journal
https://read.qxmd.com/read/38744322/prevalence-and-outcomes-of-gastrointestinal-anomalies-in-down-syndrome
#21
JOURNAL ARTICLE
Marwa M Elgendy, Josef Cortez, Firas Saker, Mohamed A Mohamed, Hany Aly
OBJECTIVES:  Our objective was to investigate the prevalence of small intestinal atresia and Hirschsprung's disease (HD) in infants with Down syndrome (DS) and its impact on outcomes. STUDY DESIGN:  We analyzed the National Inpatient Sample dataset. We included infants with DS, small intestinal atresia, HD, and the concomitant occurrence of both conditions. Regression analysis was used to control clinical and demographic variables. RESULTS:  A total of 66,213,034 infants were included, of whom, 99,861 (0...
May 14, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38740366/critical-organ-dysfunction-and-preoperative-mortality-in-newborns-with-hypoplastic-left-heart-syndrome
#22
JOURNAL ARTICLE
Matthew D Durbin, James L Wynn, Paulomi Chaudhry, Alyx Posorske, Ellen Voskoboynik, Woo Y Park, Orlyn Lavilla, Khyzer B Aziz
Hypoplastic left heart syndrome (HLHS) is fatal without surgical intervention. An important subset of HLHS patients die prior to surgical intervention, but this population is underevaluated. The neonatal sequential organ failure assessment score (nSOFA) is an operational definition of organ dysfunction that can identify those with a high risk of mortality among neonatal intensive care unit (NICU) patients. The utility of the nSOFA to predict preoperative mortality in the unique HLHS population is unknown and could inform care, particularly care provided by neonatology staff...
May 13, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38729183/placental-sars-cov-2-infection-and-its-implications-for-increased-risk-of-adverse-pregnancy-outcomes
#23
JOURNAL ARTICLE
Bingbing Wang, Wei-Bin Shen, Courtney Townsel, Lauren Baracco, James Logue, E Albert Reece, Matthew B Frieman, Peixin Yang
INTRODUCTION: Pregnant women are at increased risk of COVID-19. This could be explained through the prism of physiologic and immunologic changes in pregnancy. In addition, certain immunological reactions originate in the placenta in response to viral infections. OBJECTIVE: This study aimed to investigate whether SARS-CoV-2 can infect the human placenta and discuss its implications in the pathogenesis of adverse pregnancy outcomes. STUDY DESIGN: We conducted a retrospective cohort study in which we collected placental specimens from pregnant women who had a laboratory-confirmed SARS-CoV-2 infection...
May 10, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38729164/prediction-of-covid-19-severity-at-delivery-after-asymptomatic-or-mild-covid-19-during-pregnancy
#24
JOURNAL ARTICLE
Grecio J Sandoval, Torri D Metz, William A Grobman, Tracy A Manuck, Brenna L Hughes, George R Saade, Monica Longo, Hyagriv N Simhan, Dwight J Rouse, Hector Mendez-Figueroa, Cynthia Gyamfi-Bannerman, Angela C Ranzini, Maged M Costantine, Harish M Sehdev, Alan T N Tita
OBJECTIVE:  This study aimed to develop a prediction model that estimates the probability that a pregnant person who has had asymptomatic or mild coronavirus disease 2019 (COVID-19) prior to delivery admission will progress in severity to moderate, severe, or critical COVID-19. STUDY DESIGN:  This was a secondary analysis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive patients who delivered from March through December 2020 at hospitals across the United States...
May 10, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38729163/treatment-for-neonatal-abstinence-syndrome-using-nonpharmacological-interventions
#25
JOURNAL ARTICLE
Tonya W Robinson, Reetta Stikes, Jaki Sorrell, Amanda Gater, Adam T Booth, Amanda Gardner, Colleen Greenwell, Shannon Businger, Ryan Low, Rachael Petrie
OBJECTIVE:  Management of neonatal abstinence syndrome includes nonpharmacological interventions, but their effectiveness may not be verified before implemented. The objective of this study is to evaluate the effectiveness of a type of bassinet in the treatment of infants with neonatal abstinence syndrome. STUDY DESIGN:  This is a retrospective observational cohort study. Study setting involved a 24-bed open-bay Level III neonatal intensive care unit located in a metropolitan academic trauma facility...
May 10, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38723640/antenatal-breast-milk-expression-survey-of-individuals-whose-pregnancy-was-complicated-by-diabetes-exploring-knowledge-perceptions-experiences-and-milk-volume-expressed
#26
JOURNAL ARTICLE
Sarah Mess, Anna Palatnik, Erwin Cabacungan
OBJECTIVE:  Antenatal breast milk expression (ABE) offers a host of benefits, including reduced formula consumption, support for breastfeeding success, and increased maternal satisfaction. Despite these advantages, experience with ABE differs significantly, often leading to anxiety over perceived inadequate milk supply and eventual breastfeeding cessation. This study comprehensively evaluates the knowledge, attitudes, and real-world experiences of individuals with gestational or pregestational diabetes concerning ABE, with a focus on total milk volume expressed prior to birth...
May 9, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38714206/is-the-risk-of-intrahepatic-cholestasis-increased-with-supplemental-progesterone
#27
JOURNAL ARTICLE
Matthew C H Rohn, Lindsey Vignali, Isabel Reeder, Kiana Khosravian, Scott Petersen
OBJECTIVE:  This study aimed to evaluate the relationship between supplemental progesterone use during pregnancy and the development of intrahepatic cholestasis of pregnancy (ICP). STUDY DESIGN:  A retrospective, matched case-control study was conducted among a population of women who delivered at George Washington University Hospital (GW) between 2012 and 2022. Women diagnosed with ICP (cases) were identified using International Statistical Classification of Diseases (ICD) codes, and data were collected via chart abstraction...
May 7, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38714205/therapeutic-hypothermia-for-neonatal-hypoxic-ischemic-encephalopathy-reducing-variability-in-practice-through-a-collaborative-telemedicine-initiative
#28
JOURNAL ARTICLE
Danieli M K Leandro, Gabriel F T Variane, Alex Dahlen, Rafaela F R Pietrobom, Jessica A R R de Castro, Daniela P Rodrigues, Mauricio Magalhães, Marcelo J Mimica, Krisa P Van Meurs, Valerie Y Chock
OBJECTIVE:  This study aimed to assess the viability of implementing a tele-educational training program in neurocritical care for newborns diagnosed with hypoxic-ischemic encephalopathy (HIE) and treated with therapeutic hypothermia (TH), with the goal of reducing practice variation. STUDY DESIGN:  Prospective study including newborns with HIE treated with TH from 12 neonatal intensive care units in Brazil conducted from February 2021 to February 2022...
May 7, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38714204/management-utilization-and-outcomes-of-preterm-labor-in-an-integrated-health-care-system
#29
JOURNAL ARTICLE
Darios Getahun, David A Sacks, Jiaxiao Shi, Fagen Xie, Nehaa Khadka, Vicki Y Chiu, Nana A Mensah, Chantal C Avila, Meiyu Yeh, Aniket A Kawatkar, Michael S Ruma, Derek Joyce, Michael J Fassett
OBJECTIVE:  Fetal fibronectin (fFN) testing and transvaginal ultrasound (TVUS) are diagnostic tools used to predict impending spontaneous preterm birth (sPTB) among women presenting with preterm labor (PTL). We evaluated the association between fFN testing or TVUS cervical length (CL) measurement in predicting sPTB, respiratory distress syndrome (RDS), neonatal intensive care unit (NICU) admission, and sPTB-related costs. STUDY DESIGN:  We conducted a retrospective cohort study using data from the Kaiser Permanente Southern California electronic health system (January 1, 2009-December 31, 2020) using diagnostic and procedure codes, along with a natural language processing algorithm to identify pregnancies with PTL evaluations...
May 7, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38701858/associations-between-parental-engagement-in-the-neonatal-intensive-care-unit-and-neighborhood-level-socioeconomic-status
#30
JOURNAL ARTICLE
Lisa Strouss Wallace, Ololade Okito, Kelsi Mellin, Lamia Soghier
OBJECTIVES: 1) To determine the effect of neighborhood-level socioeconomic status (SES), which considers the social and physical environment where a person lives, on parental engagement in the Neonatal Intensive Care Unit (NICU); 2) To compare the relationships between parental engagement and individual versus neighborhood-level measures of SES. STUDY DESIGN: In this cohort study, parents (n=45) of premature neonates ≤ 34 weeks gestation were assessed at two and six weeks after birth from December 2017 to October 2019...
May 3, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38698598/erratum-maternal-hemodynamics-from-preconception-to-delivery-research-and-potential-diagnostic-and-therapeutic-implications-position-statement-by-italian-association-of-pre-eclampsia-and-italian-society-of-perinatal-medicine
#31
JOURNAL ARTICLE
Barbara Vasapollo, Sara Zullino, Gian Paolo Novelli, Daniele Farsetti, Serena Ottanelli, Sara Clemenza, Massimo Micaglio, Enrico Ferrazzi, Daniela Denis Di Martino, Tullio Ghi, Elvira Di Pasquo, Rossana Orabona, Paola Corbella, Maria Grazia Frigo, Federico Prefumo, Tamara Stampalija, Stefano Raffaele Giannubilo, Herbert Valensise, Federico Mecacci
No abstract text is available yet for this article.
May 2, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38698597/cerclage-plus-adjuvant-vaginal-progesterone-for-preterm-birth-prevention-in-patients-with-a-short-or-dilated-cervix-without-prior-preterm-birth
#32
JOURNAL ARTICLE
Jessica M Hart, Annliz Macharia, Anna M Modest, Katherine M Johnson, Julianne Lauring, Erica Nicasio, Michele R Hacker, Melissa H Spiel
OBJECTIVE:  The primary objective was to determine if vaginal progesterone following cerclage for cervical length <10 mm or cervical dilation in patients without a history of spontaneous preterm birth (sPTB) decreased the risk of preterm birth at <34 weeks' gestation compared with cerclage alone. Secondary objectives were to determine if vaginal progesterone following cerclage (1) decreased the risk of preterm birth at <24, <28, and <37 weeks' gestation and (2) increased the latency period from cerclage placement to delivery compared with treatment with cerclage alone...
May 2, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38698596/correlating-severity-of-pulmonary-hypertension-by-echocardiogram-with-mortality-in-premature-infants-with-bronchopulmonary-dysplasia
#33
JOURNAL ARTICLE
Rachel D Torok, Robert A Gardner, Piers C A Barker, Andrew W McCrary, Jennifer S Li, Christoph P Hornik, Matthew M Laughon, Wesley M Jackson
OBJECTIVE:  Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth. Infants with BPD are at increased risk for pulmonary hypertension (PH). Cardiac catheterization is the gold standard for diagnosing PH, but cardiac catheterization is challenging to perform in small, sick, premature infants. The utility of echocardiography for diagnosing PH and predicting outcomes in extremely premature infants has not been clearly defined. Therefore, we sought to use predefined criteria to diagnose PH by echocardiogram and relate PH severity to mortality in extremely premature infants with BPD...
May 2, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38698595/the-impact-on-birth-outcomes-of-sonographic-fetal-weight-estimation-in-neonatal-macrosomia
#34
JOURNAL ARTICLE
Inshirah Sgayer, Karina Nskovica, Iuliia Murkhovskyi, Raneen Abu Shqara, Artyom Bilyk, Lior Lowenstein, Maya Frank Wolf
OBJECTIVE:  Our objective was to examine the association between sonographic estimated fetal weight (EFW) and obstetrical and neonatal outcomes in women with neonatal macrosomia. STUDY DESIGN:  This study, conducted at a tertiary university-affiliated hospital from 2017 to 2021, compared obstetrical and neonatal outcomes between two groups of women who delivered macrosomic newborns (actual birthweight ≥ 4,000 g): (1) those with EFW ≥ 3,800 g (suspected impending macrosomia) and (2) those with EFW < 3,800 g (unsuspected impending macrosomia)...
May 2, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38698594/essentials-of-point-of-care-ultrasound-coding-and-billing-at-the-neonatal-intensive-care-unit-setting-in-the-united-states
#35
JOURNAL ARTICLE
Belinda Chan, Natalie Mnyavanu, Shazia Bhombal, María V Fraga, Alan M Groves, Stephanie Marshall, Shanmukha Mukthapuram, Yogen Singh
Point-of-care ultrasound (POCUS) has increasingly been used by neonatal providers in neonatal intensive care units in the United States. However, there is a lack of literature addressing the complexities of POCUS coding and billing practices in the United States. This article describes the coding terminology and billing process especially those relevant to neonatal POCUS. We elucidate considerations for neonatal POCUS billing framework and workflow integration. Directions on image storage and supporting documentation to facilitate efficient reimbursement, compliance with billing regulations, and appeal to insurance claim denial are discussed...
May 2, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38692269/erratum-workforce-characteristics-of-early-career-neonatologists-and-comparison-of-practice-sites
#36
JOURNAL ARTICLE
Matt Nestander, Colby Day, Ashley Lucke, Shiva Gautam, Eric Horowitz, Sarah M Bernstein, Anisha Bhatia
No abstract text is available yet for this article.
May 1, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38688321/large-for-gestational-age-and-adverse-outcomes-stratified-by-diabetes-status
#37
JOURNAL ARTICLE
Sarah Nazeer, Han-Yang Chen, Joycelyn A Cornthwaite, Suneet P Chauhan, Baha M Sibai, Stephen Wagner, Michal Fishel Bartal
OBJECTIVE: To examine the association of adverse outcomes among parturients with large for gestational age (LGA; birth weight > 90th) newborns, stratified by diabetes status. Additionally, we described the temporal trends of adverse outcomes among LGA neonates. METHODS: This retrospective cohort study used the U.S. Vital Statistics dataset between 2014-2020. The inclusion criteria were singleton, non-anomalous LGA live births who labored and delivered at 24-41 weeks with known diabetes status...
April 30, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38688320/screening-for-bacterial-vaginosis-prior-to-delivery-a-cost-effectiveness-study
#38
JOURNAL ARTICLE
Hope Knochenhauer, Stephanie Lim, Laura Havrilesky, Sarah Dotters-Katz
OBJECTIVE: The objective of this study was to compare the cost and effectiveness of three strategies for screening and/or treating bacterial vaginosis (BV) during pregnancy prior to delivery: (1) the current standard of care, neither test nor treat for BV (Treat None); (2) test all patients for BV at 36 weeks gestation; treat if positive (Test Treat); and (3) treat all patients undergoing cesarean delivery with intravenous metronidazole at time of surgery (Treat All Cesarean). Effectiveness was defined as avoidance of postpartum surgical site infection...
April 30, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38688298/the-diagnostic-yield-of-chromosomal-microarray-analysis-in-third-trimester-fetal-abnormalities
#39
JOURNAL ARTICLE
Eyal Elron, Idit Maya, Noa Shefer-Averbuch, Sarit Kahana, Reut Matar, Kochav Klein, Ifat Agmon-Fishman, Merav Gurevitch, Lina Basel-Salmon, Michal Levy
OBJECTIVE:  This study aimed to determine the diagnostic yield of chromosomal microarray analysis (CMA) performed in cases of fetal abnormalities detected during the third trimester of pregnancy. STUDY DESIGN:  A retrospective review of medical records was conducted for women who underwent amniocentesis at or beyond 28 weeks of gestation between January 2017 and February 2023. CMA results of pregnancies with abnormal sonographic findings not detected before 28 weeks were included...
April 30, 2024: American Journal of Perinatology
https://read.qxmd.com/read/38657663/effects-of-implementing-a-routine-postpartum-fasting-blood-glucose-on-the-completion-of-the-gold-standard-2-hour-oral-glucose-tolerance-test-in-gestational-diabetics
#40
JOURNAL ARTICLE
Alissa Kathleen Prior, Cara Dolin, Whitney Renee Bender, Celeste Durnwald, Rebecca F Hamm
OBJECTIVE: Rates of completion of the gold standard 2-hour oral glucose tolerance test (OGTT) for impaired glucose intolerance postpartum in patients with gestational diabetes mellitus (GDM) are consistently less than 50 percent. Screening tests performed prior to hospital discharge, including a fasting blood glucose (FBG) to detect persistent hyperglycemia, have been investigated. We lack evidence, however, on whether implementation of routine postpartum FBG impacts the likelihood of obtaining the routine 2-hour OGTT...
April 24, 2024: American Journal of Perinatology
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