Zeitschrift fur Geburtshilfe und Neonatologie最新文献

{"title":"Impact of Anxiety Levels in Women with Late Preterm Labor on Parenting and Breastfeeding Self-Efficacy.","authors":"Emine Kaya, Hatice Gül Öztaş","doi":"10.1055/a-2956-6114","DOIUrl":"https://doi.org/10.1055/a-2956-6114","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the impact of anxiety levels on maternal parenting and breastfeeding self-efficacy among women with late preterm labor.</p><p><strong>Study design: </strong>This cross-sectional study was conducted between December 2023 and March 2024 at a state hospital in southern Türkiye, involving 217 women who met the inclusion criteria. The data were collected using a demographic form, State Anxiety Scale, Perceived Maternal Parenting Self-Efficacy tool, and Modified Breastfeeding Self-Efficacy Scale-Short Form for mothers of preterm infants. Data analysis was conducted using descriptive statistics such as number, percentage, mean, and standard deviation, as well as independent <i>t</i>-test, one-way analysis of variance, correlation, and regression analysis.</p><p><strong>Results: </strong>The mothers' Modified Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) score showed a weak positive correlation with the Perceived Maternal Parenting Self-Efficacy Tool score, but a moderate negative association with their State Anxiety Scale score. A significant negative weak correlation was observed between the Perceived Maternal Parenting Self-Efficacy Tool and State Anxiety Scale scores (<i>p</i><0.05). The regression analysis revealed that exclusive breastfeeding, having an income equal to or greater than expenses, and breastfeeding the baby within the first 30 minutes after birth (<i>β</i>=0.128) were associated with higher breastfeeding self-efficacy. Conversely, the State Anxiety Scale total score was associated with lower breastfeeding self-efficacy. Additionally, being multiparous and having a history of late preterm birth in a previous pregnancy were significantly associated with higher maternal parenting self-efficacy. In contrast, the mean State Anxiety Scale total score was negatively correlated with the Perceived Maternal Parenting Self-Efficacy Tool score.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149207880","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}

{"title":"Prenatal Attachment, Pregnancy-Related Maternal Perception and Body Image in High-Risk Pregnancies: The Relationship between Clinical Anxiety and Depression.","authors":"Büsra Çark, Seyhan Çankaya","doi":"10.1055/a-2971-7513","DOIUrl":"https://doi.org/10.1055/a-2971-7513","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to examine the relationship between clinical anxiety and depression and prenatal attachment, pregnancy-related maternal identity, and body image in high-risk pregnancies.</p><p><strong>Methods: </strong>This research uses a descriptive correlational design. It was conducted between October 2024 and May 2025 in the high-risk pregnancy unit of a hospital in Central Anatolia and included 311 high-risk pregnant women.</p><p><strong>Results: </strong>This study found that the level of prenatal attachment was significantly negatively correlated with the number of pregnancies, gestational week, and anxiety and depression scores (<i>p</i><0.05). Maternal perception was found to be negatively correlated with anxiety and depression (<i>p</i><0.05). Conversely, body image showed a positive association with age, the duration of marriage, the number of children, anxiety, and depression, suggesting that these factors are associated with more negative body image (<i>p</i><0.05). Furthermore, an extended family structure, receiving care at a private clinic, frequent doctor visits, hospitalization due to bleeding, lower gestational age, and elevated levels of depression were identified as significant risk factors for prenatal attachment (<i>p</i><0.05). Negative body image was also associated with factors such as higher education, being employed, perceiving a low income, experiencing unplanned pregnancies or miscarriage, irregular prenatal follow-up, choosing private clinics, having preeclampsia or eclampsia, older maternal age, longer marriage duration, and elevated anxiety levels (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>In conclusion, this study revealed that higher levels of anxiety and depression are associated with lower prenatal attachment and maternal perception, while body image is adversely affected by both psychological and demographic factors. These findings underscore the need for early psychosocial support and a holistic approach to pregnancy care.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184611","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}

{"title":"Clinical Characteristics Associated with Fetomaternal Hemorrhage: A Retrospective Multicenter Descriptive Study (2009-2026).","authors":"Vanessa Ande Ruan, Julia Kummer, Luisa Simon, Irene Fioravanti, Lars Hellmeyer, Dietmar Schlembach, Josefine Königbauer","doi":"10.1055/a-2956-7192","DOIUrl":"https://doi.org/10.1055/a-2956-7192","url":null,"abstract":"<p><strong>Abstract: </strong>Fetomaternal hemorrhage refers to the transfer of fetal erythrocytes into the maternal circulation. Although clinically significant fetomaternal hemorrhage is rare, it can result in severe fetal anemia with substantial morbidity and mortality. Early recognition remains challenging due to a nonspecific clinical presentation. This study aimed to identify maternal and obstetric characteristics associated with fetomaternal hemorrhage that may serve as early clinical warning signs. In this retrospective multicenter descriptive study, singleton pregnancies with a positive Kleihauer-Betke test from five obstetric care centers in Berlin (2009-2026) were analyzed. Clinical and demographic data were evaluated descriptively. A total of 39 cases were included. The mean maternal age was 31.9 years and the mean gestational age at delivery was 37.3 weeks. Pathological cardiotocography was observed in 79% of cases, including 42% with a sinusoidal pattern. Reduced fetal movements were reported in 51% of cases. Elevated middle cerebral artery peak systolic velocity, suggestive of fetal anemia, was documented in 50% of cases with an overall documentation rate of 31%; abdominal trauma was present in 15% of cases. Caesarean section was performed in 82% of cases, including 31% emergency procedures. Intrauterine fetal death occurred in 5% of cases. Reduced fetal movements and abnormal cardiotocography patterns, particularly sinusoidal tracings, represent key clinical warning signs of fetomaternal hemorrhage and should prompt immediate diagnostic evaluation. Given the small sample size, findings are exploratory. Prospective studies are needed to establish validated risk profiles and diagnostic pathways.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169855","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}

{"title":"Severe Neonatal PIGN-Related Fryns-Like Phenotype with Diaphragmatic Dysfunction.","authors":"İsmail Bulut, Hasan Akduman, Nurdan Dinlen Fettah, Nida Can Aydın, Nurcan Hanedan, Abdülkerim Kolkıran, Dilsu D Erkan","doi":"10.1055/a-2967-9159","DOIUrl":"https://doi.org/10.1055/a-2967-9159","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148287","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}

{"title":"[Swallowing and Feeding Problems in Neonatal Units - Analysis of a Speech-Language Pathology Service].","authors":"Jana Zang, Dominique Singer, Jun Oh, Carola Bindt","doi":"10.1055/a-2967-9260","DOIUrl":"https://doi.org/10.1055/a-2967-9260","url":null,"abstract":"<p><strong>Background: </strong>Preterm and sick neonates are at increased risk for swallowing and feeding problems. In Germany, structural standards for speech-language pathology (SLP) services in neonatal care are lacking, as are validated assessment tools for this context. The aim of this study was to systematically describe feeding problems using clinically feasible instruments.</p><p><strong>Methods: </strong>In a prospective observational study, a SLP service was implemented in neonatal units at a German university hospital. Data were analyzed from infants referred due to feeding difficulties. Nutritional status was assessed using the German version of the FOIS-p, and parental perception and burden were evaluated using the newly developed questionnaire S&F 0-6.</p><p><strong>Results: </strong>A total of 148 infants with a mean postmenstrual age of 41 weeks (±7.0; 33-68) were included in the analysis, of whom 58.8% were born preterm. The most common diagnosis was weak suck and/or suck-swallow-breathe discoordination (70%), followed by dysphagia (15%) and feeding disorder (6%). The FOIS-p indicated partial oral feeding for the majority of infants. Parents reported the highest burden scores in the domain of concerns about thriving and weight gain.</p><p><strong>Conclusion: </strong>Swallowing and feeding difficulties in preterm and sick infants are common in the inpatient setting and require differentiated SLP assessment and intervention. Simple measures such as the FOIS-p could in future provide the basis for a robust data foundation across the inpatient stay.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148788","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}

{"title":"Spondylometaepiphyseal Dysplasia, Short Limb Type: A Novel Nonsense DDR2 Variant and Renal Involvement in a Neonatal Case.","authors":"Canberk Akbaba, Aysenur Atan Kilic, Muhammed Dogukan Kalenderoglu, Ferhan Demirtas, Dogan Kaymaz, Emel Okulu, Ömer Erdeve, Begum Atasay","doi":"10.1055/a-2967-8300","DOIUrl":"https://doi.org/10.1055/a-2967-8300","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128482","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}

{"title":"[Interface management in perinatal palliative medicine - Multiprofessional perinatal palliative care consultation and support: Implementation hurdles and solution strategies].","authors":"Mario Lange, Evelyn Huhn, Annika Bronsema","doi":"10.1055/a-2894-0510","DOIUrl":"10.1055/a-2894-0510","url":null,"abstract":"<p><strong>Abstract: </strong>Perinatal palliative care represents an interdisciplinary and multiprofessional interface within the care context of perinatology. The three distinct patient groups are: extremely premature infants at the limit of viability, infants prenatally diagnosed life-limiting conditions, and acutely and severely ill newborns. This paper presents the approach for prenatally diagnosed life-limiting conditions at a university Level 1 perinatal care center and contextualizes it within the existing literature. Central challenges include: the uncertainty of prognosis, integration into existing care structures, personnel and time resources, communication with expectant parents, and the process of shared decision-making concerning therapy goals. Summary: An early, integrative and collaborative care approach by developing and formalizing written procedures for the prenatal, delivery, and postnatal periods results in high parental satisfaction. The uncertainty of the prognosis must often be continuously taken into account.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"387-394"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333332","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}

{"title":"Incarcerated Gravid Uterus with Abnormal Placentation: A Case Report.","authors":"Elena Benkel, Susanne Beyer, Magdalena Jegen, Sven Kehl, Teresa Starrach","doi":"10.1055/a-2924-5077","DOIUrl":"10.1055/a-2924-5077","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"449-451"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907374","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}

{"title":"[Ethical Decision-Making in Late-Termination Requests: Recommendations for Developing In-Hospital Policies].","authors":"Ruth Denkhaus, Pia Göbert, Leonie Abstein, Daniela Reitz, Irene Hirschberg","doi":"10.1055/a-2843-8402","DOIUrl":"10.1055/a-2843-8402","url":null,"abstract":"<p><strong>Background: </strong>Late terminations of pregnancy (after 14 weeks of gestation) can present physicians and other healthcare professionals with complex medical and ethical challenges. In Germany, such terminations require a specific form of medical indication (a danger of grave impairment to the pregnant woman's physical or mental health). Despite these legal provisions, the decision-making process in individual cases often remains characterized by uncertainty, a lack of transparency and insufficient structural support.</p><p><strong>Aim: </strong>This article offers recommendations for the development of institutional ethics guidelines that can support responsible, transparent, and legally sound decision-making in cases of requests for a late termination of pregnancy.</p><p><strong>Method: </strong>Based on existing recommendations and experience reports, and on the authors' own reflections, key challenges in decision-making are identified and practical guidance for shaping the decision-making process is derived.</p><p><strong>Results and implications: </strong>Ethical guidelines can help reduce uncertainty, foster interdisciplinary and ethically informed decision-making, and thereby contribute to improving patient care. This requires the development of clear procedures, defined responsibilities, and transparent decision-making frameworks, as well as the promotion of thoughtful engagement with diverse professional perspectives and individual values. The development and implementation of clinical ethics guidelines can offer meaningful structural support for treatment teams in responsibly managing (cases of) late termination of pregnancy.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"376-386"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-contact monitoring in neonatology.","authors":"Milian Brasche, Markus Lüken, Steffen Leonhardt, Thorsten Orlikowsky, Konrad Heimann","doi":"10.1055/a-2818-5201","DOIUrl":"10.1055/a-2818-5201","url":null,"abstract":"<p><strong>Objective: </strong>To present and critically evaluate current contactless monitoring modalities - infrared thermography (IRT), photoplethysmography imaging (PPGI), ballistocardiography (BCG), radar-based techniques, seismocardiography - in neonatology and to assess their technical capabilities, clinical relevance and potential integration into multimodal monitoring systems.</p><p><strong>Methods: </strong>A systematic overview of measuring vital parameters in preterm infants. Description of underlying measurement principles, performance metrics and characteristics.</p><p><strong>Results: </strong>IRT enables non-invasive measurement of respiratory rate and thermal distribution. PPG-I provides reliable measurement of heart rate and perfusion. With BCG, radar, and seismocardiography, contactless monitoring of susceptibility to movement and positional changes is possible. Hybrid approaches combining IRT and PPG-i improved accuracy through multimodal data fusion. High-resolution, video-based motion analysis integrated with machine learning shows additional promise for the early detection of neurological abnormalities.</p><p><strong>Conclusion: </strong>Contactless monitoring techniques hold considerable potential to enhance minimal handling, minimize skin trauma, and decrease false alarms. Continued development of integrated multimodal systems - addressing regulatory requirements, safety considerations, and interoperability - will be essential to establishing future standards for monitoring high-risk and preterm infants.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"395-399"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436173","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}