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Chapter 10: Review of parent and healthcare provider experiences based on approach to managing Neonatal Opioid Withdrawal Syndrome (NOWS). 第 10 章：根据新生儿阿片类药物戒断综合征（NOWS）的管理方法，回顾家长和医疗服务提供者的经验。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-05 DOI: 10.1016/j.semperi.2024.151995
Lisa M Cleveland
{"title":"Chapter 10: Review of parent and healthcare provider experiences based on approach to managing Neonatal Opioid Withdrawal Syndrome (NOWS).","authors":"Lisa M Cleveland","doi":"10.1016/j.semperi.2024.151995","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.151995","url":null,"abstract":"<p><p>Neonatal Opioid Withdrawal Syndrome (NOWS) is a group of clinical withdrawal signs occurring in prenatally opioid-exposed newborns and manifesting as neurobehavioral dysregulation, including extreme irritability such as excessive crying, rigid muscle tone, and difficulty feeding and sleeping. One U.S. infant experiencing NOWS is born every 25 min. Clinical management of these infants has traditionally occurred in the high-acuity environment of a neonatal intensive care unit (NICU), which contributes to separation of infants from their parents and increases the likelihood of pharmacological intervention to manage withdrawal. Over the past decade, more holistic approaches, such as the Eat, Sleep, and Console method, have focused on parents' active participation in care, rooming-in, and implementation of non-pharmacologic soothing techniques to reduce medication use, hospital length of stay, and healthcare expenditures. These distinctly different management approaches have contributed to unique experiences for parents and healthcare providers involved in infants' care; therefore, the purpose of this paper is to review the experiences of parents and healthcare providers as they relate to management approaches for infants with NOWS.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151995"},"PeriodicalIF":3.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626945","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
CMQCC obstetric sepsis toolkit update: A patient-centered approach to quality improvement. CMQCC 产科败血症工具包更新：以患者为中心的质量改进方法。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-19 DOI: 10.1016/j.semperi.2024.151976
Elliott K Main, Ruhi Nath, Melissa E Bauer
{"title":"CMQCC obstetric sepsis toolkit update: A patient-centered approach to quality improvement.","authors":"Elliott K Main, Ruhi Nath, Melissa E Bauer","doi":"10.1016/j.semperi.2024.151976","DOIUrl":"10.1016/j.semperi.2024.151976","url":null,"abstract":"<p><p>Obstetric sepsis is a leading cause of maternal mortality and severe maternal morbidity in the United States. However, it is uncommon, and diagnosis and treatment are often delayed. This report summarizes recent work to develop a patient-centered approach for the care of patients with obstetric sepsis. To support patients, educational materials to identify warning signs paired with advocacy tips are important. Following an adverse event, outlines and checklists for patient support are provided. These tools have been developed to address a variety of obstetric conditions and have utility beyond sepsis. On the clinical side, new data to establish a standardized approach to screening and diagnosis is covered in detail. This \"two-step\" approach has been supported by national obstetric organizations and has similarities to the algorithm used to screen neonates for term early onset sepsis. In addition, the approach for implementation of a sepsis care bundle by the California/Michigan Obstetric Sepsis Quality Collaborative is discussed.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151976"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366457","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
Corrigendum to "A systematic review of community-based interventions to address perinatal mental health" [Seminars in Perinatology, 48(6), 2024, 151945]. 围产期心理学研讨会，48（6），2024，151945]的更正。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 DOI: 10.1053/j.semperi.2024.151994
Jihye Kim Scroggins, Sarah E Harkins, Sevonna Brown, Victoria St Clair, Guramrit K LeBron, Veronica Barcelona
{"title":"Corrigendum to \"A systematic review of community-based interventions to address perinatal mental health\" [Seminars in Perinatology, 48(6), 2024, 151945].","authors":"Jihye Kim Scroggins, Sarah E Harkins, Sevonna Brown, Victoria St Clair, Guramrit K LeBron, Veronica Barcelona","doi":"10.1053/j.semperi.2024.151994","DOIUrl":"https://doi.org/10.1053/j.semperi.2024.151994","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151994"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564027","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
Sepsis in obstetric care for the emergency clinician: A review. 产科护理中的败血症，急诊科医生：综述。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1016/j.semperi.2024.151980
Anna Stacy, Puloma Bishnu, Rachel E Solnick
{"title":"Sepsis in obstetric care for the emergency clinician: A review.","authors":"Anna Stacy, Puloma Bishnu, Rachel E Solnick","doi":"10.1016/j.semperi.2024.151980","DOIUrl":"10.1016/j.semperi.2024.151980","url":null,"abstract":"<p><p>Sepsis remains a leading cause of mortality among pregnant and recently pregnant patients, rendering it a subject of vital importance to emergency clinicians in the US. However, death by sepsis has been found to be largely preventable with prompt and appropriate intervention. This narrative review provides a summary of the physiologic, epidemiologic, and systemic factors specific to obstetric sepsis that contribute to delays in diagnosis and treatment. Additionally, it provides a framework for emergency department providers to approach infection identification, antimicrobial selection, and appropriate resuscitation prior to disposition.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151980"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353328","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
Corrigendum to "Quality improvement efforts directed at optimal umbilical cord management in delivery room" [Seminars in Perinatology. 8/3 (year 2024) 151905]. 产房脐带管理质量改进工作 "的更正[围产医学研讨会。8/3（2024 年）151905]。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI: 10.1016/j.semperi.2024.151983
Priya Jegatheesan, Henry C Lee, Andrea Jelks, Dongli Song
{"title":"Corrigendum to \"Quality improvement efforts directed at optimal umbilical cord management in delivery room\" [Seminars in Perinatology. 8/3 (year 2024) 151905].","authors":"Priya Jegatheesan, Henry C Lee, Andrea Jelks, Dongli Song","doi":"10.1016/j.semperi.2024.151983","DOIUrl":"10.1016/j.semperi.2024.151983","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151983"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366458","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
Long-term sequelae and management following obstetric sepsis. 产科败血症的长期后遗症和处理方法。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1016/j.semperi.2024.151981
Anna K Daoud, Corrina Oxford-Horrey
{"title":"Long-term sequelae and management following obstetric sepsis.","authors":"Anna K Daoud, Corrina Oxford-Horrey","doi":"10.1016/j.semperi.2024.151981","DOIUrl":"10.1016/j.semperi.2024.151981","url":null,"abstract":"<p><p>The long-term consequences of obstetric sepsis have been a growing area of concern requiring attention. This narrative review summarizes the existing literature on the long-term sequelae of sepsis, with a focus on the antepartum and postpartum periods. In this article, we discuss risk factors for and epidemiology of post-sepsis syndrome (PSS) and related long-term medical conditions. We include recommendations for screening for PSS and management strategies involving multidisciplinary teams. PSS and other long-term medical and psychological sequelae of sepsis impact individuals and their communities greatly, including the obstetric population. There is a need for improved identification, management, and coordination of care for long-term complications of sepsis. Gaps in the literature for future study include identifying specific needs of the obstetric population in the weeks, months, and years following a sepsis event.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151981"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294952","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
Obstetric sepsis: Clinical pearls for diagnosis and management. 产妇败血症：诊断和管理的临床珍珠。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-19 DOI: 10.1016/j.semperi.2024.151975
Faranak Behnia, Chasey I Omere, Corey C Clifford, Luis D Pacheco
{"title":"Obstetric sepsis: Clinical pearls for diagnosis and management.","authors":"Faranak Behnia, Chasey I Omere, Corey C Clifford, Luis D Pacheco","doi":"10.1016/j.semperi.2024.151975","DOIUrl":"10.1016/j.semperi.2024.151975","url":null,"abstract":"<p><p>Sepsis is a leading cause of maternal morbidity and mortality worldwide. Early recognition and treatment improve outcomes. Multiple sepsis diagnostic screening tools are available and may be used in clinical practice; however, early thorough bedside evaluation of the patient is fundamental. Obstetricians should be able to recognize sepsis and promptly initiate potentially life-saving treatments, such as fluid resuscitation, vasopressors, broad-spectrum antibiotics, and early source control. It is recommended that obstetrical care, including delivery timing, not be altered solely due to the diagnosis of sepsis.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151975"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353324","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
Physiologic changes of pregnancy and considerations for screening and diagnosis of sepsis. 妊娠期的生理变化以及筛查和诊断败血症的注意事项。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1016/j.semperi.2024.151973
James Conwell, Mariam Ayyash, Harjot K Singh, Dena Goffman, Benjamin L Ranard
{"title":"Physiologic changes of pregnancy and considerations for screening and diagnosis of sepsis.","authors":"James Conwell, Mariam Ayyash, Harjot K Singh, Dena Goffman, Benjamin L Ranard","doi":"10.1016/j.semperi.2024.151973","DOIUrl":"10.1016/j.semperi.2024.151973","url":null,"abstract":"<p><p>Obstetric sepsis is a significant cause of morbidity and mortality in pregnant people worldwide. Initial evaluation and timely intervention are crucial to improving outcomes for birthing persons and their newborns. While many of the therapies and interventions for peripartum sepsis are consistent with the general population, there are considerations unique to pregnancy. Stabilization of the septic pregnant or immediately postpartum patient requires an understanding of the physiologic changes of pregnancy, hemodynamic changes during labor, and infections specific to pregnancy. We will review the interaction between pregnant physiology and sepsis pathophysiology, and how this can guide screening and diagnosis.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151973"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353326","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
Improving care for obstetric sepsis: Challenges, clinical key points, and innovation. 改善产科败血症护理：挑战、临床要点和创新。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-16 DOI: 10.1016/j.semperi.2024.151982
Lisa Nathan, Melissa E Bauer
{"title":"Improving care for obstetric sepsis: Challenges, clinical key points, and innovation.","authors":"Lisa Nathan, Melissa E Bauer","doi":"10.1016/j.semperi.2024.151982","DOIUrl":"10.1016/j.semperi.2024.151982","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151982"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353323","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
Patient and community centered approaches to sepsis among birthing people. 以患者和社区为中心，应对分娩人群中的败血症。
IF 4.3 3区 医学
Seminars in perinatology Pub Date : 2024-11-01 Epub Date: 2024-09-18 DOI: 10.1016/j.semperi.2024.151974
Briana T Richardson, Ana Cepin, Stephanie Grilo, Regan A Moss, Madeleine Dorval Moller, Sevonna Brown, Dena Goffman, Alexander Friedman, Uma M Reddy, Kelli Stidham Hall
{"title":"Patient and community centered approaches to sepsis among birthing people.","authors":"Briana T Richardson, Ana Cepin, Stephanie Grilo, Regan A Moss, Madeleine Dorval Moller, Sevonna Brown, Dena Goffman, Alexander Friedman, Uma M Reddy, Kelli Stidham Hall","doi":"10.1016/j.semperi.2024.151974","DOIUrl":"10.1016/j.semperi.2024.151974","url":null,"abstract":"<p><p>Sepsis is the second leading cause of maternal death in the U.S. For racial and ethnic minoritized birthing people, especially those who are Black and living in underserved communities, labor and postpartum are particularly vulnerable risk periods. To reduce sepsis-related morbidity and mortality and promote maternal health equity, community co-led, and co-designed interventions are urgently needed. In this commentary, we introduce the design and goals of our EnCoRe MoMS study as an exemplar for employing community based participatory research principals iteratively throughout the research process and integrated across all study aims. We also highlight our early lessons learned and recommendations for best practices. Our novel model and ongoing work have implications for scaling academic-community research partnerships for other causes of severe maternal morbidity and maternal health equity nationally.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"151974"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142353325","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
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