Abstract：
:Objective The aim of this article is to examine characteristics of birth tourism (BT) neonates admitted to a neonatal intensive care unit (NICU). Methods This was a retrospective review over 3 years; BT cases were identified, and relevant perinatal, medical, social, and financial data were collected and compared with 100 randomly selected non-birth tourism neonates. Results A total of 46 BT neonates were identified. They were more likely to be born to older women (34 vs. 29 years; p < 0.001), via cesarean delivery (72 vs. 48%; p = 0.007), and at a referral facility (80 vs. 32%; p < 0.001). BT group had longer hospital stay (15 vs. 7 days; p = 0.02), more surgical intervention (50 vs. 21%; p < 0.001), and higher hospital charges (median $287,501 vs. $103,105; p = 0.003). One-third of BT neonates were enrolled in public health insurance program and four BT neonates (10%) were placed for adoption. Conclusion Families of BT neonates admitted to the NICU face significant challenges. Larger studies are needed to better define impacts on families, health care system, and society.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Mikhael M,Cleary JP,Dhar V,Chen Y,Nguyen DV,Chang ACdoi
10.1055/s-0036-1584139subject
Has Abstractpub_date
2016-12-01 00:00:00pages
1415-1419issue
14eissn
0735-1631issn
1098-8785journal_volume
33pub_type
杂志文章abstract：OBJECTIVE: The study aims to assess the impact on neurodevelopmental outcomes of a prolonged hemodynamically significant patent ductus arteriosus (PDA) after a conservative treatment. STUDY DESIGN: This involves the study of two cohorts of preterm infants 23 to 29 weeks gestation, before (n = 29) and after (n = 54) a ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1697674
更新日期：2019-10-10 00:00:00
abstract：:Hypertensive disorders during pregnancy implicate placental pathologic conditions, which may interfere with the normal passage of alpha-fetoprotein (AFP) to the maternal blood. We compared the levels of maternal serum (MS) in early second trimester of pregnancies complicated by hypertensive disorders with those of mat...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999254
更新日期：1992-09-01 00:00:00
abstract：:The objective of this study was to determine if the rate of preeclampsia is increased in triplet as compared to twin gestations. Fifty-three triplet pregnancies between 1986 and 1993 at The New York Hospital-Cornell Medical Center were reviewed. These were matched for maternal age, parity, and race to twin gestations ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994140
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:Neonatal biomarkers of inflammation were examined in relation to early neurodevelopment and gait in very-low-birth-weight (VLBW) preterm children. We hypothesized that preterm infants exposed to higher levels of neonatal inflammation would demonstrate lower scores on Bayley Scales of Infant Toddler Developmen...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0035-1557106
更新日期：2016-01-01 00:00:00
abstract：OBJECTIVE:This study aims to determine if transabdominal (TA) cervical length may be used to rule out a short cervix on transvaginal (TV) ultrasound. STUDY DESIGN:We conducted a prospective cohort study of women undergoing routine anatomic survey at 17 to 23 weeks gestation. TA and TV cervical length measurements were...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0035-1566308
更新日期：2016-04-01 00:00:00
abstract：:We determined the glycemic response to intravenous lipid infusion alone, lipid with amino acids, or amino acids alone in 15 very small premature infants receiving constant glucose infusion during early life. Infants who received lipid or lipid and amino acids demonstrated significant increases in glucose compared with...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章
doi：10.1055/s-2007-999685
更新日期：1988-07-01 00:00:00
abstract：OBJECTIVE: Transient tachypnoea of the newborn (TTN) is one of the most common causes of neonatal respiratory distress (RD) during the newborn period. Chest radiography (CXR) is commonly used to rule out the diagnosis, but TTN is often misdiagnosed as neonatal respiratory distress syndrome (NRDS) on the basis of CXR al...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1721134
更新日期：2020-11-26 00:00:00
abstract：:Intrapartum fetal scalp sampling for platelet counts in maternal autoimmune thrombocytopenia has been advocated for determining route of delivery. We report a case in which two coagulated scalp samples were believed to indicate a normal fetal platelet count. As a result, vaginal delivery of a severely thrombocytopenic...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999401
更新日期：1991-09-01 00:00:00
abstract：:Pleural effusion is not an uncommon complication of percutaneous intravenous catheters in neonates. Umbilical venous catheters (UVCs) are associated with pleural effusion following abnormal placement in the left atrium or pulmonary veins due to venous obstruction. We report for the first time a case of right-sided ple...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-992174
更新日期：2007-11-01 00:00:00
abstract：OBJECTIVE: The aim was to determine the fetal umbilical blood gas effects of supplemental maternal oxygenation compared with room air (RA) during term planned cesarean delivery. METHODS: This is a prospective randomized controlled study of singleton planned cesarean deliveries randomized to receive supplemental oxygen...
journal_title：American journal of perinatology
pub_type： 杂志文章,随机对照试验
doi：10.1055/s-0037-1606184
更新日期：2018-01-01 00:00:00
abstract：:Two cases of inadvertent third trimester amniocenteses occurring during attempted spinal tap and culdocentesis are presented. These hitherto undescribed occurrences stress potential complications of these invasive diagnostic procedures in the gravid woman. ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994618
更新日期：1993-11-01 00:00:00
abstract：:We examined the prevalence of cesarean delivery (CD) among women with morbid obesity and extreme morbid obesity. Using Kentucky birth certificate data, a cross-sectional analysis of nulliparous singleton gestations at term was performed. We examined the prevalence of CD by body mass index (BMI; in kg/m2) using the Nat...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0031-1280852
更新日期：2011-10-01 00:00:00
abstract：:Care of women with preterm labor has been reported by Katz et al to be enhanced by use of an electronic uterine contraction monitor. We enrolled 76 women with singleton gestations who had been successfully treated for preterm labor into a prospective randomized trial, assigning subjects in a ratio of 1:2 to a group of...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1055/s-2007-999473
更新日期：1990-04-01 00:00:00
abstract：:Diagnostic ultrasonography has given us the opportunity to diagnose several congenital malformations in utero. Skeletal dysplasias is a heterogeneous group of disorders of the skeleton. Although disorders of bone growth are often diagnosed in utero, it is usually a general diagnosis because the exact syndrome cannot b...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994638
更新日期：1993-03-01 00:00:00
abstract：:An abdominal gunshot wound in pregnancy warrants prompt surgical exploration but does not mandate uterine evacuation. Despite an entry and exit bullet wound to the uterus an apparent desire for pregnancy termination, a conservative approach was adopted with primary repair of the uterus, in conjunction with surgical re...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999691
更新日期：1988-07-01 00:00:00
abstract：OBJECTIVES:The purpose of this article is to review all randomized control trials (RCTs) that have looked at the health effects of yoga on pregnancy, and to present their evidence on the specific ways in which pregnant women, and their infants can benefit from yoga intervention. The purpose is also to determine whether...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0034-1396701
更新日期：2015-05-01 00:00:00
abstract：:Chorioamnionitis contributes to neonatal and maternal morbidity and mortality. We aimed to evaluate of the impact of clinical and histological chorioamnionitis on mortality and morbidity of preterm infants. Maternal and neonatal data were collected in a retrospective cohort of preterm infants less than 30 weeks' gesta...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1321501
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:Our aim was to estimate the incidence of unintentional hysterotomy extension at the time of cesarean delivery and to identify associated risk factors and maternal morbidity. STUDY DESIGN:We conducted a secondary analysis of a randomized controlled trial evaluating chlorhexidine-alcohol versus iodine-alcohol ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1676112
更新日期：2019-08-01 00:00:00
abstract：:Infection-related neonatal mortality due to omphalitis in developing country home births is an important public health problem. Three cluster randomized trials of 4% chlorhexidine applied to the umbilical cord stump from once to multiple times in the days following a home birth have evaluated this intervention compare...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0032-1329695
更新日期：2013-09-01 00:00:00
abstract：:Previous work has shown that fetal hydrographic magnetic resonance imaging (MRI) provided additional information complementary to T2-weighted single-shot fast spin echo (ssFSE) images. The objective of this study was to determine if hydrographic MRI provides better conspicuity of fetal eye structures compared with ssF...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0031-1295636
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE: Severe maternal morbidity (SMM) has increased by 45% in the United States and is estimated to affect up to 1.5% of all deliveries. Research has not yet been conducted that demonstrates a benefit to multidisciplinary review of SMM. The aim of our study was to determine if standardized, routine review of the c...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1715846
更新日期：2020-08-30 00:00:00
abstract：:The purpose of this study is to identify obstetrical factors associated with adverse neurological outcome in < or =1000-g infants. In a 1-year (1992-1993) observational study, the NICHD MFMU Network collected obstetrical risk factors for 486 infants who weighed < or =1000 g at birth and who survived > 2 days. Infants'...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993833
更新日期：1999-01-01 00:00:00
abstract：:Four cases of transient polyhydramnios are reviewed. It is proposed that by taking note of changes in amniotic fluid volume, one can more accurately assess a fetal-maternal unit that is affected by a number of specific disease processes. ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999656
更新日期：1988-01-01 00:00:00
abstract：:Introduction Bronchopulmonary dysplasia (BPD) is a frequent, long-term complication in very low-birth-weight (VLBW) newborns. Its etiology is multifactorial and the oxidative stress is one of its main causes. Breast milk (BM) reduces oxidative stress and provides antioxidant protection, therefore, BM may have a protec...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1586503
更新日期：2017-02-01 00:00:00
abstract：:We present an unusual case in which sonographic assessment at 33 weeks' gestation, 5 weeks following a normal fetal anatomical survey and biometry, demonstrated a large, irregular-shaped, echogenic, suprasellar midline intracranial mass occupying the anterior and middle fossas. Associated severe obstructive hydrocepha...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994064
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE: This study aimed to identify differences in sequential integrated screening and early ultrasound markers in monochorionic/diamniotic (MC/DA) pregnancies complicated by twin-to-twin transfusion syndrome (TTTS) and unequal placental sharing (UPS). STUDY DESIGN: Retrospective cohort study of MC/DA pregnancies ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1718371
更新日期：2020-10-08 00:00:00
abstract：:During normal pregnancy there is a decrease in the hematocrit due to a disproportionate increase in the blood volume compared with the red cell mass. Using a new enzyme-linked immunoassay (Amgen Diagnostics), serum erythropoietin was quantified in normal nonanemic pregnancies throughout gestation and in third trimeste...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994778
更新日期：1992-07-01 00:00:00
abstract：:Multiple gestations are increasing in frequency secondary to assisted reproductive technologies; therefore, it will become increasingly important to know how to manage a multiple pregnancy in which an in utero fetal death has occurred. This case report describes the spontaneous resolution of maternal hypofibrinogenemi...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994628
更新日期：1993-11-01 00:00:00
abstract：OBJECTIVE:To assess the association between altitudes of neonatal intensive care units (NICU) and the rate of bronchopulmonary dysplasia (BPD) and BPD/death in very preterm infants. STUDY DESIGN:Data from infants born at <33 weeks' gestation admitted to Canadian Neonatal Network during 2008 and 2009 were analyzed. The...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1329690
更新日期：2013-08-01 00:00:00
abstract：:We investigated the correlation of fetal heart rate patterns and fetal acid-base findings with the occurrence of early periventricular/intraventricular hemorrhage and variants. Ninety-five consecutive singleton neonates with birthweights less than or equal to 2000 gm were investigated. One-third of them showed early p...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999819
更新日期：1986-01-01 00:00:00
