Zeitschrift fur Geburtshilfe und Neonatologie最新文献_第10页

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

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

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, İbrahim Kale, Murat Muhcu","doi":"10.1055/a-2073-8652","DOIUrl":"10.1055/a-2073-8652","url":null,"abstract":"Objective: We aimed to investigate the relationship between the hyperemesis gravidarum (HG) and maternal serum phoenixin-14 (PNX-14) concentrations.Materials and methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"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

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":null,"pages":null},"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

„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

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, Mert Turgal, Orhan Altınboğa, Gökhan Karakoç, Kemal Sarsmaz, Aykan Yucel","doi":"10.1055/a-2109-5279","DOIUrl":"10.1055/a-2109-5279","url":null,"abstract":"Purpose: Evaluation of the effect of maternal nifedipine treatment on total uterine artery blood volume flow rate (TVFR).Methods: 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.Results: 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).Conclusions: Our study showed a statistically significant increase in total uterine artery blood volume flow rate 48 hours after oral nifedipine treatment.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"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, 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","doi":"10.1055/a-2125-1076","DOIUrl":"10.1055/a-2125-1076","url":null,"abstract":"Background: 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.Aim: 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.Material and methods: 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.Results and discussion: 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.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"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

Gestationsdiabetes: Ist die Therapie vor 20 Schwangerschaftswochen sinnvoll? 产后第20周进行的治疗有用吗?

4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 DOI: 10.1055/a-2133-6945

引用次数: 0

[Birth in the Midwife-Led Delivery Room of a Perinatal Center - Learning Curve, Outcomes and Benchmark]. [在围产期中心助产士主导的产房分娩-学习曲线、结果和基准]。

IF 0.7 4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 Epub Date: 2023-06-06 DOI: 10.1055/a-2082-2176

Theresa Andraczek, Susann Magister, Sandy Bautzmann, Stephanie Poppke, Holger Stepan, Anne Tauscher

{"title":"[Birth in the Midwife-Led Delivery Room of a Perinatal Center - Learning Curve, Outcomes and Benchmark].","authors":"Theresa Andraczek, Susann Magister, Sandy Bautzmann, Stephanie Poppke, Holger Stepan, Anne Tauscher","doi":"10.1055/a-2082-2176","DOIUrl":"10.1055/a-2082-2176","url":null,"abstract":"Introduction: Most births in Germany take place in a clinical setting. Midwife-led units have been offered in Germany since 2003 as an addition to the primarily physician-led obstetric care. The purpose of this study was to analyze differences regarding medical parameters between a midwife-led and a primarily physician-led unit in a level 1 perinatal center.Material and methods: Between 12/2020 and 12/2021, all births begun in the midwife-led unit were retrospectively analyzed and compared to a physician-led control cohort. Outcome measures were defined as obstetric interventions, delivery mode and duration, delivery position, and maternal and neonatal outcome.Results: The percentage of deliveries started in the midwife-led unit out of the total birth rate was 4.8% (n=132). Most transfers were made for more effective analgesia (52.6%). Among medically indicated transfers (n=30, 39.5%), transfers due to CTG abnormalities and failure to progress in labor after rupture of membranes predominated. 43.9% (n=58) of patients gave birth successfully in the midwife-led unit. The rate of episiotomy was significantly higher in the primarily physician-led unit compared to the successful midwife-led unit (p=0.019).Conclusion: Birth in a midwife-led unit within a perinatal center can be considered an equivalent alternative to primarily physician-led birth for low-risk pregnant women.","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9956650","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

Pläne für die Krankenhausreform: gut gedacht, aber ausreichend? 医院改革计划:想法不错，但足以吗?

4区医学

Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2023-10-01 DOI: 10.1055/a-2161-2616

引用次数: 0