The Experts below are selected from a list of 50352 Experts worldwide ranked by ideXlab platform
Brian S. Carter - One of the best experts on this subject based on the ideXlab platform.
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Learning How U.s. Neonatal Fellowship Programs Approach Imminent Periviability Counseling of Mothers Less Than 26 Weeks Gestation
Pediatrics, 2018Co-Authors: Dalia M. Feltman, Brian S. CarterAbstract:Purpose: Studies demonstrate variation in survival for extremely premature babies (EPB) between centers and suggest different rates of initiating life-sustaining treatments. The AAP encourages institutions to develop “policies and procedures for antenatal counseling” for newborns who may be born < 26 weeks gestation. Pediatric trainees’ views regarding EPB vary by teaching center. Neonatology fellows report infrequent formal communication training. Parents of ill or dying EPB voice unmet emotional and spiritual needs. Neonatology fellowship …
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How Are Neonatology Fellows Trained for Antenatal Periviability Counseling
American journal of perinatology, 2017Co-Authors: Dalia M. Feltman, David D. Williams, Brian S. CarterAbstract:Background Studies have shown rates of life-sustaining treatments for periviable newborns vary by center, centers' differing periviability approaches affect trainees' views, and formal communication training for Neonatology fellows is uncommon. Parents of imperiled newborns report unmet emotional and spiritual needs. This study sought to understand how fellows learn to support parents and their periviable newborns through exposure to institutional clinical approaches and by formal curriculum. Methods All the U.S. Neonatology fellowship program directors were invited to complete an online anonymous survey. Data were analyzed with descriptive statistics. Results In this study, 56 of 98 directors (57%) responded. Training centers differed in delivery room options offered and recommended for periviable newborns. Providing parents written information and Neonatology and obstetrics co-counseling were uncommon. Directors reported weaknesses in training fellows to support parents' spiritual and emotional needs, and Conclusion Training programs exposed fellows to different periviability care approaches, identified weaknesses in teaching support provision for parents' needs, and appeared to miss opportunities for clinical modeling of counseling and comfort care provision.
Dalia M. Feltman - One of the best experts on this subject based on the ideXlab platform.
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Learning How U.s. Neonatal Fellowship Programs Approach Imminent Periviability Counseling of Mothers Less Than 26 Weeks Gestation
Pediatrics, 2018Co-Authors: Dalia M. Feltman, Brian S. CarterAbstract:Purpose: Studies demonstrate variation in survival for extremely premature babies (EPB) between centers and suggest different rates of initiating life-sustaining treatments. The AAP encourages institutions to develop “policies and procedures for antenatal counseling” for newborns who may be born < 26 weeks gestation. Pediatric trainees’ views regarding EPB vary by teaching center. Neonatology fellows report infrequent formal communication training. Parents of ill or dying EPB voice unmet emotional and spiritual needs. Neonatology fellowship …
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How Are Neonatology Fellows Trained for Antenatal Periviability Counseling
American journal of perinatology, 2017Co-Authors: Dalia M. Feltman, David D. Williams, Brian S. CarterAbstract:Background Studies have shown rates of life-sustaining treatments for periviable newborns vary by center, centers' differing periviability approaches affect trainees' views, and formal communication training for Neonatology fellows is uncommon. Parents of imperiled newborns report unmet emotional and spiritual needs. This study sought to understand how fellows learn to support parents and their periviable newborns through exposure to institutional clinical approaches and by formal curriculum. Methods All the U.S. Neonatology fellowship program directors were invited to complete an online anonymous survey. Data were analyzed with descriptive statistics. Results In this study, 56 of 98 directors (57%) responded. Training centers differed in delivery room options offered and recommended for periviable newborns. Providing parents written information and Neonatology and obstetrics co-counseling were uncommon. Directors reported weaknesses in training fellows to support parents' spiritual and emotional needs, and Conclusion Training programs exposed fellows to different periviability care approaches, identified weaknesses in teaching support provision for parents' needs, and appeared to miss opportunities for clinical modeling of counseling and comfort care provision.
Satyan Lakshminrusimha - One of the best experts on this subject based on the ideXlab platform.
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Adverse neonatal outcomes associated with early-term birth.
JAMA pediatrics, 2013Co-Authors: Shaon Sengupta, Vivien Carrion, James Shelton, Ralph J. Wynn, Rita M. Ryan, Kamal K. Singhal, Satyan LakshminrusimhaAbstract:Full-term neonates born between 37 and 41 weeks' gestational age have been considered a homogeneous, low-risk group. However, recent evidence from studies based on mode of delivery has pointed toward increased morbidity associated with early-term cesarean section births (37-38 weeks) compared with term neonates (39-41 weeks). To compare the short-term morbidity of early-term vs term neonates in a county-based birth cohort using the primary objective of admission to a neonatal intensive care unit (NICU) or Neonatology service. Retrospective population-based 3-year birth cohort study (January 1, 2006-December 31, 2008) at all major birth hospitals in Erie County, New York. All full-term live births comprised the birth cohort; this information was obtained from the hospitals' perinatal databases, and data pertaining to NICU or Neonatology service admissions were extracted from individual medical records. Gestational age of early term (37(0/7)-38(6/7) weeks) vs term (39(0/7)-41(0/7) weeks). Admission to the NICU or Neonatology service. There were 33,488 live births during the 3-year period, of which 29,741 had a gestational age between 37 and 41 weeks. Of all live births, 9031 (27.0%) were early term. Compared with term infants, early-term neonates had significantly higher risks for the following: hypoglycemia (4.9% vs 2.5%; adjusted odds ratio [OR], 1.92), NICU or Neonatology service admission (8.8% vs 5.3%; adjusted OR, 1.64), need for respiratory support (2.0% vs 1.1%; adjusted OR, 1.93), requirement for intravenous fluids (7.5% vs 4.4%; adjusted OR, 1.68), treatment with intravenous antibiotics (2.6% vs 1.6%; adjusted OR, 1.62), and mechanical ventilation or intubation (0.6% vs 0.1%; adjusted OR, 4.57). Delivery by cesarean section was common among early-term births (38.4%) and increased the risk for NICU or Neonatology service admission (12.2%) and morbidity (7.5%) compared with term births. Among vaginal deliveries, early-term neonates (6.8%) had a significantly higher rate of NICU or Neonatology service admission compared with term neonates (4.4%). Early-term births are associated with high neonatal morbidity and with NICU or Neonatology service admission. Evaluation of local prevalence data will assist in implementation of specific preventive measures and plans, as well as prioritize limited health care resources.
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adverse neonatal outcomes associated with early term birth
JAMA Pediatrics, 2013Co-Authors: Shaon Sengupta, Vivien Carrion, James Shelton, Ralph J. Wynn, Rita M. Ryan, Kamal K. Singhal, Satyan LakshminrusimhaAbstract:Importance Full-term neonates born between 37 and 41 weeks’ gestational age have been considered a homogeneous, low-risk group. However, recent evidence from studies based on mode of delivery has pointed toward increased morbidity associated with early-term cesarean section births (37-38 weeks) compared with term neonates (39-41 weeks). Objective To compare the short-term morbidity of early-term vs term neonates in a county-based birth cohort using the primary objective of admission to a neonatal intensive care unit (NICU) or Neonatology service. Design, Setting, and Participants Retrospective population-based 3-year birth cohort study (January 1, 2006–December 31, 2008) at all major birth hospitals in Erie County, New York. All full-term live births comprised the birth cohort; this information was obtained from the hospitals’ perinatal databases, and data pertaining to NICU or Neonatology service admissions were extracted from individual medical records. Exposure Gestational age of early term (37 0/7 -38 6/7 weeks) vs term (39 0/7 -41 0/7 weeks). Main Outcomes and Measures Admission to the NICU or Neonatology service. Results There were 33 488 live births during the 3-year period, of which 29 741 had a gestational age between 37 and 41 weeks. Of all live births, 9031 (27.0%) were early term. Compared with term infants, early-term neonates had significantly higher risks for the following: hypoglycemia (4.9% vs 2.5%; adjusted odds ratio [OR], 1.92), NICU or Neonatology service admission (8.8% vs 5.3%; adjusted OR, 1.64), need for respiratory support (2.0% vs 1.1%; adjusted OR, 1.93), requirement for intravenous fluids (7.5% vs 4.4%; adjusted OR, 1.68), treatment with intravenous antibiotics (2.6% vs 1.6%; adjusted OR, 1.62), and mechanical ventilation or intubation (0.6% vs 0.1%; adjusted OR, 4.57). Delivery by cesarean section was common among early-term births (38.4%) and increased the risk for NICU or Neonatology service admission (12.2%) and morbidity (7.5%) compared with term births. Among vaginal deliveries, early-term neonates (6.8%) had a significantly higher rate of NICU or Neonatology service admission compared with term neonates (4.4%). Conclusions and Relevance Early-term births are associated with high neonatal morbidity and with NICU or Neonatology service admission. Evaluation of local prevalence data will assist in implementation of specific preventive measures and plans, as well as prioritize limited health care resources.
C L Smith - One of the best experts on this subject based on the ideXlab platform.
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Roberton’s textbook of Neonatology, fourth edition
Archives of Disease in Childhood - Fetal and Neonatal Edition, 2006Co-Authors: C L SmithAbstract:Edited by Janet M Rennie. Churchill Livingstone: Published by Elsevier, 2005, £229.00 (hardback), pp 1372. ISBN 0-44307-355-4. Having enjoyed the previous editions of Roberton’s textbook of Neonatology , I set out with high expectations of the fourth edition. I have to say that, on the whole, I was impressed. While providing good, in-depth cover of the essential bread and butter topics of Neonatology, it also managed to touch on a wealth of additional subjects and many more unusual conditions as well. Indeed, I struggled (and failed) to find any major omissions. Explicit accounts of epidemiology, organisation and evaluation of perinatal care and outcome after preterm birth set the scene for Neonatology as it is known today. There are chapters on psychological …
Shaon Sengupta - One of the best experts on this subject based on the ideXlab platform.
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Adverse neonatal outcomes associated with early-term birth.
JAMA pediatrics, 2013Co-Authors: Shaon Sengupta, Vivien Carrion, James Shelton, Ralph J. Wynn, Rita M. Ryan, Kamal K. Singhal, Satyan LakshminrusimhaAbstract:Full-term neonates born between 37 and 41 weeks' gestational age have been considered a homogeneous, low-risk group. However, recent evidence from studies based on mode of delivery has pointed toward increased morbidity associated with early-term cesarean section births (37-38 weeks) compared with term neonates (39-41 weeks). To compare the short-term morbidity of early-term vs term neonates in a county-based birth cohort using the primary objective of admission to a neonatal intensive care unit (NICU) or Neonatology service. Retrospective population-based 3-year birth cohort study (January 1, 2006-December 31, 2008) at all major birth hospitals in Erie County, New York. All full-term live births comprised the birth cohort; this information was obtained from the hospitals' perinatal databases, and data pertaining to NICU or Neonatology service admissions were extracted from individual medical records. Gestational age of early term (37(0/7)-38(6/7) weeks) vs term (39(0/7)-41(0/7) weeks). Admission to the NICU or Neonatology service. There were 33,488 live births during the 3-year period, of which 29,741 had a gestational age between 37 and 41 weeks. Of all live births, 9031 (27.0%) were early term. Compared with term infants, early-term neonates had significantly higher risks for the following: hypoglycemia (4.9% vs 2.5%; adjusted odds ratio [OR], 1.92), NICU or Neonatology service admission (8.8% vs 5.3%; adjusted OR, 1.64), need for respiratory support (2.0% vs 1.1%; adjusted OR, 1.93), requirement for intravenous fluids (7.5% vs 4.4%; adjusted OR, 1.68), treatment with intravenous antibiotics (2.6% vs 1.6%; adjusted OR, 1.62), and mechanical ventilation or intubation (0.6% vs 0.1%; adjusted OR, 4.57). Delivery by cesarean section was common among early-term births (38.4%) and increased the risk for NICU or Neonatology service admission (12.2%) and morbidity (7.5%) compared with term births. Among vaginal deliveries, early-term neonates (6.8%) had a significantly higher rate of NICU or Neonatology service admission compared with term neonates (4.4%). Early-term births are associated with high neonatal morbidity and with NICU or Neonatology service admission. Evaluation of local prevalence data will assist in implementation of specific preventive measures and plans, as well as prioritize limited health care resources.
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adverse neonatal outcomes associated with early term birth
JAMA Pediatrics, 2013Co-Authors: Shaon Sengupta, Vivien Carrion, James Shelton, Ralph J. Wynn, Rita M. Ryan, Kamal K. Singhal, Satyan LakshminrusimhaAbstract:Importance Full-term neonates born between 37 and 41 weeks’ gestational age have been considered a homogeneous, low-risk group. However, recent evidence from studies based on mode of delivery has pointed toward increased morbidity associated with early-term cesarean section births (37-38 weeks) compared with term neonates (39-41 weeks). Objective To compare the short-term morbidity of early-term vs term neonates in a county-based birth cohort using the primary objective of admission to a neonatal intensive care unit (NICU) or Neonatology service. Design, Setting, and Participants Retrospective population-based 3-year birth cohort study (January 1, 2006–December 31, 2008) at all major birth hospitals in Erie County, New York. All full-term live births comprised the birth cohort; this information was obtained from the hospitals’ perinatal databases, and data pertaining to NICU or Neonatology service admissions were extracted from individual medical records. Exposure Gestational age of early term (37 0/7 -38 6/7 weeks) vs term (39 0/7 -41 0/7 weeks). Main Outcomes and Measures Admission to the NICU or Neonatology service. Results There were 33 488 live births during the 3-year period, of which 29 741 had a gestational age between 37 and 41 weeks. Of all live births, 9031 (27.0%) were early term. Compared with term infants, early-term neonates had significantly higher risks for the following: hypoglycemia (4.9% vs 2.5%; adjusted odds ratio [OR], 1.92), NICU or Neonatology service admission (8.8% vs 5.3%; adjusted OR, 1.64), need for respiratory support (2.0% vs 1.1%; adjusted OR, 1.93), requirement for intravenous fluids (7.5% vs 4.4%; adjusted OR, 1.68), treatment with intravenous antibiotics (2.6% vs 1.6%; adjusted OR, 1.62), and mechanical ventilation or intubation (0.6% vs 0.1%; adjusted OR, 4.57). Delivery by cesarean section was common among early-term births (38.4%) and increased the risk for NICU or Neonatology service admission (12.2%) and morbidity (7.5%) compared with term births. Among vaginal deliveries, early-term neonates (6.8%) had a significantly higher rate of NICU or Neonatology service admission compared with term neonates (4.4%). Conclusions and Relevance Early-term births are associated with high neonatal morbidity and with NICU or Neonatology service admission. Evaluation of local prevalence data will assist in implementation of specific preventive measures and plans, as well as prioritize limited health care resources.