Seminars in perinatology最新文献_第4页

Hospital sequelae, discharge, and early interventions in infants with Neonatal Opioid Withdrawal Syndrome 新生儿阿片类药物戒断综合征婴儿的住院后遗症、出院和早期干预。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-02-01 DOI: 10.1016/j.semperi.2024.152008

Frances Y. Cheng

引用次数: 0

Pre-natal and post-natal screening and testing in neonatal abstinence syndrome 新生儿戒断综合征的产前和产后筛查与检测。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-02-01 DOI: 10.1016/j.semperi.2024.152009

Sharon Ostfeld-Johns

{"title":"Pre-natal and post-natal screening and testing in neonatal abstinence syndrome","authors":"Sharon Ostfeld-Johns","doi":"10.1016/j.semperi.2024.152009","DOIUrl":"10.1016/j.semperi.2024.152009","url":null,"abstract":"<div><div>The way we enact screening for substance use during pregnancy within our healthcare systems can work by decreasing stigma, promoting engagement, and supporting people with reaching the end of their pregnancy in a manner where the newborn can be well supported. The way we enact biochemical specimen toxicology testing for substance use during pregnancy and in newborns contributes to increased stigma, disengagement from care, and potential continuation of uncontrolled substance use up until delivery such that the newborn may not be able to be well supported in the family environment. These effects are inequitably distributed, leading to worse outcomes for families of color and families living in poverty. Serial screening with a validated questionnaire starting at the first prenatal visit and continuing through the delivery hospitalization should occur and be followed up with service connections and substance use disorder diagnosis and treatment. Newborn toxicology testing as a diagnostic tool for risk of withdrawal or the etiology of potential withdrawal symptoms represents a failure in the effectiveness of compassionate communication by healthcare providers with the birthing person. Given the current level of evidence of clinical utility and the inequitable consequences specific to these tests, they are rarely needed.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 1","pages":"Article 152009"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740450","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

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 : 2025-02-01 DOI: 10.1016/j.semperi.2024.151995

Lisa M. Cleveland

{"title":"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":"10.1016/j.semperi.2024.151995","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 1","pages":"Article 151995"},"PeriodicalIF":3.2,"publicationDate":"2025-02-01","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

Comparisons of management approaches in neonatal opioid withdrawal syndrome: The eat, sleep, console approach vs. the Finnegan approach 新生儿阿片类药物戒断综合征管理方法的比较：吃、睡、安慰法与芬尼根法。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-02-01 DOI: 10.1016/j.semperi.2024.152021

Kia Johnson, Adam Berkwitt, Lyubina Yankova, Rachel Osborn

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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)

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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

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The evolution of teratology: Historical perspectives and lessons learned. 畸形学的演变：历史观点和经验教训。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-01-25 DOI: 10.1016/j.semperi.2025.152025

Sarah Običan, Nevena Krstić

{"title":"The evolution of teratology: Historical perspectives and lessons learned.","authors":"Sarah Običan, Nevena Krstić","doi":"10.1016/j.semperi.2025.152025","DOIUrl":"https://doi.org/10.1016/j.semperi.2025.152025","url":null,"abstract":"<p><p>Teratology, the study of congenital anomalies caused by environmental, chemical, and biological factors, derives from the Greek \"teratos,\" meaning monster, reflecting historical intrigue with birth defects. While the field is relatively modern, curiosity about anomalies spans millennia, as seen in ancient art and mythology. Over time, societal views shifted from curiosity to fear, recognizing birth defects as potential social, economic, and spiritual burdens. The 20th century brought pivotal advances. Discoveries such as the rubella-birth defect link, ionizing radiation effects, and the thalidomide disaster reshaped understanding and regulations. Wilson's \"Six Principles of Teratology\" established guidelines for how teratogens impact development, focusing on timing, dose-response relationships, and genetic susceptibility. Despite progress, birth defects still affect millions worldwide, underscoring the importance of education and counseling on teratogenic risks. Resources like TERIS, Reprotox, and MotherToBaby now provide healthcare professionals with evidence-based guidance, aiding informed decision-making and improving pregnancy outcomes. The ever-evolving field of teratology emphasizes the need for ongoing research and effective communication to manage and prevent birth defects.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152025"},"PeriodicalIF":3.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468972","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

Physiological basis of non-invasive ventilation in the newborn. 新生儿无创通气的生理基础。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2024-12-31 DOI: 10.1016/j.semperi.2024.152023

Theodore Dassios

{"title":"Physiological basis of non-invasive ventilation in the newborn.","authors":"Theodore Dassios","doi":"10.1016/j.semperi.2024.152023","DOIUrl":"https://doi.org/10.1016/j.semperi.2024.152023","url":null,"abstract":"<p><p>Non-invasive ventilation (NIV) is a form of respiratory support provided primarily to preterm born infants in an effort to avoid any endotracheal intubation or as a weaning step following invasive ventilation. In the context of the respiratory distress syndrome of the newborn, NIV could target and partially reverse specific pathophysiological phenomena, by improving alveolar recruitment and establishing adequate functional residual capacity. It can also assist in minimizing lung injury by avoiding excessive pressure delivery, which can be harmful for the developing lung. Non-invasive ventilation can unload the respiratory muscles and decrease the work of breathing as reported by studies that compare the measured work of breathing at increasing levels of non-invasive support. NIV can also be beneficial in moderating the frequency and intensity of apnea of prematurity. Unintended physiological effects of NIV include gaseous distension of the gastrointestinal tract and increased incidence of air-leak complications. During NIV there is also a lack of direct access to the trachea for suctioning and pulmonary toiletry. Insufficient non-invasive respiratory support could be associated with inadequate oxygenation and ventilation, insufficient gas exchange and atelectotrauma. Excessive provision of non-invasive support could be inefficient or harmful, as overdistention can be associated with decreased compliance of the respiratory system, impaired gas exchange and abnormal diaphragmatic function. An individualized physiological approach could, thus, aim to optimize the beneficial effects of non-invasive ventilation while avoiding inadequate or excessive levels of support.</p>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":" ","pages":"152023"},"PeriodicalIF":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142966952","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

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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

引用次数: 0