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Seminars in perinatology最新文献

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Treatment and decriminalization of the mother-infant dyad in perinatal opioid use disorder 围产期阿片类药物使用障碍中母婴二人组的治疗和非刑罪化。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2025-02-01 DOI: 10.1016/j.semperi.2024.152005
Erinma P. Ukoha (Assistant Professor) , Mishka Terplan (Medical Director)
{"title":"Treatment and decriminalization of the mother-infant dyad in perinatal opioid use disorder","authors":"Erinma P. Ukoha (Assistant Professor) ,&nbsp;Mishka Terplan (Medical Director)","doi":"10.1016/j.semperi.2024.152005","DOIUrl":"10.1016/j.semperi.2024.152005","url":null,"abstract":"<div><div>Treatment of perinatal opioid use disorder should center the mother-infant dyad, the needs of both entities, and preservation of the relationship. The criminalization of pregnancy and substance use in pregnancy through punitive policies and legislation and the involvement of the family policing system are in direct opposition to compassionate, person-centered care and lead to worse maternal and neonatal outcomes. In this chapter, we review the history and ongoing criminalization of pregnancy and perinatal substance use disorder, explore carcerality as a barrier to dyadic care that disproportionately targets Black, Brown, and Indigenous birthing individuals, and propose solutions to decriminalize care based in abolition medicine and reproductive justice frameworks.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 1","pages":"Article 152005"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710978","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 history of neonatal abstinence syndrome 新生儿戒断综合征的病史。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2025-02-01 DOI: 10.1016/j.semperi.2024.152007
Prabhakar Kocherlakota
{"title":"The history of neonatal abstinence syndrome","authors":"Prabhakar Kocherlakota","doi":"10.1016/j.semperi.2024.152007","DOIUrl":"10.1016/j.semperi.2024.152007","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 1","pages":"Article 152007"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771872","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
Post-resuscitation care in the NICU 新生儿重症监护室的复苏后护理。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151993
Mary Haggerty , Monika Bajaj , Girija Natarajan , Anne Ades
{"title":"Post-resuscitation care in the NICU","authors":"Mary Haggerty ,&nbsp;Monika Bajaj ,&nbsp;Girija Natarajan ,&nbsp;Anne Ades","doi":"10.1016/j.semperi.2024.151993","DOIUrl":"10.1016/j.semperi.2024.151993","url":null,"abstract":"<div><div>Post-cardiac arrest syndrome is a unique pathophysiologic condition that is well-described in adult and pediatric populations. Early, goal-directed care after cardiac arrest can mitigate ongoing injury, improve clinical outcomes, and prevent re-arrest. There is a paucity of evidence about post-cardiac arrest care in the NICU, however, pediatric principles and guidelines can be applied in the NICU in the appropriate clinical context.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151993"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474244","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
Hemodynamic instability in the transitional period after birth 出生后过渡时期的血流动力学不稳定。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151986
Sharada Gowda , Molly K Ball , Satyan Lakshminrusimha , Danielle R Rios , Patrick J McNamara
{"title":"Hemodynamic instability in the transitional period after birth","authors":"Sharada Gowda ,&nbsp;Molly K Ball ,&nbsp;Satyan Lakshminrusimha ,&nbsp;Danielle R Rios ,&nbsp;Patrick J McNamara","doi":"10.1016/j.semperi.2024.151986","DOIUrl":"10.1016/j.semperi.2024.151986","url":null,"abstract":"<div><div>It is not uncommon for a patient to experience hemodynamic instability following birth. This is due to the fact that the transitional period requires dramatic cardiorespiratory changes. When it goes well, improved lung compliance and successful transition to the postnatal circulation is seen. However, it is highly beneficial that clinicians have a solid understanding of all of the required changes, the unique aspects of the neonatal myocardium, and the influence of cardiovascular disease on normal adaptive mechanisms. In this manuscript, we will review the physiology of the normal postnatal circulatory adaptation, the unique characteristics of the neonatal myocardium and how it behaves in states of altered loading conditions, and the impact of hemodynamic disease states on health and wellbeing during the immediate postnatal time-period.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151986"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142507462","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
Special considerations for the stabilization and resuscitation of patients with cardiac disease in the Neonatal Intensive Care Unit 新生儿重症监护室心脏病患者的稳定和复苏特别注意事项。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151989
Beth Ann Johnson , Jennifer Shepherd , Shazia Bhombal , Noorjahan Ali , Chloe Joynt
{"title":"Special considerations for the stabilization and resuscitation of patients with cardiac disease in the Neonatal Intensive Care Unit","authors":"Beth Ann Johnson ,&nbsp;Jennifer Shepherd ,&nbsp;Shazia Bhombal ,&nbsp;Noorjahan Ali ,&nbsp;Chloe Joynt","doi":"10.1016/j.semperi.2024.151989","DOIUrl":"10.1016/j.semperi.2024.151989","url":null,"abstract":"<div><div>Effective resuscitation of neonates with congenital heart disease (CHD) depends on comprehensive planning, thorough understanding of physiology, vigilant monitoring, and interdisciplinary collaboration to achieve the best outcomes. Neonatal heart disease can affect cardiac structure, rhythm, or ventricular function, and may be either congenital or acquired. Critical congenital heart disease (CCHD) can result in inadequate pulmonary blood flow, impaired intracardiac mixing, airway obstruction, or insufficient cardiac output. Tailored resuscitation strategies are important as early as the delivery room, where some CHD lesions may cause immediate cardiovascular instability during the transition from fetal to postnatal circulation. Premature infants with CHD are at higher risk due to their small size and the complications associated with prematurity, affecting both CHD management and overall clinical stability. Addressing both cardiac and non-cardiac causes of decompensation requires a precise understanding of each patient's unique physiology and trajectory from delivery through postintervention intensive care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151989"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547239","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 “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 : 2024-12-01 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 ,&nbsp;Sarah E. Harkins ,&nbsp;Sevonna Brown ,&nbsp;Victoria St. Clair ,&nbsp;Guramrit K. LeBron ,&nbsp;Veronica Barcelona","doi":"10.1053/j.semperi.2024.151994","DOIUrl":"10.1053/j.semperi.2024.151994","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151994"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","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
Artificial intelligence and informatics in neonatal resuscitation 新生儿复苏中的人工智能和信息学。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151992
Regine M Fortunov , Erwin Cabacungan , James S Barry , Jawahar Jagarapu
{"title":"Artificial intelligence and informatics in neonatal resuscitation","authors":"Regine M Fortunov ,&nbsp;Erwin Cabacungan ,&nbsp;James S Barry ,&nbsp;Jawahar Jagarapu","doi":"10.1016/j.semperi.2024.151992","DOIUrl":"10.1016/j.semperi.2024.151992","url":null,"abstract":"<div><div>Neonatal intensive care unit resuscitative care continually evolves and increasingly relies on data. Data driven precision resuscitation care can be enabled by leveraging informatics tools and artificial intelligence. Despite technological advancements, these data are often underutilized due to suboptimal data capture, aggregation, and low adoption of artificial intelligence and analytic tools. This review describes the fundamentals and explores the evidence behind informatics and artificial intelligence tools supporting neonatal intensive care unit resuscitative care, training and education. Key findings include the need for effective interface design for accurate data capture followed by storage and translation to wisdom using analytics and artificial intelligence tools. This review addresses the issues of data privacy, bias, liability and ethical frameworks when adopting these tools. While these emerging technologies hold great promise to improve resuscitation, further study of these applications in neonatal population and awareness of informatics and artificial intelligence principles among clinicians is imperative.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151992"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564054","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
Principles of resuscitation for infants with severe bronchopulmonary dysplasia 严重支气管肺发育不良婴儿的复苏原则。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151990
Summer Elshenawy , Monique R. Radman-Harrison , Philip T. Levy , Satyan Lakshminrusimha , Taylor L. Sawyer , Brenda H. Law
{"title":"Principles of resuscitation for infants with severe bronchopulmonary dysplasia","authors":"Summer Elshenawy ,&nbsp;Monique R. Radman-Harrison ,&nbsp;Philip T. Levy ,&nbsp;Satyan Lakshminrusimha ,&nbsp;Taylor L. Sawyer ,&nbsp;Brenda H. Law","doi":"10.1016/j.semperi.2024.151990","DOIUrl":"10.1016/j.semperi.2024.151990","url":null,"abstract":"<div><div>Severe bronchopulmonary dysplasia (sBPD) requiring invasive mechanical ventilation is a heterogeneous disease process that contributes to morbidity and mortality in infants. As the most common lung disease of prematurity, sBPD has a multitude of overlapping cardiac, airway, pulmonary vascular, and infectious phenotypic presentations that progress through four different phases of care. Premature infants with sBPD are at a high risk of acute decompensation and subsequent cardiopulmonary arrest. A comprehensive determination of the complex phenotypes that contribute to the clinical presentation will help clinicians decipher the phase of care, identify cardiopulmonary compromise earlier and guide targeted therapeutic intervention during acute episodes of deterioration. The approach to resuscitation of premature infants with sBPD undergoing an acute decompensation differs from general neonatal and pediatric resuscitation practices. This review summarizes the phenotypes of sBPD, the phases of care, the common triggers of acute exacerbations, and the principles of resuscitation of a deteriorating infant with sBPD. We offer a framework for sBPD resuscitation with a focus on prevention, assessment, and post-resuscitative care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151990"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569317","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
Metabolic emergencies in the NICU 新生儿重症监护室的代谢紧急情况。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151987
Ruby Gupta , Swosti Joshi , Asya Asghar , Megan M. Gray
{"title":"Metabolic emergencies in the NICU","authors":"Ruby Gupta ,&nbsp;Swosti Joshi ,&nbsp;Asya Asghar ,&nbsp;Megan M. Gray","doi":"10.1016/j.semperi.2024.151987","DOIUrl":"10.1016/j.semperi.2024.151987","url":null,"abstract":"<div><div>Metabolic emergencies in neonates can present with nonspecific signs and symptoms. Sudden acute deterioration in a neonate should prompt consideration of metabolic disease. Common metabolic emergencies in the Neonatal Intensive Care Unit (NICU) include hypoglycemia, hyperammonemia, hyperbilirubinemia, metabolic acidosis, adrenal insufficiency, and electrolyte imbalances. These emergencies often require prompt recognition and intervention to prevent serious complications. Appropriate management depends on the diagnosis. However, initial resuscitation and stabilization can be started without a definitive diagnosis. Confirmatory testing and long-term management vary by condition and should be guided by symptoms and endocrinologist input.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151987"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474243","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
Resuscitation education for NICU providers: Current practice and recommendations for NRP and PALS in the NICU 为新生儿重症监护室的医护人员提供复苏教育：新生儿重症监护室 NRP 和 PALS 的当前实践和建议。
IF 3.2 3区 医学
Seminars in perinatology Pub Date : 2024-12-01 DOI: 10.1016/j.semperi.2024.151991
Elizabeth Schierholz , Elizabeth A. Wetzel , Alyssa R. Thomas , Beena D. Kamath-Rayne , Danielle J.W. Reed
{"title":"Resuscitation education for NICU providers: Current practice and recommendations for NRP and PALS in the NICU","authors":"Elizabeth Schierholz ,&nbsp;Elizabeth A. Wetzel ,&nbsp;Alyssa R. Thomas ,&nbsp;Beena D. Kamath-Rayne ,&nbsp;Danielle J.W. Reed","doi":"10.1016/j.semperi.2024.151991","DOIUrl":"10.1016/j.semperi.2024.151991","url":null,"abstract":"<div><div>The Neonatal Resuscitation Program (NRP) is the most used resuscitation algorithm for infants requiring resuscitation in the neonatal intensive care unit (NICU). The population of infants cared for in the NICU is varied and complex with resuscitation needs that may extend beyond the NRP algorithm. To provide resuscitation care that addresses these needs, institutions may choose to incorporate algorithms from the Pediatric Advanced Life Support or a “hybrid” approach that includes NRP. Limited evidence exists to support one algorithm or approach over another. In this article, we identify potential gaps in the application of using NRP or PALS in the NICU population, present select patient decompensations and discuss the resuscitation management approach using the NRP or PALS algorithms. Challenges associated with NICU resuscitation education will be explored as well as approaches to overcome some of the identified resuscitation education obstacles.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 8","pages":"Article 151991"},"PeriodicalIF":3.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142474245","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
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