Abstract：
OBJECTIVE:This study assessed the impact of a nurse simulation training program on perception of kangaroo mother care (KMC) value and transfer skill competency. STUDY DESIGN:An 8-item Likert scale skill survey tool and a 24-item Likert developmental care survey tool were used in a prospective cohort study to analyze perceptions of 30 neonatal nurses who underwent a comprehensive KMC simulation-based training program. Competency skills were evaluated pretraining and tracked by direct observation for 6 months posttraining. Pre- and postsurvey data were analyzed and KMC utilization for preterm infants born at ≤ 34 weeks' gestation was determined. RESULTS:Nurses' competency in infant transfer improved, especially in infants receiving nasal continuous positive airway pressure or ventilator support, from 30 to 93% or 10 to 50%, respectively, p < 0.0001. Neonatal nurses' perceived KMC value increased from 50 to 100%, p < 0.001, and parent KMC utilization increased from 26.5 to 85.9%, p < 0.0001. Nurses' support for parental visitation improved from 38 to 73%, p < 0.001; discussion of KMC with parents on the 1st day increased from 5 to 45%, p < 0.001; and initial day of KMC provision improved from 18.0 ± 2.7 to 5.6 ± 1.2 days, p < 0.001. CONCLUSIONS:A comprehensive simulation-based KMC education program improved nurses' perception of KMC value, their competency and comfort in infant transfer for KMC care, and successfully promoted KMC parent utilization for the preterm infant in the neonatal intensive care unit.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Hendricks-Munoz KD,Mayers RMdoi
10.1055/s-0034-1371359subject
Has Abstractpub_date
2014-11-01 00:00:00pages
987-92issue
11eissn
0735-1631issn
1098-8785journal_volume
31pub_type
杂志文章abstract：OBJECTIVE:To analyze outcomes after second-stage labor beyond 3 hours and determine if prolonged second stages were intentional. STUDY DESIGN:Retrospective cohort analysis of maternal and neonatal outcomes in nulliparous women based on second-stage duration. Medical records were reviewed for management decisions in wo...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1314894
更新日期：2012-10-01 00:00:00
abstract：:In 18 women with gestational diabetes the variables of an oral glucose tolerance test (fasting and 2-hour blood glucose values and area under the blood glucose curve) performed in the last trimester of pregnancy correlated significantly with the urinary C-peptide excretion during the first 12 hours of the life (r = 0....
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999674
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to investigate whether maternal bronchial asthma increases the risk for long-term respiratory morbidity of the offspring. STUDY DESIGN:A population-based cohort study compared the incidence of long-term pediatric hospitalizations due to respiratory disease of the offspring of ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1639507
更新日期：2018-09-01 00:00:00
abstract：:Molecular amplification of parvovirus B19 DNA in an amniotic fluid sample was used to confirm the etiologic agent of a case with fetal hydrops. The polymerase chain reaction (PCR) method used is easy and fast to perform. We have a 2-year experience on its use in clinical parvovirus B19 diagnosis. The results are avail...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994518
更新日期：1995-11-01 00:00:00
abstract：:Objective To evaluate if in high-risk non-extracorporeal membrane oxygenation (ECMO)-treated congenital diaphragmatic hernia (CDH) survivors, ventilatory time (VT) is correlated to and can be used as clinical marker of neurodevelopmental delay at 2 years of age. Study Design Cohort study was conducted between 2008 and...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1586120
更新日期：2017-02-01 00:00:00
abstract：:The primary objective of this study was to determine whether having the sickle cell trait is independently associated with preeclampsia. We performed a retrospective cohort study of 1998 pregnant patients who either did or did not have the sickle cell trait. All patients were screened for the sickle trait using the "S...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2003-37953
更新日期：2003-01-01 00:00:00
abstract：:Background It is unclear how adherence to the Institute of Medicine's (IOM) guidelines for weight gain affects pregnancy outcomes. Objective We investigated how weight gain outside the IOM's recommendations affects the risks of adverse pregnancy outcomes. Study Design We performed a secondary analysis of a prospective...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1584583
更新日期：2017-01-01 00:00:00
abstract：:Objective There is limited data regarding the use of oral hypoglycemic agents (OHAs) in pregnant women with type 2 diabetes mellitus (T2DM). Study Design This was a retrospective cohort study of women with T2DM who were treated with OHA or insulin from the first trimester onward. Bivariate and multivariate logistic re...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1597625
更新日期：2017-06-01 00:00:00
abstract：:We report the sixth pregnancy and the first occurrence of twins after liver transplantation, and the second time cyclosporine was used in pregnancy for that indication. The pregnancy was interrupted at 33 weeks, menstrual age, for exacerbation of chronic graft rejection and intrauterine growth retardation of both twin...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999362
更新日期：1991-03-01 00:00:00
abstract：:A randomized clinical trial (RCT) noted that sonographic examination in the third trimester, in conjunction with delivery at term for abnormalities of fetal growth, significantly decreased the likelihood of small-for-gestational-age (SGA) neonates in uncomplicated pregnancies. We identified 15 characteristics of scree...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1321497
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Congenital pulmonary airway malformation (CPAM) is a group of rare congenital malformations of the lung and airways. Lung ultrasound (LU) is increasingly used to diagnose neonatal respiratory diseases since it is quick, easy to learn, and radiation-free, but no formal data exist for congenital ...
journal_title：American journal of perinatology
pub_type： 杂志文章,多中心研究
doi：10.1055/s-0038-1645861
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:The management of breech presentation may improve perinatal outcomes. The aim of this study was to synthesize and compare published evidence of four national guidelines on breech presentation. STUDY DESIGN:A descriptive review of four recently published national guidelines on breech presentation and external...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1692391
更新日期：2020-09-01 00:00:00
abstract：:The purpose of this study was to compare the delayed response to Bacillus Calmette-Guérin (BCG) immunization in preterm infants 31.4 to 34.6 weeks of age with full-terms infants by tuberculin test (tuberculin skin test with purified protein derivative [PPD]). One hundred newborns were studied from November 2000 to Apr...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-970080
更新日期：2007-03-01 00:00:00
abstract：:Extremely preterm infants often develop chronic lung disease (CLD) characterized by heterogeneous aeration; poorly supported, floppy airways; and air trapping. High-frequency jet ventilation (HFJV) with high end-expiratory pressure (optimal lung volume strategy [OLVS]) may improve airway patency, lead to better gas di...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章
doi：10.1055/s-2006-954821
更新日期：2006-11-01 00:00:00
abstract：:Our objective was to compare the incidence of recurrent spontaneous preterm delivery (SPTD) in patients with cervical cerclage treated with weekly 17 alpha-hydroxyprogesterone caproate (17P) injections versus daily outpatient nursing surveillance (ONS) without 17P. Included in this retrospective cohort study were sing...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2008-1064935
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE: American College of Cardiology and American Heart Association (ACC/AHA) published new guidelines which lower the cut-off for hypertension. We sought to evaluate the impact of these guidelines to cost and benefit of various low-dose aspirin prophylaxis approaches. STUDY DESIGN: Decision tree analysis was cre...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1697588
更新日期：2019-10-11 00:00:00
abstract：:The objective of this paper is to evaluate the efficacy of various magnetic resonance imaging (MRI) sequences and the general usefulness of prenatal MRI in determining the position of the fetal liver and visualizing lung tissue in fetuses who have congenital diaphragmatic hernia (CDH). This was a retrospective review ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-1999-6821
更新日期：1999-01-01 00:00:00
abstract：:A case of massive hydramnios involving a twin-twin transfusion syndrome is presented with death of the larger twin and the development of hydrops fetalis in the surviving smaller twin. The amniotic fluid volume of the surviving twin became normal and the hydrops fetalis resolved spontaneously in utero. Concomitant wit...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999457
更新日期：1990-04-01 00:00:00
abstract：:Type 1 cystic sacrococcygeal teratomas, usually associated with good outcome following neonatal resection, must be differentiated at the time of prenatal diagnosis from sonographically similar meningomyeloceles, which carry a grave prognosis. We present an unusual case in which color Doppler imaging assisted correct m...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994089
更新日期：1997-01-01 00:00:00
abstract：:Phosphatidylglycerol (PG) in amniotic fluid was quantitatively measured by thin-layer chromatography (TLC) in 941 amniotic fluid samples and related to the presence or absence of respiratory distress syndrome (RDS) in neonates born within 7 days of the amniocentesis. In 639 case tests with PG 1 nmol/ml or more of amni...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994666
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE: This study was aimed to describe continuous labor curves, including second stage, based on fetal head station. STUDY DESIGN: We performed a prospective multicenter cohort study. The inclusion criteria were women with singleton uncomplicated cephalic term pregnancies in labor, who delivered vaginally. We use...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1702989
更新日期：2020-03-02 00:00:00
abstract：:Trichosporon beigelii is an uncommon cause of sepsis in low-birth-weight infants. We present two cases of neonatal trichosporonosis and two cases of neonatal trichosporon colonization to familiarize neonatologists with this entity and to discuss management considerations. A 23-week-gestation male developed clinical ev...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994109
更新日期：1997-02-01 00:00:00
abstract：OBJECTIVE:The objective of this article is to evaluate the implementation and acceptability of a universal cervical length (CL) screening program for prediction and prevention of preterm birth (PTB). STUDY DESIGN:We performed a prospective observational study to evaluate the implementation and acceptability of a unive...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0034-1371710
更新日期：2014-12-01 00:00:00
abstract：:A recent report has noted an association between Helicobacter pylori and hyperemesis gravidarum. We present two cases in which first-trimester patients with severe hyperemesis gravidarum requiring intravenous fluid replacement were placed on oral erythromycin therapy for other nonrelated conditions. Surprisingly, mark...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994055
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:To determine the risk of spontaneous preterm delivery (SPTD) associated with transvaginal cervical length (TVCL) in an unselected cohort. STUDY DESIGN:This is a retrospective study of serial TVCLs in unselected twin gestations. Receiver operator curves for SPTD were constructed from TVCLs at 18, 20, 22, and ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1676484
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:This study aims to compare how national guidelines approach the management of obesity in reproductive age women. STUDY DESIGN:We conducted a search for national guidelines in the English language on the topic of obesity surrounding the time of a pregnancy. We identified six primary source documents and sever...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0035-1567856
更新日期：2016-04-01 00:00:00
abstract：:Objective To determine the association between birthweight extremes and risk of adverse neonatal and childhood outcomes following preterm premature rupture of membranes (PPROM). Study Design This is a secondary analysis of data from the Beneficial Effects of Antenatal Magnesium Sulfate Trial. Women with nonanomalous s...
journal_title：American journal of perinatology
pub_type： 杂志文章,多中心研究
doi：10.1055/s-0036-1584898
更新日期：2016-10-01 00:00:00
abstract：:Major akinesia with arthrogryposis and craniosynostosis at birth mimics irreversible disorders of the nervous system of pejorative outcome. In this context, the early detection of anti-acetylcholine fetal receptor antibodies in the mother may allow rapid diagnosis of transient neonatal myasthenia of favorable prognosi...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2002-34468
更新日期：2002-08-01 00:00:00
abstract：OBJECTIVE:The Apgar score has been shown to have utility in predicting mortality in the extremely preterm infant in delivery hospital populations, where most mortality occurs within 12 hours of birth. We tested the hypothesis that the 5 minute Apgar score would remain associated with mortality in extremely preterm infa...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0035-1554803
更新日期：2015-11-01 00:00:00
abstract：:Gestational diabetes mellitus (GDM) has increased dramatically in the past 20 years together with the obesity epidemic. Mirroring the increase in incidence of GDM is increasing use of endocrine disrupting chemicals (EDCs). EDCs are structurally similar to endogenous hormones and interfere with synthesis, secretion, ac...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0036-1586500
更新日期：2016-11-01 00:00:00
