keyword
https://read.qxmd.com/read/38490917/expiratory-airflow-limitation-in-adults-born-extremely-preterm-a-systematic-review-and-meta-analysis
#1
REVIEW
Henriette Lahn-Johannessen Lillebøe, Merete Salveson Engeset, Hege H Clemm, Thomas Halvorsen, Ola Drange Røksund, Thomas Potrebny, Maria Vollsæter
Extreme preterm (EP) birth, denoting delivery before the onset of the third trimester, interrupts intrauterine development and causes significant early-life pulmonary trauma, thereby posing a lifelong risk to respiratory health. We conducted a systematic review and meta-analysis to investigate adult lung function following EP birth (gestational age <28 weeks); comparing forced expiratory volume in first second (FEV1 ), forced vital capacity (FVC), and FEV1 /FVC to reference values. Subgroup differences were explored based on timing of birth relative to surfactant use (1991) and bronchopulmonary dysplasia (BPD) status...
February 16, 2024: Paediatric Respiratory Reviews
https://read.qxmd.com/read/38488714/perfusion-techniques-for-an-800%C3%A2-g-premature-neonate-undergoing-arterial-switch-procedure-for-transposition-of-the-great-arteries%C3%A2
#2
Richard Owens, Madeline Loftin, Kellen Rosten, Douglas Fisher, Blake Denison, Erin Gottlieb, Charles Fraser
Early cardiac surgery in neonates and infants with congenital heart disease has been performed since the middle to late years of the twentieth century. To date, there are very few reports of successful congenital heart surgery using cardiopulmonary bypass (CPB) in premature babies less than 1000 g with serious congenital heart disease. Limited information is available in the literature describing perfusion techniques for this extremely fragile patient population. Miniaturization of the CPB circuit contributes to multiple factors that affect this population significantly...
March 2024: Journal of Extra-corporeal Technology
https://read.qxmd.com/read/38470421/institutional-and-regional-variation-in-opioid-prescribing-for-hospitalized-infants-in-the-us
#3
JOURNAL ARTICLE
Olivia A Keane, Shadassa Ourshalimian, Ashwini Lakshmanan, Henry C Lee, Susan R Hintz, Nam Nguyen, Madeleine C Ing, Cynthia L Gong, Cameron Kaplan, Lorraine I Kelley-Quon
IMPORTANCE: High-risk infants, defined as newborns with substantial neonatal-perinatal morbidities, often undergo multiple procedures and require prolonged intubation, resulting in extended opioid exposure that is associated with poor outcomes. Understanding variation in opioid prescribing can inform quality improvement and best-practice initiatives. OBJECTIVE: To examine regional and institutional variation in opioid prescribing, including short- and long-acting agents, in high-risk hospitalized infants...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38468216/perinatal-outcomes-and-sinopharm-bbibp-corv-vaccination-during-pregnancy
#4
JOURNAL ARTICLE
Donya Hatami, Abbas Habibelahi, Nasrin Changizi, Mohammad Heidarzadeh, Marzieh Nojomi, Moein Rast, Kiarash Ansari, Arash Tehrani-Banihashemi
BACKGROUND: After the outbreak of COVID-19, a huge part of the health care services was dedicated to preventing and treating this disease. In case of COVID-19 infection, severe COVID-19 is reported more in pregnant individuals. Afterward, Vaccination against SARS-CoV-2 became a hot topic due to known effects in preventing severe COVID-19 during pregnancy. Vaccination of pregnant individuals started in August 2021 with the Sinopharm vaccine in Iran. The aim of current study was to determine the incidence of perinatal outcomes in women who were vaccinated during pregnancy...
March 11, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38460343/analysis-of-perinatal-risk-factors-for-massive-pulmonary-hemorrhage-in-very-low-birth-weight-infant-a-nationwide-large-cohort-database
#5
JOURNAL ARTICLE
Jong Ki Jung, Eun Yeob Kim, Ju Sun Heo, Kyu Hee Park, Byung Min Choi
OBJECTIVE: To determine perinatal risk factors for Massive pulmonary hemorrhage (MPH) and MPH-caused mortality to guide clinicians in implementing preventive measures at the beginning of life for improving the survival of very low birth weight infant (VLBWIs). STUDY DESIGN: A total of 13,826 VLBWIs born between 2013 and 2020 in the Korean Neonatal Network database were included. RESULTS: MPH occurred in 870 (6.3 %) VLBWIs. Among infants with MPH, 162 (18...
March 5, 2024: Early Human Development
https://read.qxmd.com/read/38459372/higher-fluid-and-lower-caloric-intakes-associated-risk-of-severe-bronchopulmonary-dysplasia-in-elbw-infants
#6
JOURNAL ARTICLE
Danielle Kolitz, Lynn Przystac, Richard Tucker, William Oh, Barbara S Stonestreet
OBJECTIVE: To examine nutritional intake profiles and growth trajectories of extremely low birth weight (ELBW) infants who develop severe bronchopulmonary dysplasia (BPD). STUDY DESIGN: Case-control study using multiple logistic regression analysis with generalized estimating equations (GEE) to adjust for matching. RESULTS: Cumulative and mean fluid intakes were higher (p = 0.003) and caloric intakes lower (p < 0...
March 8, 2024: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/38456989/risk-factors-for-infant-hearing-loss-a-meta-analysis
#7
JOURNAL ARTICLE
Yiwei Han, Shangbin Li, Yankun Song, Jingfei Sun, Weichen Yan, Jie Wang, Xiong Gao, Xueying Li, Changjun Ren, Qian Zhao
Hearing loss is a common disability in infants that significantly impacts their cognitive, language, and literacy development. This study aimed to systematically assess the risk factors for the early identification and intervention in infant hearing loss. Databases were searched for meta-analyses of observational studies until November 2023. The quality assessment was performed using the Cochrane risk of bias tool, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the certainty of the evidence...
March 8, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38447757/effect-of-minimization-of-early-blood-sampling-losses-among-extremely-premature-neonates-a-randomized-clinical-trial
#8
JOURNAL ARTICLE
Haribalakrishna Balasubramanian, Mayuri Bhanushali, Vimmi Tripathi, Lakshmi Srinivasan, Sachin Sakharkar, Anish Pillai, Nandkishore S Kabra
OBJECTIVE: To evaluate the effect of blood sampling stewardship on transfusion requirements among infants born extremely preterm. STUDY DESIGN: In this single-center, randomized controlled trial, infants born at <28 weeks of gestation and birth weight of <1000 g were randomized at 24 hours of age to two different blood sampling approaches: restricted sampling versus conventional sampling. The stewardship intervention in the restricted sampling group included targeted reduction in blood sampling volume and frequency and point of care testing methods in the first six weeks after birth...
March 4, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38445079/human-milk-derived-versus-bovine-milk-derived-fortifier-use-in-very-low-birth-weight-infants-growth-and-vitamin-d-status
#9
JOURNAL ARTICLE
Emmanuelle Lavassani, Kate A Tauber, Jennifer B Cerone, Jennifer Ludke, Upender K Munshi
BACKGROUND: Human milk-derived fortifier (HMDF) coupled with human milk feeding in extremely premature infants reduces the adverse outcome risks of early exposure to bovine milk ingredients but may not provide enough nutrients for adequate catch-up growth compared with bovine milk-derived fortifier (BMDF). OBJECTIVE: This study aims to compare HMDF and BMDF effects on growth parameters and serum 25-hydroxy vitamin D (25OHD) levels in preterm very low birth weight (VLBW) infants during the first 8 weeks of life...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38443875/evaluating-the-relationship-between-conditional-cash-transfer-programme-on-preterm-births-a-retrospective-longitudinal-study-using-the-100%C3%A2-million-brazilian-cohort
#10
JOURNAL ARTICLE
Naiá Ortelan, Márcia Furquim de Almeida, Elzo Pereira Pinto Júnior, Nivea Bispo, Rosemeire L Fiaccone, Ila Rocha Falcão, Aline Dos Santos Rocha, Dandara Ramos, Enny S Paixão, Rita de Cássia Ribeiro-Silva, Laura C Rodrigues, Mauricio L Barreto, Maria Yury T Ichihara
BACKGROUND: Preterm births increase mortality and morbidity during childhood and later life, which is closely associated with poverty and the quality of prenatal care. Therefore, income redistribution and poverty reduction initiatives may be valuable in preventing this outcome. We assessed whether receipt of the Brazilian conditional cash transfer programme - Bolsa Familia Programme, the largest in the world - reduces the occurrence of preterm births, including their severity categories, and explored how this association differs according to prenatal care and the quality of Bolsa Familia Programme management...
March 5, 2024: BMC Public Health
https://read.qxmd.com/read/38439018/associations-of-maternal-serum-concentration-of-iron-related-indicators-with-birth-outcomes-in-chinese-a-pilot-prospective-cohort-study
#11
JOURNAL ARTICLE
Geng-Dong Chen, Peng-Sheng Li, Zi-Xing Zhou, Hai-Yan Wang, Xiao-Yan Gou, Shao-Xin Ye, Dong-Xin Lin, Da-Zhi Fan, Li-Juan Wang, Zheng-Ping Liu
BACKGROUND: Previous studies of maternal iron and birth outcomes have been limited to single indicators that do not reflect the comprehensive relationship with birth outcomes. We aimed to investigate the relationship between maternal iron metabolism and neonatal anthropometric indicators using comprehensive iron-related indicators. METHODS: A total of 914 Chinese mother-child dyads were enrolled in this prospective study. Subjects' blood samples were collected at ≤ 14 weeks of gestation...
March 5, 2024: Italian Journal of Pediatrics
https://read.qxmd.com/read/38437685/postnatal-myelomeningocele-closure-in-smallest-reported-neonate-illustrative-case
#12
JOURNAL ARTICLE
Momin M Mohis, Kevin Cordeiro, Sarah Larson, Catharine Garland, James A Stadler
BACKGROUND: Myelomeningocele (MMC) is the most serious form of spina bifida, a congenital defect in neural tube development. Defect closure in a patient with an extremely low birth weight presents unique challenges and risks; lower birth weight is associated with multiple organ system concerns, homeostasis is difficult, and local tissue is underdeveloped. To the authors' knowledge, the present case is the lowest reported weight (490 g) for a neonate with postnatal MMC repair. OBSERVATIONS: A preterm male with a prenatally diagnosed lumbosacral MMC and associated Chiari malformation type II was born at 23 weeks 1 day to a 29-year-old mother, gravidity 6 parity 4...
March 4, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38432888/clinical-characteristics-of-bronchopulmonary-dysplasia-in-very-preterm-infants
#13
JOURNAL ARTICLE
Yonghui Yang, Xiaori He, Xuefei Zhang, Pingyang Chen
OBJECTIVES: With the development of perinatal and neonatal intensive care medicine, the survival rate of very premature infants increases year by year. However, the incidence of bronchopulmonary dysplasia (BPD) increases year by year, which seriously affects the survival prognosis of very premature infants. How to prevent and treat BPD effectively has become the focus of neonatologists. This study aims to provide ideas for the prevention and treatment of BPD in very preterm infants via analyzing the clinical characteristics of BPD...
October 28, 2023: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://read.qxmd.com/read/38401790/screening-for-delayed-thyroid-stimulation-hormone-rise-and-atypical-congenital-hypothyroidism-in-infants-born-very-preterm-and-very-low-birth-weight-infants
#14
JOURNAL ARTICLE
Nolan Bret, Uy Cherry, Stablein Lisa, Bany-Mohammed Fayez
OBJECTIVE: To determine among infants born very preterm (VPT) or with very low birth weight (VLBW) the incidence of alterations in thyroid function and associated co-morbidities; the incidence of atypical congenital hypothyroidism (CH) requiring thyroxine therapy; and 3) reference ranges for re-screening at one month of age. STUDY DESIGN: A retrospective review of infants born VPT or with VLBW and admitted to UCI Medical Center between 1/1/2012 and 12/31/2020. Repeat thyroid screening was obtained at 1 month of life (+ 10 days)...
February 22, 2024: Journal of Pediatrics
https://read.qxmd.com/read/38399481/neonatal-birthweight-spectrum-maternal-risk-factors-and-pregnancy-outcomes-in-saudi-arabia
#15
JOURNAL ARTICLE
Hayfaa Wahabi, Hala Elmorshedy, Yasser S Amer, Elshazaly Saeed, Abdul Razak, Ibrahim Abdelaziz Hamama, Adnan Hadid, Samia Ahmed, Sarah A Aleban, Reema Abdullah Aldawish, Lara Sabri Alyahiwi, Haya Abdullah Alnafisah, Raghad E AlSubki, Norah Khalid Albahli, Aljohara Ayed Almutairi, Layan Fahad Alsanad, Amel Fayed
Background and Objectives: Low-birth-weight (LBW) neonates are at increased risk of morbidity and mortality which are inversely proportional to birth weight, while macrosomic babies are at risk of birth injuries and other related complications. Many maternal risk factors were associated with the extremes of birthweight. The objectives of this study are to investigate maternal risk factors for low and high birthweight and to report on the neonatal complications associated with abnormal birth weights. Materials and Methods: We conducted a retrospective analysis of medical records of deliveries ≥ 23 weeks...
January 23, 2024: Medicina
https://read.qxmd.com/read/38368194/predictors-of-mortality-in-very-low-birth-weight-neonates-with-congenital-diaphragmatic-hernia
#16
JOURNAL ARTICLE
Emily Nes, Priyanka V Chugh, Gregory Keefe, Katherine Culbreath, Kate A Morrow, Danielle E Y Ehret, Roger F Soll, Jeffrey D Horbar, Matthew T Harting, Kevin P Lally, Biren P Modi, Tom Jaksic, Erika M Edwards
BACKGROUND: Limited data exists regarding the mortality of very low birth weight (VLBW) neonates with congenital diaphragmatic hernia (CDH). This study aims to quantify and determine predictors of mortality in VLBW neonates with CDH. METHODS: This analysis of 829 U.S. NICUs included VLBW [birth weight ≤1500g] neonates, born 2011-2021 with and without CDH. The primary outcome was in-hospital mortality. A generalized estimating equation regression model determined the adjusted risk ratio (ARR) of mortality...
February 1, 2024: Journal of Pediatric Surgery
https://read.qxmd.com/read/38354033/improving-prediction-of-survival-for-extremely-premature-infants-born-at-23-to-29-weeks-gestational-age-in-the-neonatal-intensive-care-unit-development-and-evaluation-of-machine-learning-models
#17
JOURNAL ARTICLE
Angie Li, Sarah Mullin, Peter L Elkin
BACKGROUND: Infants born at extremely preterm gestational ages are typically admitted to the neonatal intensive care unit (NICU) after initial resuscitation. The subsequent hospital course can be highly variable, and despite counseling aided by available risk calculators, there are significant challenges with shared decision-making regarding life support and transition to end-of-life care. Improving predictive models can help providers and families navigate these unique challenges. OBJECTIVE: Machine learning methods have previously demonstrated added predictive value for determining intensive care unit outcomes, and their use allows consideration of a greater number of factors that potentially influence newborn outcomes, such as maternal characteristics...
February 14, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38350642/respiratory-severity-score-and-neurodevelopmental-outcomes-at-age-3-years-in-extremely-preterm-infants
#18
JOURNAL ARTICLE
Kei Tamai, A Takeuchi, Makoto Nakamura, Naomi Matsumoto, Takashi Yorifuji, Misao Kageyama
OBJECTIVE: We aimed to examine the association between respiratory severity score (RSS, mean airway pressure × fraction of inspired oxygen) and neurodevelopmental outcomes in extremely preterm infants. STUDY DESIGN: This was a single-center, retrospective cohort study. We analyzed data from extremely preterm infants who were admitted to the neonatal intensive care unit at Okayama Medical Center between 2010 and 2019. Infants without invasive respiratory management during the first day of life were excluded...
February 13, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38338284/infant-directed-speech-to-preterm-infants-during-the-first-year-postpartum-the-influence-of-preterm-birth-weight-and-maternal-parenting-stress
#19
JOURNAL ARTICLE
Alessandra Provera, Erica Neri, Francesca Agostini
Premature birth can increase the level of parenting stress (PS), especially in the case of parents of high-risk infants (extremely low birth weight (ELBW) and very low birth weight (VLBW)). Though published research has explored how maternal PS influences early dyadic interactions, limited research has focused on infant-directed speech (IDS), and no studies have investigated the link between prematurity severity based on birth weight and maternal IDS. This study, involving 100 mother-infant dyads, categorized into 30 ELBW premature infants, 30 VLBW premature infants, and 40 full-term (FT) ones, examined the impact of preterm birth weight and maternal parenting stress on IDS features during early interactions at 3 and 9 months postpartum...
February 4, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38337041/postnatal-growth-and-neurodevelopment-at-2-years-corrected-age-in-extremely-low-birthweight-infants
#20
JOURNAL ARTICLE
David A Nyakotey, Angelica M Clarke, Barbara E Cormack, Frank H Bloomfield, Jane E Harding
BACKGROUND: Faltering postnatal growth in preterm babies is associated with adverse neurodevelopment. However, which growth reference is most helpful for predicting neurodevelopment is unknown. We examined associations between faltering growth and developmental delay in extremely low birthweight (ELBW) infants. METHODS: We categorized faltering growth (z-score decrease ≥0.8 for weight/length, >1 for head circumference) between birth, 4 weeks, 36 weeks' postmenstrual age and 2 years' corrected age using fetal (Fenton, UK-WHO and Olsen) and healthy preterm (INTERGROWTH-21st) references...
February 9, 2024: Pediatric Research
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