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American Journal of Perinatology: Issue 8/2024 is online NOW! 2024-06-13


Issue 08

June 2024

OPEN ACCESS

Wagner et al.

Implementation and Outcomes of a Model of Care for Placenta Accreta Spectrum in a Community-Based Private Practice

目的:本研究旨在描述在社区非学术医疗系统背景下实施的胎盘植入症 (PAS) 护理模式和结果。

研究设计:PAS 管理计划包括多学科团队方法,并采用超声评估、诊断和手术方案。该计划在美国明尼苏达州双城最大的两家私立医院实施。在实施 PAS 计划之前(2007-2014 年,n = 41)和之后(2015-2017 年,n = 26),对组织病理学确诊的 PAS 病例的母婴结局以及费用进行了比较。

结果:实施 PAS 计划后,ICU 入院率从 53.7% 降至 19.2%,p = 0.005;平均估计失血量 (EBL) 减少 1,682 毫升 (p = 0.061);输血量从 85.4% 降至 53.9% (p = 0.005)。PAS 计划还使手术并发症从 48.8% 降至 38.5% (p = 0.408),术后并发症从 61.0% 降至 42.3% (p = 0.135),但未达到显著水平。实施计划后 3 年内,PAS 病例的总护理成本下降了 33%。

结论:在大型区域非学术转诊中心实施由围产医学实践主导的 PAS 护理模式,可减少 ICU 入院人数、手术时间、输血、选择性手术并发症、总体术后并发症和费用。

要点:

  • 实施 PAS 护理模式后,ICU 入院率从 53.7% 降至 19.2%。

  • 通过减少失血、输血和术后并发症,提高了患者安全性。

  • 该模式缩短了手术时间,并将总护理成本降低了 33%。


SMFM Fellows Research Article

Smith, Devin D.; Adesomo, Adebayo A.; Gonzalez-Brown, Veronica M.; Russo, Jessica; Shellhaas, Cynthia; Costanstine, Maged M.; Frey, Heather A.:

Sonographic Predictors of Antepartum Bleeding in Placenta Previa

Ayala, Nina K.; Fain, Audra C.; Smith, Megan M.; Schlichting, Lauren E.; Hamel, Maureen S.; Werner, Erika F.:

Implementation of In-Hospital Postpartum Glucose Tolerance Testing for People with Gestational Diabetes

Review Article

Clarke-Sather, Abigail R.; Compton, Crystal; Roberts, Kari; Brearley, Ann; Wang, Sonya G.:

Systematic Review of Kangaroo Care Duration's Impact in Neonatal Intensive Care Units on Infant–Maternal Health

Baradwan, Saeed; Al-Matary, Abdulrahman; Alshahrani, Majed Saeed; Khadawardi, Khalid; Latifah, Abdullah; ElHodiby, Mohamed E.; Samy, Mohammed; Safwat, Sarah; Zaki, Ahmed; Hussein, Mohamed; Hegazy, Mahmoud A.; Elsharkawy, Suzan; Abdelhakim, Ahmed Mohamed; Abdelwahed, Rania Mahfouz; Nawara, Maii; Elsenity, Mohamed A.:

Effect of Vaginal Washing before Intravaginal Prostaglandin Insertion on Induction of Labor: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Original Article

Perry, Madeline F.; Hajdu, Sierra; Rossi, Robert M.; DeFranco, Emily A.:

Factors Associated with Receiving No Maternal or Neonatal Interventions among Periviable Deliveries

Wagner, William; Loichinger, Matthew; Sidebottom, Abbey C.; Wunderlich, Whitney L.; Vacquier, Marc; Jentink, Theresa; Aguilera, Marijo N.; Ahanya, Sureshbabu N.; Morgan, Elizabeth; Parker, Meiling; Wothe, Donald D.:

Implementation and Outcomes of a Model of Care for Placenta Accreta Spectrum in a Community-Based Private Practice

Hu, Ya; Chen, Xinhong; Wang, Fang; Li, Chun; Yue, Weihong; Wei, Hong:

Risk Factors of Neonatal Acute Respiratory Distress Syndrome Based on the Montreux Definition in Neonates with Sepsis: A Retrospective Case–Control Study

Imterat, Majdi; Erez, Offer; Tirosh, Dan; Gelkop, Yael Miller; Benshalom-Tirosh, Neta; Ben-Tabo, Maor; Douvdevani, Amos:

Cord Blood Cell-Free DNA Concentration: A Novel Marker for Neonatal Wellbeing

Mayor, Reina; Mora, Ariana; Carmona, Carlos; Du, Yuan; Pepe, Julie; Fritz, Kathy; Oh, William:

Maternal Body Mass Index and Risk of Bronchopulmonary Dysplasia in Extremely Preterm Infants

Yang, Kun; Yang, Menghan; Shen, Yunchuan; Kang, Lan; Zhu, Xiaodan; Dong, Wenbin; Lei, Xiaoping:

Resveratrol Attenuates Hyperoxia Lung Injury in Neonatal Rats by Activating SIRT1/PGC-1α Signaling Pathway

MacGregor, Caitlin; Plunkett, Beth; Adams, Marci; Silver, Richard:

Discontinuation of Oxytocin in the Second Stage of Labor and its Association with Postpartum Hemorrhage

Champion, Macie L.; Becker, David A.; McIlwraith, Claire; Blanchard, Christina T.; Szychowski, Jeff M.; Kim, Dhong-Jin; Jauk, Victoria C.; Harper, Lorie M.; Casey, Brian M.; Tita, Alan T.:

Contemporary Test Performance of the Random Urine Protein-to-creatinine Ratio

Joshi, Swosti; Cardona, Vilmaris Quinones; Poletto, Erica; Menkiti, Ogechukwu:

Bleeding Complications in Neonates Receiving Extracorporeal Membrane Oxygenation and Controlled Hypothermia

Dilli, Dilek; Taşoğlu, İrfan; Sarı, Eyüp; Akduman, Hasan; Yumuşak, Nihat; Tümer, Naim Boran; Salar, Salih:

Therapeutic Role of Astaxanthin and Resveratrol in an Experimental Rat Model of Supraceliac Aortic Ischemia-Reperfusion

Costa, Simonetta; Giordano, Lucia; Bottoni, Anthea; Tiberi, Eloisa; Fattore, Simona; Pastorino, Roberta; Simone, Nicoletta Di; Lanzone, Antonio; Buonsenso, Danilo; Valentini, Piero; Cattani, Paola; Santangelo, Rosaria; Sanguinetti, Maurizio; Scambia, Giovanni; Vento, Giovanni:

Vertical Transmission of SARS-CoV-2 during Pregnancy: A Prospective Italian Cohort Study

Tillhof, Katie; Krawzak, Katie; Batza, Jennifer; Feltman, Dalia M.:

Bereavement Support for Siblings after Neonatal Loss: an Online Survey of U.S. Training Centers

Guerreiro, Maiana D. M.; Ogata, Joice F. M.; Sanudo, Adriana; Prestes, Ana Claudia Y.; Conzi, Maria F.; Kawakami, Mandira D.; Miyoshi, Milton H.; Almeida, Maria Fernanda B. de; Guinsburg, Ruth:

Acquisition of Behavioral Skills after Manikin-Based Simulation of Neonatal Resuscitation by Fellows in Neonatology

Short Communication

Dotters-Katz, Sarah K.; Kirsch, Elayna; Cantrell, Sarah; Shanks, Anthony; Temming, Lorene; Gray, Beverly:

Best Practices for Writing Letters of Recommendation for Maternal-Fetal Medicine Fellowship: An Empty Scoping Review

Morrison, Tierney M.; Schiff, Davida M.; Olson, Abigael; Hunter, Richard G.; Agarwal, Joel; Work, Erin C.; Muftu, Serra; Shrestha, Hira; Boateng, Jeffery; Werler, Martha M.; Carter, Ginny; Jones, Hendree E.; Wachman, Elisha M.:

Hair Cortisol Concentrations in Opioid-Exposed versus Nonexposed Mother–Infant Dyads

American Journal of Perinatology为同行评审国际期刊,每年出版14期,内容涉及原创研究和专题综述。它是产科学、新生儿科学、围产科学和母胎医学专家的权威论坛,侧重于衔接不同领域。

本刊主要关注临床和转化研究,诊断、监测和治疗方面的临床和技术进展以及循证评述。热门主题包括孕产妇、胎儿和新生儿疾病的流行病学及诊断、预防和管理。出版的稿件涉及新技术、新生儿重症监护病房 (NICU) 设置和护理等主题,以期对该领域的重要问题进行广泛的探讨。

所有论文均通过在线提交,经过严格的同行评审,稿件处理速度快,可同时提供电子版。AJP Reports是American Journal of Perinatology的姊妹期刊,为新生儿和母胎医学病例报告的开放获取期刊。