Abstract：
:The aim of this study is to identify clinical, etiologic, and laboratory factors that potentiate adverse outcome of hyperbilirubinemia among term and late preterm neonates in logistic regression analysis. A retrospective cohort of infants with total serum bilirubin (TSB) ≥ 20 mg/dL from 1995 to 2007 was surveyed. Eighteen infants had adverse outcome. Controls were 270 infants without sequelae. Risks were significantly higher in infants with six etiologies causing hyperbilirubinemia: sepsis (odds ratio [OR] = 161.7, 95% confidence interval [CI] = 11.7 to 2242.8), gastrointestinal obstruction (OR = 39.2, 95% CI = 2.7 to 567.3), Rh incompatibility (OR = 31.0, 95% CI = 5.1 to 188.9), hereditary spherocytosis (OR = 19.6, 95% CI = 1.6 to 235.5), ABO incompatibility (OR = 5.1, 95% CI = 1.3 to 19.7), and glucose-6-phosphate dehydrogenase deficiency (OR = 4.7, 95% CI = 1.3 to 16.7). Infants with acute bilirubin encephalopathy were more likely to have adverse outcome than subjects without acute bilirubin encephalopathy (OR = 281.7, 95% CI = 25.8 to 3076.7). Adverse outcome was more common in infants with a positive direct Coombs test (OR = 4.5, 95% CI = 1.3 to 15.4). Infants with hemoglobin < 10 g/dL tended to have adverse outcome more often than those with hemoglobin ≥ 13 g/dL (OR = 11.8, 95% CI = 3.3 to 42.9). Infants with TSB of 35 mg/dL or more (OR = 472.5, 95% CI = 47.8 to 4668.8) and of 30 to 34.9 mg/dL (OR = 9.5, 95% CI = 1.6 to 57.9) carry greater risks as compared with those with TSB of 20 to 24.9 mg/dL. In conclusion, this study quantitatively verified the potential risks for adverse outcome of neonatal hyperbilirubinemia.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Weng YH,Chiu YW,Cheng SW,Hsieh MYdoi
10.1055/s-0031-1274506subject
Has Abstractpub_date
2011-05-01 00:00:00pages
405-12issue
5eissn
0735-1631issn
1098-8785journal_volume
28pub_type
杂志文章abstract：:Primary genital herpes simplex virus (HSV) infection in pregnancy is associated with an increased risk of vertical transmission to the fetus, especially with rupture of membranes. Two cases of primary herpes and two cases of recurrent herpes in pregnancy with preterm premature rupture of membranes and expectant manage...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2002-33090
更新日期：2002-07-01 00:00:00
abstract：:The ultrastructural architecture of colostral cells of mothers of pre- and full-term infants is described. The polymorphonuclears were engaged in vivid phagocytosis of fat droplets. Similar findings were observed on the macrophages. The lymphocytes appeared normal in size and ultrastructure. A small number of eosinoph...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994162
更新日期：1997-07-01 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：:Placental pathology in preeclampsia (PE) and intrauterine growth retardation (IUGR) is associated with alterations of the placental epidermal growth factor receptor (EGFR). It is encoded by a single gene, which gives rise to two different full-length transcripts and one putative truncated transcript in the placenta. T...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993890
更新日期：1998-01-01 00:00:00
abstract：:The objective of this paper is to examine whether growth-restricted preterm infants have a different neonatal outcome than appropriately grown preterm infants. All consecutive, singleton preterm deliveries between 27-35 weeks' gestation were included over a 4-year period. Infants with congenital anomalies and infants ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2000-9423
更新日期：2000-01-01 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：:Chorioamnionitis has generally been thought to be a contraindication to attempting a delayed interval delivery in a multiple gestation. We present a twin gestation in which a delay of 88 days between the birth of the two infants occurred. Chorioamnionitis observed immediately after the delivery of Twin A was successfu...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993962
更新日期：1998-06-01 00:00:00
abstract：:Small- to moderate-sized aortic thrombi in the sick newborn are frequently demonstrated, however, severe aortic thrombosis is rarely encountered. We report two newborn infants presenting with signs of decreased lower limb perfusion shortly after birth. An occlusive infrarenal aortic thrombus was demonstrated in both i...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2000-9975
更新日期：2000-01-01 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：:This article evaluates the role of alpha-fetoprotein (AFP) testing in the diagnosis of ruptured membranes in the preterm patient. AFP is normally found in amniotic fluid and is not present in vaginal secretions. Testing for AFP in vaginal fluid was compared with nitrazine evaluation and ferning in two groups of preter...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999500
更新日期：1990-07-01 00:00:00
abstract：:In studying the effects of amniotic fluid on bacterial growth in a laboratory model, we noted that the pH of the fluid appeared to exert an independent effect. This study was designed to test the ability to control the growth of Escherichia coli in amniotic fluid simply by controlling two important growth conditions, ...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994674
更新日期：1992-03-01 00:00:00
abstract：OBJECTIVE: This study aimed to analyze whether hospital safety-net burden status is associated with increased risk for severe maternal morbidity (SMM) and postpartum readmissions. STUDY DESIGN: The 2010 to 2014 Nationwide Readmissions Database was utilized for this retrospective cohort study. Hospitals were categorize...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1710544
更新日期：2020-05-05 00:00:00
abstract：:Novel coronavirus disease 2019 (COVID-19) infection occurring during pregnancy is associated with an increased risk of preterm delivery. This case report describes successful treatment of preterm labor during acute COVID-19 infection. Standard treatment for preterm labor may allow patients with acute COVID-19 infectio...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1709993
更新日期：2020-06-01 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：OBJECTIVE:To determine if preincubation with prostaglandin E1 (PGE1) and E2 (PGE2) enhances oxytocin-induced myometrial contractility in vitro. STUDY DESIGN:Myometrial strips from 13 women were incubated with PGE1 (10-5 mol/L or 10-6 mol/L), PGE2 (10-5 mol/L or 10-6 mol/L) or solvent before adding cumulative concentra...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1329696
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVE: Studies demonstrate shorter time to delivery with concurrent use of misoprostol and cervical Foley catheter. However, concurrent placement may not be feasible. If misoprostol is used to start an induction, little is known regarding the benefit of sequentially using Foley catheter. We examine obstetrical outc...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1713818
更新日期：2020-06-28 00:00:00
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
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:To assess the effect of range-of-motion exercise program on bone mineralization and somatic growth of very low birth weight (VLBW) infants. STUDY DESIGN:A total of 36 VLBW infants were randomized into 18 VLBW infants receiving range-of-motion exercise and 18 VLBW control infants receiving tactile stimulation...
journal_title：American journal of perinatology
pub_type： 杂志文章,随机对照试验
doi：10.1055/s-0039-1678559
更新日期：2020-02-01 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：OBJECTIVE: Neuromuscular re-education (NMRE) therapy including bracing, containment, facilitation techniques, joint compression, weight (WT) bearing, and myofascial release has been shown to improve neurodevelopmental maturation in premature infants. This study aimed to examine the association of NMRE with growth param...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1716492
更新日期：2020-09-11 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：:We sought to describe a case series and literature review of uterine rupture in the absence of a previous cesarean delivery. In addition to four cases in our institution, a search of the literature from 1994 to 2008 identified cases of uterine rupture unrelated to a prior cesarean. Uterine rupture in the absence of a ...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0029-1223287
更新日期：2009-11-01 00:00:00
abstract：:This study was performed at University Medical Center, Lubbock, Texas, from July 1989 to June 1990. We obtained serum gentamicin peak and trough levels in 23 pregnant women with pyelonephritis. The patients were given a loading dose of 2 mg/kg gentamicin, followed by 1.5 mg/kg gentamicin adjusted for obesity every 8 h...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994533
更新日期：1994-01-01 00:00:00
abstract：:This study assessed whether the amniotic fluid index (AFI) or the single deepest pocket (SDP) is the best technique to estimate amniotic fluid volume. The AFI and SDP were compared to a dye-determined or directly measured amniotic fluid volume. A PUBMED search from 1990 to 2006 was conducted using the search terms "si...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2007-986689
更新日期：2007-10-01 00:00:00
abstract：:The use of transabdominal vibroacoustic stimulation has been shown to improve the efficiency of antepartum fetal surveillance. The ability of the fetus to habituate to such a stimulus has also been suggested as a means of assessing the function of the central nervous system. The purpose of this blinded prospective inv...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999420
更新日期：1991-11-01 00:00:00
abstract：:A prospective study of 377 premature infants (less than or equal to 1500 gm) was undertaken to delineate the natural history of subependymal/intraventricular hemorrhage (S/IVH) and its complications using ultrasound (US) and computed tomography (CT). Low grade (I, II) S/IVH had a low mortality while higher grades (III...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2007-999929
更新日期：1985-04-01 00:00:00
abstract：:The objective of this article is to prospectively investigate the efficacy of amnioinfusion as a means to reduce febrile morbidity in pregnancies complicated by chorioamnionitis. All laboring patients with a temperature > or =100.1 degrees F were approached for study participation. Exclusion criteria included amnionit...
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-2007-994085
更新日期：1998-01-01 00:00:00
abstract：:Serial ultrasound measurements of the fetus under investigation is an important indicator of fetal growth, and thus fetal health. To assess how reliable those measurements are, a videotape was made, and, utilizing an ultrasound machine that allowed the placement of callipers on the videotape, the dispersion of the mea...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999271
更新日期：1992-09-01 00:00:00
abstract：:Our objective was to describe the change in the level of troponin I in patients who undergo a vaginal or cesarean delivery. We obtained troponin I levels on admission and 1 hour after delivery in women undergoing vaginal and cesarean deliveries. Exclusion criteria included <37 weeks' gestation, a history of cardiac di...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2004-820507
更新日期：2004-01-01 00:00:00
abstract：:In insulin dependent diabetic (IDDM) gestations, fetal pulmonary maturity is delayed in the presence of suboptimal glycemic control. Serum glycosylated hemoglobin (HbA1c) provides a means of assessing glycemic control. We evaluated maternal HbA1c in IDDM pregnancies at term undergoing amniocentesis for lung maturity t...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-993868
更新日期：1999-01-01 00:00:00
