Optimal Delivery Management for the Prevention of Early Neonatal SARS-CoV-2 Infection: Systematic Review and Meta-analysis
Conclusion The evidence supporting any DMI in SARS-CoV-2-infected mothers to prevent ENI or ND is extremely limited. Limitations of this meta-analysis include high risk of bias, small sample size, and large confidence intervals. This identifies the need for multinational database generation and specific studies designed to provide evidence of DMI guidelines best suited to prevent transmission from mother to neonate. 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: A...
Source: American Journal of Perinatology - February 19, 2024 Category: Perinatology & Neonatology Authors: Chan, Christina S. Kong, Juin Yee Sultana, Rehena Mundra, Vatsala Babata, Kikelomo L. Mazzarella, Kelly Adhikari, Emily H. Yeo, Kee Thai Hasco ët, Jean-Michel Brion, Luc P. Tags: Review Article Source Type: research

Variability in Practice and Implementation of Oxygen Target Saturation Policies in United States' Neonatal Intensive Care Units
Conclusion Oxygen saturation limits have changed over time with an overall increase in targeted SpO2. However, there remains considerable interunit variation in SpO2 policies. There is a need to achieve consensus to optimize clinical 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 - February 19, 2024 Category: Perinatology & Neonatology Authors: Parikh, Pratik White, Robert D. Tolia, Veeral N. Reyburn, Brent Guillory, Charleta Ahmad, Kaashif A. Tags: Original Article Source Type: research

Infant Mortality Categorized by Birth Weight Percentiles for Deliveries Between 22 and 28 Weeks of Gestation
Conclusion The lower birth weight percentiles were associated with higher mortality across all gestational ages, but the association between higher birth weight percentiles and infant mortality exhibited an opposite pattern at 22 to 25 weeks as compared to later gestational age. 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 - February 19, 2024 Category: Perinatology & Neonatology Authors: Onishi, Kazuma Bitas, Christiana Kawakita, Tetsuya Tags: Original Article Source Type: research

Factors Associated with the Uptake of Long-acting Reversible Contraception and Contraceptive Use in Postpartum People with HIV at a Single Tertiary Care Center
Conclusion Early prenatal care, adequate insurance coverage, and thorough PPBC counseling are important for pregnant PWHIV. 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 - February 16, 2024 Category: Perinatology & Neonatology Authors: Youniss, Lara Bui, Lilian Cejtin, Helen Schmidt, Julie Premkumar, Ashish Tags: Original Article Source Type: research

Should Ocular Hemorrhage Screening be Conducted in Newborns with Acidosis?
Conclusion Approximately one-third of neonates with moderate to severe acidosis exhibited RH when examined on the third day. Contrary to previous studies that reported mild RH in otherwise healthy neonates, our findings revealed that neonates with moderate to severe acidosis predominantly presented with Stage 3 RH. While the higher incidence of RH in vaginally delivered infants is consistent with previous studies, the identification of advanced resuscitation as a risk factor is a new addition to the literature. The findings in our study highlight the importance of retinal examination in neonates with acidosis in the pres...
Source: American Journal of Perinatology - February 16, 2024 Category: Perinatology & Neonatology Authors: Unal, Sezin Kara, Caner Demirel, Nihal Petri çli, Seza Kavurt, Sumru Uzlu, Elif Durukan, Mehtap Bas, Ahmet Yagmur Tags: Original Article Source Type: research

Intimate Partner Violence Detected during Abortion-Related Visits: A Systematic Review of Screenings and Interventions
Conclusion Screening for and intervening on IPV at abortion-related visits are associated with positive outcomes for patient safety and the patient–provider relationship. However, data on effective tools for identifying and supporting these patients are extremely limited. This review emphasizes the unmet need for implementation and evaluation of IPV-specific interventions during abortion-related clinical encounters. 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:...
Source: American Journal of Perinatology - February 16, 2024 Category: Perinatology & Neonatology Authors: Sabloak, Thwisha Ryan, Isa Nahi, Skylar Eucalitto, Patrick Simon, Melissa A. Premkumar, Ashish Tags: Original Article Source Type: research

Validation of a Costing Algorithm and Cost Drivers for Neonates Admitted to the Neonatal Intensive Care Unit
Conclusion The CNN algorithm accurately predicts NICU total costs for seven case-mix groups. Personnel costs account for three-fourths of in-hospital total costs of all infants in the NICU. 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 - February 16, 2024 Category: Perinatology & Neonatology Authors: Jabbour, Elias Patel, Sharina Lacroix, Guy Pechlivanoglou, Petros Shah, Prakesh S. Beltempo, Marc Tags: Original Article Source Type: research

Phenobarbital as a Sedation Strategy to Reduce Opioid and Benzodiazepine Burden in Neonatal Extracorporeal Membrane Oxygenation
Conclusion In this cohort, short-term use of phenobarbital as primary sedation strategy during neonatal ECMO was associated with reduced opioid and midazolam burden. Such reduction, however, did not affect in-hospital 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 - February 16, 2024 Category: Perinatology & Neonatology Authors: Cardona, Vilmaris Quinones Byrne, Emma Mejia, Michelle Joshi, Swosti Menkiti, Ogechukwu Tags: Original Article Source Type: research

Substantiating and Adopting Lung Ultrasound Scores to Predict Surfactant Need in Preterm Neonates with Respiratory Distress Syndrome within an Institution
Conclusion LUS is a helpful adjunct for predicting surfactant need in preterm neonates. This study describes an approach to implement the LUS protocol and score for clinical decision-making in the clinical practice. 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 - February 12, 2024 Category: Perinatology & Neonatology Authors: Chan, Belinda Torsitano, Christopher Gordon, Sasha Konana, Olive Singh, Yogen Tags: Original Article Source Type: research

Continuous Positive Airway Pressure versus Nasal Intermittent Positive Pressure Ventilation in Preterm Neonates: What if Mean Airway Pressures were Equivalent?
Am J Perinatol DOI: 10.1055/a-2242-7391Respiratory support for preterm neonates in modern neonatal intensive care units is predominantly with the use of noninvasive interfaces. Continuous positive airway pressure (CPAP) and nasal intermittent positive pressure ventilation (NIPPV) are the prototypical and most commonly utilized forms of noninvasive respiratory support, and each has unique gas flow characteristics. In meta-analyses of clinical trials till date, NIPPV has been shown to likely reduce respiratory failure and need for intubation compared to CPAP. However, a significant limitation of the included studies has been...
Source: American Journal of Perinatology - February 9, 2024 Category: Perinatology & Neonatology Authors: Mukerji, Amit Keszler, Martin Tags: Review Article Source Type: research

Single-center Experience with Therapeutic Hypothermia for Hypoxic –Ischemic Encephalopathy in Infants with < 36 Weeks' Gestation
Conclusion In this single-center cohort, TH in preterm infants appears to be as safe as in term infants, with no significant increase in intracranial bleeds or mortality. Preterm infants more frequently required inotropes and steroids for hypotension. Further research is needed to determine efficacy of TH in preterm 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 - February 8, 2024 Category: Perinatology & Neonatology Authors: Moran, Patricia Sullivan, Kelsey Zanelli, Santina A. Burnsed, Jennifer Tags: Original Article Source Type: research

Early Echocardiographic Predictors of Eventual Need for Patent Ductus Arteriosus Treatment: A Retrospective Study
Conclusion Preterm neonates with higher markers of cardiac output in the first 12 hours of birth later required PDA treatment. These data are the first to use standard cardiac output measures in the first 12 hours of life to predict the need for future PDA treatment. Further prospective studies will need to be performed to corroborate these associations between echocardiographic markers and clinical outcomes/morbidities. 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 - February 8, 2024 Category: Perinatology & Neonatology Authors: Koo, Jenny Torres, Nohemi Katheria, Anup Tags: Original Article Source Type: research

Fetal Growth and Adiposity of Infants Born Large for Gestational Age in Three Harmonized Randomized Trials
Conclusion Infants born LGA had larger fetal biometry measures at all time points from 20 weeks' gestation, compared with infants born not LGA suggesting any interventions to prevent LGA likely need to commence earlier in pregnancy or prior to conception. 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 - February 6, 2024 Category: Perinatology & Neonatology Authors: Poprzeczny, Amanda J. Louise, Jennie Deussen, Andrea R. Dodd, Jodie M. Tags: Original Article Source Type: research

Effect of Antenatal Magnesium Sulfate Exposure on Patent Ductus Arteriosus in Premature Infants
Conclusion Although antenatal MgSO4 exposure may increase the incidence of hsPDA, it may not affect the rates of PDA ligation or open PDA at discharge. Further studies are required to better evaluate the dose-dependent outcomes and identify the MgSO4 dose that not only provides neuroprotection but also has the lowest risk of adverse effects. 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 - February 6, 2024 Category: Perinatology & Neonatology Authors: Okulu, Emel Kraja, Elvis Kostekci, Yasemin Ezgi Seker, Erdal Ozisik, Mehmet Seckin Sar ısoy, Doğacan Aslan, Batuhan Çakır, Maide Selin Demirta ş, Ferhan Ramo ğlu, Mehmet Gökhan U çar, Tayfun Erdeve, Omer Atasay, Begum Koc, Acar Arsan, Saadet Tags: Original Article Source Type: research

Implicit Bias and Health Disparities Education in the Neonatal Intensive Care Unit
Conclusion NPM trainees and neonatologists desire tailored, active, and expert-guided IB and HD education. Identified barriers are important to address in developing an effective IB/HD curriculum for the NPM community. 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 - February 6, 2024 Category: Perinatology & Neonatology Authors: Dyess, Nicolle Fern ández Carr, Cara Beth Mavis, Stephanie C. Caruso, Catherine G. Izatt, Susan French, Heather Dadiz, Rita Bonachea, Elizabeth M. Gray, Megan M. Tags: Original Article Source Type: research