Seminars in perinatology最新文献_第9页

Background EEG grading for the assessment of neonatal encephalopathy in full term neonates 背景：脑电图分级评估足月新生儿脑病。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-12-01 Epub Date: 2025-12-04 DOI: 10.1016/j.semperi.2025.152163

Aisling Fanning , Elisabetta Pegorer , Andreea M Pavel , Sean R Mathieson , Brian H Walsh , Geraldine B Boylan

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Systems framework for post-hospital follow-up care of small and/or sick newborns: A pathway to sustainable and scalable quality care in low-resource, high-burden countries 小新生儿和/或患病新生儿院后随访护理系统框架：在资源低、负担高的国家实现可持续和可扩展的优质护理的途径。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-10-28 DOI: 10.1016/j.semperi.2025.152154

Samudragupta Bora

{"title":"Systems framework for post-hospital follow-up care of small and/or sick newborns: A pathway to sustainable and scalable quality care in low-resource, high-burden countries","authors":"Samudragupta Bora","doi":"10.1016/j.semperi.2025.152154","DOIUrl":"10.1016/j.semperi.2025.152154","url":null,"abstract":"<div><div>South Asian and Sub-Saharan African countries, disproportionately overrepresented in the World Bank’s low- and middle-income categories, bear a high burden of small and/or sick newborns. It is important to acknowledge that, in addition to reducing mortality, creating opportunities to enhance their health and well-being, thereby improving quality of life, is an essential metric for evaluating neonatal care success. With increased survival rates for small and/or sick newborns in most high-burden, resource-constrained settings, developing and strengthening specialized, structured neonatal follow-up programs to provide high-quality post-hospital care is imperative for optimizing outcomes and quality of life. This paper proposes a Systems Framework for Neonatal Follow-Up of small and/or sick newborns. While this framework applies to all settings, it is particularly pertinent in low-resource, high-burden countries, considering their unique contextual settings. This framework will provide a significant opportunity to foster meaningful engagement and partnership with a wide range of relevant local stakeholders, including families with small and/or sick newborns, as well as to identify areas for increased strategic investment. Furthermore, a multidimensional checklist aligned with the proposed framework provides a comprehensive tool for assessing neonatal follow-up readiness in health systems. The goal is to accelerate progress by transforming the delivery and accessibility of neonatal follow-up for small and/or sick newborns, thus improving the prospects for favorable long-term outcomes in this highly vulnerable population.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152154"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393040","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

Perception of neonatal outcomes: lessons learned from positive health 对新生儿结局的认识：从积极健康中吸取的教训。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-22 DOI: 10.1016/j.semperi.2025.152156

Mary Lauren Neel , Kristen L Benninger

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Early detection of cerebral palsy in community settings: current state and a pathway forward 在社区环境中早期发现脑瘫：现状和未来的途径。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-13 DOI: 10.1016/j.semperi.2025.152147

Nathalie L. Maitre , Kanishka S. Baduni

{"title":"Early detection of cerebral palsy in community settings: current state and a pathway forward","authors":"Nathalie L. Maitre , Kanishka S. Baduni","doi":"10.1016/j.semperi.2025.152147","DOIUrl":"10.1016/j.semperi.2025.152147","url":null,"abstract":"<div><div>We explore how and why early detection of cerebral palsy (CP) should occur in community settings across low and middle income countries (LMICs) and high income countries (HICs). Early diagnosis is best clinical practice and can happen in the first year of life using evidence-based tools such as the General Movements Assessment (GMA) and the Hammersmith Infant Neurological Examination (HINE). In HICs, primary care surveillance guided by published motor “red flags” can identify children who need prompt referral, yet uptake remains uneven. In LMICs, clinicians demonstrate high diagnostic accuracy when tools are available, but the main barrier is health system reach rather than clinical capability. Across settings, caregiver studies show that delayed diagnosis reduces empowerment, increases mental health burden, and erodes trust in services. The central implementation task is to build reliable pathways that connect families from home to timely diagnosis, aligning community surveillance with referral networks, provider training, and policy support. Strengthening these pathways is essential to improve participation, reduce comorbidity burden, and enhance wellbeing for children with CP and their families.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152147"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065508","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

Using media to transform education and public health messaging in the neonatal intensive care unit 利用媒体改变新生儿重症监护病房的教育和公共卫生信息。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-27 DOI: 10.1016/j.semperi.2025.152150

Joanna Parga-Belinkie , Benjamin Courchia , Daphna Yasova Barbeau

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Interdisciplinary collaboration and innovation in established bronchopulmonary dysplasia 支气管肺发育不良的跨学科合作与创新。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-18 DOI: 10.1016/j.semperi.2025.152148

Matthew J. Kielt , Lauren A. Sanlorenzo

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Transforming preterm care: The power of small baby guidelines in enhancing outcomes 改变早产儿护理：小婴儿指南在提高结果方面的力量。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-10-07 DOI: 10.1016/j.semperi.2025.152155

Leeann Pavlek , Debra Armbruster , Cecilie Halling , Kaitlyn Hipp , Maria Jebbia , Susan Lopata , Matthew Rysavy , Rebecca Saliga , Sheria Wilson , Claire Beaullieu

引用次数: 0

Measuring family-important outcomes in large neonatal networks: where we are and where we need to go 在大型新生儿网络中衡量家庭重要结果：我们在哪里，我们需要去哪里。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-24 DOI: 10.1016/j.semperi.2025.152149

Catherine Demers , Thuy Mai Luu , Stephanie Glegg , Jehier Afifi , Rebecca Pearce , Émilie Thivierge , Annie Janvier

{"title":"Measuring family-important outcomes in large neonatal networks: where we are and where we need to go","authors":"Catherine Demers , Thuy Mai Luu , Stephanie Glegg , Jehier Afifi , Rebecca Pearce , Émilie Thivierge , Annie Janvier","doi":"10.1016/j.semperi.2025.152149","DOIUrl":"10.1016/j.semperi.2025.152149","url":null,"abstract":"<div><div>Neonatal follow-up programs are critical in monitoring the long-term outcomes of infants born preterm. The current focus is on neurodevelopmental impairment (NDI). However, such deficit-based outcomes often exclude parental perspectives, failing to capture what matters the most to families: function and quality of life over diagnoses. This paper explores the integration of new family-important outcomes (FIO) measures into neonatal follow-up using patient-reported outcome measures. FIO measures are patient-completed questionnaires that assess a range of health outcomes such as health status, functional ability, and quality of life. We discuss the importance and ethical imperative of integrating FIO measures into neonatal follow-up programs to better align care with family priorities and challenges in bringing practice changes. We propose using an implementation science approach to successfully embed FIO measures into practice and research, enhancing the relevance, equity, and quality of neonatal follow-up care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152149"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150782","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 outcomes for preterm infants: Mitigating stress exposure 改善早产儿的预后：减轻压力暴露。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-19 DOI: 10.1016/j.semperi.2025.152153

Marliese Dion Nist, Nicole Cistone, Rita H. Pickler

{"title":"Improving outcomes for preterm infants: Mitigating stress exposure","authors":"Marliese Dion Nist, Nicole Cistone, Rita H. Pickler","doi":"10.1016/j.semperi.2025.152153","DOIUrl":"10.1016/j.semperi.2025.152153","url":null,"abstract":"<div><div>Stress exposure in the neonatal intensive care unit (NICU) is ubiquitous and affects long-term outcomes for preterm infants. The NICU hospitalization occurs during a critical period of experience-dependent and experience-expectant development when the immature brain is particularly sensitive to environmental exposures, but the experiences of preterm infants are often poorly matched to their neurologic expectations. The mismatch between preterm infants’ experiences and neurologic expectations may cause abnormal brain development and programming of the stress response systems. Routine nursing care and parental separation are two neurologically unexpected experiences that, while often overlooked, may be amenable to interventions, including system-level changes. To guide the development and implementation of effective interventions, it is necessary to understand how nurse caregiving practices and parental separation specifically contribute to the preterm infant’s stress burden. The purpose of this paper is to provide an overview of the effects of routine nursing care and parental separation, two persistent NICU stressors, and offer recommendations for interventions that nurses and other care providers can use to mitigate the negative effects of these exposures.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152153"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102950","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

Transforming neonatal care through informatics: A review of artificial intelligence, data, and implementation considerations 通过信息学转变新生儿护理：人工智能，数据和实施考虑因素的回顾。

IF 3.2 3区医学

Seminars in perinatology Pub Date : 2025-11-01 Epub Date: 2025-09-18 DOI: 10.1016/j.semperi.2025.152144

Robert Barrett , Brooke Lawler , Star Liu , Woo Yeon Park , Marjan Davoodi , Ben Martin , Sai Manasa Kalyanam , Kartikeya Makker , Jordan R. Kuiper , Khyzer B. Aziz

{"title":"Transforming neonatal care through informatics: A review of artificial intelligence, data, and implementation considerations","authors":"Robert Barrett , Brooke Lawler , Star Liu , Woo Yeon Park , Marjan Davoodi , Ben Martin , Sai Manasa Kalyanam , Kartikeya Makker , Jordan R. Kuiper , Khyzer B. Aziz","doi":"10.1016/j.semperi.2025.152144","DOIUrl":"10.1016/j.semperi.2025.152144","url":null,"abstract":"<div><div>Significant strides have been made in utilizing data, information, and knowledge to enhance neonatal outcomes. This review examines how data informatics, encompassing electronic health records (EHRs), data standards, and artificial intelligence (AI), has facilitated advancements in neonatal care and research. Vast amounts of data, structured and unstructured, have been produced from clinical care. In turn AI stands to improve patient care, safety, and quality improvement initiatives. Facilitated by AI, clinicians’ interaction with neonatal informatic tools is transitioning from reactive to real-time, proactive care. Historically, necrotizing enterocolitis, sepsis, medical imaging, and neonatal mortality have been the targets of AI-integrated neonatal care. While much progress has been made in developing state-of-the-art AI tools, their development and implementation must consider optimization of patient care, clinical workflows, and aim to decrease clinician burnout. Employing a sociotechnical framework to assess both technical and human factors is key to effectively evaluating clinical utility, promoting adoption, and facilitating successful deployment. Beyond technical concerns, ethical considerations such as trust in AI, data security, and model transparency are critical to the responsible deployment of informatics tools. Ongoing advancements in neonatal care coupled with informatics, multi-omics, AI, and federated learning expands the possibilities of personalized care for neonates.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152144"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092388","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