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 to 36(6/7) weeks were analyzed. The incidence of adverse outcomes was compared. Chi-square and Fisher exact tests compared outcomes between neonates of varying gestational ages, and Poisson regression was used to control for confounders. Data describing 368 infants are included (PTL: n = 224; PEC: n = 144). Overall, s-PTB infants had less favorable outcomes at earlier gestational ages, and at later gestational ages those born preterm secondary to PEC (pec-PTB) had less favorable outcomes. s-PTB infants 24 to 27(6/7) weeks were 21% more likely to stay in the neonatal intensive care unit (NICU) > or = 8 days than pec-PTB infants (incident rate ratios [IRR] 0.79, P = 0.002, 95% confidence interval [CI] 0.68 to 0.92). Pec-PTB infants 32 to 33(6/7) weeks were 6 times more likely to stay in the NICU > or = 31 days than s-PTB infants (IRR 5.82, P = 0.03, 95% CI 1.20 to 28.31). Short-term neonatal outcomes differ by the etiology of preterm birth. These data can help facilitate proper patient counseling and allocation of resources. Future studies should address mechanisms by which the etiology of PTB leads to specific adverse outcomes, thus allowing for more direct interventional strategies.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Bastek JA,Srinivas SK,Sammel MD,Elovitz MAdoi
10.1055/s-0029-1234036subject
Has Abstractpub_date
2010-02-01 00:00:00pages
163-9issue
2eissn
0735-1631issn
1098-8785journal_volume
27pub_type
杂志文章abstract：:Meningitis is the major pathologic manifestation of Listeria monocytogenes in the United States. Despite the fact that this organism has a well-known predilection for individuals who are pregnant or immunocompromised, to date, maternal listeric meningitis remains an unreported entity in the English literature. The aut...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-1000029
更新日期：1984-07-01 00:00:00
abstract：:Objective To determine if postpartum antibiotics are necessary for patients with chorioamnionitis after a cesarean delivery (CD). Study Design Multicenter randomized controlled trial. Laboring patients with singleton gestations and chorioamnionitis who underwent CD were eligible. Patients were treated with ampicillin ...
journal_title：American journal of perinatology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1055/s-0036-1571327
更新日期：2016-07-01 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：OBJECTIVE: It is well established that women with a previous vaginal delivery have higher success rates in relation to vaginal birth after cesarean than those without. The aim of this study was to examine the effect of past mode of delivery on contractile parameters of human myometrium in vitro. STUDY DESIGN: Myometri...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0039-1694980
更新日期：2021-01-01 00:00:00
abstract：:Osteomyelitis is rarely complicated by an infected cephalohematoma. We report a case of an infected cephalohematoma associated with Escherichia coli sepsis and osteomyelitis of the skull. This 37-day-old boy had E. coli sepsis, which had a poor response to antibiotic treatment. An infected cephalohematoma was found wh...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-1999-6803
更新日期：1999-01-01 00:00:00
abstract：:Tuberous sclerosis complex (TSC) is an autosomal-dominant phakomatosis that can result in cardiac and central nervous system lesions and may adversely impact fetal and maternal health. We report a case of a 19-year-old primagravida with TSC whose pregnancy was complicated by preeclampsia, preterm labor, and fetal demi...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-2005-861572
更新日期：2005-02-01 00:00:00
abstract：:Cardiovascular disease (CVD) is the leading cause of death and disability among women, with more than half occurring in individuals with hypertension. New blood pressure criteria for the diagnosis of hypertension from the American College of Cardiology/American Heart Association recognize that there is no specific blo...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1669441
更新日期：2019-03-01 00:00:00
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
更新日期：2020-10-27 00:00:00
abstract：:We have examined the trend in the incidence and mortality of intraventricular hemorrhage (IVH) in low birthweight infants from 1981 through 1984. During this time we admitted 407 infants in the first week of life with a birthweight less than or equal to 1500 gm in whom a cranial ultrasonogram or autopsy had been perfo...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-999896
更新日期：1986-10-01 00:00:00
abstract：OBJECTIVE:To estimate the natural history of cervical effacement in labor. STUDY DESIGN:This is a retrospective cohort study of term, vertex, singletons who reached 10 cm of cervical dilation from 2010 to 2014. Interval-censored regression was used to estimate the median number of hours between changes in effacement (...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1645858
更新日期：2019-01-01 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：:We investigated body mass index (BMI) and weight gain among pregnant women (ages 14 to 25) and assessed the relationship of BMI and weight gain on birth outcomes. We performed a secondary analysis of 841 women enrolled in a randomized controlled trial receiving prenatal care in two university-affiliated clinics. Almos...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0028-1110088
更新日期：2009-05-01 00:00:00
abstract：:Background Late-onset sepsis (LOS) in very low-birth-weight (VLBW) infants is associated with significant morbidity and mortality. Objectives To determine the incidence of LOS workup, association, and predictive value of clinical indicators leading to culture-positive versus culture-negative sepsis workup. Methods All...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0036-1579648
更新日期：2016-07-01 00:00:00
abstract：:The aim of this prospective study was to investigate, using echocardiography, the relationship between heart murmurs found in the neonatal period and atrial septal defect (ASD). Heart murmurs were detected in 115 of 5124 term neonates within 1 month after birth. The babies were followed by echocardiographic examinatio...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2003-40609
更新日期：2003-05-01 00:00:00
abstract：:Seventy premature infants (birthweight 1.75 kg or less, gestational age 33 weeks or less) with hemoglobin less than 10 g/dL and hematocrit less than 30% were studied and randomly divided into three groups. All of them received oral elemental iron 3 mg/kg/day and vitamin E 5 mg/kg/day during the study period. Recombina...
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-2007-994483
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVE:To determine epidemiology and clinical characteristics of infants with methicillin-susceptible (MSSA) and -resistant Staphylococcus aureus (MRSA) in a level III neonatal intensive care unit (NICU). STUDY DESIGN:All NICU admissions (2001 to 2008) with any positive S. aureus culture were included as cases. Cas...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0032-1304819
更新日期：2012-06-01 00:00:00
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：:This case-controlled study reviewed 26 cases of uterine rupture at an academic medical center. Controls were selected in a 2:1 design by reviewing the immediate successful vaginal birth after cesarean delivery (VBAC) before and after each case of uterine rupture. At less than 2 hours before delivery or acute uterine r...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-981433
更新日期：2007-05-01 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:To identify single nucleotide polymorphisms (SNPs) associated with clinical chorioamnionitis among preterm infants. STUDY DESIGN:We reanalyzed a genome-wide association study (GWAS) from preterm newborns at less than 30 weeks' gestation. Cases and control definitions were determined using administrative reco...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1677503
更新日期：2019-12-01 00:00:00
abstract：INTRODUCTION:Although guidelines recommend repeat ultrasound in the setting of an incomplete fetal anatomic survey, the clinical utility of this practice has not been established. As such, we aimed to assess the yield of repeat ultrasound for anomaly detection following an incomplete survey. MATERIALS AND METHODS:This...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0038-1626715
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:This study aimed to evaluate if maternal serum hormones along the maternal-fetal hypothalamic-pituitary-adrenal (HPA) axis, when drawn prior to labor induction, differed between women who delivered vaginally and those who underwent cesarean. STUDY DESIGN:This was a prospective observational study at a single...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1708801
更新日期：2020-10-01 00:00:00
abstract：:We have examined the safety and efficacy of an early postpartum discharge program in 289 patients who were identified prior to delivery and counseled and educated for discharge 12 to 36 hours after delivery. A total of 55% of the study patients were able to be discharged early. There were 4.3% significant maternal pro...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-2007-994768
更新日期：1993-09-01 00:00:00
abstract：:Amniocentesis to guide the management of preterm pregnancies complicated by premature rupture of the membranes (PROM) has been adopted at several centers. The purpose of this study was to evaluate this practice prospectively among comparable groups of patients, which has not previously been reported. Forty-seven patie...
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-2007-1000031
更新日期：1984-07-01 00:00:00
abstract：OBJECTIVE:We sought to determine if maternal prepregnancy body mass index (BMI) is a risk factor for neonatal respiratory morbidity and to determine if increasing BMI decreased the efficacy of betamethasone (BMZ). STUDY DESIGN:This was a secondary analysis of the Antenatal Late Preterm Steroids trial, double-blind, ra...
journal_title：American journal of perinatology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1055/s-0039-1696644
更新日期：2020-03-01 00:00:00
abstract：:The effect of active management on latent phase labor was assessed in 197 consecutive nulliparous women. Active management resulted in a significant shortening of the latent phase but had no effect on active phase labor. Patients undergoing induction of labor had latent phases that were almost identical to the accepte...
journal_title：American journal of perinatology
pub_type： 临床试验,杂志文章
doi：10.1055/s-2007-999524
更新日期：1990-10-01 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：OBJECTIVE: The study objective was to assess the correlation between hypernatremia during the first week of life and neurodevelopmental outcomes at 18 months of corrected age in premature infants. STUDY DESIGN: A retrospective observational study of preterm infants born at less than 32 weeks of gestation who had a neu...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0040-1716845
更新日期：2020-09-24 00:00:00
abstract：:For maternal metabolism, pregnancy ends not with delivery, but with weaning. In several recent epidemiological studies, authors have reported an association between duration of breast-feeding and reduced maternal risk of metabolic disease. These findings parallel data from animal models showing favorable changes in me...
journal_title：American journal of perinatology
pub_type： 杂志文章,评审
doi：10.1055/s-0028-1103034
更新日期：2009-01-01 00:00:00
abstract：:Objective We aimed to evaluate which patient-level factors influence mode of delivery among candidates for operative vaginal delivery. Study Design Cross-sectional study of candidates for operative vaginal delivery from 18 hospitals over 8 years. Probabilities of mode of delivery were estimated using hierarchical logi...
journal_title：American journal of perinatology
pub_type： 杂志文章
doi：10.1055/s-0037-1601441
更新日期：2017-08-01 00:00:00
