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American Journal of Perinatology

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https://www.readbyqxmd.com/read/27907936/early-treatment-for-neonatal-abstinence-syndrome-a-palliative-approach
#1
Jennifer Hudson, Rachel Mayo, Lori Dickes, Liwei Chen, Windsor Westbrook Sherrill, Julie Summey, Bradley Dalton, Kindal Dankovich
Objective To describe medical, safety, and health care utilization outcomes associated with an early treatment model for neonatal opioid withdrawal. Study Design This is a retrospective review of 117 opioid-exposed infants born in a large regional hospital and treated in the level I nursery with methadone initiated within 48 hours of birth. Results For this cohort, mean length of stay was 8.3 days. Hospital safety events were infrequent; there were no medication errors or deaths. Within 30 days of discharge, 14% of infants visited the emergency department; 7% were readmitted...
December 1, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27894130/erratum-to-maternal-mortality-in-texas
#2
Sonia Baeva, Natalie P Archer, Karen Ruggiero, Manda Hall, Julie Stagg, Evelyn Coronado Interis, Rachelle Vega, Evelyn Delgado, John Hellerstedt, Gary Hankins, Lisa M Hollier
No abstract text is available yet for this article.
November 28, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27884038/is-there-an-association-between-body-mass-index-and-cervical-length-implications-for-obesity-and-cervical-length-management-in-pregnancy
#3
Kartik K Venkatesh, David E Cantonwine, Chloe Zera, Melanie Arjona, Nicole A Smith, Julian N Robinson, Thomas F McElrath
Objective Obesity and cervical insufficiency are leading causes of morbidity in pregnancy. We assess the relationship between maternal body mass index (BMI) and second-trimester cervical length. Methods A secondary analysis of a nested case-control study of women with singleton gestations enrolled from 2006 to 2008. The primary exposure was first-trimester BMI, categorized per World Health Organization criteria: normal (18.5 to ≤ 25 kg/m(2)), overweight (25 to ≤ 30 kg/m(2)), and obese (> 30 kg/m(2))...
November 24, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27855464/impact-of-interval-between-screening-and-diagnosis-of-gestational-diabetes-on-pregnancy-outcomes
#4
Anne M Siegel, Carrie A Coxwell, Joseph R Biggio, Alan Tita, Lorie M Harper
Objective Current standard of care in the United States uses a two-step screening and diagnosis approach for gestational diabetes mellitus (GDM). We aimed to assess the impact of the interval between screening and diagnosis on maternal and perinatal outcomes. Materials and Methods This is a retrospective cohort study of singleton pregnancies complicated by GDM at a single tertiary center from 2007 to 2013. Women were divided into three groups based on the interval between their screening and diagnostic tests: ≤ 7, 8 to 14, and > 14 days...
November 17, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27855463/association-of-maternal-obesity-with-child-cerebral-palsy-or-death
#5
Jessica A McPherson, Marcela C Smid, Sarah Smiley, David M Stamilio
Objective The primary aim of this study was to determine if there is an association between maternal obesity and cerebral palsy or death in children. Study Design This is a retrospective cohort analysis of a randomized controlled clinical trial previously performed by the Maternal-Fetal Medicine Units Network. Women in the original trial were included if at high risk for preterm delivery. The present study included singletons enrolled in the original study with complete data. Obese and nonobese women were compared...
November 17, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27832667/simulation-based-patient-specific-multidisciplinary-team-training-in-preparation-for-the-resuscitation-and-stabilization-of-conjoined-twins
#6
Nicole K Yamada, Janene H Fuerch, Louis P Halamek
The resuscitation of conjoined twins is a rare and complex clinical challenge. We detail how patient-specific, in situ simulation can be used to prepare a large, multidisciplinary team of health care professionals (HCPs) to deliver safe, efficient, and effective care to such patients. In this case, in situ simulation allowed an 18-person team to address the clinical and ergonomic challenges anticipated for this neonatal resuscitation. The HCPs trained together as an intact team in the actual delivery room environment to probe for human and system weaknesses prior to this unique delivery, and optimized communication, teamwork, and other behavioral skills as they prepared for the simultaneous resuscitation of two patients who were physically joined to one another...
November 10, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27829266/maternal-mortality-in-texas
#7
Sonia Baeva, Natalie P Archer, Karen Ruggiero, Manda Hall, Julie Stagg, Evelyn Coronado Interis, Rachelle Vega, Evelyn Delgado, John Hellerstedt, Gary Hankins, Lisa M Hollier
A commentary on maternal mortality in Texas is provided in response to a 2016 article in Obstetrics & Gynecology by MacDorman et al. While the Texas Department of State Health Services and the Texas Maternal Mortality and Morbidity Task Force agree that maternal mortality increased sharply from 2010 to 2011, the percentage change or the magnitude of the increase in the maternal mortality rate in Texas differs depending on the statistical methods used to compute and display it. Methodologic challenges in identifying maternal death are also discussed, as well as risk factors and causes of maternal death in Texas...
November 9, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27825177/diagnostic-value-of-presepsin-in-detection-of-early-onset-neonatal-sepsis
#8
Abdurrahman A Ozdemir, Yusuf Elgormus
Objective The aim of this study was to evaluate the efficacy of presepsin in both diagnosis and follow-up of early-onset neonatal sepsis (EOS) and also to compare its effectiveness with C-reactive protein (CRP) and procalcitonin (PCT). Methods A total of 29 term infants with EOS group and 40 term infants with control group were included in this study. Before initiating therapy, blood samples for whole blood count, CRP, PCT, presepsin, and culture were obtained from all neonates (T0). This procedure was repeated two times at 72 hours (T3) and day 7 (T7)...
November 8, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27824403/delivery-outcomes-after-term-induction-of-labor-in-small-for-gestational-age-fetuses
#9
Janine S Rhoades, Roxane M Rampersad, Methodius G Tuuli, George A Macones, Alison G Cahill, Molly J Stout
Objective The objective of this study was to estimate the delivery outcomes after induction of labor (IOL) at term in patients with small-for-gestational age (SGA) fetuses. Study Design A secondary analysis of a prospective cohort study of all term, singleton deliveries from 2010 to 2014. Patients who underwent an IOL for any indication were included. Delivery outcomes were compared between patients with and without SGA fetuses (defined as birth weight < 10th percentile for gestational age). Analysis was stratified by parity...
November 4, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27806383/transplacental-passage-of-acetaminophen-in-term-pregnancy
#10
Joshua F Nitsche, Avinash S Patil, Loralie J Langman, Hannah J Penn, Douglas Derleth, William J Watson, Brian C Brost
Objective The objective of this study was to determine the maternal and fetal pharmacokinetic (PK) profiles of acetaminophen after administration of a therapeutic oral dose. Study Design After obtaining Institutional Review Board approval and their written informed consent, pregnant women were given a single oral dose (1,000 mg) of acetaminophen upon admission for scheduled cesarean delivery. Maternal venous blood and fetal cord blood were obtained at the time of delivery and acetaminophen levels were measured using gas chromatography-mass spectroscopy...
November 2, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27794277/smfm-2016-archive-hypertension-part-6-podcast
#11
(no author information available yet)
No abstract text is available yet for this article.
October 29, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27793058/smfm-2016-archive-hypertension-part-5-podcast
#12
(no author information available yet)
No abstract text is available yet for this article.
October 28, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27788536/improving-the-identification-of-neonatal-encephalopathy-utility-of-a-web-based-video-tool
#13
Autumn S Ivy, Catherine L Clark, Sarah M Bahm, Krisa P Van Meurs, Courtney J Wusthoff
Objective This study tested the effectiveness of a video teaching tool in improving identification and classification of encephalopathy in infants. Study Design We developed an innovative video teaching tool to help clinicians improve their skills in interpreting the neonatal neurological examination for grading encephalopathy. Pediatric residents were shown 1-minute video clips demonstrating exam findings in normal neonates and neonates with various degrees of encephalopathy. Findings from five domains were demonstrated: spontaneous activity, level of alertness, posture/tone, reflexes, and autonomic responses...
October 27, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27788535/smfm-2016-archive-hypertension-part-4-podcast
#14
(no author information available yet)
No abstract text is available yet for this article.
October 27, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27788534/acute-appendicitis-in-pregnancy-predictive-clinical-factors-and-pregnancy-outcomes
#15
Lauren H Theilen, Vincent M Mellnick, Anthony L Shanks, Methodius G Tuuli, Anthony O Odibo, George A Macones, Alison G Cahill
Objective The objective of this study was to identify clinical factors predictive of appendicitis in pregnant women and associated obstetric outcomes. Study Design We performed a single-center, retrospective cohort study of pregnant women who underwent magnetic resonance imaging for suspected appendicitis from 2007 to 2012. Rates and odds of appendicitis based on presenting signs and symptoms were estimated. We also estimated rates and odds of adverse obstetric outcomes among women with a diagnosis of appendicitis...
October 27, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27788533/24-7-presence-of-medical-staff-in-the-labor-ward-no-day-night-differences-in-perinatal-and-maternal-outcomes
#16
Sara Tavares, João Cavaco-Gomes, Marina Moucho, Milton Severo, Mário Mateus, Carla Ramalho, Gerard H A Visser, Nuno Montenegro
Objective The objective of this study was to assess possible day-night differences in perinatal and maternal labor outcomes in a hospital setting with no day-night differences in the presence of experienced medical staff. Design This was a retrospective study conducted over 5 years between 2008 and 2012. Setting This study was set at the obstetric delivery unit in a tertiary hospital. Population A total of 9,143 singleton deliveries were assessed after 34 weeks of gestation and after exclusion of major congenital malformations, inductions of labor, and elective cesarean sections...
October 27, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27788532/umbilical-artery-lactate-correlates-with-brain-lactate-in-term-infants
#17
Alison G Cahill, George A Macones, Christopher D Smyser, Julia D López, Terrie E Inder, Amit M Mathur
Objective The objective of this study was to determine the correlation between umbilical artery lactate with brain lactate in nonanomalous term infants. Study Design We performed a nested case-control study within an on-going prospective cohort of more than 8,000 consecutive singleton term (≥ 37 weeks) nonanomalous infants. Neonates underwent cerebral magnetic resonance imaging (MRI) within the first 72 hours of life. Cases (umbilical artery pH ≤ 7.10) were gender and race matched 1:3 to controls (umbilical artery pH > 7...
October 27, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27784119/smfm-2016-archive-hypertension-part-3-podcast
#18
(no author information available yet)
No abstract text is available yet for this article.
October 26, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27780277/hernia-sac-presence-portends-better-survivability-of-isolated-congenital-diaphragmatic-hernia-with-liver-up
#19
Ruža Grizelj, Katarina Bojanić, Jurica Vuković, Milivoj Novak, Toby N Weingarten, Darrell R Schroeder, Juraj Sprung
Objective The objective of this study was to investigate the prognostic value of a hernia sac in isolated congenital diaphragmatic hernia (CDH) with intrathoracic liver herniation ("liver-up"). Study Design A retrospective study from the single tertiary center. Isolated "liver-up" CDH neonates referred to our institution between 2000 and 2015 were reviewed for the presence or absence of a hernia sac. Association between the presence of a hernia sac and survival was assessed. Results Over the study period, there were 29 isolated CDH patients with "liver-up" who were treated, 7 (24%) had a sac, and 22 (76%) did not...
October 25, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27780276/smfm-2016-archive-hypertension-part-2-podcast
#20
(no author information available yet)
No abstract text is available yet for this article.
October 25, 2016: American Journal of Perinatology
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