A Prospective Longitudinal Quality Initiative toward Improved Enhanced Recovery after Cesarean Pathways
Conclusion Our study has illustrated that our ERAC pathways were associated with reduced inpatient opioid use, outpatient opioid use, patient-reported pain scores, and improved indicators of postoperative recovery. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Cojocaru, Liviu Alton, Suzanne Pahlavan, Autusa Coghlan, Martha Seung, Hyunuk Trilling, Ariel Kodali, Bhavani S. Crimmins, Sarah Goetzinger, Katherine R. Tags: SMFM Fellowship Series Article Source Type: research

A Scoping Review of Preterm Birth Risk Factors
Am J Perinatol DOI: 10.1055/s-0043-1775564Preterm birth is a major cause of neonatal morbidity and mortality, but its etiology and risk factors are poorly understood. We undertook a scoping review to illustrate the breadth of risk factors for preterm birth that have been reported in the literature. We conducted a search in the PubMed database for articles published in the previous 5 years. We determined eligibility for this scoping review by screening titles and abstracts, followed by full-text review. We extracted odds ratios and other measures of association for each identified risk factor in the articles. A total of 2,5...
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Tang, Irene D. Mallia, Daniel Yan, Qi Pe'er, Itsik Raja, Anita Salleb-Aouissi, Ansaf Wapner, Ronald Tags: Review Article Source Type: research

Decreasing Antibiotic Use in a Community Neonatal Intensive Care Unit: A Quality Improvement Initiative
Conclusion Our multidisciplinary approach using all the core elements of an antibiotic stewardship program significantly decreased AUR in our NICU. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Singh, Harjinder P. Wilkinson, Susan Kamran, Shahid Tags: Original Article Source Type: research

Perioperative Neonatal Acute Kidney Injury Is Common: Risk Factors for Poor Outcomes
Conclusion Perioperative AKI is common in neonates undergoing noncardiac surgeries. Infants with high-risk comorbidity profiles for the development of perioperative AKI and mortality may benefit from close surveillance of their kidney function in the perioperative period. Although retrospective, the findings of our study could inform clinicians to tailor neonatal perioperative kidney care to improve short- and long-term outcomes. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full t...
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Mohamed, Tahagod H. Mpody, Christian Nafiu, Olubukola Tags: Original Article Source Type: research

Neuroserpin As an Adjuvant Therapy for Hypothermia on Brain Injury in Neonatal Hypoxic –Ischemic Rats
Conclusion Our study showed that both neuroserpin alone and as an adjuvant treatment for hypothermia may have a neuroprotective effect on brain injury. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Kilicdag, Hasan Akillioglu, Kubra Kilic Bag ır, Emine Kose, Seda Erdogan, Seyda Tags: Original Article Source Type: research

Transient Hypoglycemia and Biochemical Differences in Infants Less Than 1,250 G at Birth Fed Human Milk with Human Milk –Derived Fortifier versus Cow Milk–Derived Fortifier
Conclusion At full enteral feedings in infants less than 1,250 g at birth, an HMDF diet may predispose to hypoglycemia needing intervention. Close monitoring of BG levels once off parenteral nutrition is recommended. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 25, 2023 Category: Perinatology & Neonatology Authors: Chang, Millie R. Tetarbe, Manas Barton, Lorayne Ramanathan, Rangasamy Cayabyab, Rowena Tags: Original Article Source Type: research

A Systematic Review and Meta-analysis of Two Negative Pressure Wound Therapy Devices to Manage Cesarean Section Incisions
Am J Perinatol DOI: 10.1055/s-0043-1775562This paper aims to evaluate whether there is a device-dependent effect on the reduction of surgical site complications in obese patients (body mass index [BMI] ≥ 30 kg/m2) undergoing cesarean section (C-section). PubMed, Embase, Cochrane Library, and ClinicalTrials.gov were searched for the period, January 2011 to September 2021. English language articles describing a randomized controlled trial (RCT) that compared either a −80 or −125 mm Hg single-use negative pressure wound therapy (sNPWT) device to standard dressings in obese (BMI ≥ 30 kg/m2) patients undergoing C-...
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Goldman, Theodore Costa, Ben Tags: Review Article Source Type: research

Genetic Predisposition to Adverse Neurodevelopmental Outcome of Extremely Low Birth Weight Infants
Conclusion A genetic variant in SERPINE1, involved in inflammation and coagulation, is associated with CP or death among ELBW infants. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Varner, Michael W. Thom, Elizabeth A. Cotten, C. Michael Hintz, Susan R. Page, Grier P. Rouse, Dwight J. Mercer, Brian M. Costantine, Maged M. Sorokin, Yoram Thorp, John M. Ramin, Susan M. Carpenter, Marshall W. O'Sullivan, Mary J. Peaceman, Alan M. Saade Tags: Original Article Source Type: research

Timing of Elective Cesarean Section and Neonatal Outcomes in Term Singleton Deliveries: A Single-Center Experience
Conclusion Our findings suggest that elective cesarean sections might be best scheduled at 39 weeks or later. When considering a cesarean at 38 weeks, it appears that 384/7 weeks of gestation or later could be a preferable timing in the context of reducing neonatal risks. However, as the composite outcome includes mostly minor conditions, the clinical significance of this finding needs to be carefully interpreted. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Ame...
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Takahashi, Daijiro Fujino, Yoshihisa Sato, Tomoki Kuramoto, Akitaka Kawakami, Shoichi Ito, Masaharu Goto, Kei Tags: Original Article Source Type: research

Risk of Preterm Delivery in Very Advanced Maternal Age Parturients Utilizing In Vitro Fertilization
Conclusion In the vAMA population, conception via IVF is associated with an increased risk of PTB <37 weeks. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Newman, Rachel A. Naqvi, Mariam Levian, Candace Smithson, Sarah D. Esakoff, Tania Tags: Original Article Source Type: research

Oral Contraceptive Pills Increase Circulating 25-Hydroxy-Vitamin D Concentrations in Women Who Are Lactating
Conclusion The use of OCPs was associated with greater 25(OH)D in women who are lactating. Additionally, treatment with vitamin D at 6,400 IU/d and southern latitude was associated with greater 25(OH)D in women who are lactating. Black and Hispanic race and ethnicity, and BMI greater than 30, were independently associated with lower 25(OH)D in women who are lactating. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Huff, Lori L. Schulz, Elizabeth V. Richardson, Colby D. Ebeling, Myla D. Shary, Judy R. Hollis, Bruce W. Wagner, Carol L. Tags: Original Article Source Type: research

Supine versus Prone Position during Delayed Cord Clamping in Infants ≥36 Weeks: A Randomized Trial
Conclusion There was no difference between prone and supine positioning immediately after birth during delayed cord clamping on hematocrit at 30 hours of life. In the absence of clear findings, further studies with assessment of the effect of position on breastfeeding success in the case room, on maternal satisfaction and outcome beyond 30 hours are needed to make adequate recommendations on positioning. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American ...
Source: American Journal of Perinatology - September 19, 2023 Category: Perinatology & Neonatology Authors: Bensouda, Brahim Mandel, Romain Mejri, Abdelwaheb Tordjman, Laurent St-Hilaire, Marie Ali, Nabeel Tags: Original Article Source Type: research

Time to Completion of Two-Step Screening for Gestational Diabetes and Adverse Outcomes
Conclusion Among individuals who completed the two-step screening for GDM, completion of the 3-hour GTT within ≤14 versus ≥ 14 days was not associated with an increase rate of the adverse outcomes. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 15, 2023 Category: Perinatology & Neonatology Authors: Nazeer, Sarah A. Chen, Han-Yang Cornthwaite, Joycelyn A. Sadek, Sandra Ghorayeb, Tala Daye, Nahla Chauhan, Suneet P. Sibai, Baha Bartal, Michal F. Tags: Original Article Source Type: research

Impact of Targeted Neonatal Echocardiography on Patent Ductus Arteriosus Management in a Canadian Tertiary Care Neonatal Unit: A Retrospective Cohort Study
Conclusion With the implementation of the TNE service, increased echocardiographic evaluations per patient were completed with availability of more comprehensive hemodynamic information about PDA. PDA treatment rates were similar in the two epochs, but need for multiple courses were less in TNE era. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 15, 2023 Category: Perinatology & Neonatology Authors: Homedi, Abdulaziz De La Hoz, Andrea Miller, Michael R. Lalitha, Renjini McClean, Marisha Bhattacharya, Soume Tags: Original Article Source Type: research

Perinatal Cannabis Use and Cannabis Use during Breastfeeding: the Role of Health Care Workers
Conclusion HCW discussions about cannabis use during pregnancy or breastfeeding are not universally reported. This study highlights the need for further encouragement of universal HCW discussions of cannabis use during pregnancy and breastfeeding, strengthening of messaging around cannabis use during these periods, and improved delivery of reliable cannabis-related health information to this population. Key Points [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: American Journal of Perinatology)
Source: American Journal of Perinatology - September 15, 2023 Category: Perinatology & Neonatology Authors: Bhatia, Devika Rosenberg, Sophie Rees, Rebecca Brooks-Russell, Ashley Tags: Original Article Source Type: research