Article
Medicine, General & Internal
Binzhi Tang, Qiying Ling, Qian Yang, Maojun Li, Wei Shi, Qing Wu
Summary: This is a case study on individualized and intensive management of periviable birth newborns (PVBs). By analyzing the treatment and care of a 23-week premature baby, the researchers summarized the common complications and interventions for PVBs, and discussed their long-term prognosis.
Article
Public, Environmental & Occupational Health
Brownsyne Tucker Edmonds, Fatima McKenzie, Betsy O'Donnell, Janet Panoch, Shelley M. Hoffman, Karen Kavanaugh, Miriam Kuppermann
Summary: The study found that participants advised providers to be patient, realistic, and objective, support joint counseling, and address maternal guilt and self-blame; for women/families, they encouraged asking questions, avoiding the internet, and finding joy in the time spent with their child; for hospitals, they advocated for changes to facilitate more mother/baby contact.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Public, Environmental & Occupational Health
Ralph Catalano, Deborah Karasek, Tim Bruckner, Joan A. Casey, Katherine Saxton, Collette N. Ncube, Gary M. Shaw, Holly Elser, Alison Gemmill
Summary: African American women have a higher proportion of periviable births, with males predominating, and this is positively correlated with the unemployment rate. For every one percentage point increase in the African American unemployment rate, there is a 4.45% increase in the proportion of male periviable births.
JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
(2022)
Article
Obstetrics & Gynecology
Madeline F. Perry, Sierra Hajdu, Robert M. Rossi, Emily A. DeFranco
Summary: This study found that withholding or refusing maternal and neonatal interventions is common at the threshold of viability. Factors such as non-Hispanic Black maternal race, private insurance, singleton pregnancy, and small for gestational age are associated with not receiving neonatal interventions at 22 and 23 weeks of gestation.
AMERICAN JOURNAL OF PERINATOLOGY
(2022)
Article
Obstetrics & Gynecology
Leah M. Bode, Shannon M. Jager, Janet Panoch, Shelley M. Hoffman, Tatiana Laitano, Karen Kavanaugh, Brownsyne Tucker Edmonds
Summary: This study qualitatively evaluates women's perspectives on shared decision-making for periviable mode of delivery (MOD). The study finds that most women prefer the mode of delivery that is best for the baby, with limited understanding of the risks of MOD. Physicians equally recommended both options, and some women's perception of their decision-making role changed after childbirth.
JOURNAL OF PERINATOLOGY
(2023)
Article
Obstetrics & Gynecology
Angela R. Seasely, Victoria C. Jauk, Jeff M. Szychowski, Namasivayam Ambalavanan, Alan T. Tita, Brian M. Casey
Summary: This study aimed to investigate survival rates and neonatal outcomes following periviable birth, as well as long-term outcomes during hospital admission based on gestational age. The results showed that survival rates increased with advancing gestational age and infants exposed to antenatal corticosteroids had more interventions, less pulmonary hypertension, and improved survival to 1 year of life.
AMERICAN JOURNAL OF PERINATOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Brownsyne Tucker Edmonds, Shelley M. Hoffman, Tatiana Laitano, Kimberly Coleman-Phox, Esperanza Castillo, Miriam Kuppermann
Summary: The study reported user-centered design methods and stakeholder acceptability ratings of the Periviable GOALS decision aid. Results showed that the majority of participants found the content and videos of the tool to be good, with high levels of belief in GOALS supporting families in periviable decision-making.
PATIENT EDUCATION AND COUNSELING
(2021)
Article
Pediatrics
Erika R. Cheng, Seema Mohapatra, Shelley M. Hoffman, Brownsyne Tucker Edmonds
Summary: This study aims to explore providers' perspectives on decisional authority, conflict resolution, and diverse family structures in the context of periviable delivery. The findings suggest that shared decision making is optimal in periviable delivery, and considering the dynamics and impact of partners' involvement can facilitate more shared, equitable, and high-quality decision-making.
JOURNAL OF PEDIATRICS
(2022)
Article
Pediatrics
Siobhan McDonnell, Ke Yan, U. Olivia Kim, Kathryn E. Flynn, Melodee Nugent Liegl, Steven R. Leuthner, Jennifer J. McIntosh, Mir A. Basir
Summary: The order of information presentation can influence treatment choices, while the level of description of premature infant NICU experiences does not. Participant characteristics may have a greater explanatory power than experimental manipulations.
JOURNAL OF PEDIATRICS
(2021)
Article
Obstetrics & Gynecology
W. Aaron Adams, William Malcolm, Ricki Goldstein, Monica E. Lemmon, Deesha Mago-Shah, Michael Cotten, Jennifer Peterson, Kimberley Fisher, Noelle Younge
Summary: This study evaluated the utilization of technologies, medications, and early intervention services for periviable infants in the year following discharge. The results showed a decrease in technology and medication requirements, and an increase in early intervention services.
EARLY HUMAN DEVELOPMENT
(2022)
Article
Pediatrics
Jeffrey L. Segar, Connie C. Grobe, Justin L. Grobe
Summary: The study found that extremely preterm infants born at 22-23 weeks of gestational age have high levels of sodium intake and urinary excretion in the early stages of life, only achieving positive sodium balance after 10 weeks of birth. Higher sodium intakes than those currently recommended by the American Academy of Pediatrics are needed to achieve significant positive sodium balance in this population.
PEDIATRIC NEPHROLOGY
(2021)
Article
Obstetrics & Gynecology
Eva Meler, Edurne Mazarico, Anna Peguero, Alba Gonzalez, Judit Martinez, David Boada, Killian Vellve, Gemma Arca, Maria Dolores Gomez-Roig, Eduard Gratacos, Francesc Figueras
Summary: This study demonstrates that ultrasound and Doppler parameters can accurately predict short-term adverse perinatal complications and serious adverse outcomes in isolated small-for-gestational-age fetuses, providing important evidence for improving perinatal care.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Obstetrics & Gynecology
Jared T. Roeckner, Erica Peterson, Jennifer Rizzo, Jaime Flores-Torres, Anthony O. Odibo, Jose R. Duncan
Summary: This study compared the maternal and neonatal complications of periviable birth by different delivery routes. The findings suggest that cesarean delivery may increase the risk of maternal complications, but it does not have an impact on neonatal survival or complications.
AMERICAN JOURNAL OF PERINATOLOGY
(2022)
Article
Medicine, General & Internal
Emani R. Silva, Vivek V. Shukla, Rachel Tindal, Waldemar A. Carlo, Colm P. Travers
Summary: This study aimed to determine if regions with higher rates of active postnatal care have higher gestational age-specific survival rates among periviable infants. The study found a positive correlation between regional rates of active postnatal care and survival rates at 22 weeks' gestation in preterm infants. Further research on individual-level factors associated with active periviable care is needed.
Review
Pediatrics
Timothy G. Elgin, Amy H. Stanford, Jonathan M. Klein
Summary: This review discusses the challenge of ventilation in periviable infants, with a focus on the use of first intention high-frequency jet ventilation (HFJV). There is a lack of recent randomized control trials, leading to controversy surrounding the use of HFJV as the first choice for ventilation.
CURRENT OPINION IN PEDIATRICS
(2022)