Perinatology & NeonatologyThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory.

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First-trimester use of paroxetine and congenital heart defects: A population-based case-control studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is a need for case-control studies of the effect of paroxetine on the occurrence of specific heart defects.We performed a case-control study with data from a population-based birth defects registry in the Netherlands. All the children born between 1997 and 2006 were selected. Cases were defined as fetuses and children with isolated heart defects, and the controls were fetuses and children with a genetic disorder with no heart defect. We excluded children for whom there was no information on maternal medication use and deceased children and fetuses who were not examined postmortem. First-trimester exposure to paroxeti...
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - November 21, 2009 Category: Perinatology & Neonatology Authors: Marian K. Bakker, Wilhelmina S. Kerstjens-Frederikse, Charles H. C. M. Buys, Hermien E. K. de Walle, Lolkje T. W. de Jong-van den Berg Source Type: journals

Arterial Cord Blood Lactate at Birth Correlates with Duration of Pushing EffortsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Diagn Ther (DOI:10.1159/000261504) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 20, 2009 Category: Perinatology & Neonatology Source Type: journals

Testing reported associations of genetic risk factors for oral clefts in a large Irish study populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Suggestive, but not conclusive, studies implicate many genetic variants in oral cleft etiology. We used a large, ethnically homogenous study population to test whether reported associations between nonsyndromic oral clefts and 12 genes (CLPTM1, CRISPLD2, FGFR2, GABRB3, GLI2, IRF6, PTCH1, RARA, RYK, SATB2, SUMO1, TGFA) could be confirmed.Thirty-one single nucleotide polymorphisms (SNPs) in exons, splice sites, and conserved non-coding regions were studied in 509 patients with cleft lip with or without cleft palate (CLP), 383 with cleft palate only (CP), 838 mothers and 719 fathers of patients with oral clefts, and 902 contr...
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - November 20, 2009 Category: Perinatology & Neonatology Authors: Tonia C. Carter, Anne M. Molloy, Faith Pangilinan, James F. Troendle, Peadar N. Kirke, Mary R. Conley, David J. A. Orr, Michael Earley, Eamon McKiernan, Ena C. Lynn, Anne Doyle, John M. Scott, Lawrence C. Brody, James L. Mills Source Type: journals

Hypothesis: Could Epstein-Barr virus play a role in the development of gastroschisis?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The strong inverse association between maternal age and risk of gastroschisis in offspring has spurred many investigators to hypothesize that behaviors among younger females are the cause. Examples include cigarette smoking, illicit drugs, genitourinary infections, and sexually transmitted diseases, each of which has been reported to be associated with gastroschisis. Although these exposures are more common in young women, recent studies have shown that cigarette smoking, genitourinary infections, and sexually transmitted diseases are most strongly associated with gastroschisis in older women. There is both anecdotal and p...
Source: Birth Defects Research Part A: Clinical and Molecular Teratology - November 20, 2009 Category: Perinatology & Neonatology Authors: Martha M. Werler Source Type: journals

Management of Pregnancy with Poor Intrauterine Fetal GrowthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:129-130 (DOI:10.1159/000262257) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Intrauterine Growth Retardation: Clinical Problems in the Management of the Small-for-Date BabyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:131-133 (DOI:10.1159/000262258) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Pregnancy Outcome following Ultrasound Diagnosis of Fetal Urinary Tract Anomalies and/or OligohydramniosEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:134-145 (DOI:10.1159/000262259) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Is the Intrauterine Treatment of Fetal Hydrocephalus Helpful or Harmful?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:146-149 (DOI:10.1159/000262260) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Primates and Anencephalics as Sources for Pediatric Organ TransplantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:150-164 (DOI:10.1159/000262261) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Contents, Vol. 1, 1986Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:I (DOI:10.1159/000262262) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:165-167 (DOI:10.1159/000262263) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Effect of Gestational Age on Fetal and Intervillous Blood Gas and Acid-Base Values in Human PregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:168-175 (DOI:10.1159/000262264) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Utero-Placental Blood Velocity Resistance Index and Umbilical Venous pO 2 , pCO 2 , pH, Lactate and Erythroblast Count in Growth-Retarded FetusesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:176-179 (DOI:10.1159/000262265) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Intrauterine Exchange Transfusion of the Fetus under Ultrasound Guidance: First Successful ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:180-184 (DOI:10.1159/000262266) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Rh Disease: Intravascular Fetal Blood Transfusion by CordocentesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:185-192 (DOI:10.1159/000262267) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Survival of Transfused Adult Cells in the FetusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:193-195 (DOI:10.1159/000262268) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

In utero Bladder Diversion -- Problems with Patient SelectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:196-202 (DOI:10.1159/000262269) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Fetal Hydrothorax in the Second Trimester of Pregnancy: Successful Intra-Uterine Treatment at 24 Weeks GestationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:203-209 (DOI:10.1159/000262270) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Prenatal Diagnosis and Outcome of Congenital Complete Heart Block: The Role of Fetal EchocardiographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:210-216 (DOI:10.1159/000262271) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Bioethical Issues in Perinatology -- Is the Future Now?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:217-222 (DOI:10.1159/000262272) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

ErratumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:222 (DOI:10.1159/000262273) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Author IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:223 (DOI:10.1159/000262274) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Subject IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Therapy 1986;1:224-226 (DOI:10.1159/000262275) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 19, 2009 Category: Perinatology & Neonatology Source Type: journals

Ambivalence toward undergoing invasive prenatal testing: an exploration of its originsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study explores ambivalence toward undergoing amniocentesis among pregnant women with overall positive attitudes. Its novelty lies in the characterization of the type and origins of the ambivalence.Thirty-six women between 35 and 44 years of age were recruited from a US prenatal testing center to participate in structured telephone interviews.Thirty women chose to undergo testing. Attitudes toward undergoing amniocentesis were generally positive, although all participants simultaneously described feeling ambivalent. The women desired the information that amniocentesis could provide yet did not want to place their fetus...
Source: Prenatal Diagnosis - November 19, 2009 Category: Perinatology & Neonatology Authors: Julie Chevalier Sapp, Sara Chandros Hull, Shelby Duffer, Sarah Zornetzer, Erica Sutton, Theresa M. Marteau, Barbara Bowles Biesecker Source Type: journals

Contribution of MRI to Detect Further Anomalies in Fetal VentriculomegalyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Diagn Ther (DOI:10.1159/000260389) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 18, 2009 Category: Perinatology & Neonatology Source Type: journals

Review of perinatal management of arthrogryposis at a large UK teaching hospital serving a multiethnic populationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To review the prevalence and perinatal management of cases of arthrogryposis delivering at our hospital over a 6-year period.This was a retrospective review of cases of arthrogryposis managed at a UK teaching hospital. Cases were identified from the regional congenital anomalies register and departmental databases. Case notes were reviewed and analysed.From 2002 to 2007, there were 27 cases of arthrogryposis. Sixteen (59.3%) were Caucasians, 7(25.9%) Asians and 4(14.8%) Afro-Caribbean; 17(63%) were nulliparous. In eight (29.6%) cases, there was a family history of congenital anomalies. Three had previously affected sibling...
Source: Prenatal Diagnosis - November 18, 2009 Category: Perinatology & Neonatology Authors: O. B. Navti, E. Kinning, P. Vasudevan, M. Barrow, H. Porter, E. Howarth, J. Konje, M. Khare Source Type: journals

Inter-laboratory control data for reproductive endpoints required in the OPPTS 870.3800/OECD 416 reproduction and fertility testEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: These inter-laboratory control data provide a means for laboratories to review their performance on reproductive toxicity measures, and provide perspective for interpreting their own control data and data from treated animals. Birth Defects Res (Part B), 2009. © 2009 Wiley-Liss, Inc. (Source: Birth Defects Research Part B: Developmental and Reproductive Toxicology)
Source: Birth Defects Research Part B: Developmental and Reproductive Toxicology - November 17, 2009 Category: Perinatology & Neonatology Authors: M. S. Marty, B. Allen, R. E. Chapin, R. Cooper, G. P. Daston, J. A. Flaws, P. M. D. Foster, S. L. Makris, E. Mylchreest, D. Sandler, R. W. Tyl Source Type: journals

Is chorionic villus sampling associated with hypertensive disorders of pregnancy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our objective is to evaluate for potential associations between chorionic villus sampling (CVS) and hypertensive disorders of pregnancy.Using our genetic database, we compared the rates of hypertensive disorders between women who underwent CVS at 10-13 and 6/7 weeks with those seen for other indications at similar gestational ages who had no invasive procedure. Only singleton and euploid pregnancies were included. Statistical methods including univariable and multivariable logistic regression, supplemented by stratified analyses were used for comparisons.Among 11 012 pregnant women seen between 1990 and 2006 in our center ...
Source: Prenatal Diagnosis - November 17, 2009 Category: Perinatology & Neonatology Authors: Anthony O. Odibo, Ashima Singla, Diana L. Gray, Jeffrey M. Dicke, Barbara Oberle, James Crane Source Type: journals

Maternal Plasma Fibronectin and Advanced Oxidative Protein Products for the Prediction of Preeclampsia in High Risk Pregnancies: A Prospective Cohort StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fetal Diagn Ther (DOI:10.1159/000259317) (Source: Fetal Diagnosis and Therapy)
Source: Fetal Diagnosis and Therapy - November 16, 2009 Category: Perinatology & Neonatology Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Tags: Frontmatter Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Tags: Frontmatter Source Type: journals

Transport of the Neonatal Patient With Persistent Pulmonary HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will review the pathophysiology, assessment, diagnosis, and treatment options for a newborn with persistent pulmonary hypertension of the newborn, and considerations for infant transport to a higher level of care will be emphasized. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Peter Brust, Marjorie Hamburger, Patricia Larkin Tags: Articles Source Type: journals

Neonatal Transport – A Family Support ModuleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes a collaborative effort between hospital staff, outside organizations (especially the March of Dimes), community businesses and neonatal graduate families that resulted in the creation of a family support module for neonatal transport. This family support module is comprised of services and resources that can be customized to meet the needs of the regional population served. The idea that all staff at the referring hospital and regional center must be knowledgeable of the information and services being provided to families is discussed. In addition, the need for regular evaluation of materials/program...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Kathy Duritza Tags: Articles Source Type: journals

The Impact of Air Ambulance Transport on Neonatal OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many referring facilities and transport teams function under the assumption that faster is better. However, data on the benefits of air ambulance (AA) use in neonatal transport are sparse. At our referral hospital in northwest Ohio, we compared the total time from telephone request for transport to arrival in the referral nursery by ground ambulance vs AA for each of our referring facilities and evaluated if this had an impact on patient outcomes. Time from transport call to arrival at the referring hospital was 72 ± 17 minutes by AA and 95 ± 23 minutes by ground ambulance. We demonstrated that although it was approximat...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Cindy Killion, Howard M. Stein Tags: Articles Source Type: journals

High-Fidelity Simulation for Transport Team Training and Competency EvaluationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neonatal transport teams are challenged to provide high-quality, cost-effective care. Staff unpreparedness and improperly applied neonatal skills and interventions can be associated with an immeasurable increase in adverse outcomes, including pain and suffering, morbidity, mortality, and increased cost. Although historically there has been little consistency in neonatal transport team composition, training, or competency evaluation, this article will demonstrate how the utilization of simulation-based training and competency is beneficial in assuring team members receive and maintain the skills needed to recognize and mana...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Bridget Cross, Diana Wilson Tags: Articles Source Type: journals

Maturation of the Cardiac Response to Sound in High-Risk Preterm InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Noise is considered a potential source of stress in the neonatal intensive care unit (NICU); yet, it is unknown how preterm infants habituate to sound in the NICU. Heart rate responses to sound were evaluated in 12 preterm infants from 32 weeks' gestational age through hospital discharge. Heart rate response changes to auditory stimuli were recorded for 10 habituation and 10 dishabituation trials. Significant heart rate deceleration began to appear by 34 weeks postconceptional age. With weeks 32 to 38 combined, a significant response was noted for the novel response. Responses differed significantly for weeks 34,...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Rosemary C. White-Traut, Michael N. Nelson, Jean M. Silvestri, Minu Patel, Hyejung Lee, Sabrina Cimo, Emily McReynolds Tags: Research Corner Source Type: journals

Obstacles in Providing Neonatal Care in Kurdistan, IraqEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article focuses on Iraq. Newborn and infant health issues are global ones. A different area of the globe will be featured to review issues occurring in different areas of the world, which addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Iraq will be featured. Our guest authors are Drs Atiya Mohammed and Evelyn Acheson. Dr Mohammed teaches maternity nursing at Sulaimani University in Northern Iraq. Dr Acheson is the assistant professor and director of the International Health Program at the University of Oklahoma College of Nursing, Tulsa, OK. This month's article focuses on obstacles to ...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Atiya K. Mohammed, Evelyn Acheson, Carole Kenner Tags: International Connections Source Type: journals

Neonatal Transport: The Family PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neonatal transport has evolved over several decades into a highly technical and well-orchestrated event coordinated by several members of the health care team. Although there is still much to be done, advances such as the S.T.A.B.L.E. Program and the new Neonatal Pediatric Transport Certification offered by the National Certification Corporation have aided in standardization and improving competencies. The transport of an infant—be it by air or ground, planned or emergent, can be a tense time for both health care providers and family members. It is not surprising to note that in a review of the literature conducted by St...
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Heidi L. Fidler, Jacqueline M. McGrath Tags: Family Dynamics Source Type: journals

Neonatal Transport Crossword: (Multiple word answers include spaces between words)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Tags: Crossword Puzzle Source Type: journals

News FlashEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Dawn Drennan Nahlen Tags: News Flash Source Type: journals

Guest EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I am thrilled to have been given the opportunity to serve as the guest editor for this edition of Newborn and Infant Nursing Reviews. The idea for focusing on neonatal transport stems from my own professional experiences. Most of my neonatal career has occurred within a children's hospital in which no birthing facility has been attached. Therefore, I have seen many infants admitted to the neonatal intensive care unit by way of transport. (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Amy Knupp Tags: Guest Editorial Source Type: journals

EditorialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have guidelines for perinatal care in which they recommend that hospital-based services be organized within geographic regions to provide optimal access to expertise and experience. According to these guidelines, very-low-birth-weight (VLBW; (Source: Newborn and Infant Nursing Reviews)
Source: Newborn and Infant Nursing Reviews - November 16, 2009 Category: Perinatology & Neonatology Authors: Leslie Altimier Tags: Editorial Source Type: journals

ErratumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The author listing for the article, “Neurodevelopmental changes of fetal pain,” which was published in Seminars in Perinatology in 2007 (31[5]:275-82), was incomplete. Dr. Barbara Clancy contributed to the article and should have been listed as an author. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Source Type: journals

Ethics and “Cesarean Delivery on Maternal Demand”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is considerable ongoing debate about whether physicians should supply cesarean delivery to patients purely on the basis of maternal demand. This debate is marred by serious definitional problems. Although planned elective cesareans share a risk-profile with “cesarean delivery on maternal demand,” not every case of planned elective cesarean results from maternal demand. Ethical and practical considerations counsel using language that is more neutral on the question of the reason for, and process of decision-making leading to, cesarean delivery. Consideration of the risks and benefits of planned elective cesarean, ...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Stephen R. Latham, Errol R. Norwitz Source Type: journals

Ethics Education in Neonatal-Perinatal Medicine in the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neonatology is one of the specialties that has immensely benefited from advances in medical technology in the last few decades. These advances have paralleled the rise of the civil rights movements and wider recognition of individual rights. As a result, ethical decision-making has become more complex, involving patients, parents, members of the health care team, and society in general. This has created a need for formal ethics education in neonatal-perinatal medicine fellowship programs. In this article, we briefly explore the current published data on ethics education in pediatric residency and neonatal-perinatal medicin...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Zeynep N. Inanc Salih, David W. Boyle Source Type: journals

Ethics of Research in Perinatal MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ethics is an essential component of fetal research. From definitions of medical ethics and the ethical principles of beneficence and respect for autonomy, we identify the ethical concept of the fetus as a patient. We then identify major components of research ethics. On these 2 bases, we identify ethically justified criteria for initiating study of innovative fetal interventions, for randomized trials in fetal research, for making the clinical, scientific, and ethical judgment that fetal research has produced a new standard of care, and for stopping rules for fetal research. (Source: Seminars in Perinatology)
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Frank A. Chervenak, Laurence B. McCullough Source Type: journals

The Texas Advance Directives Act—Is It a Good Model?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Texas Advance Directives Act was first passed in 1999 to help resolve conflicts between families and physicians when disagreements exist over continuing or halting treatments of patients. When the physician feels that continued treatment is ethically or morally unjustified and seeks to end life support for a patient against the wishes of the family, it establishes a specific path that must be followed to afford legal protection to the physician and institution. Its proponents believe that it reduces morally unjustifiable treatment of terminal patients, while its opponents argue that it places too much power in the hand...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Harris C. Jacobs Source Type: journals

Neonatal EuthanasiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite advances in the care of infants, there remain many newborns whose medical conditions are incompatible with sustained life. At times, healthcare providers and parents may agree that prolonging life is not an appropriate goal of care, and they may redirect treatment to alleviate suffering. While pediatric palliative treatment protocols are gaining greater acceptance, there remain some children whose suffering is unrelenting despite maximal efforts. Due to the realization that some infants suffer unbearably (ie, the burdens of suffering outweigh the benefits of life), the Dutch have developed a protocol for euthanizin...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Alexander A. Kon Source Type: journals

Disputes Over Moral Standards Guiding Treatments for Imperiled InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two incompatible policies govern medical decision-making for infants aged < 1 year in the United States. One is the Best Interests Standard, which is the older policy, and the other is the Child Abuse Prevention and Treatment Act amendments widely known as the “Baby Doe” rules. The debate over which policy to adopt, however, is more far-reaching than treatment for one group in one country as it involves how to rank important medical values when they come into conflict. These are the values of prolonging biological life and of providing comfort and relief from pain and suffering for imperiled and incompetent persons. Fo...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Loretta M. Kopelman Source Type: journals

Ethical Issues in Research Involving InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The future health of infants and children is dependent on the performance of clinical research in which infants participate. Achieving a proper balance between this social good and the obligation to protect infants who participate in research is a significant challenge. As investigators design and implement research protocols, they should be aware of the ethical and legal requirements that govern research with infants. For research to satisfy ethical and legal requirements it must be scientifically sound and significant, subject selection must be fair, approaching families for enrollment must avoid pressure, the risks to p...
Source: Seminars in Perinatology - November 16, 2009 Category: Perinatology & Neonatology Authors: Douglas S. Diekema Source Type: journals