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Journal of Perinatology: Official Journal of the California Perinatal Association

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https://www.readbyqxmd.com/read/29317765/-we-want-to-do-everything-how-parents-represent-their-experiences-with-maternal-fetal-surgery-online
#1
Jessica T Fry, Joel E Frader
OBJECTIVE: There is little available evidence on how patients make decisions regarding maternal-fetal surgery. We studied online patient narratives for insight on how pregnant women and their partners consider such decisions. STUDY DESIGN: We used Google search strings and a purposive snowball method to locate patient blogs. We analyzed blog entries using qualitative methods to identify author details, medical information, and common themes. RESULTS: We located 32 blogs of patients who describe maternal-fetal surgery consultation...
January 9, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29317764/cerebral-oxygenation-during-umbilical-arterial-blood-sampling-in-very-low-birth-weight-neonates
#2
Jonathan P Mintzer, Catherine Messina
OBJECTIVE: Umbilical arterial blood sampling (UABS) has been associated with cerebral oxygen saturation (CrSO2) decrements in very low birth weight (VLBW) neonates. We sought to determine patient- and UABS procedure-related factors contributing to this effect. STUDY DESIGN: In this prospective cohort study, cerebral near-infrared spectroscopy was performed during UABS procedures in VLBW neonates. Analyses were conducted to determine subject- and procedure-related factors correlating with CrSO2 decrements...
January 9, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29311628/vascular-placental-pathology-and-the-relationship-between-hypertensive-disorders-of-pregnancy-and-neonatal-outcomes-in-very-low-birth-weight-infants
#3
Lisa Strouss, Neal D Goldstein, Robert Locke, David A Paul
OBJECTIVE: To investigate vascular placental pathology's effect on known associations between hypertensive disorders and four adverse neonatal outcomes-bronchopulmonary dysplasia, intraventricular hemorrhage or periventricular leukomalacia, necrotizing enterocolitis, and death. STUDY DESIGN: Retrospective cohort of very low birth weight neonates born at a single center (n = 911). Statistical analysis included χ2, t test, modified Poisson regression with robust error variance to measure risk, and Wald test...
January 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29302043/heme-oxygenase-1-genetic-variants-and-the-conundrum-of-hyperbilirubinemia-in-african-american-newborns
#4
David L Schutzman, Erica Gatien, Samuel Ajayi, Ronald J Wong
BACKGROUND: African-American (AA) infants are known to have, overall, lower bilirubin levels than infants of other ethnicities during their birth hospitalization. However, they are known to have a higher incidence of severe hyperbilirubinemia and are over represented in the US Kernicterus Registry. Heme oxygenase-1 (HO) is the rate limiting enzyme in heme metabolism leading to the equimolar production of bilirubin, carbon monoxide (CO) and free iron (Fe). Short (S) (GT)n repeats (<25) in the promoter region of the gene encoding the inducible HO-1 isozyme augment its expression, while long (L) repeats (>33) lead to an attenuation, modulating the production of bilirubin and CO...
January 4, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29302042/risk-stratification-for-congenital-diaphragmatic-hernia-is-it-all-oxygenation-but-not-ventilation
#5
LETTER
Praveen Chandrasekharan, Girija Konduri, Mir Basir, Jonathan Klein, Satyan Lakshminrusimha
No abstract text is available yet for this article.
January 4, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29298985/selenium-implications-for-outcomes-in-extremely-preterm-infants
#6
REVIEW
Rachael Tindell, Trent Tipple
Extremely preterm infants are at high risk for morbidities including bronchopulmonary dysplasia, intraventricular hemorrhage, and retinopathy of prematurity likely related to their exposure to reactive oxygen and nitrogen species early in life. Selenium is a trace mineral contributes to the proper function of multiple systems including immunity, redox regulation, and inflammation via the "selenoenzymes" glutathione peroxidase, thioredoxin reductase, and selenoprotein P. Given that selenium accretion via the placenta occurs primarily during the third trimester, preterm neonates are born selenium deficient...
January 3, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29298984/prenatal-counseling-on-type-2-diabetes-risk-exercise-and-nutrition-affects-the-likelihood-of-postpartum-diabetes-screening-after-gestational-diabetes
#7
Kai E Jones, Yan Yan, Graham A Colditz, Cynthia J Herrick
OBJECTIVE: Screening rates for type 2 diabetes after a pregnancy with gestational diabetes are inadequate. We aimed to determine how prenatal counseling on exercise, nutrition, and type 2 diabetes risk affects postpartum screening for diabetes. METHODS: Using Pregnancy Risk Assessment Monitoring System data from Colorado (2009-2011) and Massachusetts (2012-2013), we performed multivariable logistic regression to examine the relationship between prenatal counseling and postpartum screening...
January 3, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29298983/inconsistent-conclusions-of-statistical-significance-based-on-p-values-and-confidence-intervals
#8
LETTER
Nicolas Bamat, Matthew Bryan, Erik A Jensen
No abstract text is available yet for this article.
January 3, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29296004/automated-versus-manual-control-of-inspired-oxygen-to-target-oxygen-saturation-in-preterm-infants-a-systematic-review-and-meta-analysis
#9
Souvik Mitra, Balpreet Singh, Walid El-Naggar, Douglas D McMillan
OBJECTIVES: To conduct a systematic review of clinical trials comparing automated versus manual fraction of inspired oxygen (FiO2) control to target oxygen saturation (SpO2) in preterm infants. DESIGN: The authors searched MEDLINE, Embase, CENTRAL, and CINAHL from inception upto December 2016, reviewed conference proceedings and sought results of unpublished trials. Studies were included if automated FiO2 control was compared to manual control in preterm infants on positive pressure respiratory support...
January 2, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29296003/retinopathy-of-prematurity-practices-a-national-survey-of-canadian-neonatal-intensive-care-units
#10
Kourosh Sabri, Mary Angela Woodward, Bethany Easterbrook, Sandesh Shivananda
OBJECTIVE: To examine current level three Neonatal Intensive Care Unit (NICU) practices related to ROP screening and treatment. STUDY DESIGN: A cross-sectional survey was sent to 29 level three NICU's across Canada to survey current screening inclusion criteria, treatment options, supportive care and post-screening events for ROP. RESULT: 22/29 (76%) level three NICU's responded. Ten different ROP screening inclusion criteria were found to be in use with significant variation in gestational age and birth weight criteria...
January 2, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29288253/are-we-ready-to-modify-our-definition-of-bronchopulmonary-dysplasia-bpd-to-improve-prognostication
#11
Kikelomo Babata, Jennifer McGuirl
No abstract text is available yet for this article.
December 29, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29282354/using-polyethylene-plastic-bag-to-prevent-moderate-hypothermia-during-transport-in-very-low-birth-weight-infants-a-randomized-trial
#12
Xiao-Jing Hu, Li Wang, Ru-Yi Zheng, Tian-Chan Lv, Yu-Xia Zhang, Yun Cao, Guo-Ying Huang
OBJECTIVE: Hypothermia remains a significant problem among very low birth weight (VLBW) infants. The use of occlusive polyethylene plastic bags immediately after birth has been proven to be effective for preterm infants to reduce hypothermia. This study aims to determine whether placing VLBW infants in plastic bags during transport reduces hypothermia. STUDY DESIGN: Study infants were randomly assigned to a standard thermoregulation protocol or to a standard thermoregulation protocol with placement of the torso and lower extremities inside a polyethylene plastic bag during transport...
December 27, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29282353/noninvasive-ventilation-strategies-which-to-choose
#13
Alana N Thomas, Joseph L Hagan, Krithika Lingappan
No abstract text is available yet for this article.
December 27, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29282352/sooner-or-later-does-early-human-milk-fortification-improve-outcomes
#14
Elizabeth V Schulz, Heidi J Murphy, Sarah N Taylor
No abstract text is available yet for this article.
December 27, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29269893/the-acceptability-and-feasibility-of-emailed-parent-questionnaires-for-medical-and-developmental-surveillance-after-nicu-discharge
#15
Jonathan S Litt, Meghana Agni, Talia Jacobi-Polishook, Patrice Melvin, Marie C McCormick, Jane E Stewart, Mandy B Belfort
OBJECTIVES: The following are the objectives of this study: (1) Assess the feasibility and acceptability of emailing parent-reported measures of infant health and development after NICU discharge. (2) Examine whether post-discharge questionnaire data helps identify infants most likely to benefit from specialized follow-up care. STUDY DESIGN: Parents of 51 infants <32 weeks' gestation received email questionnaires at 44 weeks postmenstrual age (PMA) and 6 months corrected age (CA)...
December 22, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29266095/predicting-birth-weight-in-fetuses-with-gastroschisis
#16
M N Zaki, L A Lusk, R T Overcash, R Rao, Y N Truong, M Liebowitz, M Porto
OBJECTIVE: To determine the accuracy of commonly utilized ultrasound formulas for estimating birth weight (BW) in fetuses with gastroschisis. STUDY DESIGN: A retrospective review was conducted of all inborn pregnancies with gastroschisis within the five institutions of the University of California Fetal Consortium (UCfC) between 2007 and 2012. Infants delivered at ⩾28 weeks who had an ultrasound within 21 days before delivery were included. Prediction of BW was evaluated for each of the five ultrasound formulas: Hadlock 1 (abdominal circumference (AC), biparietal diameter (BPD), femur length (FL) and head circumference (HC)) and Hadlock 2 (AC, BPD and FL), Shepard (AC and BPD), Honarvar (FL) and Siemer (BPD, occipitofrontal diameter (OFD), and FL) using Pearson's correlation, mean difference and percent error and Bland-Altman analysis...
December 21, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29255193/surfactant-proteins-gene-variants-in-premature-newborn-infants-with-severe-respiratory-distress-syndrome
#17
Marco Somaschini, Silvia Presi, Maurizio Ferrari, Barbara Vergani, Paola Carrera
OBJECTIVE: Genetic surfactant dysfunction causes respiratory failure in term and near-term newborn infants, but little is known of such condition in prematures. We evaluated genetic surfactant dysfunction in premature newborn infants with severe RDS. PATIENTS AND METHODS: A total of 68 preterm newborn infants with gestational age ≤32 weeks affected by unusually severe RDS were analysed for mutations in SFTPB, SFTPC and ABCA3. Therapies included oxygen supplementation, nasal CPAP, different modalities of ventilatory support, administration of exogenous surfactant, inhaled nitric oxide and steroids...
December 19, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29255192/spatial-and-environmental-correlates-of-organism-colonization-and-infection-in-the-neonatal-intensive-care-unit
#18
Neal D Goldstein, Deborah Tuttle, Loni P Tabb, David A Paul, Stephen C Eppes
OBJECTIVE: To examine organism colonization and infection in the neonatal intensive care unit as a result of environmental and spatial factors. STUDY DESIGN: A retrospective cohort of infants admitted between 2006 and 2015 (n = 11 428), to assess the relationship between location and four outcomes: methicillin-resistant Staphylococcus aureus (MRSA) colonization; culture-confirmed late-onset sepsis; and, if intubated, endotracheal tube colonization with Pseudomonas aeruginosa or Klebsiella pneumonia...
December 19, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29255191/the-use-of-clinical-examination-and-cranial-ultrasound-in-the-diagnosis-and-management-of-post-hemorrhagic-ventricular-dilation-in-extremely-premature-infants
#19
Rawad Obeid, Taeun Chang, Eresha Bluth, Caitlin Forsythe, Marni Jacobs, Dorothy Bulas, Chima Oluigbo, Anna Penn
OBJECTIVES: The objective of this study is to describe clinical and ultrasound changes in a cohort of premature newborns with post-hemorrhagic ventricular dilation (PHVD), and to correlate these changes with outcome. STUDY DESIGN: Premature newborns <29 weeks gestational age (GA) and ≤ 1,500 g birth weight with intraventricular hemorrhage were retrospectively reviewed. Clinical signs and cranial ultrasound (CUS) findings between time after birth and time before first cerebrospinal fluid temporizing intervention were compared with GA-equivalent newborns without interventions...
December 19, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29255190/effect-and-safety-of-timing-of-cord-clamping-on-neonatal-hematocrit-values-and-clinical-outcomes-in-term-infants-a-randomized-controlled-trial
#20
Xu Chen, Xing Li, Ying Chang, Wen Li, Hongyan Cui
OBJECTIVE: To evaluate the effect and safety of different umbilical cord clamping (UCC) timing. STUDY DESIGN: This was a randomized trial of 720 term mothers/infants from the Tianjin Central Hospital of Obstetrics and Gynecology delivered from December 2014 to May 2015 and randomized to immediate cord clamping (ICC) within 15 s, delayed cord clamping (DCC) by 30, 60, 90, 120, 150, or 180 s, or when the umbilical cord pulsation ceased. RESULTS: 24 h after delivery, the mean infant hematocrit levels were 56...
December 18, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
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