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OBSTETRICS AND GYNECOLOGY (207 journals)                  1 2 | Last

Showing 1 - 200 of 207 Journals sorted alphabetically
Acta Obstétrica e Ginecológica Portuguesa     Open Access   (Followers: 1)
Acta Obstetricia et Gynecologica Scandinavica     Hybrid Journal   (Followers: 16)
Advances in Neonatal Care     Hybrid Journal   (Followers: 47)
Advances in Reproductive Sciences     Open Access   (Followers: 2)
Advances in Sexual Medicine     Open Access   (Followers: 7)
African Journal for Infertility and Assisted Conception     Open Access   (Followers: 1)
African Journal of Midwifery and Women's Health     Full-text available via subscription   (Followers: 13)
African Journal of Reproductive Health     Open Access   (Followers: 8)
Aktuální Gynekologie a Porodnictví     Open Access   (Followers: 1)
American Journal of Obstetrics & Gynecology MFM     Hybrid Journal   (Followers: 2)
American Journal of Obstetrics and Gynecology     Hybrid Journal   (Followers: 276)
American Journal of Perinatology     Hybrid Journal   (Followers: 39)
American Journal of Perinatology Reports     Open Access   (Followers: 18)
American Journal of Reproductive Immunology     Hybrid Journal   (Followers: 6)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Archives of Gynecology and Obstetrics     Hybrid Journal   (Followers: 19)
Asian Pacific Journal of Reproduction     Open Access  
Australian and New Zealand Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 52)
Best Practice & Research Clinical Obstetrics & Gynaecology     Hybrid Journal   (Followers: 34)
Biology of Reproduction     Full-text available via subscription   (Followers: 11)
Birth     Hybrid Journal   (Followers: 40)
Birth Defects Research Part B: Developmental and Reproductive Toxicology     Hybrid Journal   (Followers: 8)
BJOG : An International Journal of Obstetrics and Gynaecology     Partially Free   (Followers: 299)
British Journal of Midwifery     Full-text available via subscription   (Followers: 91)
Case Reports in Obstetrics and Gynecology     Open Access   (Followers: 11)
Case Reports in Perinatal Medicine     Hybrid Journal   (Followers: 11)
Clínica e Investigación en Ginecología y Obstetricia     Full-text available via subscription  
Clinical Lactation     Open Access   (Followers: 22)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 27)
Clinics in Perinatology     Full-text available via subscription   (Followers: 25)
Contemporary OB GYN - Obstetrics-Gynecology & Women's Health     Full-text available via subscription   (Followers: 6)
Contraception     Hybrid Journal   (Followers: 20)
Contraception : X     Open Access   (Followers: 1)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Current Obstetrics and Gynecology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13)
Current Women's Health Reviews     Hybrid Journal   (Followers: 5)
Early Human Development     Hybrid Journal   (Followers: 13)
Ecography     Hybrid Journal   (Followers: 27)
EMC - Ginecología-Obstetricia     Full-text available via subscription   (Followers: 1)
European Clinics in Obstetrics and Gynaecology     Hybrid Journal   (Followers: 5)
European Journal of Contraception & Reproductive Health Care     Hybrid Journal   (Followers: 5)
European Journal of Obstetrics & Gynecology and Reproductive Biology     Hybrid Journal   (Followers: 29)
European Journal of Obstetrics & Gynecology and Reproductive Biology : X     Open Access  
Expert Review of Obstetrics & Gynecology     Hybrid Journal   (Followers: 5)
Fertility and Sterility     Full-text available via subscription   (Followers: 79)
Fertility Research and Practice     Open Access   (Followers: 2)
Fertility Science and Research     Open Access  
Fetal and Maternal Medicine Review     Hybrid Journal   (Followers: 6)
Fetal Diagnosis and Therapy     Full-text available via subscription   (Followers: 10)
Ginekologia i Perinatologia Praktyczna     Hybrid Journal  
Ginekologia Polska     Open Access  
Global Reproductive Health     Open Access  
gynäkologie + geburtshilfe     Full-text available via subscription   (Followers: 2)
Gynäkologisch-geburtshilfliche Rundschau     Full-text available via subscription   (Followers: 1)
Gynakologische Endokrinologie     Hybrid Journal  
Gynecologic and Obstetric Investigation     Full-text available via subscription   (Followers: 5)
Gynecologic Oncology     Hybrid Journal   (Followers: 28)
Gynecologic Oncology Reports     Open Access   (Followers: 11)
Gynecologic Oncology Research and Practice     Open Access   (Followers: 1)
Gynecological Endocrinology     Hybrid Journal   (Followers: 6)
Gynecological Surgery     Open Access   (Followers: 4)
Gynécologie Obstétrique & Fertilité     Full-text available via subscription   (Followers: 1)
Gynécologie Obstétrique Fertilité & Sénologie     Hybrid Journal   (Followers: 1)
Gynecology     Open Access  
Gynecology and Minimally Invasive Therapy     Open Access  
Gynecology Obstetrics & Reproductive Medicine     Open Access   (Followers: 1)
Health Care For Women International     Hybrid Journal   (Followers: 8)
Human Reproduction     Hybrid Journal   (Followers: 77)
Human Reproduction Open     Open Access   (Followers: 1)
Human Reproduction Update     Hybrid Journal   (Followers: 19)
Hypertension in Pregnancy     Hybrid Journal   (Followers: 9)
Indian Journal of Gynecologic Oncology     Hybrid Journal  
Indonesian Journal of Obstetrics and Gynecology     Open Access  
Infectious Diseases in Obstetrics and Gynecology     Open Access   (Followers: 5)
International Journal of Anatomical Variations     Open Access  
International Journal of Childbirth     Hybrid Journal   (Followers: 8)
International Journal of Gynecological Cancer     Hybrid Journal   (Followers: 24)
International Journal of Gynecological Pathology     Hybrid Journal   (Followers: 9)
International Journal of Gynecology & Obstetrics     Hybrid Journal   (Followers: 26)
International Journal of Neonatal Screening     Open Access   (Followers: 3)
International Journal of Obstetric Anesthesia     Full-text available via subscription   (Followers: 14)
International Journal of Obstetrics, Perinatal and Neonatal Nursing     Full-text available via subscription  
International Journal of Reproduction, Contraception, Obstetrics and Gynecology     Open Access   (Followers: 14)
International Journal of Reproductive Medicine     Open Access   (Followers: 5)
International Urogynecology Journal     Hybrid Journal   (Followers: 4)
Italian Journal of Anatomy and Embryology     Open Access   (Followers: 1)
Journal de Gynécologie Obstétrique et Biologie de la Reproduction     Full-text available via subscription  
Journal für Gynäkologische Endokrinologie / Schweiz     Hybrid Journal  
Journal für Gynäkologische Endokrinologie/Österreich     Hybrid Journal  
Journal of Assisted Reproduction and Genetics     Hybrid Journal   (Followers: 6)
Journal of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
Journal of Breast Health     Open Access  
Journal of Clinical Gynecology and Obstetrics     Open Access   (Followers: 7)
Journal of Endometriosis and Pelvic Pain Disorders     Hybrid Journal  
Journal of Evidence-based Care     Open Access   (Followers: 8)
Journal of Family Planning and Reproductive Health Care     Hybrid Journal   (Followers: 12)
Journal of Genital System & Disorders     Hybrid Journal   (Followers: 3)
Journal of Gynecologic Surgery     Hybrid Journal   (Followers: 1)
Journal of Gynecological Research and Obstetrics     Open Access   (Followers: 1)
Journal of Gynecology Obstetrics and Human Reproduction     Hybrid Journal  
Journal of Human Lactation     Hybrid Journal   (Followers: 30)
Journal of Human Reproductive Sciences (JHRS)     Open Access   (Followers: 3)
Journal of Lower Genital Tract Disease     Hybrid Journal  
Journal of Maternal and Child Health     Open Access  
Journal of Maternal-Fetal & Neonatal Medicine     Hybrid Journal   (Followers: 40)
Journal of Midwifery     Open Access   (Followers: 3)
Journal of Midwifery & Women's Health     Hybrid Journal   (Followers: 66)
Journal of Midwifery and Reproduction     Open Access   (Followers: 5)
Journal of Midwifery and Reproductive Health     Open Access   (Followers: 15)
Journal of Minimally Invasive Gynecology     Full-text available via subscription   (Followers: 12)
Journal of Neonatal-Perinatal Medicine     Hybrid Journal   (Followers: 14)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Obstetric, Gynecologic, & Neonatal Nursing     Hybrid Journal   (Followers: 36)
Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 34)
Journal of Obstetrics and Gynaecology Canada     Hybrid Journal   (Followers: 1)
Journal of Obstetrics and Gynaecology Research     Hybrid Journal   (Followers: 9)
Journal of Obstetrics and Gynecology of India     Hybrid Journal   (Followers: 4)
Journal of Obstetrics and Women's Diseases     Open Access  
Journal of Pediatric and Adolescent Gynecology     Full-text available via subscription   (Followers: 3)
Journal of Perinatal Education     Hybrid Journal   (Followers: 5)
Journal of Perinatal Medicine     Hybrid Journal   (Followers: 12)
Journal of Perinatology     Hybrid Journal   (Followers: 7)
Journal of Psychosomatic Obstetrics & Gynecology     Hybrid Journal   (Followers: 3)
Journal of Reproduction and Contraception     Full-text available via subscription   (Followers: 4)
Journal of Reproductive and Infant Psychology     Hybrid Journal   (Followers: 24)
Journal of Reproductive Biotechnology and Fertility     Open Access   (Followers: 2)
Journal of Reproductive Health and Medicine     Full-text available via subscription   (Followers: 2)
Journal of Reproductive Immunology     Hybrid Journal   (Followers: 2)
Jurnal Kebidanan Midwiferia     Open Access  
Jurnal Ners     Open Access  
La Revue Sage-Femme     Full-text available via subscription  
Majalah Obstetri & Ginekologi     Open Access  
Maternal Health, Neonatology and Perinatology     Open Access   (Followers: 9)
Menopause     Hybrid Journal   (Followers: 14)
Menopause International     Hybrid Journal   (Followers: 9)
MHR: Basic science of reproductive medicine     Hybrid Journal   (Followers: 1)
Middle East Fertility Society Journal     Open Access   (Followers: 3)
Midwifery     Hybrid Journal   (Followers: 74)
Midwifery Today     Full-text available via subscription   (Followers: 16)
Nascer e Crescer : Birth and Growth Medical Journal     Open Access  
Neonatal Network - Journal of Neonatal Nursing     Hybrid Journal   (Followers: 25)
Neonatology     Full-text available via subscription   (Followers: 48)
Nepal Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
OA Women's Health     Open Access   (Followers: 1)
Obstetric Anesthesia Digest     Full-text available via subscription   (Followers: 1)
Obstetric Medicine     Hybrid Journal   (Followers: 8)
Obstetrical & Gynecological Survey     Hybrid Journal   (Followers: 14)
Obstetrics & Gynecology     Partially Free   (Followers: 93)
Obstetrics and Gynaecology Forum     Full-text available via subscription   (Followers: 1)
Obstetrics and Gynecology Clinics of North America     Full-text available via subscription   (Followers: 21)
Obstetrics and Gynecology International     Open Access   (Followers: 7)
Obstetrics, Gynaecology & Reproductive Medicine     Full-text available via subscription   (Followers: 17)
Open Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Paediatric and Perinatal Epidemiology     Hybrid Journal   (Followers: 9)
Perinatología y Reproducción Humana     Open Access   (Followers: 1)
Perspectives On Sexual and Reproductive Health     Hybrid Journal   (Followers: 7)
Placenta     Hybrid Journal   (Followers: 2)
Postgraduate Obstetrics & Gynecology     Full-text available via subscription   (Followers: 1)
Proceedings in Obstetrics and Gynecology     Open Access   (Followers: 4)
Progresos de Obstetricia y Ginecología     Full-text available via subscription   (Followers: 1)
Reprodução & Climatério     Open Access   (Followers: 1)
Reproduction     Full-text available via subscription   (Followers: 7)
Reproduction Fertility and Development     Hybrid Journal   (Followers: 5)
Reproductive Biology and Endocrinology     Open Access   (Followers: 4)
Reproductive BioMedicine Online     Full-text available via subscription   (Followers: 8)
Reproductive Endocrinology     Open Access   (Followers: 3)
Reproductive Health     Open Access   (Followers: 2)
Reproductive Health Matters     Open Access   (Followers: 5)
Reproductive Medicine and Biology     Open Access   (Followers: 3)
Reproductive Sciences     Hybrid Journal   (Followers: 1)
Research and Reports in Neonatology     Open Access   (Followers: 5)
Research in Obstetrics and Gynecology     Open Access   (Followers: 2)
Research Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics     Open Access  
Revista Chilena de Obstetricia y Ginecologia     Open Access   (Followers: 1)
Revista Cubana de Obstetricia y Ginecología     Open Access  
Revista Internacional de Andrología     Full-text available via subscription  
Revista Peruana de Ginecología y Obstetricia     Open Access  
Revue de médecine périnatale     Hybrid Journal   (Followers: 1)
Scientific Journal of Hamadan Nursing & Midwifery Faculty     Open Access   (Followers: 1)
Seksuologia Polska     Full-text available via subscription  
Seminars in Breast Disease     Hybrid Journal   (Followers: 1)
Seminars in Perinatology     Hybrid Journal   (Followers: 21)
Seminars in Reproductive Medicine     Hybrid Journal  
Sexes     Open Access  
Siklus : Journal Research Midwifery Politeknik Tegal     Open Access   (Followers: 2)
South African Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
Southern African Journal of Gynaecological Oncology     Open Access   (Followers: 1)
Sri Lanka Journal of Obstetrics and Gynaecology     Open Access   (Followers: 1)
Systems Biology in Reproductive Medicine     Hybrid Journal  
Taiwanese Journal of Obstetrics and Gynecology     Open Access   (Followers: 1)
Teratology Studies     Open Access  
Thai Journal of Obstetrics and Gynaecology     Open Access  
The Obstetrician & Gynaecologist     Hybrid Journal   (Followers: 7)
The Practising Midwife     Full-text available via subscription   (Followers: 8)
Trends in Urology Gynaecology & Sexual Health     Hybrid Journal   (Followers: 2)
Tropical Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)

        1 2 | Last

Similar Journals
Journal Cover
Neonatology
Journal Prestige (SJR): 1.114
Citation Impact (citeScore): 3
Number of Followers: 48  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1661-7800 - ISSN (Online) 1661-7819
Published by Karger Homepage  [120 journals]
  • How Often Are Patient-Important Outcomes Represented in Neonatal
           Randomized Controlled Trials' An Analysis of Cochrane Neonatal Reviews
           
    • Abstract: Background: Research findings based on patient-important outcomes (PIOs) provide more useful conclusions than those that are based on surrogate outcomes. It is unclear to what extent PIOs are represented in neonatal randomized controlled trials (RCTs). Objectives: We determined the proportion of PIOs in neonatal RCTs included in Cochrane Neonatal reviews. Methods: We extracted up to 5 outcomes from each RCT included in Cochrane Neonatal reviews published until January 2018, with independent determination of PIOs among authors followed by a discussion leading to a consensus. We defined PIOs as outcomes that matter to patient care, such as clinical events or physiological or laboratory parameters that are widely used to guide management. Results: Among 6,832 outcomes extracted from 1,874 RCTs included in 276 reviews, 5,349 (78.3%) were considered PIOs; 461 studies (24.5%) included 5 or more PIOs, 1,278 (68.2%) included 1–4 PIOs, while 135 (7.2%) had no PIO included. PIOs were observed more often among dichotomous than among continuous outcomes (94.9 vs. 61.5%; RR: 1.54; 95% CI: 1.50–1.58), and more among subjective than among objective outcomes (95.9 vs. 76.8%; RR: 1.25; 95% CI: 1.22–1.28). Newer studies were more likely to have a greater number of PIOs (adjusted OR: 1.033 [95% CI: 1.025–1.041] with each publication year). Conclusions: The large and increasing representation of PIOs over the years suggests an improving awareness by neonatal trialists of the need to incorporate important outcomes in order to justify the utilization of resources. Further research should explore the reasons for non-inclusion or non-reporting of PIOs in a small proportion of RCTs.
      Neonatology
      PubDate: Wed, 25 Mar 2020 15:10:24 +010
       
  • Maturation of Esophageal Motility and Esophagogastric Junction in Preterm
           Infants
    • Abstract: Background: Preterm infants commonly present with oral feeding problems. The role of maturation of esophageal bolus transport mechanisms herein remains unclear. Objectives: To characterize esophageal motility and function of esophagogastric junction (EGJ) during deglutitive swallowing in healthy preterm infants and to describe maturational changes. Methods: Four consecutive high-resolution manometry studies with impedance studies were performed weekly to investigate esophageal motility and EGJ function. Esophageal pressure topography and pressure-impedance metrics were derived. Mixed models with repeated measures were used for statistical analysis. Results: We analyzed 137 nutritive swallows from 36 motility studies in 10 preterm infants. The mean gestational age was 30.17 ± 0.94 weeks; the mean postmenstrual age at time point 1 and 4 was 34.42 ± 0.86 and 37.45 ± 1.16 weeks, respectively. Esophageal peristaltic wave patterns in response to nutritive swallows were observed in all patients. At later time points, esophageal body peristalsis became more rapid, evidenced by a faster distal contractile velocity and shorter distal latency (p = 0.002 and p #x3c; 0.0001, respectively). In addition, 4-s integrated relaxation pressures increased and distal contractile integral decreased at later time points (p = 0.003 and p = 0.021, respectively). Bolus clearance also improved at later age (p = 0.008). Conclusions: Preterm infants demonstrate peristaltic esophageal motility following nutritive swallows. However, alterations in esophageal bolus transport in relation to peristalsis are demonstrated. Peristaltic progression becomes more rapid, while deglutitive relaxation pressures increase with increasing age. These maturational changes may suggest further development of the enteric nervous system after birth in former preterm neonates.
      Neonatology
      PubDate: Tue, 24 Mar 2020 10:12:21 +010
       
  • Acetaminophen Use in Pregnant Women and Their Neonates: Safe or Unsafe
           till Proven Otherwise'
    • Abstract:
      Neonatology
      PubDate: Tue, 10 Mar 2020 09:04:15 +010
       
  • Necrotizing Enterocolitis: The Future
    • Abstract: Progress in our understanding of the pathophysiology, prevention and treatment of necrotizing enterocolitis (NEC) has been hampered for many reasons. Included among these is the fact that what we are calling “NEC” is likely to represent different disease processes, which need to be delineated before evaluating individual pathogenic mechanisms and attempting to develop predictive and diagnostic biomarkers. Treatment is also likely to be hampered because not all of the different entities called “NEC” will respond to the same regimen. In this review, some of these entities will be discussed in more detail, with suggestions for refining our approach toward improving methods for their diagnosis, prevention and treatment.
      Neonatology
      PubDate: Tue, 10 Mar 2020 09:01:21 +010
       
  • A Preterm Infant with Multiple Anomalies Diagnosed with Atypical CHARGE
           Syndrome after a Novel CHD7 Variant Confirmed Using Whole-Genome
           Sequencing
    • Abstract: CHARGE syndrome has a clinically broad spectrum of phenotypes, including partial or atypical type. CHD7 mutation is related to CHARGE syndrome that shows various phenotypes according to the CHD7 variant. Developments in genetic analysis techniques, such as next-generation sequencing (NGS), are helping both diagnosis and treatment of diseases. We report the case of a preterm infant diagnosed with atypical CHARGE who has a novel and de novo CHD7 variant that was identified using whole-genome sequencing (WGS). Neonatologists tend to be reluctant to diagnose infants with multiple malformations because they have to focus on treating life-threatening complications; however, NGS is considered helpful for the early diagnosis of broad-spectrum anomalies during the neonatal period.
      Neonatology
      PubDate: Tue, 03 Mar 2020 13:48:54 +010
       
  • Agreement of Cardiac Output Measurements between Bioreactance and
           Transthoracic Echocardiography in Preterm Infants during the Transitional
           Phase: A Single-Centre, Prospective Study
    • Abstract: Introduction: Bioreactance cardiac output (CO) monitors are able to non-invasively and continuously monitor CO. However, as a novel tool to measure CO, it must be proven to be accurate and precise. Objective: To determine the agreement between CO measured with a bioreactance monitor and transthoracic echocardiography-derived left ventricular output parameters in preterm infants. Methods: This is a prospective observational study in 63 preterm neonates with non-invasive respiratory support, not requiring inotrope support. The infants underwent continuous bioreactance monitoring of CO and stroke volume (SV) and simultaneous transthoracic echocardiography every 6 h until 72 h of life. Results: The agreement between bioreactance and transthoracic echocardiography, for both SV and CO, was poor. The percentage error was 67.5% for SV and 71.6% for CO. The mean error was 60.4% for SV and 69.8% for CO. Bias was affected by numerous variables. After correcting for time, CO and SV bias were significantly affected by the presence of an open patent ductus arteriosus and the level of CO. Conclusion: Bioreactance cannot be considered interchangeable with transthoracic echocardiography to measure CO in preterm infants during the transition phase. Agreement between bioreactance and other CO metrics should be assessed before concluding its accuracy or inaccuracy in neonates.
      Neonatology
      PubDate: Fri, 28 Feb 2020 09:49:02 +010
       
  • Saliva for Assessing Vitamin A Status in Extremely Preterm Infants: A
           Diagnostic Study
    • Abstract: Background: Salivary measurement of hormones and vitamins is gaining prominence as a minimally invasive procedure with the negligible potential for harm. We aimed to assess the utility of saliva for assessing vitamin A status in extremely preterm infants. Methods: Paired saliva and blood samples were collected at 4 weeks of age from infants born #x3c;28 weeks of gestation using a proprietary polymer swab. Plasma retinol was measured using high-performance liquid chromatography, and salivary retinol was measured using enzyme-linked immunosorbent assay. Results: Thirty infants were recruited with a median (IQR) gestation and birth weight of 26.2 weeks (24.8–27.2) and 865 g (718–1,002), respectively. An adequate volume of saliva (#x3e;50 µL) was obtained in 68%. There was no significant correlation (Spearman’s correlation coefficient = 0.16, p = 0.3) between individual plasma and salivary retinol levels. Bland-Altman analysis showed wide limits of agreement (–113 to +119%) between individual plasma and salivary retinol levels. Conclusion: Individual vitamin A status cannot be determined reliably from saliva in extremely preterm infants using current collection materials and analysis techniques.
      Neonatology
      PubDate: Fri, 28 Feb 2020 08:40:11 +010
       
  • Richard B. Johnston Jr.: Unravelling the Secrets of Neonatal Host Defense
    • Abstract:
      Neonatology
      PubDate: Fri, 28 Feb 2020 07:58:27 +010
       
  • Is Mother’s Own Milk Lactoferrin Intake Associated with Reduced Neonatal
           Sepsis, Necrotizing Enterocolitis, and Death'
    • Abstract: Introduction: Lactoferrin (LF) is a protective protein present in milk with anti-infective and immune-modulating properties. Objectives: The aim of this study was to determine the association of maternal LF intake and mother’s own milk intake in the first 10 days of life on the prevention of late-onset sepsis (LOS), necrotizing enterocolitis (NEC), or death in the first 8 weeks of life in newborns with a birth weight #x3c;2,000 g. Methods: A retrospective cohort study was conducted, with the exposure being the consumption of mother’s own LF and mother’s own milk in the first 10 days of life, and the outcome being LOS, NEC, or death during days 11 and 56 of life, analyzed by Cox regression. Results: Two hundred and ninety-nine infants were enrolled, including 240 with human LF intake information. The average daily human LF intake over days 4–10 of life was 283 mg/kg/day (IQR 114–606 mg/kg/day). The hazard ratio (HR) of mother’s own milk LF intake ≥100 mg/kg/day in days 4–10 for LOS, NEC, or death was 0.297 (95% CI 0.156–0.568, p #x3c; 0.001); the adjusted HR was 0.752 (95% CI 0.301–1.877, p = 0.541). The adjusted HR of mother’s own milk cumulative intake (days 4–10) of 54–344 mL/kg (25–75 quartiles) for LOS, NEC, or death was 0.414 (95% CI 0.196–0.873, p = 0.02). Infants who developed an event (LOS, NEC, or death) had significantly less median daily human LF intake than those that did not (89 vs. 334 mg/kg/day, respectively, p #x3c; 0.0001). Conclusion: Consumption of higher amounts of mother’s own milk in the first days of life is associated with less infection, NEC, and death. Early human milk intake should be strongly encouraged in all newborns.
      Neonatology
      PubDate: Thu, 13 Feb 2020 09:39:19 +010
       
  • Improving the Bilirubin Management Program in the Newborn Nursery:
           Background, Aims, and Protocol
    • Abstract: Background: Practices to detect and manage hyperbilirubinemia in newborn nurseries are highly variable. American Academy of Pediatrics guidelines in 1999, 2004, and 2009 have generated, perhaps unintentionally, divergent practices that might not all be of equivalent value. Evidence-based progress is needed to define less invasive, less expensive, uniform, and safe methods to reduce ER visits and hospital readmissions for jaundice treatment and bilirubin encephalopathy. Objectives: This research briefing is intended to inform readers of a new prospective quality improvement program aimed at testing the value of specific changes in newborn nursery hyperbilirubinemia detection and management. This new program includes predetermined means of assessing those specific changes, which relate to diagnosis, safety, outcomes, and cost. Methods: In this briefing, we present the perceived problems in our present bilirubin management system, as voiced by stakeholders. We report our proposed means to test minimization of those problems utilizing already acquired data on approximately 400,000 well babies in the Intermountain Healthcare system of hospitals in the western USA. We then describe our methods of assessing specific outcomes in a pre- versus postpractice change analysis. Results and Conclusions: The University of Utah Newborn Nursery will implement a quality improvement project in bilirubin management during 2020 to test the feasibility and effectiveness of several changes to our current bilirubin management program. We maintain that the improved understanding generated by this project will be a step toward new evidence-based strategies for reducing ER visits and hospital readmissions for jaundice treatment and preventing bilirubin encephalopathy.
      Neonatology
      PubDate: Fri, 07 Feb 2020 10:47:15 +010
       
 
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