4,297 results match your criteria American Journal of Perinatology[Journal]


Oral Opioid Use during Vaginal Delivery Hospitalizations.

Am J Perinatol 2019 Feb 12. Epub 2019 Feb 12.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.

Objective:  To determine the receipt of short-acting opioid medications during vaginal delivery hospitalizations.

Study Design:  The Perspective database was analyzed to evaluate patterns of short-acting oral opioid use during vaginal delivery hospitalizations from January 2006 to March 2015. Unadjusted and adjusted models evaluating the role of demographic and hospital factors were created evaluating use of opioids. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678566
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http://dx.doi.org/10.1055/s-0039-1678566DOI Listing
February 2019
6 Reads

A Regression Model for Prediction of Cesarean-Associated Blood Transfusion.

Am J Perinatol 2019 Feb 11. Epub 2019 Feb 11.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Women and Infants Hospital, Alpert Medical School of Brown University, Providence, Rhode Island.

Objective:  To develop a model to predict cesarean-associated red blood cell transfusion.

Study Design:  Secondary analysis of all cesarean deliveries in the Maternal-Fetal Medicine Units Network Cesarean Registry. Using a split-sample technique, the derivation group was used to identify associated factors and build predictive models, and the validation group was used to estimate classification errors and determine test characteristics. Read More

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http://dx.doi.org/10.1055/s-0039-1678604DOI Listing
February 2019

Social Determinants of Gestational Weight Gain in an Obese, Low-Income Population.

Am J Perinatol 2019 Feb 11. Epub 2019 Feb 11.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.

Objective:  To examine how social support factors affect compliance with gestational weight gain (GWG) recommendations in an obese, low-income, predominantly minority population.

Study Design:  A retrospective cohort of 772 pregnant women with body mass index > 30 was reviewed. Univariate and multinomial logistic regression analyses were used to compare GWG with pregnancy planning, relationship status, participation in group prenatal care, nutritional education, and demographic factors. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678606
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February 2019
7 Reads

Sex-Specific Genetic Susceptibility To Adverse Neurodevelopmental Outcome in Offspring of Pregnancies at Risk of Early Preterm Delivery.

Am J Perinatol 2019 Feb 7. Epub 2019 Feb 7.

Department of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, Pennsylvania.

Objective:  To evaluate sex-specific genetic susceptibility to adverse neurodevelopmental outcome (ANO, defined as cerebral palsy [CP], mental, or psychomotor delay) at risk for early preterm birth (EPTB, < 32 weeks).

Study Design:  Secondary case-control analysis of a trial of magnesium sulfate (MgSO) before anticipated EPTB for CP prevention. Cases are infants who died by the age of 1 year or developed ANO. Read More

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http://dx.doi.org/10.1055/s-0039-1678535DOI Listing
February 2019
1 Read

Passive Range-of-Motion Exercise and Bone Mineralization in Preterm Infants: A Randomized Controlled Trial.

Am J Perinatol 2019 Feb 7. Epub 2019 Feb 7.

Neonatal Intensive Care Unit, Maternity Hospital, Ain Shams University, Cairo, Egypt.

Objective:  To assess the effect of range-of-motion exercise program on bone mineralization and somatic growth of very low birth weight (VLBW) infants.

Study Design:  A total of 36 VLBW infants were randomized into 18 VLBW infants receiving range-of-motion exercise and 18 VLBW control infants receiving tactile stimulation for 4 weeks. Laboratory investigations were performed at baseline and postexercise and included serum calcium, serum phosphorus (s. Read More

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http://dx.doi.org/10.1055/s-0039-1678559DOI Listing
February 2019

Obstetric Outcomes in Young Women with Breast Cancer: Prior, Postpartum, and Subsequent Pregnancies.

Am J Perinatol 2019 Feb 6. Epub 2019 Feb 6.

Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington.

Objective:  To describe obstetric outcomes in a large cohort of young women with breast cancer, considering the chronological relationship of pregnancies with breast cancer diagnosis.

Study Design:  From a population-based cohort study of young women with breast cancer from 2004 to 2010, we conducted secondary interviews to obtain detailed obstetric histories. Pregnancies were categorized based on timing of breast cancer diagnosis: prior, postpartum, and subsequent pregnancies after breast cancer diagnosis. Read More

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http://dx.doi.org/10.1055/s-0039-1678603DOI Listing
February 2019
1 Read

Does Postmenstrual Age Affect Medical Patent Ductus Arteriosus Treatment Success in Preterm Infants?

Am J Perinatol 2019 Feb 6. Epub 2019 Feb 6.

Section of Neonatology, Department of Pediatrics, Foothills Medical Centre, Cumming School of Medicine, University of Calgary, Alberta, Canada.

Introduction:  Patent ductus arteriosus (PDA) is the most common cardiovascular problem of prematurity. Our objective was to examine the effect of postmenstrual age (PMA) on response to medical PDA treatment.

Study Design:  This retrospective cohort study included infants ≤ 32 weeks' gestational age (GA) who received nonsteroidal anti-inflammatory drugs (NSAIDs) for PDA treatment. Read More

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http://dx.doi.org/10.1055/s-0039-1678555DOI Listing
February 2019
1 Read

Immediate and Sustained Effect of Neonatal Teaching in a Perinatal Setting in Urban Laos.

Am J Perinatol 2019 Feb 5. Epub 2019 Feb 5.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of Health Sciences, Vientiane, Laos.

Objective:  To quantify knowledge on neonatal topics among obstetricians and pediatricians participating in a perinatal teaching program aimed at reducing neonatal mortality in Laos.

Study Design:  Obstetricians and pediatricians from Vientiane and the surrounding areas participated in a 1-week teaching program in obstetric and neonatal topics and responded to pre- and posttests questionnaires to quantify their knowledge.

Results:  Although questions were predominantly related to neonatal topics, obstetricians performed significantly better than pediatricians during the pretest. Read More

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http://dx.doi.org/10.1055/s-0039-1678668DOI Listing
February 2019

A Multicentered Randomized Study on Early versus Rescue Calsurf Administration for the Treatment of Respiratory Distress Syndrome in Preterm Infants.

Am J Perinatol 2019 Feb 4. Epub 2019 Feb 4.

Neonatal Intensive Care Unit, Taihe Hospital, Shiyan, Hubei, China.

Objective:  Surfactant and noninvasive ventilation are two major strategies for the treatment of neonates with respiratory distress syndrome (RDS). However, the optimal time for surfactant administering is yet controversial. This study compared the early and rescue Calsurf administration in preterm infants with RDS. Read More

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http://dx.doi.org/10.1055/s-0039-1678530DOI Listing
February 2019
1 Read

Universal Electrocardiographic Screening for Long QT Syndrome in Hospitalized Neonates.

Am J Perinatol 2019 Feb 4. Epub 2019 Feb 4.

Division of Neonatology, Banner - University Medical Center Phoenix, Phoenix, Arizona.

Objective:  Long QT syndrome (LQTS) is a known cause of unexpected death, leading some to recommend routine neonatal electrocardiographic (ECG) screening. We used continuous electronic heart rate corrected QT interval (QTc) monitoring to screen for interval prolongation in a cohort of hospitalized neonates to identify those at a risk of having LQTS. We hypothesized that this screening method would yield an acceptable positive predictive value (PPV). Read More

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http://dx.doi.org/10.1055/s-0039-1678605DOI Listing
February 2019
1 Read

Less Invasive Surfactant Administration in Spain: A Survey Regarding Its Practice, the Target Population, and Premedication Use.

Am J Perinatol 2019 Feb 4. Epub 2019 Feb 4.

Department of Neonatology, Vall d'Hebron University Hospital, Barcelona, Spain.

Objective:  Scientific evidence supports the use of less invasive surfactant administration (LISA) techniques, but certain issues may be limiting its generalized incorporation in clinical practice. The objectives were to determine the level of acceptance of LISA techniques in Spanish hospitals, the types of methods used, the target population, and the premedication administered.

Study Design:  An online survey was designed and sent to various secondary/tertiary hospitals in Spain. Read More

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http://dx.doi.org/10.1055/s-0039-1678534DOI Listing
February 2019
1 Read

Methemoglobinemia Associated with Late-Onset Neonatal Sepsis: A Single-Center Experience.

Am J Perinatol 2019 Feb 1. Epub 2019 Feb 1.

Neonatal Intensive Care Unit, AOUP "P. Giaccone," Department of Sciences for Health Promotion and Mother and Child Care "G. D'Alessandro," University of Palermo, Palermo, Italy.

Objective:  Methemoglobinemia (MetHb) is a rare congenital or acquired cause of infantile cyanosis. We examined the role of MetHb in a neonatal intensive care unit (NICU).

Study Design:  A retrospective observational study was conducted reviewing blood gas analyses of hospitalized newborns over a 2-year period. Read More

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http://dx.doi.org/10.1055/s-0039-1678556DOI Listing
February 2019
2 Reads

Is Milrinone Effective for Infants with Mild-to-Moderate Congenital Diaphragmatic Hernia?

Am J Perinatol 2019 Feb 1. Epub 2019 Feb 1.

Division of Neonatology, Primary Children's Hospital, Salt Lake City, Utah.

Background:  Pulmonary hypertension with left ventricular dysfunction commonly occurs in congenital diaphragmatic hernia (CDH). Milrinone, a phosphodiesterase-III inhibitor with lusitropic and vasodilator effects, is used in up to 30% of CDH infants across the United States. No randomized trials have tested the efficacy or safety of milrinone in CDH neonates. Read More

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http://dx.doi.org/10.1055/s-0039-1678558DOI Listing
February 2019
2 Reads

Factors Associated with Utilization of 17-Hydroxyprogesterone Caproate for the Prevention of Recurrent Preterm Birth.

Am J Perinatol 2019 Feb 1. Epub 2019 Feb 1.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

Objective:  Weekly 17-hydroxyprogesterone caproate (17OHP-C) from 16 to 36 weeks' gestation reduces the risk of recurrent spontaneous preterm birth (sPTB). Limited data suggest poor adherence to published guidelines. This study aimed to identify factors associated with 17OHP-C utilization. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1678532
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http://dx.doi.org/10.1055/s-0039-1678532DOI Listing
February 2019
1 Read

Mindfulness Training among Parents with Preterm Neonates in the Neonatal Intensive Care Unit: A Pilot Study.

Am J Perinatol 2019 Jan 31. Epub 2019 Jan 31.

Division of Neonatology, Christiana Care Health System, Newark, Delaware.

Objective:  To evaluate the feasibility of a mindfulness-based training session (MBTS) for parents of neonates born at ≤32 weeks' gestation in a level 3 neonatal intensive care unit (NICU).

Study Design:  Within 14 days of admission, parents completed the Parental Stressor Scale: Neonatal Intensive Care Unit Questionnaire (PSS:NICU), Cognitive and Affective Mindfulness Scale (CAMS-R), and a survey on stress management techniques. Parents then participated in a MBTS with instruction in mindfulness-based practices and were asked to practice the techniques during the NICU stay. Read More

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http://dx.doi.org/10.1055/s-0039-1678557DOI Listing
January 2019

Perinatal Factors Affecting Coagulation Parameters at Birth in Preterm and Term Neonates: A Retrospective Cohort Study.

Am J Perinatol 2019 Jan 31. Epub 2019 Jan 31.

Department of Pediatrics, Fukushima Medical University School of Medicine, Fukushima, Japan.

To date, few studies have investigated whether perinatal factors affect coagulation parameters at birth in preterm and term neonates. We retrospectively investigated coagulation factors on day 1 in 609 consecutive neonates admitted to our neonatal intensive care unit between January 2010 and December 2017. We measured coagulation factors on day 1 using peripheral blood samples. Read More

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http://dx.doi.org/10.1055/s-0039-1677867DOI Listing
January 2019
1 Read

Using Cervical Dilation to Predict Labor Onset: A Tool for Elective Labor Induction Counseling.

Am J Perinatol 2019 Jan 29. Epub 2019 Jan 29.

Division of Maternal-Fetal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Objective:  To evaluate whether cervical dilation predicts the timing and likelihood of spontaneous labor at term.

Study Design:  This was a retrospective cohort of nulliparous women with singleton pregnancies who delivered at term from 2013 to 2015. Outpatient cervical examinations performed after 37 weeks and prior to labor onset were collected. Read More

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http://dx.doi.org/10.1055/s-0039-1677866DOI Listing
January 2019
1 Read
1.597 Impact Factor

Erratum to: Relationship between Early Antibiotic Exposure and Short-Term Growth Velocity in Premature Neonates.

Am J Perinatol 2019 Jan 29. Epub 2019 Jan 29.

Division of Neonatology, Department of Pediatrics, Children's Hospital at Montefiore, Bronx, New York.

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http://dx.doi.org/10.1055/s-0039-1678577DOI Listing
January 2019

Early Postnatal IGF-1 and IGFBP-1 Blood Levels in Extremely Preterm Infants: Relationships with Indicators of Placental Insufficiency and with Systemic Inflammation.

Am J Perinatol 2019 Jan 27. Epub 2019 Jan 27.

Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts.

Objective:  To evaluate to what extent indicators of placenta insufficiency are associated with low concentrations of insulin-like growth factor 1 (IGF-1) and IGF-1-binding protein-1 (IGFBP-1) in neonatal blood, and to what extent the concentrations of these growth factors are associated with concentrations of proteins with inflammatory, neurotrophic, or angiogenic properties.

Design:  Using multiplex immunoassays, we measured the concentrations of IGF-1 and IGFBP-1, as well as 25 other proteins in blood spots collected weekly from ≥ 880 infants born before the 28th week of gestation, and sought correlates of concentrations in the top and bottom quartiles for gestational age and day the specimen was collected.

Results:  Medically indicated delivery and severe fetal growth restriction (sFGR) were associated with low concentrations of IGF-1 on the first postnatal day and with high concentrations of IGFBP-1 on almost all days. Read More

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http://dx.doi.org/10.1055/s-0038-1677472DOI Listing
January 2019
1 Read

Validation of the Siggaard-Andersen Acid-Base Nomogram for Hemoglobin F: Implications for Fetal Cord Blood Gas Analysis.

Am J Perinatol 2019 Jan 23. Epub 2019 Jan 23.

Department of Obstetrics and Gynecology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Objective:  The calculation of HCO and base excess in current blood gas analysis is based on the Siggaard-Andersen equation. One of the constants in this equation is dependent on the known buffering capacity of hemoglobin A. We sought to investigate differences in buffering capacity between adult hemoglobin A and fetal hemoglobin F as a potential explanation for the observed poor correlation between calculated base excess in umbilical cord blood and newborn outcomes. Read More

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http://dx.doi.org/10.1055/s-0039-1677800DOI Listing
January 2019
1 Read

Birth Size and Gestational Age Specific Outcomes of Inhaled Nitric Oxide Therapy in Preterm Neonates with Clinically Diagnosed Pulmonary Hypertension.

Am J Perinatol 2019 Jan 23. Epub 2019 Jan 23.

Division of Neonatal Medicine, Mayo Clinic, Rochester, Minnesota.

Objective:  Among neonates of 22 to 29 weeks' gestational age (GA) who required mechanical ventilation for the treatment of respiratory distress syndrome (RDS) and clinically diagnosed pulmonary hypertension (PH), we tested our hypothesis that the association between early treatment with inhaled nitric oxide (iNO) and survival would vary according to birth size and GA.

Study Design:  Because iNO was not randomly prescribed to patients in this cohort, we used propensity score matching to pair a neonate who received iNO at a chronological age of ≤7 days with an unexposed neonate with similar baseline characteristics. The primary outcome was inhospital mortality, which we evaluated based on size for GA and GA strata using the Cox proportional hazards regression model. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677799
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http://dx.doi.org/10.1055/s-0039-1677799DOI Listing
January 2019
5 Reads

A Genome-Wide Analysis of Clinical Chorioamnionitis among Preterm Infants.

Am J Perinatol 2019 Jan 23. Epub 2019 Jan 23.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

Objective:  To identify single nucleotide polymorphisms (SNPs) associated with clinical chorioamnionitis among preterm infants.

Study Design:  We reanalyzed a genome-wide association study (GWAS) from preterm newborns at less than 30 weeks' gestation. Cases and control definitions were determined using administrative records. Read More

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http://dx.doi.org/10.1055/s-0038-1677503DOI Listing
January 2019
1 Read

Foley Catheter for Outpatient Cervical Ripening: Review of the Evidence and a Proposed Model of Care.

Am J Perinatol 2019 Jan 23. Epub 2019 Jan 23.

Department of Obstetrics and Gynecology, Christiana Hospital, Newark, Delaware.

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http://dx.doi.org/10.1055/s-0038-1677473DOI Listing
January 2019
1 Read

Associations between Maternal AFP and β-HCG and Preterm Birth.

Am J Perinatol 2019 Jan 21. Epub 2019 Jan 21.

Department of Obstetrics and Gynecology, Nanjing Medical University Affiliated Suzhou Hospital, Suzhou, China.

Objective:  Preterm birth (PTB) is a significant public health problem. We aimed to explore whether alpha fetal protein (AFP) or β-human gonadotropin (β-HCG) levels during pregnancy were associated with PTB in Chinese population.

Methods:  The clinical data collected Nanjing Medical University Affiliated Suzhou Hospital and Wuxi Maternity and Child Health Care Hospital between January 2006 and December 2011 were analyzed retrospectively. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677017
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http://dx.doi.org/10.1055/s-0038-1677017DOI Listing
January 2019
10 Reads

Hypophosphatemia is Prevalent among Preterm Infants Less than 1,500 Grams.

Am J Perinatol 2019 Jan 21. Epub 2019 Jan 21.

Community Health Sciences, Institute of Public Health, Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Objective:  This article identifies the prevalence and associated factors of hypophosphatemia (HP) in very low birth weight (VLBW) infants in the first week of life.

Study Design:  Prospective exploratory cohort study of 106 consecutive VLBW infants admitted to neonatal intensive care at Foothills Hospital, Calgary, Canada. HP was defined as at least one measurement of serum phosphate < 1. Read More

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http://dx.doi.org/10.1055/s-0039-1677713DOI Listing
January 2019
2 Reads

Adverse Maternal Outcomes Associated with Uterine Extensions at the Time of Cesarean Delivery.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

Department of Obstetrics and Gynecology, Maternal and Child Health Research Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Objective:  We sought to compare adverse maternal outcomes between women with and without a uterine extension at the time of cesarean.

Study Design:  We conducted a retrospective cohort study of women with and without a uterine extension during a primary low transverse cesarean of a full-term singleton gestation. The primary outcomes were (1) estimated blood loss (EBL) and (2) composite maternal morbidity (defined as ≥ 1 of the following: blood transfusion, endometritis, or readmission). Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676827
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http://dx.doi.org/10.1055/s-0038-1676827DOI Listing
January 2019
8 Reads

Evaluation of the Effect of Low-Dose Aspirin on Biochemical and Biophysical Biomarkers for Placental Disease in Low-Risk Pregnancy: Secondary Analysis of a Multicenter RCT.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

UCD Perinatal Research Centre, School of Medicine, National Maternity Hospital, University College Dublin, Dublin, Ireland.

Objective:  To assess the effect of aspirin use in low-risk pregnancy on: (1) pregnancy-associated plasma protein-A (PAPP-A) and placental-like growth factor (PLGF); (2) urinary albumin-to-creatinine ratio (ACR) and blood pressure; (3) fetal growth parameters; and (4) placental histopathology.

Study Design:  This secondary analysis from the rial of low-dose aspirin with an arly creening est for preeclampsia and growth restriction randomized controlled trial was based on low-risk nulliparous women randomized at 11 weeks to (1) aspirin 75 mg; (2) no aspirin; and (3) aspirin based on the preeclampsia Fetal Medicine Foundation screening test. At baseline, women underwent assessment of blood pressure, PAPP-A, PLGF, and ACR, repeated 9 to 10 weeks postaspirin, in addition to fetal growth assessment. Read More

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http://dx.doi.org/10.1055/s-0038-1677476DOI Listing
January 2019
6 Reads

Adverse Outcomes with Maternal Blood Pressure Less than 140/90 in Pregnancy Complicated by Hypertension.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

Department of Obstetrics and Gynecology, Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama.

Objective:  We assessed the risk of small for gestational age and other outcomes in pregnancies complicated by chronic hypertension with blood pressure <140/90 mm Hg.

Study Design:  Retrospective cohort of singletons with hypertension at a single institution from 2000 to 2014. Mean systolic blood pressure and mean diastolic blood pressure were analyzed as continuous and dichotomous variables (<120/80 and 120-139/80-89 mm Hg). Read More

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http://dx.doi.org/10.1055/s-0038-1677474DOI Listing
January 2019
3 Reads

Wide Pulse Pressure Is Not Associated with Patent Ductus Arteriosus in the First Week of Life.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.

Background And Objectives:  Widened pulse pressure is generally associated with patent ductus arteriosus (PDA). Surprisingly, this is often not true for preterm infants during the first week of life when systolic and diastolic pressures are both reduced and pulse pressure may remain unchanged.

Methods:  This is a retrospective, observational review of individual blood pressure (BP) parameters preterm neonates <30 weeks' gestational age during the first week of life as correlated with ductal patency and severity. Read More

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http://dx.doi.org/10.1055/s-0038-1677475DOI Listing
January 2019
2 Reads

Association of Fast Food and Supermarket Density with Neonatal Outcomes of Pregnancies Affected by Gestational Diabetes.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern Feinberg School of Medicine, Chicago, Illinois.

Objective:  To measure the association of fast food density (FFD) and supermarket density (SD) with adverse neonatal outcomes in pregnancies with gestational diabetes mellitus (GDM).

Study Design:  This was a retrospective cohort study of women with GDM who delivered at a tertiary care center in a large metropolitan area (1/2010-2/2016). ZIP codes were used to link women with surrounding food environment. Read More

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http://dx.doi.org/10.1055/s-0038-1677478DOI Listing
January 2019
5 Reads

The "Meconium Aspirator": Still a Useful Tool during Newborn Resuscitation.

Am J Perinatol 2019 Jan 15. Epub 2019 Jan 15.

Division of Neonatology, Department of Pediatrics, Saint Louis University School of Medicine, St. Louis, Missouri.

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1677477
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http://dx.doi.org/10.1055/s-0038-1677477DOI Listing
January 2019
5 Reads

Society for Maternal-Fetal Medicine's Fellow Research Series 2018: Manuscripts of the Year.

Am J Perinatol 2019 Jan 9;36(1):1-2. Epub 2019 Jan 9.

Division of Maternal-Fetal Medicine, University of Utah Health, Salt Lake City, Utah.

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http://dx.doi.org/10.1055/s-0038-1676585DOI Listing
January 2019
2 Reads

SMFM 2019 Pregnancy Meeting: Looking Ahead to the Scientific Program (Podcast).

Authors:

Am J Perinatol 2019 Jan 9. Epub 2019 Jan 9.

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http://dx.doi.org/10.1055/s-0039-1677707DOI Listing
January 2019
2 Reads

The Use of Noninvasive Ventilation with High Frequency in Newborns-A Single-Center Experience.

Am J Perinatol 2019 Jan 8. Epub 2019 Jan 8.

Department of Neonatal Diseases, Samodzielny Publiczny Szpital Kliniczny nr 2 Pomorskiego Uniwersytetu Medycznego, Szczecin, Zachodniopomorskie, Poland.

Objective:  The aim of the study is to evaluate the efficacy of noninvasive high-frequency ventilation (nHFV) in respiratory-deficient infants.

Study Design:  Retrospective analysis of 32 cases of nHFV in 30 term ( = 4) and preterm ( = 26) newborns using a noninvasive ventilation (NIV) device. nHFV avoided intubation of children performed with NIV and reintubation after long-term mechanical ventilation (MV). Read More

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http://dx.doi.org/10.1055/s-0038-1677471DOI Listing
January 2019
3 Reads

New Strategies of Pulmonary Protection of Preterm Infants in the Delivery Room with the Respiratory Function Monitoring.

Am J Perinatol 2019 Jan 8. Epub 2019 Jan 8.

Division of Neonatology, Department of Statistics Institute for Health Research, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Objective:  To investigate if the use of a visible respiratory function monitor (RFM) to use lower tidal volumes (Vts) during positive pressure ventilation (PPV) in the delivery room (DR) reduces the need of surfactant administration and invasive mechanical ventilation during the first 72 hours after birth of preterm infants <32 weeks' gestational age (GA).

Study Design:  Infants <32 weeks' GA ( = 106) requiring noninvasive PPV were monitored with a RFM at birth and randomized to visible ( = 54) or masked ( = 52) display on RFM. Pulmonary data were recorded during the first 10 minutes after birth. Read More

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http://dx.doi.org/10.1055/s-0038-1676828DOI Listing
January 2019
2 Reads

Migration of Umbilical Venous Catheters.

Am J Perinatol 2019 Jan 8. Epub 2019 Jan 8.

Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Objective:  Migration of umbilical venous catheters (UVCs) after initial correct position has been described. The aim of this study was to assess the incidence of malposition of the tip of the UVCs at 24 to 36 hours postinsertion.

Study Design:  Retrospective analysis of all neonates who had UVC placement in a 14-month period. Read More

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http://dx.doi.org/10.1055/s-0038-1677016DOI Listing
January 2019
1 Read

SMOFlipid Protects Preterm Neonates against Perinatal Nutrition-Associated Cholestasis.

Am J Perinatol 2019 Jan 8. Epub 2019 Jan 8.

Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.

Background:  Intravenous lipid infusions improve both short- and long-term outcomes of premature neonates. However, prolonged infusion of lipids has been implicated in the development of parenteral nutrition-associated cholestasis (PNAC). We speculated that the multicomponent SMOFlipid would be hepatoprotective against PNAC. Read More

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http://dx.doi.org/10.1055/s-0038-1676977DOI Listing
January 2019
5 Reads

Outcomes of Congenital Diaphragmatic Hernia in One of the Twins.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatric Surgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Objective:  Congenital diaphragmatic hernia (CDH) occurred in one of the twins is rarely seen. This study aims to describe the clinical features and outcomes of this special CDH.

Study Design:  The medical records of all CDH neonates treated in our institution between 2010 and 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1055/s-0038-1676830DOI Listing
January 2019
9 Reads

Antepartum Contraceptive Counseling in Women with Preterm Birth.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, New York.

Objective:  To compare rates of antepartum contraceptive counseling among women with preterm birth (PTB) and term birth.

Study Design:  This is a retrospective cohort study of patients with completed delivery records in New York from January 1, 2004, to December 31, 2014. Exposure was determined based on the timing of delivery. Read More

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http://dx.doi.org/10.1055/s-0038-1676831DOI Listing
January 2019
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Neurodevelopmental Outcomes in Neonates with Mild Hypoxic Ischemic Encephalopathy Treated with Therapeutic Hypothermia.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatrics, Washington University in St Louis, St. Louis, Missouri.

Objective:  To review developmental outcomes of neonates with mild hypoxic-ischemic encephalopathy (HIE) treated with therapeutic hypothermia (TH).

Study Design:  Neonates ≥35 weeks' gestation with mild HIE/TH (TH group,  = 30) were matched with healthy term-born infants (control group,  = 30) and reviewed for the presence and severity of magnetic resonance imaging (MRI)-detected neurological injury. Neurodevelopmental outcomes were assessed using the Bayley Scales of Infant Development (BSID). Read More

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http://dx.doi.org/10.1055/s-0038-1676973DOI Listing
January 2019
3 Reads

The New York State Safe Motherhood Initiative: Early Impact of Obstetric Hemorrhage Bundle Implementation.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Obstetrics and Gynecology and Women's Health, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

Objective:  To determine the effects of the Safe Motherhood Initiative's (SMI) obstetric hemorrhage bundle in New York State (NYS).

Methods:  In 2013, the SMI convened interprofessional workgroups on hemorrhage, venous thromboembolism, and hypertension tasked with developing evidence-based care bundles. Participating hospitals submitted data measured before, during, and after implementation of the hemorrhage bundle: maternal mortality, intensive care unit (ICU) admission, cardiovascular collapse, hysterectomy, and transfusion of ≥4 units of red blood cells (RBCs). Read More

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http://dx.doi.org/10.1055/s-0038-1676976DOI Listing
January 2019
2 Reads

The Effect of Distraction during Labor Induction on Timing of Analgesia Request: A Randomized Clinical Trial.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.

Objective:  To assess whether distraction using music and/or video games influences timing of analgesia request and improves pain outcomes in women undergoing labor induction.

Study Design:  A total of 219 pregnant women with singleton gestation undergoing labor induction with a Foley bulb (FB) at term were randomized to distraction with music and video games via iPod ( = 109) or no iPod ( = 110). The primary outcome was the time from FB placement to request for pain medication. Read More

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http://dx.doi.org/10.1055/s-0038-1676974DOI Listing
January 2019
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A Lung Ultrasound Severity Score Predicts Chronic Lung Disease in Preterm Infants.

Am J Perinatol 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada.

Objective:  To test the hypothesis that a lung ultrasound severity score (LUSsc) can predict the development of chronic lung disease (CLD) in preterm neonates.

Study Design:  Preterm infants <30 weeks' gestational age were enrolled in this study. Lung ultrasound (LUS) was performed between 1 and 9 postnatal weeks. Read More

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http://dx.doi.org/10.1055/s-0038-1676975DOI Listing
January 2019
11 Reads

Early-Onset Neonatal Sepsis and Antibiotic Use in Northeast Thailand.

Am J Perinatol 2018 Dec 31. Epub 2018 Dec 31.

Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Background:  Antibiotics are commonly prescribed in neonatal intensive care units (NICUs) for suspected sepsis because of the nonspecific clinical symptoms of sepsis. The overuse of antibiotic is associated with adverse outcomes. This study aimed to determine the rate of early-onset sepsis (EOS) and antibiotic use in neonates admitted to three NICUs in Northeast Thailand STUDY DESIGN:  This is a descriptive study using the data collected in the South East Asia-Using Research for Change in Hospital-acquired Infection in Neonates project. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676829
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http://dx.doi.org/10.1055/s-0038-1676829DOI Listing
December 2018
9 Reads

Updating a Perinatal Risk Scoring System to Predict Infant Mortality.

Am J Perinatol 2018 Dec 28. Epub 2018 Dec 28.

Department of Pediatrics, School of Medicine, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, West Virginia.

Objective:  The Birth Score Project (Project WATCH) began in the rural state of West Virginia (WV) in the United States in 1984. The project is intended to identify newborns with a greater risk of infant mortality. The primary objective of this study was to update the current Birth Score based on current literature and rigorous statistical methodology. Read More

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http://dx.doi.org/10.1055/s-0038-1676631DOI Listing
December 2018
1 Read

Cervical Length as a Predictor of Preterm Delivery in an Unselected Cohort of Women with Twin Pregnancies.

Am J Perinatol 2018 Dec 28. Epub 2018 Dec 28.

Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York.

Objective:  To determine the risk of spontaneous preterm delivery (SPTD) associated with transvaginal cervical length (TVCL) in an unselected cohort.

Methods:  This is a retrospective study of serial TVCLs in unselected twin gestations. Receiver operator curves for SPTD were constructed from TVCLs at 18, 20, 22, and 24 weeks. Read More

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http://dx.doi.org/10.1055/s-0038-1676484DOI Listing
December 2018
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Evolution of the Bacillus Calmette-Guerin Scar and Its Association with Birth and Pregnancy Characteristics in a Prospective Cohort of Infants in Iquitos, Peru.

Am J Perinatol 2018 Dec 24. Epub 2018 Dec 24.

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Background:  Bacillus Calmette-Guerin (BCG) scar formation is considered a visual marker of vaccination and cell-mediated immune response. This study characterized the association between pregnancy and birth characteristics with BCG scar formation.

Methods:  Pregnant women were enrolled prospectively. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676614
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http://dx.doi.org/10.1055/s-0038-1676614DOI Listing
December 2018
7 Reads
1.597 Impact Factor

Understanding State-Level Variations in the US Infant Mortality: 2000 to 2015.

Am J Perinatol 2018 Dec 24. Epub 2018 Dec 24.

Department of Obstetrics and Gynecology, The Ohio State University Wexner Medical, Columbus, Ohio.

Objective:  To exploit state variations in infant mortality, identify diagnoses that contributed to reduction of the infant mortality rate (IMR), and examine factors associated with preterm-related mortality rate (PMR).

Study Design:  Using linked birth-infant deaths files, we examined patterns in the leading causes of IMR. We compared these rates at both national and state levels to find reduction trends. Read More

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http://dx.doi.org/10.1055/s-0038-1675835DOI Listing
December 2018
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The Association between Oxidative Stress and Cardiac Functions in Infants Born to Preeclamptic Mothers.

Am J Perinatol 2018 Dec 24. Epub 2018 Dec 24.

Neonatal Intensive Care Unit, Department of Pediatrics, Goztepe Education and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

Objective:  The present study aimed to assess the global oxidant and antioxidant status in infants born to preeclamptic mothers and their correlation with cardiac functions.

Study Design:  We compared 40 infants born to preeclamptic mothers with 40 premature infants born to normotensive mothers. We assessed the relationship between echocardiographic measurements and total antioxidant capacity (TAC) and total oxidant status (TOS) values. Read More

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http://dx.doi.org/10.1055/s-0038-1676481DOI Listing
December 2018
2 Reads

Prevalence of Sonographic Markers of Placenta Accreta Spectrum in Low-Risk Pregnancies.

Am J Perinatol 2018 Dec 21. Epub 2018 Dec 21.

Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia.

Objective:  This study was aimed to evaluate the prevalence of sonographic markers for placenta accreta spectrum (PAS) in pregnancies at low-risk for PAS.

Methods:  Pregnant women at low-risk for PAS presenting for routine second trimester ultrasound who enrolled in the study were evaluated prospectively for sonographic markers of PAS during two ultrasounds at 18 to 24 and 28 to 34 weeks. Frequencies of PAS markers were compared between the second and third trimester and between those with and without prior cesarean deliveries (CD). Read More

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http://dx.doi.org/10.1055/s-0038-1676488DOI Listing
December 2018
1 Read