{"title":"Autorenstellungnahme zu Leserbrief zu: Schichterfüllungsquoten in der Pflege und Überlebenschancen sehr kleiner Frühgeborener – Datenanalyse der Perinatalzentren Level 1 in Deutschland 2019–2023.","authors":"Claudia Roll, Christoph Bührer","doi":"10.1055/a-2684-5107","DOIUrl":"https://doi.org/10.1055/a-2684-5107","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"229 5","pages":"380"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287184","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":"Gastkommentar zu „Schichterfüllungsquoten in der Pflege und Überlebenschancen sehr kleiner Frühgeborener – Datenanalyse der Perinatalzentren Level 1 in Deutschland 2019–2023“.","authors":"Christian Gille","doi":"10.1055/a-2686-2404","DOIUrl":"https://doi.org/10.1055/a-2686-2404","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"229 5","pages":"349"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287139","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":"Neugeborenenversorgung zwischen Verantwortungsbewusstsein und Vorgabentreue.","authors":"Dominique Singer","doi":"10.1055/a-2660-1258","DOIUrl":"https://doi.org/10.1055/a-2660-1258","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":"229 5","pages":"313"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287185","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}
Mario Rüdiger, Sven Kehl, Cornelia Wiechers, Angela Kribs, Ulrich Pecks
{"title":"Risk of moderate or severe hypoxic ischemic encephalopathy does not correlate with prenatally known risk factors.","authors":"Mario Rüdiger, Sven Kehl, Cornelia Wiechers, Angela Kribs, Ulrich Pecks","doi":"10.1055/a-2638-5623","DOIUrl":"10.1055/a-2638-5623","url":null,"abstract":"<p><p>Infants with perinatal asphyxia require immediate support in order to prevent further damage. If asphyxia progresses towards hypoxic ischemic encephalopathy, therapeutic hypothermia (TH) in a specialised NICU is indicated. In order to provide evidence-based recommendations for an appropriate perinatal care structure, data for Germany are needed. German NICUs which offer TH (cooling centres) provided data in order to analyse how many neonates were treated with TH and how many of them were transferred for TH. Furthermore, for transferred infants the level of care of birth hospital was analysed and the rate of neonates with TH per 1,000 deliveries was calculated for each hospital. Data for 1,431 neonates with TH was obtained from 20 cooling centres. The average annual rate of neonates receiving TH in each cooling centre varied between 3 and 12 neonates. In only 13% of the analysed hospital years was the annual rate of neonates receiving TH equal to or more than 12. For 19 out of the 20 cooling centres, detailed information on the place of birth was available. Out of these 1,390 neonates, 46% (n=637) were transferred for TH. 4.7% of the transferred neonates were born out-of-hospital, whereas 95.3% (n=607) were born in 111 different hospitals, with a total of 1,298,058 deliveries during the respective data reporting period. Altogether, 55.3%, 18.5%, and 26.2% were born in hospitals caring for high-, medium-, or low-risk pregnancies, respectively. For each hospital, the respective rate of neonates with TH per 1,000 deliveries was calculated and showed variations between different hospitals. However, the median rate was similar among hospitals caring for high-, medium-, or low-risk pregnancies. Our findings could be used for subsequent planning of perinatal care. Since the annual number of neonates treated with TH is rather low in the majority of participating cooling centres, more centralisation is needed. Furthermore, the relative rate of newborns requiring TH is similar in hospitals providing care for high-, medium-, or low-risk pregnancies. In order to provide immediate resuscitation to asphyxiated infants, paediatric expertise should be available in each hospital where infants are born.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"338-343"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076010","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}
Claudia Roll, Kerstin Liersch-Baumann, Christoph Bührer
{"title":"[Correction: Understaffed nursing shifts and risk-adjusted survival of very preterm infants - an analysis of neonatal intensive care units level 3 in Germany 2019-2023].","authors":"Claudia Roll, Kerstin Liersch-Baumann, Christoph Bührer","doi":"10.1055/a-2643-8631","DOIUrl":"10.1055/a-2643-8631","url":null,"abstract":"","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":"e2"},"PeriodicalIF":0.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745309","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":"[Omodysplasia Type II - first publication of de novo Mutation in FZD2 Gene].","authors":"Stanislaw Jurk, Kristin Schröck, Saskia Biskup, Holger Stepan, Carsten Springer","doi":"10.1055/a-2689-2624","DOIUrl":"https://doi.org/10.1055/a-2689-2624","url":null,"abstract":"<p><p>Omodysplasia type II (autosomal dominant) is a very rare skeletal dysplasia with facial dysmorphism and urogenital abnormalities. Causal are alterations in the <i>FZD2</i> gene. We describe a prenatally detected case with shortened upper extremities, cleft lip and palate and suspected genital hypoplasia. The de novo mutation in the <i>FZD2</i> gene in the affected fetus, which has not been described yet, was found in the literature and is most likely the cause of the symptoms. To our knowledge, it is the first publication of the de novo mutation in the <i>FZD2</i> gene.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193326","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":"[Birth Outcomes in Caseload Midwifery Care: A Retrospective Cohort Study].","authors":"Lea-Ori Schlatter, Lissa Egger, Susanne Grylka-Baeschlin","doi":"10.1055/a-2678-7930","DOIUrl":"https://doi.org/10.1055/a-2678-7930","url":null,"abstract":"<p><p>While international studies highlight the positive impact on birth outcomes associated with caseload midwives, no comprehensive assessment of the Swiss situation has been performed.This study aimed to assess birth outcomes in Swiss hospitals and in low-risk pregnancies in relation to birth care provided by hospital-based staff midwives compared to attending caseload midwives.For this retrospective cohort study, we used data of n=55,518 low-risk births collected between 2018 and 2021 through voluntary data collection in Swiss hospitals. We performed a descriptive analysis as well as non-parametric correlative and logistic regression analysis using SPSS.Women with caseload midwives were more often multiparous than women with hospital-based staff midwives. The adjusted regression analysis showed that care by attending caseload midwives increased the ratio of spontaneous delivery compared to hospital-based staff midwives (83.1% vs. 70.2%, aOR 1.97, p<0.001). The C-section rate was lower in women in the caseload care system (9.2% vs. 16.6%, aOR 0.55, p<0.001) as well as the rate of vacuum extractions (7.6% vs. 13.0%, aOR 0.63, p<0.001). Care by a caseload midwife was associated with fewer interventions during labour and birth in general. Caseload midwives commonly improve birth outcomes compared to hospital-based staff midwives with respect to mitigating presumably unnecessary interventions.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179015","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}
Carmen Edda Jakubowicz, Andreas Walter Flemmer, Esther Sabine Schouten
{"title":"[The perinatal palliative care development through the years: a longitudinal study].","authors":"Carmen Edda Jakubowicz, Andreas Walter Flemmer, Esther Sabine Schouten","doi":"10.1055/a-2685-1273","DOIUrl":"https://doi.org/10.1055/a-2685-1273","url":null,"abstract":"<p><p>Advances in perinatal medicine have contributed to significantly improved survival of newborns. While some infants die despite extensive medical treatment, a larger proportion dies after a decision to withdraw life-sustaining therapy is made. The approaches to these decisions have significantly changed over the years, and their practical implementation still varies greatly between different neonatal intensive care units. The aim of this study was to evaluate the circumstances surrounding all neonatal deaths in a university neonatal setting in Germany over a ten-year period and to document changes over time. During the 10-year study period, 41,543 children were born at the LMU university hospital Munich, while 348 children died during this time. Of these, 248 children passed away in the delivery room. A total of 10,908 children received medical care in the neonatal wards (two level III NICUs and two intermediate care units). Of these, more than half (56%) were term infants, and only about 1% wereat the border of viability. On the neonatal intensive care unit, a total of 97 newborns died. A more proactive approach has led to primary palliative care for extremely preterm infants being increasingly replaced by attempts at therapy at the threshold of viability. Since there was no change in the guidelines for the management of preterm infants at the border of viability during the data collection period, this shift could be attributed more likely to the interaction of parental preferences and expectations and medical decision-making.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138613","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":"[Introduction of the S3 guideline \"Vaginal Birth at Term\" - What has changed in intrapartum fetal monitoring?]","authors":"Rebecca Felicitas Adams, Sven Schiermeier","doi":"10.1055/a-2678-7980","DOIUrl":"https://doi.org/10.1055/a-2678-7980","url":null,"abstract":"<p><p>Subpartum fetal monitoring is a debated topic in obstetrics. Studies have shown that CTG monitoring can lead to not always necessary interventions such as C-sections and vaginal-operative deliveries. Therefore, the 2021 AWMF S3 guideline \"Vaginal Birth at Term\" recommends structured intermittent auscultation instead of CTG monitoring in low-risk pregnancies for the first time.In a retrospective cross-sectional study, all German maternity clinics (n=616) were asked using an online questionnaire whether they use intermittent auscultation for low-risk pregnancies as well as reasons for and against it. The response rate was 16% (n=96). RESULTS: 22% (n=21) of clinics reported using intermittent auscultation always or sometimes. A significant correlation was found if changes had occurred and the application of intermittent auscultation (X2=12.95, df=2, p=0.001). Other factors such as the availability of one-to-one care (>95%), midwife-led delivery rooms, and differentiation between high- and low-risk pregnancies had no significant influence on the use of intermittent auscultation.The guideline has not led to the use of intermittent auscultation for monitoring in low-risk pregnancies. Clear low-risk definition, one-to-one care, qualified staff and updated studies on intermittent auscultation vs. CTG are needed.</p>","PeriodicalId":23854,"journal":{"name":"Zeitschrift fur Geburtshilfe und Neonatologie","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055999","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}