Abstract：
OBJECTIVES:To describe the trend and factors associated with the autopsy over the past decade at a level III neonatal intensive care unit (NICU) where all patients are presented with an option. STUDY DESIGN:Retrospective study of the autopsy in a cohort of infants who died in the NICU from January 1, 2001, to December 31, 2010. RESULTS:Of 446 deaths, 33.9% received the autopsy and rates decreased from the 2 years prior to the study. The autopsy was associated with gestational age at birth and chronologic age at death. On multivariable logistic regression analyses, the odds of an autopsy increased with gestational age (p = 0.001), death in the postneonatal period (odds ratio [OR] = 2.01, 95% confidence interval [CI] = 1.28, 3.16), and absence of a major congenital anomaly (OR = 1.96, 95% CI = 1.22, 3.23). CONCLUSION:Autopsy rates continue to decline despite ensuring that all parents are presented with the option. Infants born at term and those who die after 1 month without known congenital anomalies are most likely to receive the autopsy. The persistently low rates may highlight the importance of helping families understand that the autopsy has utility even when the cause of death may appear to be obvious.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Swinton CH,Weiner J,Okah FAdoi
10.1055/s-0032-1332798subject
Has Abstractpub_date
2013-10-01 00:00:00pages
739-44issue
9eissn
0735-1631issn
1098-8785journal_volume
30pub_type
杂志文章abstract：:Neonatal alloimmune neutropenia (NAN) results from neutrophil destruction by transplacental maternal neutrophil-specific immunoglobulin G (IgG) antibodies directed against the antigen inherited from the father. Treatment is usually based on recombinant human granulocyte colony-stimulating factor (G-CSF) and prevention...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0030-1270113
更新日期：2011-06-01 00:00:00
abstract：:To study a possible relation between the use of postnatal glucocorticoids and the incidence and severity of retinopathy of prematurity (ROP), we conducted a retrospective study over a 4-year period that compared data of 161 preterm infants treated with hydrocortisone for bronchopulmonary dysplasia (BPD) with the data ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2000-13437
更新日期：2000-01-01 00:00:00
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 ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1582396
更新日期：2016-08-01 00:00:00
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
更新日期：2007-05-01 00:00:00
abstract：:The accuracy of eight ultrasonic fetal weight formulas were analyzed in 1099 fetuses who underwent real-time ultrasound examination within 72 hours prior to delivery. Shepard's formula was most consistently found to give the lowest systematic and random errors throughout all weight categories, though Deter's formula h...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999944
更新日期：1985-07-01 00:00:00
abstract：:We compared short-term neonatal outcomes between premature infants with spontaneous preterm birth (s-PTB) and those delivered due to preeclampsia (PEC). Data were collected from women with singleton pregnancies admitted with spontaneous preterm labor (PTL) (2002 to 2005) and PEC (2005 to 2007). Patients delivering 24 ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0029-1234036
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:Retinopathy of prematurity (ROP) is a significant cause of childhood blindness. AIM:The aim of this study is to determine the feasibility of remifentanil analgesia during laser treatment of ROP performed in the neonatal intensive care unit (NICU). PATIENTS AND METHODS:Remifentanil was infused continuously ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0034-1370348
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:We sought to examine pathogen distribution and clinical presentation of late-onset sepsis (LOS) at an urban tertiary care center. STUDY DESIGN:We performed a retrospective review of all culture-confirmed cases of LOS presenting to our institution from 2013 to 2017. Medical records were evaluated for demograp...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1675643
更新日期：2019-09-01 00:00:00
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
更新日期：1997-10-01 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：OBJECTIVE:The objective of this study was to estimate the contemporary national rate of severe maternal morbidity (SMM) and its associated hospital cost during delivery hospitalization. STUDY DESIGN:We conducted a retrospective study identifying all delivery hospitalizations in the United States between 2011 and 2012....
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1649481
更新日期：2018-11-01 00:00:00
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
更新日期：2009-02-01 00:00:00
abstract：:Discordancy in twins is generally described as a weight difference between the fetuses of 15 to 25% and its prevalence in normal twin gestations is estimated at 15 to 29%. The present study was performed in order to determine the frequency of discordant newborns in uncomplicated triplet gestations. One hundred and fou...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994724
更新日期：1993-05-01 00:00:00
abstract：OBJECTIVE:To review developmental outcomes of neonates with mild hypoxic-ischemic encephalopathy (HIE) treated with therapeutic hypothermia (TH). STUDY DESIGN:Neonates ≥35 weeks' gestation with mild HIE/TH (TH group, n = 30) were matched with healthy term-born infants (control group, n = 30) and reviewed for the prese...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1676973
更新日期：2019-11-01 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：:Infants of diabetic mothers (IDMs) are at known risk for developing a hypertrophic type of cardiomyopathy. The severity of IDM cardiomyopathy can vary from an incidental finding on echocardiography to an infant with severe symptoms of congestive heart failure. The purpose of this article is to review the pathophysiolo...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2007-999722
更新日期：1988-10-01 00:00:00
abstract：:Hepatoblastoma accounts for less than 1% of all pediatric malignancies. However, it remains the most common malignant tumor of the liver in newborns. Less than 10% of hepatoblastoma cases are diagnosed in the neonatal period. The diagnosis can be very difficult due to the wide spectrum of presentation and differences ...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2005-872592
更新日期：2005-11-01 00:00:00
abstract：:Ehlers-Danlos syndrome type IV (EDS IV) is a rare but serious disorder of connective tissue that is characterized by the abnormal production or secretion of type III collagen. Experience with pregnant patients exhibiting this syndrome is limited. This report describes the successful management of a pregnancy in a woma...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999756
更新日期：1987-04-01 00:00:00
abstract：:I developed a single equation that simulated previously published growth charts for very low-birth-weight infants, using birth weight as the only variable. The intent of this study was to validate the equation using infants admitted to our neonatal intensive care unit (NICU) and to determine if this equation could be ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993914
更新日期：1998-02-01 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: To determine reference values for myocardial volume of the fetal heart using three-dimensional ultrasound with spatiotemporal image correlation (STIC) and virtual organ computer-aided analysis (VOCAL) and to assess their applicability in women with pregestational diabetes. STUDY DESIGN: This retrospective c...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-3400983
更新日期：2019-12-13 00:00:00
abstract：:The purpose of this study was to establish normative reference values for serum unconjugated estriol (E3) concentrations in insulin-dependent diabetic pregnancy. There were 1973 samples analyzed in 63 diabetic pregnancies not complicated by fetal distress and/or neonatal asphyxia. These samples were compared with 867 ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999718
更新日期：1988-10-01 00:00:00
abstract：:A study was undertaken in 372 consecutive patients undergoing non-elective cesarean delivery to explore the incidence and nature of conflicts between physician and patient surrounding the decision to undergo non-elective cesarean delivery; to examine the adequacy of informed consent at the time of non-elective cesarea...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994319
更新日期：1996-04-01 00:00:00
abstract：OBJECTIVE:To compare the obstetric recommendations in American Congress of Obstetricians and Gynecologists (ACOG) practice bulletins (PB) with similar topics in UpToDate (UTD). STUDY DESIGN:We accessed all obstetric PB and cross-searched UTD (May 1999-May 2013). We analyzed only the PB which had corresponding UTD chap...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0034-1396684
更新日期：2015-04-01 00:00:00
abstract：:Community-acquired pneumonia (CAP) is the leading cause of death in children < 5 years of age worldwide. It is also one of the most frequent infectious diseases in children, leading to large antibiotic use and hospitalization even in the industrialized countries. However, the optimal management of CAP in children is s...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0039-1691801
更新日期：2019-07-01 00:00:00
abstract：:We sought to validate center-specific published medians and estimate the effects of sonologist and Doppler measurement techniques on middle cerebral artery (MCA) peak systolic velocity (PSV) values. We studied 154 gravidas with normal singletons who underwent MCA PSV measurement at 18 to 35 weeks' gestation by one of ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0030-1249365
更新日期：2010-09-01 00:00:00
abstract：:Carbamoyl phosphate synthetase deficiency is a type of an inborn error of metabolism with a poor prognosis. Carbamoyl phosphate synthetase is a liver-specific enzyme, and its deficiency can only be diagnosed by enzyme assay using liver biopsy specimens. A pregnant woman at risk for carbamoyl phosphate synthetase defic...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2007-994579
更新日期：1994-03-01 00:00:00
abstract：BACKGROUND:Bacillus Calmette-Guerin (BCG) scar formation is considered a visual marker of vaccination and cell-mediated immune response. This study characterized the association between pregnancy and birth characteristics with BCG scar formation. STUDY DESIGN:Pregnant women were enrolled prospectively. Infants were fo...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1676614
更新日期：2019-10-01 00:00:00
abstract：:Disulfiram has been used effectively to deter alcohol consumption in patients with a history of alcohol abuse. Its use in reproductive age women has become increasingly common in recent years, intensifying the risk of fetal exposure. Nonspecific but significant abnormalities have been described in the infants of women...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994688
更新日期：1993-01-01 00:00:00
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 ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1584139
更新日期：2016-12-01 00:00:00
