Seminars in Fetal & Neonatal Medicine最新文献

Non-invasive cardiac output monitoring in neonates: From technologic promise to clinical practice. 新生儿无创心输出量监测：从技术前景到临床实践。

IF 2.9 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-08-26 DOI: 10.1016/j.siny.2026.101772

Lizelle van Wyk, Silvia Martini

引用次数: 0

Enhancing research and development to innovate neonatology and improve newborn health 加强研究开发，创新新生儿科学，提高新生儿健康水平。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-16 DOI: 10.1016/j.siny.2026.101735

Daniele De Luca , Roberta Onesimo , Alexandra Benachi , Satoshi Kusuda , Elizabeth Foglia , Ola Saugstad , Steven Abman

引用次数: 0

From constraints to solutions: leveraging low-cost, scalable simulation for safer neonatal resuscitation 从限制到解决方案：利用低成本，可扩展的模拟更安全的新生儿复苏。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-14 DOI: 10.1016/j.siny.2026.101736

Juin Yee Kong , Nicole K. Yamada

{"title":"From constraints to solutions: leveraging low-cost, scalable simulation for safer neonatal resuscitation","authors":"Juin Yee Kong , Nicole K. Yamada","doi":"10.1016/j.siny.2026.101736","DOIUrl":"10.1016/j.siny.2026.101736","url":null,"abstract":"<div><div>Neonatal mortality remains a major global health challenge, disproportionately affecting low-resource settings where access to timely and effective resuscitation is limited. Simulation-based training provides a safe and effective method to develop and sustain the cognitive, technical, and behavioural skills essential for neonatal resuscitation, while improving teamwork, confidence, and patient safety. Despite established evidence of its effectiveness in enhancing these skills, widespread implementation of simulation-based training remains limited in resource-constrained settings due to financial, infrastructural, human resource and organizational barriers. This review proposes simulation as a patient safety intervention that supports the shift from traditional error-focused to system resilience approaches. Scalable innovations including low-cost manikins, in situ simulation, telesimulation, and structured debriefing offer practical and sustainable solutions. Future research linking simulation-based training to measurable improvements in neonatal outcomes is essential to inform policy, guide investment, and promote global health equity.</div></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"31 3","pages":"Article 101736"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 future neonatologist 未来的新生儿学家。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-21 DOI: 10.1016/j.siny.2026.101740

Josef Neu

引用次数: 0

Benefits of neonatal resuscitation training in high- and low-resource settings 高资源和低资源环境下新生儿复苏训练的益处。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-22 DOI: 10.1016/j.siny.2026.101739

Amy Mackay, Waldemar A. Carlo

{"title":"Benefits of neonatal resuscitation training in high- and low-resource settings","authors":"Amy Mackay, Waldemar A. Carlo","doi":"10.1016/j.siny.2026.101739","DOIUrl":"10.1016/j.siny.2026.101739","url":null,"abstract":"<div><div>Globally, around 1.9 million stillbirths occur each year, and around 2.3 million newborns die in the first 28 days after birth each year. Many of these deaths are preventable. The burden of stillbirths is likely even higher, as many are unreported. A disproportionate number of fresh stillbirths and neonatal deaths occur in low-resource settings. About 1 million neonatal deaths occur in the first 24 h after birth, with preterm birth and birth asphyxia/intrapartum-related death being the leading causes. For newborns who have difficulty establishing effective breathing at birth, prompt and effective resuscitation is usually lifesaving. Training providers in high- and low-resource settings have been instrumental in equipping healthcare professionals to support a newborn's breathing at birth and continued care in the first month after birth to mitigate stillbirths and neonatal deaths. This review focuses on educational programs in both high- and low-resource settings designed to enable providers to perform timely and effective neonatal resuscitation and early newborn care. The highest level of available evidence that investigates the effects of these programs on provider knowledge and skills, as well as neonatal mortality and stillbirths, will be discussed. Where strong evidence may be lacking, it will be reviewed. Current complementary interventions to neonatal resuscitation training programs that are being researched will be addressed.</div></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"31 3","pages":"Article 101739"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Psychological safety in healthcare – helping everyone to speak up 医疗保健中的心理安全——帮助每个人畅所欲言。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-17 DOI: 10.1016/j.siny.2026.101738

Sanjay Patole

{"title":"Psychological safety in healthcare – helping everyone to speak up","authors":"Sanjay Patole","doi":"10.1016/j.siny.2026.101738","DOIUrl":"10.1016/j.siny.2026.101738","url":null,"abstract":"<div><div>Psychological safety is important for excellence in team performance. Team performance is compromised when team members fear the consequences of speaking up to raise concerns about wrongdoing or an individual.</div><div>Consistent delivery of safe and the best quality of care is the prime responsibility of healthcare teams. Those involved in neonatal intensive care are not an exception. The importance of psychological safety in healthcare cannot be overemphasised considering the unique nature and complexity of this industry. It is also important for teaching hospitals with added responsibility for high-quality training, education and research. The issue of psychological safety is more relevant for healthcare organizations considering their strict hierarchy where careers depend on performance appraisals. Facilitating a culture of psychological safety is the responsibility of everyone holding a leadership role in an organization.</div><div>We briefly review the history of psychological safety, the reasons why it matters in healthcare, impact on all stakeholders when it is missing, tools for assessing its presence and balance in a team, and the role of leaders at all levels in facilitating a culture of psychological safety in an organization. The barriers and facilitators of psychological safety and key issues about the phenomenon of whistleblowing are discussed.</div></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"31 3","pages":"Article 101738"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

International collaborations in neonatal and fetal medicine — Low-and-middle income countries have the patients and high-income countries have the technology: Consensus, conundrums and controversies 新生儿和胎儿医学的国际合作——中低收入国家有患者，高收入国家有技术：共识、难题和争议。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-06-01 Epub Date: 2026-04-13 DOI: 10.1016/j.siny.2026.101737

Sourabh Dutta

{"title":"International collaborations in neonatal and fetal medicine — Low-and-middle income countries have the patients and high-income countries have the technology: Consensus, conundrums and controversies","authors":"Sourabh Dutta","doi":"10.1016/j.siny.2026.101737","DOIUrl":"10.1016/j.siny.2026.101737","url":null,"abstract":"<div><div>International collaborations between investigators in low-and-middle-income countries (LMICs) and high-income countries (HICs) in neonatal and fetal medicine have expanded over the past decade. This narrative review documents a rise in HIC–LMIC publications since 2014, with a plateau and transient dip during the COVID-19 pandemic. It analyses leadership, patient recruitment, and how HIC-based technologies and laboratory platforms shape research agendas. Many influential trials are conceived and sponsored by HIC institutions, with recruitment concentrated in LMICs because of higher disease burden, larger eligible populations and lower costs. Meanwhile, LMIC centers report growing readiness to support randomized controlled trials, and LMIC-conceived, led and completed multicentre studies are increasingly reported. Ongoing concerns include misalignment between donor priorities and national agendas, inequities in authorship and leadership, and ethical challenges related to standards of care, post-trial access, consent and compensation. The review compares regulatory, consent and insurance processes in India and the United States, and highlights enabling factors such as harmonised guidelines, global registries, political goodwill and professional networks. It anticipates a doubling of HIC–LMIC collaborative studies over the next decade, rapid growth of South–South partnerships, and gradual, though incomplete, correction of authorship and leadership imbalances in global neonatal and fetal medicine.</div></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"31 3","pages":"Article 101737"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 tensions in decisions about treatment for babies born at the borderline of viability: Discussion and consensus 关于在生存能力边缘出生的婴儿的治疗决策中的伦理紧张：讨论和共识。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-04-01 Epub Date: 2026-03-04 DOI: 10.1016/j.siny.2026.101715

David L. Weisoly , Mathew A. Rysavy , Joseph Kaempf , Robert Ursprung , John Lantos

引用次数: 0

An emerging consensus about treatment of the tiniest babies 关于如何对待最小婴儿的共识正在形成。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-04-01 Epub Date: 2026-02-27 DOI: 10.1016/j.siny.2026.101712

John D. Lantos

{"title":"An emerging consensus about treatment of the tiniest babies","authors":"John D. Lantos","doi":"10.1016/j.siny.2026.101712","DOIUrl":"10.1016/j.siny.2026.101712","url":null,"abstract":"<div><div>Over the past three decades, a broad consensus has emerged that decisions about life-sustaining treatment for extremely premature infants should be grounded in shared decision-making (SDM) between clinicians and parents. This consensus is endorsed by professional societies, bioethics commissions, and parents of babies in the neonatal intensive care unit. Despite this robust consensus, there is evidence that SDM is not always practiced. The evidence comes from observations of actual studies in which there is substantial practice variation that seems unlikely to reflect individualized decisions. In this paper, I examine the sources of that variation and argue that current SDM frameworks rest on an overly simplistic assumption that outcomes are stable, objective, unambiguous, and communicated clearly. In reality, prognostic data for survival and neurodevelopmental impairment are deeply contingent on treatment practices, prenatal management, institutional culture, and reporting conventions. These ambiguities complicate counseling, obscure value-laden judgments, and contribute to moral distress among clinicians. Moreover, parental preferences are heterogeneous and often reflect attitudes about disabilities that are different from the attitudes of health professionals. I propose a more dynamic model of SDM that acknowledges emotional complexity, evolving prognostic clarity, and the need for iterative decision-making over time. Rather than centering decisions on a single variable such as gestational age, this approach emphasizes individualized assessment, a trial of therapy when appropriate, and longitudinal conversations grounded in trust, empathy, and responsiveness to changing clinical realities. As neonatology continues to push the boundaries of viability—and as emerging technologies reshape the therapeutic landscape—ethical deliberation must keep pace. Clinicians and parents alike must navigate persistent uncertainty with humility, attentiveness to suffering, and a shared commitment to doing what is best for each infant and family.</div></div>","PeriodicalId":49547,"journal":{"name":"Seminars in Fetal & Neonatal Medicine","volume":"31 2","pages":"Article 101712"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 case for improving care for patients and families affected by birth at <25 weeks’ gestation 改善对受妊娠<25周分娩影响的患者和家庭的护理的案例。

IF 2.8 3区医学

Seminars in Fetal & Neonatal Medicine Pub Date : 2026-04-01 Epub Date: 2026-02-27 DOI: 10.1016/j.siny.2026.101713

Matthew A. Rysavy

引用次数: 0