their overuse.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372106","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

Prophylactic dextrose gel use in newborns at risk for hypoglycemia 在有低血糖风险的新生儿中预防性使用葡萄糖凝胶。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-03 DOI: 10.1038/s41372-024-02133-9

Venkatasai Devarapalli, Makenzie Niven, Jared Canonigo, Beverly Spray, Indirapriya Avulakunta, Jared Beavers, Jennifer Andrews, Vikramaditya Dumpa

引用次数: 0

Association of antenatal steroid administration with neonatal morbidities among late preterm multiple gestation infants 晚期早产多胎妊娠婴儿产前服用类固醇与新生儿发病率的关系。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2024-10-01 DOI: 10.1038/s41372-024-02130-y

Pradeep Kumar Velumula, Praveen Kumar Boddu, Luna Khanal, Sanket Jani, Nithi Fernandes, Ronald Thomas, Monika Bajaj, Sanjay Chawla

引用次数: 0