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Journal of Perinatology: Official Journal of the California Perinatal Association

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https://www.readbyqxmd.com/read/29997396/emergency-release-uncross-matched-packed-red-blood-cells-for-immediate-double-volume-exchange-transfusion-in-neonates-with-intermediate-to-advanced-acute-bilirubin-encephalopathy-timely-but-insufficient
#1
Jon F Watchko
Given the urgency of double volume exchange transfusion (ExT) in an infant with intermediate to advanced stages of acute bilirubin encephalopathy (ABE), it has been suggested that emergency release uncross-matched packed red blood cells (ER-PRBC) be used. The efficacy of an ExT in removing bilirubin from the brain, however, is a direct function of the mass of albumin exchanged. The very low albumin content of ER-PRBC may fail to be neuroprotective. Predicted changes in total serum bilirubin (TSB), serum albumin, the bilirubin/albumin (B/A) ratio, plasma volume (PV), and bilirubin equilibration from the extravascular space during ER-PRBC ExT are described...
July 12, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29983417/prolonged-antepartum-hospitalization-no-time-for-rest
#2
Stephanie M Spehar, John F Mission, Amanda Shupe, Francesca L Facco
OBJECTIVE: To characterize sleep patterns among pregnant women undergoing prolonged antepartum hospitalization. STUDY DESIGN: We conducted a prospective cohort study of women undergoing prolonged antepartum hospitalization after 20 weeks' gestation. Women were recruited to wear an Actigraph, complete a sleep log for 7 consecutive days, and complete a sleep survey at the end of the study period. Actigraphy was used to determine rest and sleep intervals, sleep onset latency, and wake time after sleep onset...
July 9, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29977013/ntprobnp-as-a-surrogate-biomarker-for-early-screening-of-pulmonary-hypertension-in-preterm-infants-with-bronchopulmonary-dysplasia
#3
Soham Dasgupta, Ashraf M Aly, Michael H Malloy, Anthony O Okorodudu, Sunil K Jain
OBJECTIVE: Pulmonary hypertension (PH) is a known complication of bronchopulmonary dysplasia (BPD). This study aimed to determine the utility of serial N-Terminal pro-Brain Natriuretic Peptide (NTproBNP) levels in the screening of BPD associated PH (BPD-PH) in preterm infants. STUDY DESIGN: Infants with birth weight <1500 g and <30 week corrected gestational age (CGA) were followed with serial NTproBNP levels and echocardiograms (ECHO). They were divided into control, BPD and BPD-PH groups...
July 6, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29977012/making-a-business-case-for-a-model-of-regionalization-with-neonatologist-availability-at-all-facilities-one-institution-s-financial-tell-all
#4
Edmund F LaGamma, Heather L Brumberg, David Aboudi, Shetal Shah
No abstract text is available yet for this article.
July 6, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29977011/management-options-and-parental-voice-in-the-treatment-of-trisomy-13-and-18
#5
Alaina K Pyle, Alan R Fleischman, George Hardart, Mark R Mercurio
No abstract text is available yet for this article.
July 6, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29973664/umbilical-cord-milking-for-neonates-who-are-depressed-at-birth-a-randomized-trial-of-feasibility
#6
Meenakshi Girish, Vinita Jain, Rohinie Dhokane, Shital B Gondhali, Ashish Vaidya, Zubair H Aghai
OBJECTIVE: To evaluate the feasibility and safety of umbilical cord milking (UCM) in neonates who are depressed at birth. STUDY DESIGN: This is a quasi-randomized, non-blinded, controlled trial on infants (≥35 weeks) who were depressed at birth. UCM (cord milked three times) was performed during the even months and the neonates born during the odd months were in the control group. Primary outcome was feasibility and safety. RESULTS: A total of 101 infants were enrolled (50 UCM group and 51 control group) between January 2015 and October 2016...
July 5, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29970914/dispute-between-physicians-and-family-on-surgical-treatment-for-an-infant-with-ultra-short-gut-syndrome-the-perspective-of-an-ethics-committee
#7
REVIEW
Brian M Cummings, John J Paris, Jason N Batten, Michael P Moreland
No abstract text is available yet for this article.
July 4, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29961764/photoplethysmographic-assessment-of-pulse-transit-time-correlates-with-echocardiographic-measurement-of-stroke-volume-in-preterm-infants-with-patent-ductus-arteriosus
#8
Cynthia R Amirtharaj, Lynn C Palmeri, Gideon Gradwohl, Yair Adar, Meir Nitzan, Dorota Gruber, Andrew Blaufox, David B Meyer, Elena N Kwon, Robert Koppel
OBJECTIVE: We aimed to correlate photoplethysmographic parameters with stroke volume in infants with PDA. Photoplethysmography constitutes the optical signal in pulse oximetry. STUDY DESIGN: Stroke volume was determined echocardiographically. Pulse transit time, right hand to foot arrival time difference, and relative amplitude were measured from pulse oximeter and ECG waveforms. Photoplethysmographic parameters before and after PDA closure were compared with stroke volume...
July 2, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29961763/non-contact-retinal-imaging-compared-to-indirect-ophthalmoscopy-for-retinopathy-of-prematurity-screening-infant-safety-profile
#9
S Grace Prakalapakorn, Sandra S Stinnett, Sharon F Freedman, David K Wallace, J Wayne Riggins, Keith J Gallaher
OBJECTIVE: Most retinopathy of prematurity screening involves an ophthalmologist performing indirect ophthalmoscopy, which can be stressful to infants. The purpose of this study is to evaluate the safety profile (using cardiopulmonary events as an indicator) of imaging infants with a non-contact retinal camera compared to examining them using indirect ophthalmoscopy. STUDY DESIGN: Prospective cohort study of 99 infants at a community hospital who were examined using indirect ophthalmoscopy and imaged using a non-contact retinal camera for retinopathy of prematurity...
July 2, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29961762/differences-in-prenatal-aneuploidy-screening-among-african-american-women-with-hemoglobin-s-variants
#10
April D Adams, Kendra Schaa, Rachael T Overcash
OBJECTIVE: It has been shown that hemoglobinopathies increase the risk of pregnancy complications and placental dysfunction. This could alter the placental analytes examined during prenatal aneuploidy screening. Our objective was to determine whether there is a difference in maternal serum screening results for women with hemoglobin S variants (AS, SS, SC, S/beta thalassemia) compared with women with normal hemoglobin (AA). STUDY DESIGN: This is a retrospective cohort study in African-American women receiving aneuploidy screening at MedStar Washington Hospital Center from 2008 to 2015...
July 2, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29941898/correction-prediction-of-preterm-birth-with-and-without-preeclampsia-using-mid-pregnancy-immune-and-growth-related-molecular-factors-and-maternal-characteristics
#11
Laura L Jelliffe-Pawlowski, Larry Rand, Bruce Bedell, Rebecca J Baer, Scott P Oltman, Mary E Norton, Gary M Shaw, David K Stevenson, Jeffrey C Murray, Kelli K Ryckman
This Article was originally published under Nature Research's License to Publish, but has nowbeen made available under a [CC BY 4.0] license. The PDF and HTML versions of the Articlehave been modified accordingly.
June 25, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29930326/moving-from-controversy-to-consensus-premedication-for-neonatal-intubation
#12
EDITORIAL
Lindsay Johnston, Soo Hyun Kwon
No abstract text is available yet for this article.
June 22, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29925866/heart-rate-ranges-in-premature-neonates-using-high-resolution-physiologic-data
#13
Corrie J Alonzo, Vijay P Nagraj, Jenna V Zschaebitz, Douglas E Lake, J Randall Moorman, Michael C Spaeder
OBJECTIVE: There are limited evidence-based published heart rate ranges for premature neonates. We determined heart rate ranges in premature neonates based on gestational and post-menstrual age. STUDY DESIGN: Retrospective observational study of premature neonates admitted to the neonatal intensive care unit at the University of Virginia between January 2009 and October 2015. We included gestational ages between 23 0/7 weeks and 34 6/7 weeks. We stratified data by gestational and post-menstrual age groups...
June 21, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29925865/national-and-regional-trends-in-gastrostomy-in-very-low-birth-weight-infants-in-the-usa-2000-2012
#14
L Dupree Hatch, Theresa A Scott, William F Walsh, Adam B Goldin, Martin L Blakely, Stephen W Patrick
OBJECTIVE: To determine rates of gastrostomy (GT) in very low birth weight (VLBW) infants. STUDY DESIGN: Retrospective, cross-sectional analysis of the Kids' Inpatient Database for the years 2000, 2003, 2006, 2009 and 2012. We identified VLBW births and infants undergoing a GT, with and without fundoplication, using ICD-9-CM codes. RESULT: National rates (per 1000 VLBW births) of GT increased from 11.5 GT (95% CI 10-13) in 2000 to 22.9 (95% CI 20-25) in 2012 (p < 0...
June 21, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29915375/frequency-and-duration-of-phototherapy-in-preterm-infants-35-weeks-gestation
#15
Devashis Mukherjee, Mary Coffey, M Jeffrey Maisels
OBJECTIVE: To evaluate the frequency, age at phototherapy (PT) initiation, and duration of PT use in infants 230/7 to 346/7 weeks of gestation in two neonatal intensive care units (NICUs) over 4 time periods. STUDY DESIGN: We reviewed the charts of all infants born at 230/7 -346/7 weeks of gestational age (GA) and admitted to the NICUs of two hospitals between January 2009 and September 2015. We calculated the proportion of infants who received PT and the total duration of PT exposure...
June 19, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29915374/maternal-overweight-and-obesity-increase-the-risk-of-fetal-acidosis-during-labor
#16
Stefan Johansson, Anna Sandström, Sven Cnattingius
OBJECTIVE: To investigate whether maternal overweight and obesity increased the risk of fetal acidosis measured in umbilical cord arterial blood after delivery. STUDY DESIGN: Population-based cohort study of 84,785 term (≥37 weeks) infants. Logistic regression was used to estimate risks of fetal acidosis in umbilical cord arterial blood. Fetal acidosis was defined as pH <7.10 or as pH <1st percentile on a normal reference curve. RESULT: Risks of fetal acidosis increased, regardless of definition, with maternal overweight and obesity severity...
June 19, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29910465/neural-breathing-patterns-in-preterm-newborns-supported-with-non-invasive-neurally-adjusted-ventilatory-assist
#17
Fermín García-Muñoz Rodrigo, Lourdes Urquía Martí, Gloria Galán Henríquez, Sonia Rivero Rodríguez, Alberto Hernández Gómez
OBJECTIVE: To characterize the neural breathing pattern in preterm infants supported with non-invasive neurally adjusted ventilatory assist (NIV-NAVA). STUDY DESIGN: Single-center prospective observational study. The electrical activity of the diaphragm (EAdi) was periodically recorded in 30-second series with the Edi catheter and the Servo-n software (Maquet, Solna, Sweden) in preterm infants supported with NIV-NAVA. The EAdiPeak , EAdiMin , EAdiTonic , EAdiPhasic , neural inspiratory, and expiratory times (nTi and nTe) and the neural respiratory rate (nRR) were calculated...
June 18, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29910464/plasma-proteome-changes-in-cord-blood-samples-from-preterm-infants
#18
Maciej Suski, Renata Bokiniec, Monika Szwarc-Duma, Józef Madej, Beata Bujak-Giżycka, Maria Katarzyna Borszewska-Kornacka, Teofila Książek, Agnieszka Grabowska, Cecilie Revhaug, Lars O Baumbusch, Ola D Saugstad, Jacek Józef Pietrzyk, Przemko Kwinta
OBJECTIVE: In the presented study, we aimed to systematically analyze plasma proteomes in cord blood samples from preterm infants stratified by their gestational age to identify proteins and related malfunctioning pathways at birth, possibly contributing to the complications observed among preterm infants. STUDY DESIGN: Preterm newborns were enrolled of three subgroups with different gestation age: newborns born ≤26 (group 1), between 27 and 28 (group 2) and between 29 and 30 (group 3) weeks of gestation, respectively, and compared to the control group of healthy, full-term newborns in respect to their plasma proteome composition...
June 18, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29895965/association-between-early-antibiotic-exposure-and-bronchopulmonary-dysplasia-or-death
#19
Dustin D Flannery, Kevin Dysart, Alison Cook, Jay Greenspan, Zubair H Aghai, Erik A Jensen
OBJECTIVE: To characterize the independent association between antibiotic exposure in the first week of life and the risk of bronchopulmonary dysplasia (BPD) or death among very preterm infants without culture-confirmed sepsis. METHODS: Retrospective cohort study using the Optum Neonatal Database. Infants without culture-confirmed sepsis born less than 1500 g and less than 32 weeks gestation between 1/2010 and 11/2016 were included. The independent association between antibiotic therapy during the first week of life and BPD or death prior to 36 weeks postmenstrual age (PMA) was assessed by multivariable logistic regression...
June 13, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29887609/reduced-oxygen-concentration-for-the-resuscitation-of-infants-with-congenital-diaphragmatic-hernia
#20
John S Riley, Ryan M Antiel, Natalie E Rintoul, Anne M Ades, Lindsay N Waqar, Nan Lin, Lisa M Herkert, Jo Ann D'Agostino, Casey Hoffman, William H Peranteau, Alan W Flake, N Scott Adzick, Holly L Hedrick
OBJECTIVE: To evaluate whether infants with congenital diaphragmatic hernia (CDH) can be safely resuscitated with a reduced starting fraction of inspired oxygen (FiO2 ) of 0.5. STUDY DESIGN: A retrospective cohort study comparing 68 patients resuscitated with starting FiO2 0.5 to 45 historical controls resuscitated with starting FiO2 1.0. RESULTS: Reduced starting FiO2 had no adverse effect upon survival, duration of intubation, need for ECMO, duration of ECMO, or time to surgery...
June 11, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
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