Zeitschrift fur Geburtshilfe und Neonatologie最新文献

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Evaluation of Fetal Cardiac Output and Modified Myocardial Performance Index in Pregnant Women with Idiopathic Polyhydramnios: A Case Control Study from a Tertiary Hospital. 特发性羊水过多孕妇胎儿心输出量和改良心肌功能指数的评估:一项来自三级医院的病例对照研究。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-07-14 DOI: 10.1055/a-2109-5237
Bedri Sakcak, Ramazan Denizli, Nihat Farisoğulları, Murat Haksever, Ezgi Turgut, Ozgur Kara, Atakan Tanacan, Dilek Sahin
{"title":"Evaluation of Fetal Cardiac Output and Modified Myocardial Performance Index in Pregnant Women with Idiopathic Polyhydramnios: A Case Control Study from a Tertiary Hospital.","authors":"Bedri Sakcak,&nbsp;Ramazan Denizli,&nbsp;Nihat Farisoğulları,&nbsp;Murat Haksever,&nbsp;Ezgi Turgut,&nbsp;Ozgur Kara,&nbsp;Atakan Tanacan,&nbsp;Dilek Sahin","doi":"10.1055/a-2109-5237","DOIUrl":"10.1055/a-2109-5237","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate fetal cardiac output and myocardial performance index in pregnant women with idiopathic polyhydramnios and compare them to healthy pregnant women.</p><p><strong>Methods: </strong>Thirty patients admitted to Ankara City Hospital at 24-39 weeks of gestation with idiopathic polyhydramnios were included as the study group. Clinical characteristics, fetal cardiac output, and fetal modified myocardial performance index (Mod-MPI) were compared between the groups.</p><p><strong>Results: </strong>The combined cardiac output (CCO), left cardiac output (LCO), right cardiac output (RCO), pulmonary artery velocity time integral (PA-VTI), and aortic VTI were statistically significantly higher in the study group (p=0.003, p=0.028, p=0.002, p=0.000, and p=0.017, respectively).The idiopathic polyhydramnios group had a significantly higher Mod-MPI and isovolumetric contraction time (ICT) and a significantly lower ejection time (ET) compared to the controls (p=000, p=0.003, and p=0.023, respectively). In the idiopathic polyhydramnios group, the aortic max (p=0.009) and aortic VTI (p=0.047) values were significantly lower and the left ventricular outflow tract isovolumetric relaxation time (LVOT-IRT) (p=0.021) was significantly higher in cases where the NICU was required. According to the ROC analysis performed in the idiopathic polyhydramnios group, the optimal cut-off values of aortic max, aortic VTI, and LVOT-IRT in the prediction of the NICU requirement were (57.5, 0.089 and 41.5, respective cut-off value) (p=0.010, p=0.048, p=0.021, respectively).</p><p><strong>Conclusions: </strong>Both fetal cardiac output and Mod-MPI values were altered in fetuses with idiopathic polyhydramnios.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"383-389"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154977","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
A Bibliometric Analysis of Neonatal Pain Management Research From 2010 to 2022. 2010-2022年新生儿疼痛管理研究的文献计量分析。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-07-24 DOI: 10.1055/a-2110-2157
Ling Liao, Ying Ying Wang, Ying Cao, Min Tan
{"title":"A Bibliometric Analysis of Neonatal Pain Management Research From 2010 to 2022.","authors":"Ling Liao,&nbsp;Ying Ying Wang,&nbsp;Ying Cao,&nbsp;Min Tan","doi":"10.1055/a-2110-2157","DOIUrl":"10.1055/a-2110-2157","url":null,"abstract":"<p><strong>Background: </strong>Research related to neonatal pain management has received increasing attention in recent years. Effective pain management contributes to the maintenance of the healthy physical and mental growth of the newborn. To better understand this research topic, we analyzed the current state of development in this field over the past thirteen years by bibliometric analysis and provide directions for future research.</p><p><strong>Methods: </strong>Original articles were collected from the Web of Science Core Collection (WoSCC) between January 1, 2010, to December 31, 2022, the title and abstract clearly stating 'neonatal pain management' or its alternative search keywords. CiteSpace, VOSviewer, and the WoS analysis tool were used to analyze and present the data.</p><p><strong>Results: </strong>A total of 967 articles met the inclusion criteria. Significant growth of the number of publications increased roughly fourfold from 2010 to 2022. Overall, the United States and Canada were the highest contributors to neonatal pain management research. Weak cooperation was observed in international research (developing and developed countries) and cross-institutional cooperation. Neonatal pain-related research was the most common focus. Pain education and interventions for parents and medical personnel have also received increasing attention recently.</p><p><strong>Conclusion: </strong>The current study revealed that research in terms of publications on neonatal pain management has rapidly increased for more than the past ten years. Developed countries, especially the United States and Canada, were more concerned with this topic than developing countries. More international research and cross-institutional cooperation are required to promote the development of neonatal pain medicine in the future.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"336-346"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9866179","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
The Effect of Clinical Pilates Exercises and Prenatal Education on Maternal and Fetal Health. 临床普拉提运动和产前教育对母婴健康的影响。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-07-20 DOI: 10.1055/a-2096-6454
Yıldız Akdaş Reis, Arife Akay, Berrin Aktan, Sinan Tetik, Fahri Burçin Fıratlıgil, Fulya Kayıkçıoğlu
{"title":"The Effect of Clinical Pilates Exercises and Prenatal Education on Maternal and Fetal Health.","authors":"Yıldız Akdaş Reis,&nbsp;Arife Akay,&nbsp;Berrin Aktan,&nbsp;Sinan Tetik,&nbsp;Fahri Burçin Fıratlıgil,&nbsp;Fulya Kayıkçıoğlu","doi":"10.1055/a-2096-6454","DOIUrl":"10.1055/a-2096-6454","url":null,"abstract":"<p><strong>Objective: </strong>The mental, physical and sexual health of women as well as maternal and fetal health should be considered during the prenatal and postnatal periods. Investigating the effect of clinical Pilates exercises and prenatal education (CPE & PE) on obstetric and neonatal outcomes as well as the mental, physical, and sexual health of women was intended.</p><p><strong>Methods: </strong>In the second trimester, mothers with singleton pregnancies who attended (n=79, study group) or did not attend (n=80, control group) CPE & PR were recruited to this prospective cohort study, and were evaluated in the prenatal and postnatal periods. Depression was assessed with Beck Depression Inventory (BDI), sexual functions with Female Sexual Function Index (FSFI), muscle strength with Gross Muscle Scales (GMS), and labor pain with Visual Analogue Scale (VAS). In addition, the presence of low back pain (LBP) was questioned.</p><p><strong>Results: </strong>No significant association of CPE & PE with obstetric outcomes such as cesarean rates, preterm birth, and neonatal outcomes such as birth weight and Apgar scores were identified. Changes in VAS scores, the incidence of perineal trauma, and episiotomy were not associated with CPE & PE. However, CPE & PE was associated with lower BDI scores, a gradual increase in the total scores of FSFI, increased GMS, and reduced LBP.</p><p><strong>Conclusion: </strong>CPE & PE had no adverse effects on obstetric and neonatal outcomes and was associated with improved mental, physical, sexual health scores during pregnancy and postpartum.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"354-363"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203974","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
Newsletter 05/2023 des Forschungsnetzwerks der DGPM 摩根之巅研究网络2023年简报
4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 DOI: 10.1055/a-2153-9211
{"title":"Newsletter 05/2023 des Forschungsnetzwerks der DGPM","authors":"","doi":"10.1055/a-2153-9211","DOIUrl":"https://doi.org/10.1055/a-2153-9211","url":null,"abstract":"Das Forschungsnetzwerk der DGPM bleibt aktiv. Die bestehende gute Zusammenarbeit und die hohe Produktivität in der Community ist ein Garant für eine gemeinsame Forschungsaktivität.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707550","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
Pharmakotherapie: Evidenzbasierte Dosierungsempfehlungen in der Neonatologie 药物疗法
4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 DOI: 10.1055/a-2133-6845
{"title":"Pharmakotherapie: Evidenzbasierte Dosierungsempfehlungen in der Neonatologie","authors":"","doi":"10.1055/a-2133-6845","DOIUrl":"https://doi.org/10.1055/a-2133-6845","url":null,"abstract":"Ein großer Teil der in der Neonatologie eingesetzten Medikamente kommt \"off label\" zur Anwendung, da häufig belastbare Studiendaten fehlen. Daher variiert die Handhabung der Verschreibung und Dosierung der verschiedenen Wirkstoffe zum Teil erheblich zwischen den einzelnen Neugeborenenintensivstationen. Dieser Problematik widmete sich nun ein Forscherteam aus den Niederlanden.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707703","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
Frauenmilchbanken: Organisatorische Hürden auf dem Weg zur natürlichen Nahrung. 母乳库:获取天然食品的组织障碍。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-10-13 DOI: 10.1055/a-2133-6696
Dominique Singer
{"title":"Frauenmilchbanken: Organisatorische Hürden auf dem Weg zur natürlichen Nahrung.","authors":"Dominique Singer","doi":"10.1055/a-2133-6696","DOIUrl":"10.1055/a-2133-6696","url":null,"abstract":"Liebe Leserinnen und Leser, dass Neugeborene – zumal die kleinsten und unreifsten – mit Muttermilch oder ersatzweise mit gespendeter Frauenmilch ernährt werden sollten, erscheint heute nicht nur „selbsterklärend“, sondern wird auch zunehmend durch wissenschaftliche Evidenz untermauert. Doch obwohl die gleiche Erkenntnis schon 100 Jahre zuvor Kinderleben gerettet hatte, war die Frauenmilchernährung zeitweilig „aus der Mode“ geraten bzw. als entbehrlich betrachtet worden 1 . Dies erforderte nun einen Neuaufbau des Frauenmilchbankwesens in (West-)Deutschland, von dem eine Übersicht in dieser Ausgabe der Zeitschrift für Geburtshilfe und Neonatologie (ZGN) handelt. Die darin geschilderten „Betreibermodelle“ spiegeln letztlich auch den Erfindungsreichtum wieder, mit dem engagierte Teams – oft ohne nennenswerte Unterstützung von außen – allerlei Hindernisse überwunden haben, um „ihren“ Frühgeborenen anbieten zu können, was eigentlich naturgegeben ist. Die Vielfalt der Lösungen hat inzwischen ein Regelungsbedürfnis auf den Plan gerufen, von dem zu hoffen ist, dass es den Milchbanken mehr ökonomische Akzeptanz und nicht weitere administrative Hürden bescheren wird.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"227 5","pages":"321"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41214439","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
Investigation of Serum Phoenixin-14 Concentration in Pregnant Women Diagnosed with Hyperemesis Gravidarum. 妊娠高吐孕妇血清Phoenixin-14浓度的调查。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-05-22 DOI: 10.1055/a-2073-8652
Sümeyye Çimenli, İbrahim Kale, Murat Muhcu
{"title":"Investigation of Serum Phoenixin-14 Concentration in Pregnant Women Diagnosed with Hyperemesis Gravidarum.","authors":"Sümeyye Çimenli,&nbsp;İbrahim Kale,&nbsp;Murat Muhcu","doi":"10.1055/a-2073-8652","DOIUrl":"10.1055/a-2073-8652","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to investigate the relationship between the hyperemesis gravidarum (HG) and maternal serum phoenixin-14 (PNX-14) concentrations.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted with 88 pregnant women who applied to the Umraniye Training and Research Hospital Gynecology and Obstetrics Clinic between February 2022 and October 2022. The HG group consisted of 44 pregnant women diagnosed with HG between the 7th and 14th gestational weeks, and the control group consisted of 44 healthy pregnant women matched with the HG group in terms of age, BMI, and gestational week. Demographic characteristics, ultrasound findings, and laboratory outcomes were noted. The two groups were compared in terms of maternal serum PNX-14 concentrations.</p><p><strong>Results: </strong>Gestational age at blood sampling for PNX-14 was similar in both groups (p=1.000). While maternal serum PNX-14 concentration was 85.5 pg/ml in the HG group, it was 71.3 pg/ml in the control group (p=0.012). ROC analysis was performed to determine the value of maternal serum PNX-14 concentration in terms of predicting HG. AUC analysis of maternal serum PNX-14 for HG estimation was 0.656 (p=0.012, 95% CI=0.54-0.77). The optimal cutoff value for maternal serum PNX-14 concentration was determined as 79.81 pg/ml with 59% sensitivity and 59% specificity.</p><p><strong>Conclusion: </strong>In this study, maternal serum PNX-14 concentration was found to be higher in pregnant women with HG, which indicates that high serum PNX-14 concentrations may have an anorexigenic effect on food intake in pregnancy. Concentrations of other PNX isoforms in HG and changes in PNX concentrations in pregnant women with HG who regained weight after treatment remain to be investigated.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"347-353"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9505303","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
„Fürs Baby aus Wolle und Stoff“ – ein „Hybrid-Ratgeber“ für junge Mütter aus den 1960er-Jahren “给宝宝的羊毛制品”——六十年代针对年轻母亲的“混合疗法”
4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 DOI: 10.1055/a-2093-9222
Matthias David, Andreas D. Ebert
{"title":"„Fürs Baby aus Wolle und Stoff“ – ein „Hybrid-Ratgeber“ für junge Mütter aus den 1960er-Jahren","authors":"Matthias David, Andreas D. Ebert","doi":"10.1055/a-2093-9222","DOIUrl":"https://doi.org/10.1055/a-2093-9222","url":null,"abstract":"„Mutter und Kind genießen die besondere Fürsorge der Gesellschaft in unserem Arbeiter- und Bauernstaat. Unsere sozialistische Ordnung sichert jeder Frau eine glückliche Mutterschaft und staatliche Hilfe bei der Erziehung der Kinder. Das ist festgelegt im „Gesetz über den Mutter- und Kinderschutz die Rechte der Frau…“ (1, siehe auch 2).","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707562","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
Effect of Nifedipine Used in the Treatment of the Threat of Preterm Labor on Total Uterine Artery Blood Volume Flow Rate. 硝苯地平用于治疗早产威胁对子宫总动脉血流量的影响。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-07-24 DOI: 10.1055/a-2109-5279
Hasan Eroğlu, Mert Turgal, Orhan Altınboğa, Gökhan Karakoç, Kemal Sarsmaz, Aykan Yucel
{"title":"Effect of Nifedipine Used in the Treatment of the Threat of Preterm Labor on Total Uterine Artery Blood Volume Flow Rate.","authors":"Hasan Eroğlu,&nbsp;Mert Turgal,&nbsp;Orhan Altınboğa,&nbsp;Gökhan Karakoç,&nbsp;Kemal Sarsmaz,&nbsp;Aykan Yucel","doi":"10.1055/a-2109-5279","DOIUrl":"10.1055/a-2109-5279","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluation of the effect of maternal nifedipine treatment on total uterine artery blood volume flow rate (TVFR).</p><p><strong>Methods: </strong>In this prospective study, 43 women who were admitted to the Perinatology Department of the University of Health Sciences Etlik Zübeyde Hanım Gynecology Training and Research Hospital, with the diagnosis of the threat of preterm labor, and 40 healthy pregnant women, who were randomly selected as the control group, were evaluated between July 1, 2018, and September 1, 2018. A transabdominal ultrasound examination of uterine arteries was performed both before and 48 hours after administration of oral nifedipine for TVFR measurement. For the final analysis, the TVFR levels of the group diagnosed with the threat of preterm labor and the control group were compared.</p><p><strong>Results: </strong>There was no significant difference in either uterine artery pulsatility index or resistance index values as well as the diameters of the uterine arteries after nifedipine treatment (p>0.05 for all). Total uterine artery blood volume flow rate (TVFR) was 424.66±236.74 mL/min before and 543.39±309.68 mL/min after treatment with nifedipine and was statistically significantly higher (p < 0.05).</p><p><strong>Conclusions: </strong>Our study showed a statistically significant increase in total uterine artery blood volume flow rate 48 hours after oral nifedipine treatment.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"377-382"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919527","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
[Operating models and organizational structures: opportunities and challenges for human milk banking in Germany]. [经营模式和组织结构:德国母乳银行的机遇和挑战]。
IF 0.7 4区 医学
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-08-03 DOI: 10.1055/a-2125-1076
Daniel Klotz, Monika Berns, Christoph Fusch, Rolf Lambert Schlößer, Markus Pöschinger, Sven Wellmann, Anja Erika Lange, Rudolf Georg Ascherl, Barbara Naust, Janaina Rauch, Judith Karger-Seider, Corinna Gebauer
{"title":"[Operating models and organizational structures: opportunities and challenges for human milk banking in Germany].","authors":"Daniel Klotz,&nbsp;Monika Berns,&nbsp;Christoph Fusch,&nbsp;Rolf Lambert Schlößer,&nbsp;Markus Pöschinger,&nbsp;Sven Wellmann,&nbsp;Anja Erika Lange,&nbsp;Rudolf Georg Ascherl,&nbsp;Barbara Naust,&nbsp;Janaina Rauch,&nbsp;Judith Karger-Seider,&nbsp;Corinna Gebauer","doi":"10.1055/a-2125-1076","DOIUrl":"10.1055/a-2125-1076","url":null,"abstract":"<p><strong>Background: </strong>Donor human milk is the recommended alternative for feeding preterm infants if mother's own milk is unavailable. Human milk banks collect, screen, store and distribute donated human milk according to pre-specified standard operating procedures to premature infants without mothers own milk.</p><p><strong>Aim: </strong>  Herein we characterize current operating models and the structural organisation of German milk bank institutions. The analysis of current and future opportunities and challenges may support the development of a comprehensive donor milk service within Germany.</p><p><strong>Material and methods: </strong>Summary of the panel discussion entitled \"Operating models and organizational structures: opportunities and risks for donor human milk bank in Germany\" during the 3rd Scientific Symposium of the German Human Milk Bank Initiative (FMBI), November 25th to 26th 2022, in Nuremberg, Germany.</p><p><strong>Results and discussion: </strong>Differing operator models may facilitate the use of donor human milk by incorporating unique site-specific factors, pre-existing infrastructure, and individual needs. In addition to the establishment of milk banks serving single neonatal units, high-capacity milk banks should be enabled to provide donor human milk using several hub-and-spoke systems. This may create a nationwide network for a sustainable human milk supply for preterm infants that is based on qualified breastfeeding and lactation support.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"329-335"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/b4/10-1055-a-2125-1076.PMC10575713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930920","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}
引用次数: 0
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