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Journals Journal of Perinatology : Offi...

Journal of Perinatology : Official Journal of the California Perinatal Association

https://read.qxmd.com/read/36964206/dilemmas-in-parenteral-glucose-delivery-and-approach-to-glucose-monitoring-and-interpretation-in-the-neonate
#1
REVIEW
Cynthia L Blanco, Victor Smith, Sara E Ramel, Camilia R Martin
Glucose control continues to be challenging for intensivists, in particular in high-risk neonates. Many factors play a role in glucose regulation including intrinsic and extrinsic factors. Optimal targets for euglycemia are debatable with uncertain short and long-term effects. Glucose measurement technology has continued to advance over the past decade; unfortunately, the availability of these advanced devices outside of research continues to be problematic. Treatment approaches should be individualized depending on etiology, symptoms, and neonatal conditions...
March 24, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36964205/-the-gender-gap-in-caring-for-children-with-medical-complexity
#2
JOURNAL ARTICLE
Kelly M Werner
No abstract text is available yet for this article.
March 24, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36959468/rates-of-phototherapy-among-abo-incompatible-newborns-with-a-negative-direct-antiglobulin-test
#3
JOURNAL ARTICLE
Jonathan M Gabbay, Elizabeth M Agneta, Simon Turkington, Benjamin M Bajaj, Bharati Sinha, Tanya Geha
OBJECTIVE: We analyze phototherapy rates after implementation of a Hyperbilirubinemia Clinical Pathway (HCP), which placed full-term ABOi DAT negative newborns on the low risk phototherapy nomogram, rather than medium risk, as previously done. STUDY DESIGN: A chart review was performed for ABOi newborns born ≥36 weeks gestation between January 2020 and October 2021. Primary outcome measures were rates of phototherapy across pre- and post-intervention groups and among DAT negative newborns...
March 23, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36949157/no-such-thing-as-a-free-lunch-the-direct-marginal-costs-of-breastfeeding
#4
REVIEW
Sarah E Mahoney, Sarah N Taylor, Howard P Forman
Understanding costs associated with breastfeeding is critical to developing maximally effective policy to support breastfeeding by addressing financial barriers. Breastfeeding is not without cost; direct costs include those of equipment, modified nutritional intake, and time (opportunity cost). Breastfeeding need not require more equipment than formula feeding, though maternal equipment use varies by maternal preference. Meeting increased nutritional demands requires increased spending on food and potentially dietary supplementation, the marginal cost of which depends on a mother's baseline diet...
March 22, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36932136/current-state-of-renal-nirs-monitoring-in-the-nicu-results-from-a-chnc-survey
#5
JOURNAL ARTICLE
Matthew W Harer, Jennifer A Rumpel, Christine Stoops, Cara L Slagle, Brianna Liberio, John Daniel, Suma B Hoffman, Nidhi Agarwal, Mona G Khattab, Khodayar Rais-Bahrami, Sofia Perazzo
No abstract text is available yet for this article.
March 17, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36932135/developmental-screening-of-full-term-infants-at-16-to-18-months-of-age-after-in-utero-exposure-to-maternal-sars-cov-2-infection
#6
JOURNAL ARTICLE
Aashish V Shah, Heather B Howell, Sadaf H Kazmi, Michele Zaccario, Felice E Sklamberg, Taylor Groth, Pia Martindale, Benard Dreyer, Sourabh Verma
OBJECTIVE: To screen for neurodevelopmental delays in a cohort of full-term infants born to mothers with SARS-CoV-2. STUDY DESIGN: This was a prospective, descriptive cohort study of full-term infants born to mothers with SARS-CoV-2 during pregnancy. Subjects underwent neurodevelopmental screening using the Ages and Stages Questionnaires® -Third Edition (ASQ® -3) at 16 to 18 months age. RESULTS: Of 51 subjects, twelve (24%) were below cutoff, and twenty-seven (53%) were either below or close to the cutoff in at least one developmental domain...
March 17, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36914800/exposure-to-maternal-acetylsalicylic-acid-and-the-risk-of-bleeding-events-in-extreme-premature-neonates
#7
JOURNAL ARTICLE
Justine Morin, Joanne Delaney, Gabriela De Carvalho Nunes, Jessica Simoneau, Marc Beltempo, Catherine Goudie, Isabelle Malhamé, Gabriel Altit
No abstract text is available yet for this article.
March 13, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36914799/social-disadvantage-during-pregnancy-effects-on-gestational-age-and-birthweight
#8
JOURNAL ARTICLE
Joan L Luby, Sarah K England, Deanna M Barch, Barbara B Warner, Cynthia Rogers, Christopher D Smyser, Regina Triplett, Jyoti Arora, Tara A Smyser, George M Slavich, Peinan Zhao, Molly Stout, Erik Herzog, J Philip Miller
OBJECTIVE: Whether psychosocial adversity during pregnancy impacts fetal health outcomes at birth remains underexplored. This is a critical issue given significant social disadvantage and psychosocial stress faced by pregnant women worldwide. STUDY DESIGN: Measures of social disadvantage and psychological factors, and medical/reproductive and nutritional health status in pregnant women were obtained at each trimester. Using Structural Equation Modeling (SEM), we investigated the relationship of forms of adversity to each other and to infant gestational age, and birthweight...
March 13, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36914798/the-neonatal-withdrawal-assessment-tool-nwat-pilot-inter-rater-reliability-and-content-validity
#9
JOURNAL ARTICLE
Gonca Bektas, Taylor Soderborg, Cheryl Slater, Joel Agarwal, Michelle Racioppi, Trystan Hogan, Martha M Werler, Elisha M Wachman
OBJECTIVE: There is no validated tool to assess iatrogenic opioid withdrawal in preterm infants in the newborn intensive care unit (NICU). STUDY DESIGN: The Neonatal Withdrawal Assessment Tool (NWAT) was developed to address this gap in clinical practice. In this pilot study, the NWAT was assessed for inter-rater reliability (IRR) and content validity. RESULT: Fifty-one NICU providers scored two standardized simulated cases, then 20 paired provider assessments were completed on 5 preterm infants...
March 13, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36882532/leveraging-mhealth-and-a-milk-expression-frequency-biomarker-during-postpartum-to-prolong-lactation-among-parents-of-critically-ill-infants-a-pilot-study
#10
JOURNAL ARTICLE
Marina Magalhães, Arie H Havelaar, Deepthi S Varma, Nicole Cacho, Sandra Sullivan, Leslie A Parker
OBJECTIVE: To assess the feasibility and potential benefits of personalized biomarker-based text messages in prolonging lactation among parents of critically ill infants. STUDY DESIGN: Thirty-six participants were randomized to receive either daily texts with Mother's Own Milk (MOM) sodium levels or standard care. Surveys at months 1 and 3 assessed whether infants were receiving exclusive MOM feeding, any MOM feeding, and whether the parent was still lactating. Kaplan-Meier and log-rank tests were used for time-to-event analysis within and between intervention and control groups...
March 8, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36871107/fewer-glucose-checks-and-decreased-supplementation-using-dextrose-gel-for-asymptomatic-neonatal-hypoglycemia
#11
JOURNAL ARTICLE
Christine Walravens, Arun Gupta, Ronald S Cohen, Juliann L Kim, Adam Frymoyer
OBJECTIVE: Evaluate the impact of a neonatal hypoglycemia (NH) clinical pathway implementing buccal dextrose gel in late preterm and term infants. STUDY DESIGN: Quality improvement study at a children's hospital associated birth center. Number of blood glucose checks, use of supplemental milk, and need for IV glucose were followed for 26-months after implementation of dextrose gel and compared to previous 16-month period. RESULTS: After QI implementation, 2703 infants were screened for hypoglycemia...
March 4, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36841888/transmission-of-negative-biases-through-social-commentary-included-in-neonatal-intensive-care-unit-progress-notes
#12
JOURNAL ARTICLE
Henna Shaikh, Zeenia Billimoria, Daron Vandeleur, Elliott M Weiss, Maneesh Batra, Anna B Hedstrom
OBJECTIVE: To determine how the perception of families elicited after reading progress note social commentary differs by patient race. STUDY DESIGN: We retrospectively performed content analysis of social commentary in physician progress notes for neonatal intensive care unit patients hospitalized from 2018-2019. Neonatologists blinded to patient race rated how commentary impacted their perception of the patient's family on a 5-point Likert scale. Frequency of negative ratings was compared across reported race using chi-squared tests...
February 25, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36823313/the-association-between-patterns-of-early-respiratory-disease-and-diastolic-dysfunction-in-preterm-infants
#13
JOURNAL ARTICLE
Koert de Waal, Edward Crendal, Amy Chin-Yu Poon, Mariyam Shaya Latheef, Elias Sachawars, Thomas MacDougall, Nilkant Phad
BACKGROUND: This study aims to determine the association between clinical patterns of early respiratory disease and diastolic dysfunction in preterm infants. METHODS: Preterm infants <29 weeks' gestation underwent cardiac ultrasounds around day 7 and 14-21. Respiratory dysfunction patterns were classified as stable (ST), respiratory deterioration (RD) or early persistent respiratory dysfunction (EPRD) according to oxygen need. Diastolic dysfunction was diagnosed using a multi-parameter approach including left atrial strain (LASR ) to help differentiate between cardiac or pulmonary pathophysiology...
February 23, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36813903/short-course-empiric-antibiotic-therapy-for-possible-early-onset-sepsis-in-the-nicu
#14
JOURNAL ARTICLE
Pablo J Sánchez, Pavel Prusakov, Concepción de Alba Romero, Elena Zamora-Flores, María Camila Reyes Escamilla, Natalie O White, Randy R Miller, Richard Moraille, Anthony R Theile, Jacqueline K Magers
OBJECTIVE: On 2/2019, the Neonatal Antimicrobial Stewardship Program at Nationwide Children's Hospital recommended reducing empirical antibiotic therapy for early-onset sepsis (EOS) from 48 to 24 hours with a TIME-OUT. We describe our experience with this guideline and assess its safety. METHODS: Retrospective review of newborns evaluated for possible EOS at 6 NICUs from 12/2018-7/2019. Safety endpoints were re-initiation of antibiotics within 7 days after discontinuation of the initial course, positive bacterial blood or cerebrospinal fluid culture in the 7 days after antibiotic discontinuation, and overall and sepsis-related mortality...
February 22, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36813902/maternal-hypertensive-disorders-and-survival-without-major-morbidities-among-extremely-low-gestation-newborns
#15
JOURNAL ARTICLE
Martha B Kole-White, Shampa Saha, Erika F Werner, Sanjay Chawla, Martin Keszler, Elisabeth C McGowan, Myra H Wyckoff, Abbot R Laptook
OBJECTIVE: Evaluate if odds of survival without major morbidity are higher among extremely low gestation neonates (ELGANs) born to mothers with chronic hypertension (cHTN) or hypertensive disorders of pregnancy (HDP) compared to ELGANs born to mothers without hypertension (HTN). STUDY DESIGN: Retrospective study of prospectively collected data from the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Included children had a birthweight of 401-1000 g and/or gestational age of 220/7 to 286/7 wks...
February 22, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36813901/a-sepsis-trigger-tool-reduces-time-to-antibiotic-administration-in-the-nicu
#16
JOURNAL ARTICLE
Avery Forget, Comfort Adegboye, Maria Alfieri, Ramy Yim, Kathleen Flaherty, Himi Mathur, Amy E O'Connell
OBJECTIVE: Prolonged time to antibiotic administration is associated with increased morbidity and mortality. Interventions to decrease the time to antibiotic administration may improve mortality and morbidity. STUDY DESIGN: We identified possible change concepts for reducing time to antibiotic usage in the NICU. For the initial intervention, we developed a sepsis screening tool based on NICU-specific parameters. The main goal of the project was to reduce time to antibiotic administration by 10%...
February 22, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36801956/association-of-full-premedication-on-tracheal-intubation-outcomes-in-the-neonatal-intensive-care-unit-an-observational-cohort-study
#17
JOURNAL ARTICLE
Sara K Neches, Brianna K Brei, Rachel Umoren, Megan M Gray, Akira Nishisaki, Elizabeth E Foglia, Taylor Sawyer
OBJECTIVE: Evaluate the association of short-term tracheal intubation (TI) outcomes with premedication in the NICU. STUDY DESIGN: Observational single-center cohort study comparing TIs with full premedication (opiate analgesia and vagolytic and paralytic), partial premedication, and no premedication. The primary outcome is adverse TI associated events (TIAEs) in intubations with full premedication compared to those with partial or no premedication. Secondary outcomes included change in heart rate and first attempt TI success...
February 18, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36792685/the-association-of-regional-perinatal-risk-factors-and-neonatal-intensive-care-capacity-for-military-health-system-insured-newborns
#18
JOURNAL ARTICLE
David C Goodman, Celeste J Romano, Clinton Hall, Anna T Bukowinski, Thornton S Mu, Gia R Gumbs, Ava Marie S Conlin, Rasheda J Vereen, JoAnna K Leyenaar
OBJECTIVE: To characterize hospitals where military-insured newborns received care and test the association of regional perinatal risk with neonatal intensive care unit (NICU) capacity. STUDY DESIGN: We identified birth hospitals for live newborns October 2015-December 2018 (n = 296,568) and assigned newborns to health service areas (HSAs). Perinatal risk factors and the number of neonatal special care beds and neonatologists were calculated at HSA levels...
February 15, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36774516/role-of-genomic-medicine-and-implementing-equitable-access-for-critically-ill-infants-in-neonatal-intensive-care-units
#19
REVIEW
Alissa M D'Gama, Pankaj B Agrawal
Genetic disorders are a leading cause of morbidity and mortality in infants admitted to neonatal intensive care units. This population has immense potential to benefit from genomic medicine, as early precision diagnosis is critical to early personalized management. However, the implementation of genomic medicine in neonatology thus far has arguably worsened health inequities, and strategies are urgently needed to achieve equitable access to genomics in neonatal care. In this perspective, we demonstrate the utility of genomic sequencing in critically ill infants and highlight three key recommendations to advance equitable access: recruitment of underrepresented populations, education of non-genetics providers to empower practice of genomic medicine, and development of innovative infrastructure to implement genomic medicine across diverse settings...
February 11, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
https://read.qxmd.com/read/36759706/the-effect-of-changing-respiratory-rate-settings-on-co-2-levels-during-nasal-intermittent-positive-pressure-ventilation-nippv-in-premature-infants
#20
JOURNAL ARTICLE
Ori Hochwald, Liron Borenstein-Levin, Gil Dinur, Huda Jubran, Yoav Littner, Michal Breuer, Amir Kugelman
OBJECTIVE: To examine the change in CO2 , when applying NIPPV with either a low or a high rate in stable premature infants. STUDY DESIGN: Prospective, controlled, crossover study. Preterm infants on NIPPV were monitored by tcCO2 during two rate changes switching every hour between high (30 bpm) and low (10 bpm) set rates. RESULTS: Fifty premature infants (mean ± SD: 28.3 ± 2.4 weeks' gestation) were enrolled...
February 9, 2023: Journal of Perinatology: Official Journal of the California Perinatal Association
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