Zeitschrift fur Geburtshilfe und Neonatologie最新文献

[AI-supported decision-making in obstetrics - a feasibility study on the medical accuracy and reliability of ChatGPT]. [产科人工智能辅助决策--关于 ChatGPT 医疗准确性和可靠性的可行性研究]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-14 DOI: 10.1055/a-2411-9516

Simon Bader, Michael O Schneider, Iason Psilopatis, Daniel Anetsberger, Julius Emons, Sven Kehl

{"title":"[AI-supported decision-making in obstetrics - a feasibility study on the medical accuracy and reliability of ChatGPT].","authors":"Simon Bader, Michael O Schneider, Iason Psilopatis, Daniel Anetsberger, Julius Emons, Sven Kehl","doi":"10.1055/a-2411-9516","DOIUrl":"https://doi.org/10.1055/a-2411-9516","url":null,"abstract":"The aim of this study is to investigate the feasibility of artificial intelligence in the interpretation and application of medical guidelines to support clinical decision-making in obstetrics. ChatGPT was provided with guidelines on specific obstetric issues. Using several clinical scenarios as examples, the AI was then evaluated for its ability to make accurate diagnoses and appropriate clinical decisions. The results varied, with ChatGPT providing predominantly correct answers in some fictional scenarios but performing inadequately in others. Despite ChatGPT's ability to grasp complex medical information, the study revealed limitations in the precision and reliability of its interpretations and recommendations. These discrepancies highlight the need for careful review by healthcare professionals and underscore the importance of clear, unambiguous guideline recommendations. Furthermore, continuous technical development is required to harness artificial intelligence as a supportive tool in clinical practice. Overall, while the use of AI in medicine shows promise, its current suitability primarily lies in controlled scientific settings due to potential error susceptibility and interpretation weaknesses, aiming to safeguard the safety and accuracy of patient care.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

[Survey on the State, Potential, and Obstacles of the Digital Transformation in Human Milk Banks]. [母乳库数字化转型的现状、潜力和障碍调查]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-11 DOI: 10.1055/a-2405-0336

Rudolf Georg Ascherl, Monika Berns, Christoph Fusch, Judith Karger-Seider, Daniel Klotz, Barbara Naust, Ulrike Sturm-Hentschel, Corinna Gebauer

{"title":"[Survey on the State, Potential, and Obstacles of the Digital Transformation in Human Milk Banks].","authors":"Rudolf Georg Ascherl, Monika Berns, Christoph Fusch, Judith Karger-Seider, Daniel Klotz, Barbara Naust, Ulrike Sturm-Hentschel, Corinna Gebauer","doi":"10.1055/a-2405-0336","DOIUrl":"https://doi.org/10.1055/a-2405-0336","url":null,"abstract":"Digitalization of human milk banking was examined in a survey among participants of the largest German-speaking symposium for human milk banks. Of the 100 participants, 47% were nurses, 23% were physicians, and 3% were midwives. The overwhelming majority (96%) desired more digitalization in their milk bank. The best-digitized processes were clinical results from donors, milk labeling, and milk orders. At the same time, a discrepancy between the maximum conceivable potential and the current implementation of digital transformation became evident. The survey revealed most participants use in-house digital solutions. Potential main advantages of digitalization were cited as efficiency gains, while implementation efforts and security concerns, particularly power outages and cyberattacks, were seen as disadvantages. Financial restraints, personnel shortage, resistance from local IT departments, and legal concerns were perceived as the biggest barriers. Despite these challenges and a critical examination of the disadvantages, the participants expressed strong optimism and a desire for further digitalization in the human milk bank sector.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Rare Diseases and Syndromes Observed in Newborn Babies with Idiopathic Hypertrophic Pyloric Stenosis. 特发性肥厚性幽门狭窄新生儿中发现的罕见疾病和综合征

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-09 DOI: 10.1055/a-2410-5830

Başak Kaya, Hasan Akduman, Dilek Dilli, Cem Geyik, Ayşe Karaman, Berna Uçan, Özkan Kaya, Seda Aydoğan, Ayşegül Zenciroğlu

引用次数: 0

[Ready to Care for Pregnant Women with Breech Presentation? - Results from an Online Survey for Midwives and Midwifery Students in Germany, Austria, and Switzerland]. [准备好护理臀先露的孕妇了吗？- 德国、奥地利和瑞士助产士和助产士学生在线调查结果]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-06-03 DOI: 10.1055/a-2309-4103

Berit K Friedrichsohn, Sebastian A Bauch, Teresa Starrach, Mira Pflanz, Ulrich Pecks, Johanna Buechel

{"title":"[Ready to Care for Pregnant Women with Breech Presentation? - Results from an Online Survey for Midwives and Midwifery Students in Germany, Austria, and Switzerland].","authors":"Berit K Friedrichsohn, Sebastian A Bauch, Teresa Starrach, Mira Pflanz, Ulrich Pecks, Johanna Buechel","doi":"10.1055/a-2309-4103","DOIUrl":"10.1055/a-2309-4103","url":null,"abstract":"The vaginal birth of breech presentation is an option for pregnant women supported by current German and international guidelines when favorable conditions and appropriately trained personnel are available. According to midwifery laws in the D-A-CH region, midwives should be able to provide care for a vaginal breech birth in emergencies. Therefore, imparting skills for breech delivery is enshrined in the curriculum for midwifery students. This study evaluated the knowledge and training needs of midwives and midwifery students in the German-speaking region. In May 2022, experiences, specific knowledge, and further training needs regarding vaginal breech birth were assessed through an online survey. Analysis of 467 questionnaires showed that only 30% of respondents currently attend vaginal breech births in their professional environment, but 50% would like to offer this service. 94% of respondents indicated that they would feel more confident if regular training opportunities, particularly simulations and virtual offerings, were provided for vaginal breech birth. However, currently only 10% of respondents receive regular training opportunities for vaginal breech births. The results suggest an increased provision of training opportunities for vaginal breech births to enhance midwives' safety in managing such births.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Significance of Physical Exercise in Pregnancy: Comparison of Short and Long Exercise Programs. 孕期体育锻炼的意义：短期和长期锻炼计划的比较。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-01-29 DOI: 10.1055/a-2231-7074

Esra Uzelpasacı, Levent Ozcakar, Serap Özgül, Özgür Özyüncü, Mehmet Sinan Beksac, Türkan Akbayrak

{"title":"Significance of Physical Exercise in Pregnancy: Comparison of Short and Long Exercise Programs.","authors":"Esra Uzelpasacı, Levent Ozcakar, Serap Özgül, Özgür Özyüncü, Mehmet Sinan Beksac, Türkan Akbayrak","doi":"10.1055/a-2231-7074","DOIUrl":"10.1055/a-2231-7074","url":null,"abstract":"Background: Several musculoskeletal changes occur in pregnancy, particularly in the abdominal region. The aim of this study was to search and compare the effects of long (LEP) and short exercise programs (SEP) in terms of the satisfaction of the needs of pregnant women.Methods: This study consisted of 2 groups: LEP (n=16) and SEP (n=16). Muscle thickness measurements determined by ultrasound, the 6 minute walk test, Pregnancy Physical Activity Questionnaire, Visual Analogue Scale, Oswestry Disability Index, and Short Form-36 Quality of Life Questionnaire were the study variables. Evaluations were done at the 16th (baseline), 24th, and 32nd gestational weeks. The LEP consisted of 20 and the SEP consisted of 9 exercises, which were applied for 16 weeks until the 32nd gestational week.Results: Emotional role limitation and pain scores of quality of life, 6 minute walk test, and occupational physical activity were found to be better in the LEP group at the 24th gestational week (p=0.043, p=0.049, p=0.049, p=0.026). At the 32nd gestational week, the 6 minute walk test and occupational physical activity were found to be higher in the LEP group (p=0.006, p=0.017). Additionally, rectus abdominis and bilateral diaphragm muscle thicknesses, \"moderate intensity and sports physical activity\" and \"vitality and emotional well-being\" were increased over time with the LEP (p+<+0.05 for all). On the other hand, unilateral diaphragm muscle thickness, sports physical activity level, and vitality were improved with the SEP (p+<+0.05 for all).Conclusions: The SEP and LEP both have beneficial effects in pregnant women. However, the LEP increases physical activity level, functional capacity, and quality of life more than the SEP during the later stages of pregnancy.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Fetal Epicardial Fat Thickness in Obese Pregnant Women: Its Effect on Fetal Cardiac Function and Neonatal Outcomes. 肥胖孕妇胎儿心外膜脂肪厚度：对胎儿心脏功能和新生儿预后的影响

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-03-19 DOI: 10.1055/a-2267-5478

Şükran Doğru, Fatih Akkuş, Ülfet Sena Metin, Ali Acar

引用次数: 0

Indikationen zur Einweisung von Schwangeren in Krankenhäuser der adäquaten Versorgungsstufe (Leitlinienklasse S2k, AWMF-Leitlinien-Register Nr. 087–002). 孕妇入住适当护理级别医院的指征（指南等级 S2k，AWMF 指南登记号 087-002）。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-07-24 DOI: 10.1055/a-2338-9628

Sven Kehl, Lena Agel, Michael Friedrich, Barbara Mitschdörfer, Ulrich Thome, Andreas Trotter, Dietmar Schlembach

引用次数: 0

Umbilical Catheter Extravasation Mimicking Necrotizing Enterocolitis in a Preterm Neonate: A Diagnostic Challenge. 早产新生儿脐导管外渗诱发坏死性小肠结肠炎：诊断难题。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI: 10.1055/a-2295-5110

Coşkun Armağan, Tevfik Çapıtlı, Gülsüm Dilmen, Saadet Çağla Kefeli, Oktay Ulusoy, Funda Erdoğan, Nuray Duman, Hasan Özkan

{"title":"Umbilical Catheter Extravasation Mimicking Necrotizing Enterocolitis in a Preterm Neonate: A Diagnostic Challenge.","authors":"Coşkun Armağan, Tevfik Çapıtlı, Gülsüm Dilmen, Saadet Çağla Kefeli, Oktay Ulusoy, Funda Erdoğan, Nuray Duman, Hasan Özkan","doi":"10.1055/a-2295-5110","DOIUrl":"10.1055/a-2295-5110","url":null,"abstract":"Managing acute abdomen in very low birth weight (VLBW) and premature infants presents a diagnostic challenge, often necessitating a thorough assessment to discern underlying causes. Umbilical venous catheters (UVCs), commonly used in neonatal intensive care, are essential but not without risks. A 29-week premature male infant, born to a 23-year-old mother, was referred to our clinic on the 16th day of life with a suspected diagnosis of necrotizing enterocolitis (NEC). The infant had spent the first day intubated and received non-invasive respiratory support for 15 days. A 5 French UVC was inserted at the 2nd hour of life, and by the 3rd day of life, the infant transitioned to minimal enteral feeding. Between the 12th and 16th days of life, the infant initially diagnosed with NEC due to symptoms such as decreased stool passage and abdominal distension. The patient had been on a continuous course of antibiotic treatment throughout the entirety of his life, commencing on the very first day due to suspected early neonatal sepsis, followed by nosocomial sepsis during the hospitalization, and persisting with antibiotic therapy for suspected NEC. The case took a unique turn upon further evaluation after being referred to our unit. Despite a preliminary NEC diagnosis, further evaluation revealed umbilical catheter complications, leading to total parenteral nutrition extravasation. Removal of the catheter, drainage, and antibiotic adjustment resulted in improved clinical outcomes. In neonatal care, cautious management is vital when dealing with infants exhibiting abdominal symptoms. A nuanced approach, including differential diagnosis and careful antibiotic use, is essential.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

[Ethical Attitudes and Handling in Prenatal Conflict Situations - A Survey among Obstetricians and Prenatal Diagnosticians in Germany]. [产前冲突情况下的伦理态度和处理方法--德国产科医生和产前诊断师调查]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-10-01 Epub Date: 2024-01-22 DOI: 10.1055/a-2217-9635

Katja Schneider, Johanna Müller, Tatjana Tissen-Diabaté, Ekkehard Schleußner

{"title":"[Ethical Attitudes and Handling in Prenatal Conflict Situations - A Survey among Obstetricians and Prenatal Diagnosticians in Germany].","authors":"Katja Schneider, Johanna Müller, Tatjana Tissen-Diabaté, Ekkehard Schleußner","doi":"10.1055/a-2217-9635","DOIUrl":"10.1055/a-2217-9635","url":null,"abstract":"Objective: Various studies have shown that belonging to a professional group has an influence on ethical attitudes. The aim of this study was to assess and compare the attitudes and approaches of obstetrical specialists and prenatal diagnosticians in prenatal conflict situations.Methods: Explorative cross-sectional online survey among tertiary perinatal care centers and prenatal diagnosticians with DEGUM Level II/III in Germany. The questionnaire included questions on ethical attitudes in the perinatal context and a case presentation of a fetal hypoplastic left heart syndrome.Results: The response rate was 57.1% (310/543). 55.5% of the respondents practiced both obstetrics and prenatal diagnostics, 24.5% exclusively prenatal diagnostics, and 14.2% purely obstetrics. 27% agreed with the statement \"An uncertain prognosis justifies pregnancy termination\". For complex fetal malformations joint interdisciplinary counseling was advocated by 98.3%. Addressing the option of postnatal palliative treatment in a case of a hypoplastic left heart syndrome was accepted by 84.3% across all professional groups, while mentioning fetocide was more frequently cited as an option by prenatal diagnosticians than by obstetricians (57.7% vs. 34.1%).Conclusion: Interdisciplinary prenatal parental counseling in complex fetal malformations is uniformly advocated by prenatal diagnosticians and obstetricians in Germany. However, different ethical attitudes appear among specialists groups with regard to the option of termination of pregnancy.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

[Relationship between volume and structural characteristics and the quality of outcomes of perinatal centers for infants at the border of viability]. [为处于存活边缘的婴儿提供服务的围产中心的规模和结构特征与结果质量之间的关系]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-09-25 DOI: 10.1055/a-2405-1233

Teresa Thomas, Günther Heller, Udo Rolle, Ulrich Thome

{"title":"[Relationship between volume and structural characteristics and the quality of outcomes of perinatal centers for infants at the border of viability].","authors":"Teresa Thomas, Günther Heller, Udo Rolle, Ulrich Thome","doi":"10.1055/a-2405-1233","DOIUrl":"https://doi.org/10.1055/a-2405-1233","url":null,"abstract":"Introduction: This study investigates the relationship between volume, structural characteristics and quality of outcome, specifically for infants at the border of viability.Methods: Using administrative data of the largest provider of statutory healthcare insurance in Germany between 2010-2015, infants with an admission weight (AW) between 250-1249 g treated initially in perinatal centers were included. For infants at the border of viability (250-499 g AW), the endpoints mortality and mortality or morbidity were analyzed. For comparison, infants with 500-749 g and 750-1249 g AW were analyzed. The impact of categorized volume (in quartiles) and structural characteristics (university hospital and in-house pediatric surgery) were examined in separate regressions. Odds ratios (ORs) and potentially avoidable deaths or severe morbidity were calculated.Results: Infants with 250-499 g AW were significantly more likely to survive if initially treated in perinatal centers with an estimated volume of 62 cases (250-1249 g AW) per year (OR: 0.43; 95%-CI: 0.20-0.96) or in university perinatal centers with in-house pediatric surgery (OR: 0.48; 95%-CI: 0.24-0.93). There was also a positive impact of volume and structural characteristics for infants with 500-749 g and 750-1249 g AW.Conclusion: In addition to volume, structural characteristics also have a positive impact on the quality of outcomes. Additional requirements of structural characteristics for perinatal centers as well as a higher minimum volume may have a relevant positive impact on the outcome.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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