Provider Awareness, Understanding and Use of NICHD Neonatal Research Network Outcomes Estimator.

Abstract:

:Introduction Our aim was to survey clinicians to assess awareness and utilization of the NICHD Neonatal Research Network outcomes estimator, which allows clinicians to use multiple factors to better estimate the likelihood that intensive care will benefit the delivered neonate. Study Design The survey tool included a list of questions regarding the estimator. We collected responses from various medical personnel assessing awareness, frequency of use, knowledge of estimator, and information regarding the database. Results There were a total of 141 participants. Forty-two percent reported awareness of the estimator and of those, 75% had visited the Web site. Eighty-two percent of those visiting the site had actually used the estimator. Maternal-fetal medicine (MFM) physicians versus generalists were more likely to have heard of the estimator (75 vs. 32%). Obstetrics and gynecology residents had similar familiarity with the estimator as attending generalists. Of those having used the tool, 25% knew the correct variables, with only 19% knowing the outcomes. Interestingly, a majority of users misunderstood database components. Conclusion A majority of clinicians, and a fourth of MFM physicians, who care for patients with threatened preterm birth are either unaware or have limited understanding of the estimator, offering a potential area of improvement in the counseling of such at-risk patients.

journal_name

Am J Perinatol

authors

Peterson S,Gonik B

doi

10.1055/s-0036-1582396

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

972-6

issue

10

eissn

0735-1631

issn

1098-8785

journal_volume

33

pub_type

杂志文章
  • Noninvasive measurement of cardiac output in healthy preterm and term newborn infants.

    abstract::Although values for cardiac output in the newborn infant have been reported previously, the methods utilized have been invasive. To assess if cardiac output could be determined noninvasively in the neonate, we measured mean ascending aortic blood flow velocity (VAo) in well newborns using a portable 5MHz, range gated,...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999991

    authors: Alverson DC,Eldridge MW,Johnson JD,Aldrich M,Angelus P,Berman W Jr

    更新日期:1984-01-01 00:00:00

  • Effect of vibratory acoustic stimulation on the duration of fetal heart rate monitoring tests.

    abstract::The ability of vibratory acoustic stimulation to shorten the duration of antepartum fetal heart rate monitoring was investigated by a randomized controlled trial. Vibratory acoustic stimulation did not shorten the overall duration of testing. This failure to improve the performance of antepartum monitoring appeared to...

    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-2007-999489

    authors: Newnham JP,Burns SE,Roberman BD

    更新日期:1990-07-01 00:00:00

  • Periventricular leukomalacia and prenatal methamphetamine exposure: a case report.

    abstract::Periventricular leukomalacia (PVL) is a complication of prematurity that carries a high risk of long-term neurologic morbidity. We report the first case, to our knowledge, of unexpected PVL associated with in utero methamphetamine exposure in a 30-week gestation premature infant with a benign hospital course, who subs...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-970079

    authors: Murphy CR,Bell EF,Sato Y,Klein JM

    更新日期:2007-02-01 00:00:00

  • Sudden unexpected death in a neonate.

    abstract::A sudden and unexpected death, at 26 hours of age, of a term infant with no identifiable risk factors either in the prenatal or in the immediate neonatal period is described. The most remarkable postmortem findings were confined to the lungs, which had many areas of aspirated amniotic fluid, as well as extensive areas...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999592

    authors: Imaizumi SO,Balsara GR

    更新日期:1989-07-01 00:00:00

  • Large fetomaternal hemorrhage: prenatal predictive factors for perinatal outcome.

    abstract::We sought to identify prenatal predictive factors for perinatal outcome and to estimate fetal hemoglobin (Hb) levels in large fetomaternal hemorrhages (transfused blood volume [TBV] > 20 mL) by performing a case-series study ( N = 32). Perinatal outcome was favorable (F group, N = 22) and poor (P group, N = 10: four f...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1103150

    authors: Huissoud C,Divry V,Dupont C,Gaspard M,Rudigoz RC

    更新日期:2009-03-01 00:00:00

  • Can Transabdominal Cervical Length Measurement Exclude Short Cervix?

    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

    authors: Rhoades JS,Park JM,Stout MJ,Macones GA,Cahill AG,Tuuli MG

    更新日期:2016-04-01 00:00:00

  • Liposomal amphotericin B in neonates with invasive candidiasis.

    abstract::Liposomal amphotericin B L-Amp B, a novel formulation of Amp B, is effective for the treatment of invasive fungal infections in children and adults and is associated with less toxicity than the conventional preparation. Data on the use of L-Amp B in neonates is scarce. We describe the clinical course of two premature ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994337

    authors: al Arishi H,Frayha HH,Kalloghlian A,al Alaiyan S

    更新日期:1997-10-01 00:00:00

  • Pregnancy complicated by hemipelvectomy: case presentations and review of the literature.

    abstract::Nine patients with posthemipelvectomy with subsequent delivery of 13 living children are reported in the world's literature. This radical procedure is possible only in a modern age of intensive medical and surgical support. Additional cases can be expected in the future. We present two additional patients and three ch...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-999616

    authors: Snyder DJ,Thomas RL

    更新日期:1989-07-01 00:00:00

  • Oxygenation of the human fetus as a function of hemoglobulin concentration.

    abstract::We studied the relationships between fetal hemoglobin concentration, acid base status, and lactate concentration in umbilical venous and fetal heart blood in 157 fetuses affected by blood group incompatibility who had been exposed for 214 fetal blood sampling procedures (cordocentesis in 153 and intracardiac puncture ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994524

    authors: Westgren M,Lingman G,Stangenberg M

    更新日期:1994-01-01 00:00:00

  • Unusual misplacement sites of percutaneous central venous lines in the very low birth weight neonate.

    abstract::Percutaneously placed central venous lines have become an intricate part of the medical management of the very low birth weight infant. It is critically important that health care providers involved with the placement of these catheters be familiar with the possible subtle sites for catheter misplacement. We present t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-994099

    authors: Lussky RC,Trower N,Fisher D,Engel R,Cifuentes R

    更新日期:1997-02-01 00:00:00

  • Birth weight and gestational age standards based on regional perinatal network data: an analysis of risk factors.

    abstract::The most frequently used set of gestational age-birth weight curves in the United States is the Colorado (C) standard published in 1963. To investigate the usefulness of this standard in an urban population at sea level, we examined the birth weight vs gestational age data from 56,675 singleton liveborn infants born b...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999785

    authors: Raju TN,Winegar A,Seifert L,Miller S

    更新日期:1987-07-01 00:00:00

  • The detection of macrosomia at a teaching hospital.

    abstract::We sought to determine the detection (clinical or sonographic) rate of macrosomic newborns (at least 4000 g) and the peripartum factors among those who were or were not identified accurately. We retrospectively reviewed all deliveries over 1 year and all maternal and neonatal charts of macrosomic newborns delivered du...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1095187

    authors: Heywood RE,Magann EF,Rich DL,Chauhan SP

    更新日期:2009-02-01 00:00:00

  • Does perinatal phenobarbital exposure affect developmental outcome at age 2?

    abstract::The objective of this paper is to determine if phenobarbital exposure during pregnancy affects developmental outcome at age 2 years. Between 1991 and 1994, 401 pregnant patients at risk for delivery prior to 34 weeks' gestation were invited to participate; 48 mothers declined entry. Before delivery, pharmacy randomize...

    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-2007-993836

    authors: Thorp JA,O'Connor M,Jones AM,Hoffman EL,Belden B

    更新日期:1999-01-01 00:00:00

  • Effect of vibroacoustic stimulation on fetal meconium passage in labor.

    abstract::It has been suggested that vibroacoustic stimulation might be stressful to the fetus. The present study was designed to evaluate whether the stimulus induces passage of meconium in labor. Patients in labor at term with healthy fetuses and intact membranes were randomized to a vibroacoustic stimulation or sham test. Th...

    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-2007-994297

    authors: Zimmer EZ,Talmon R,Makler-Shiran E,Jakobi P

    更新日期:1996-02-01 00:00:00

  • Fetal myocardial calcification associated with maternal cocaine use.

    abstract::Two cases of fetal myocardial calcification confirmed postnatally are reported. In contrast to other reports, both infants survived with resolution of calcification by 6 and 12 months. Diagnostic investigations failed to confirm the presence of congenital infection. Both pregnancies were complicated by early cocaine u...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2008-1040740

    authors: Yap TE,Diana D,Herson V,Chameides L,Rowe JC

    更新日期:1994-05-01 00:00:00

  • A review of studies with chlorhexidine applied directly to the umbilical cord.

    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

    authors: Goldenberg RL,McClure EM,Saleem S

    更新日期:2013-09-01 00:00:00

  • Serum erythropoietin quantitation in pregnancy using an enzyme-linked immunoassay.

    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

    authors: Harstad TW,Mason RA,Cox SM

    更新日期:1992-07-01 00:00:00

  • Decreased Glutathione S-transferase Level and Neonatal Hyperbilirubinemia Associated with Glucose-6-phosphate Dehydrogenase Deficiency: A Perspective Review.

    abstract::Classically, genetically decreased bilirubin conjugation and/or hemolysis account for the mechanisms contributing to neonatal hyperbilirubinemia associated with glucose-6-phosphate dehydrogenase (G6PD) deficiency. However, these mechanisms are not involved in most cases of this hyperbilirubinemia. Additional plausible...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1585465

    authors: Al-Abdi SY

    更新日期:2017-02-01 00:00:00

  • Does Universal Coverage Mitigate Racial Disparities in Potentially Avoidable Maternal Complications?

    abstract:OBJECTIVE: Potentially avoidable maternity complications (PAMCs) have been validated as an indicator of access to quality prenatal care. African-American mothers have exhibited a higher incidence of PAMCs, which has been attributed to unequal health coverage. The objective of this study was to assess if racial disparit...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1701195

    authors: Ranjit A,Andriotti T,Madsen C,Koehlmoos T,Staat B,Witkop C,Little SE,Robinson J

    更新日期:2020-01-27 00:00:00

  • First trimester chorionic villus sampling in twin gestations.

    abstract::First-trimester prenatal diagnosis was offered to 104 twin pregnancies mainly for advanced maternal age and cytogenetic evaluation of a new fertilization technique. Chorionic villus sampling (CVS) was performed transcervically (35%), transabdominally (23%), or by combination of these two techniques (42%). Although no ...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994380

    authors: De Catte L,Liebaers I,Foulon W,Bonduelle M,Van Assche E

    更新日期:1996-10-01 00:00:00

  • Diabetes during Pregnancy in Low- and Middle-Income Countries.

    abstract::Objective Our objective was to review the literature in relationship to diabetes in pregnancy in low and middle income countries. Study Design We reviewed the English language literature related to diabetes and obesity during pregnancy in low and middle income countries published over the last 20 years. Results The gl...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,评审

    doi:10.1055/s-0036-1584152

    authors: Goldenberg RL,McClure EM,Harrison MS,Miodovnik M

    更新日期:2016-11-01 00:00:00

  • Postpartum myocardial infarction in a patient with antiphospholipid syndrome.

    abstract::Myocardial infarction in association with pregnancy in patients with the antiphospholipid syndrome has been reported once previously. Our patient, a 22-year-old multiparous woman, experienced a myocardial infarction in the postpartum period. She fulfilled the criteria for the diagnosis of the antiphospholipid syndrome...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-994522

    authors: Thorp JM Jr,Chescheir NC,Fann B

    更新日期:1994-01-01 00:00:00

  • Interobserver reliability of fetal heart rate pattern interpretation using NICHD definitions.

    abstract:OBJECTIVE:To evaluate the interobserver reliability of fetal heart rate (FHR) pattern definition and interpretation assessed by physicians at various levels of training using standard Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) definitions and standard principles of interpret...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0032-1326991

    authors: Epstein AJ,Twogood S,Lee RH,Opper N,Beavis A,Miller DA

    更新日期:2013-06-01 00:00:00

  • High incidence of cord entanglement during early pregnancy detected by three-dimensional sonography.

    abstract::We sought to determine the incidence of cord entanglement around any part of fetal body during early gestation using three-dimensional (3D) sonography. A prospective consecutive study was designed and 3D ultrasound was performed. Two hundred thirty-seven singleton pregnancies between 13 and 16 weeks were included. Cor...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0028-1110090

    authors: Tepper R,Kidron D,Aviram R,Markovitch O,Hershkovitz R

    更新日期:2009-05-01 00:00:00

  • Predicting placental abruption and previa in women with a previous cesarean delivery.

    abstract::The purpose of this study was to determine if placental abruption or previa in women with a history of a prior cesarean delivery (CD) can be predicted. A retrospective cohort study of pregnant women with previous CD was conducted in 17 centers between 1996 and 2000. Women developing placenta previa or abruption in the...

    journal_title:American journal of perinatology

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2007-981430

    authors: Odibo AO,Cahill AG,Stamilio DM,Stevens EJ,Peipert JF,Macones GA

    更新日期:2007-05-01 00:00:00

  • An unusual case of diverticulitis complicating pregnancy at 33 weeks' gestation.

    abstract::A 38-year-old para 2 presented with the gradual onset of nausea vomiting and increasing left lower quadrant pain, at 33 weeks' gestation. She was known to have uterine leiomyomas, with ultrasonography depicting an 8-cm intramural fundal leiomyoma. In addition a left lateral nondiscrete 10 x 8-cm mass was depicted at t...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2001-13639

    authors: Sherer DM,Frager D,Eliakim R

    更新日期:2001-01-01 00:00:00

  • Developmental aspects of percutaneous caffeine absorption in premature infants.

    abstract::Caffeine is commonly used in the treatment of apnea of prematurity. The skin of preterm infants varies considerably in its level of maturity. To understand skin absorption in low birthweight infants (less than 1500 gm) with gestational age between 26 and 34 weeks, a group of 56 preterm babies was studied after percuta...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2007-999282

    authors: Amato M,Hüppi P,Isenschmid M,Schneider H

    更新日期:1992-09-01 00:00:00

  • What Are the Factors Affecting Total Sleep Time During Video Polysomnography in Infants?

    abstract:OBJECTIVE: The aim of the study is to investigate factors affecting total sleep time (TST) during infant polysomnography (PSG) and assess if <4 hours of TST is sufficient for accurate interpretation. STUDY DESIGN: Overall, 242 PSGs performed in 194 infants <6 months of chronological age between March 2013 and December...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0040-1718948

    authors: Paul GR,Hayes D Jr,Tumin D,Gulati I,Jadcherla S,Splaingard ML

    更新日期:2020-10-27 00:00:00

  • Hepatoblastoma in a child of extremely low birth weight.

    abstract::Hepatoblastoma is a rare childhood embryonal malignancy. Recent reports suggested a linkage between premature birth and later development of hepatoblastoma. In August 2000, we encountered a 24-month-old boy with extremely low birth weight who developed hepatoblastoma with an unfavorable histology. His birth weight was...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-2002-25309

    authors: Jaing TH,Hung IJ,Lin JN,Lien RI,Hsueh C,Lu CS

    更新日期:2002-04-01 00:00:00

  • The Performance of First-Trimester Anatomy Scan: A Decision Analysis.

    abstract::Introduction First-trimester ultrasound (US) for anatomy assessment may improve anomaly detection, but it may also increase overall US utilization. We sought to assess the utility of first-trimester US for evaluation of fetal anatomy. Materials and Methods A decision analytic model was created to compare first- plus s...

    journal_title:American journal of perinatology

    pub_type: 杂志文章

    doi:10.1055/s-0036-1579652

    authors: Harper LM,Wood SL,Jenkins SM,Owen J,Biggio JR

    更新日期:2016-08-01 00:00:00