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Fetal-Neonatal Neurology Principles and Practice: Current Curriculum Development
Fetal and neonatal neurology programs (FNNP) require interdisciplinary training curriculum from a 1000-day perspective1. Fetal, neonatal, and pediatric components of a FNNP offer clinical experiences and didactic presentations that help formulate accurate clinical decision-making skills to be applied to career-long learning. Knowledge of gene-environment interactions consider toxic stressor interplay that adversely affects reproductive health with maladaptive influences during each pregnancy. Life-course effects on a dynamic neural exposome are presented as evolving phenotypic presentations2. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 11, 2024 Category: Perinatology & Neonatology Authors: Mark S. Scher, Sonika Agarwal, Charulata Venkatesan Source Type: research

Neuroembryonic and Fetal Brain Development: Relevance to Fetal/Neonatal Neurological Training
Insight into neuroembryology, developmental neuroanatomy and neurophysiology distinguish the diagnostic approaches of paediatric from adult neurologists and general paediatricians. These fundamental disciplines of basic neuroscience could be more effectively taught during paediatric neurology and most residency programmes, that will strengthen career-long learning. Interdisciplinary training of fetal-neonatal neurology within these programs requires working knowledge of neuroembryology applied to maternal reproductive health influencing the maternal-placental-fetal triad, neonate, and young child. (Source: Seminars in Feta...
Source: Seminars in Fetal and Neonatal Medicine - April 11, 2024 Category: Perinatology & Neonatology Authors: Harvey B. Sarnat, Laura Flores-Sarnat Source Type: research

Clinical Decisions in Fetal-Neonatal Neurology I. Reproductive and Pregnancy Health Influence the Neural Exposome over Multiple Generations
Interdisciplinary fetal neonatal neurology (FNN) training requires integration of reproductive health factors into evaluations of the maternal-placental-fetal (MPF) triad, neonate, and child over the first 1000 days. Serial events that occur before one or multiple pregnancies impact successive generations. A maternal-child dyad history highlights this continuity of health risk, beginning with a maternal grandmother ’s pregnancy. Her daughter was born preterm and later experienced polycystic ovarian syndrome further complicated by cognitive and mental health disorders. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 11, 2024 Category: Perinatology & Neonatology Authors: Mark S. Scher, Sonika Agarwal, Charu Venkatesen Source Type: research

Diverse childhood neurologic disorders and outcomes following fetal neurologic consultation
Fetal neurology encompasses the full spectrum of neonatal and child neurology presentations, with complex additional layers of diagnostic and prognostic challenges unique to the specific prenatal consultation. Diverse genetic and acquired etiologies with a range of potential outcomes may be encountered. Three clinical case presentations are discussed that highlight how postnatal phenotyping and longitudinal follow-up are essential to address the uncertainties that arise in utero, after birth, and in childhood, as well as to provide continuity of care. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Dawn Gano, Andrea C. Pardo, Orit A. Glenn, Elliott Sherr Source Type: research

Fetal Neuroimaging Applications for Diagnosis and Counseling of Brain Anomalies: Current Practice and Future Diagnostic Strategies
Advances in fetal brain neuroimaging, especially fetal neurosonography and brain magnetic resonance imaging (MRI), allow safe and accurate anatomical assessments of fetal brain structures that serve as a foundation for prenatal diagnosis and counseling regarding fetal brain anomalies. Fetal neurosonography strategically assesses fetal brain anomalies suspected by screening ultrasound. Fetal brain MRI has unique technological features that overcome the anatomical limits of smaller fetal brain size and the unpredictable variable of intrauterine motion artifact. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Tomo Tarui, Alexis C. Gimovsky, Neel Madan Source Type: research

Congenital Infectious Encephalopathies from the Intrapartum Period to Postnatal Life
Congenital infections are a common but often underrecognized cause of fetal brain abnormalities, as well as fetal-neonatal morbidity and mortality, that should be considered by all healthcare professionals providing neurological care to fetuses and newborns.Maternal infection with various pathogens (cytomegalovirus, Toxoplasmosis, Rubella virus, Parvovirus B19, lymphocytic choriomeningitis virus, syphilis, Zika virus, varicella zoster virus) during pregnancy can be transmitted to the developing fetus, which can cause multisystem dysfunction and destructive or malformative central nervous system lesions, which can be recogn...
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Olivier Fortin, Roberta L. DeBiasi, Sarah B. Mulkey Source Type: research

Fetal Stroke- Etiopathogenesis Affecting the Maternal-placental-fetal Triad and Neonate
LV and D.G. do not have any conflicts or funding to report. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Laura E. Vernon, Dawn Gano, Andrea C. Pardo Source Type: research

Promoting a Neuropalliative Care Approach in Fetal Neurology
The authors do not have any conficts of funding to declare. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Nikhita Nanduri, Simran Bansal, Lauren Treat, Jori F. Bogetz, Courtney J. Wusthoff, Sharla Rent, Monica E. Lemmon Source Type: research

Maternal levels of Care during Pregnancy influence Labor and Delivery outcomes - present practices and future priorities
Neonatal encephalopathy (NE) is a diagnosis that is usually unexpected. Though there are many risk factors for the condition and multiple theories as to its genesis, the majority of cases cannot be predicted prior to the occurrence of the clinical syndrome. Indeed, it is common for a pregnant person to have multiple risk factors and a completely healthy child. Conversely, people with seemingly no risk factors may go on to have a profoundly affected child. In this synopsis we review risk factors, potential mechanisms for encephalopathy, the complicated issue of choosing which morbidity to take on and how the maternal level ...
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Meghan G. Hill Source Type: research

Training in Neonatal Neurocritical Care: A Case-Based Interdisciplinary Approach
Interdisciplinary fetal-neonatal neurology (FNN) training strengthens neonatal neurocritical care (NNCC) clinical decisions. Neonatal neurological phenotypes require immediate followed by sustained neuroprotective care path choices through discharge. Serial assessments during neonatal intensive care unit (NICU) rounds are supplemented by family conferences and didactic interactions. These encounters collectively contribute to optimal interventions yielding more accurate outcome predictions. Maternal-placental-fetal (MPF) triad disease pathways influence postnatal medical complications which potentially reduce effective int...
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Khorshid Mohammed, Eleanor Molloy, Mark Scher Source Type: research

Optimizing trajectories of social adaptive competencies after extreme prematurity during the first 1000 days
Over 75% of surviving extremely preterm infants do not experience major neurodevelopmental disabilities. However, more than half experience challenges in communication, coordination, attention, learning, social, and executive function skills. These “minor” challenges can adversely impact educational and social functioning resulting in physical, behavioral, and social health issues in adulthood. We will review assessment tools for social-emotional and adaptive functional skills in early childhood as these determine family and early childhoo d supports.We highlight bronchopulmonary dysplasia as an example of the critical...
Source: Seminars in Fetal and Neonatal Medicine - April 10, 2024 Category: Perinatology & Neonatology Authors: Michael E. Msall, Joanne Lagatta, Samudragupta Bora Source Type: research

Interdisciplinary Fetal Neurology Care: Current Practice, Challenges, and Future Directions
As the field of fetal-neonatal neurology has expanded over the past 2 decades with increasingly complex diagnoses, multidisciplinary collaboration with many subspecialties including genetics, neonatology, obstetrics, maternal fetal medicine, surgical sub-specialties, cardiology, radiology, palliative care, and ethics has needed to evolve to strive to offer optimal patient care. While comprehensive care delivery with an inter-disciplinary approach is preferred, there are often barriers based on numerous health disparities especially in resource limited settings. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 9, 2024 Category: Perinatology & Neonatology Authors: Charu Venkatesan, DonnaMaria Cortezzo, Mounira Habli, Sonika Agarwal Source Type: research

Clinical Decisions in Fetal-Neonatal Neurology II: Gene-Environment Expression Over the First 1000 Days Presenting as “Four Great Neurological Syndromes”
Interdisciplinary fetal-neonatal neurology (FNN) training considers a woman ’s reproductive and pregnancy health histories when assessing the “four great neonatal neurological syndromes”. This maternal-child dyad exemplifies the symptomatic neonatal minority, compared with the silent majority of healthy children who experience preclinical diseases with variable expres sions over the first 1000 days. Healthy maternal reports with reassuring fetal surveillance testing preceded signs of fetal distress during parturition. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - April 9, 2024 Category: Perinatology & Neonatology Authors: Mark S. Scher, Sonika Agarwal, Charu Venkatesen Source Type: research

Editorial Board
(Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - December 1, 2023 Category: Perinatology & Neonatology Source Type: research

Surfactant and Neonatal Hemodynamics during the Postnatal Transition
Surfactant replacement therapy (SRT) has revolutionized the management of respiratory distress syndrome (RDS) in premature infants, leading to improved survival rates and decreased morbidity. SRT may, however, be associated with hemodynamic changes, which can have both positive and negative effects on the immature cardiovascular system, during the transitional adaptation from fetal to extrauterine environment. However, there is a relative paucity of evidence in this domain, with most of them derived from small heterogeneous observational studies providing conflicting results. (Source: Seminars in Fetal and Neonatal Medicine)
Source: Seminars in Fetal and Neonatal Medicine - November 22, 2023 Category: Perinatology & Neonatology Authors: Sanoj KM. Ali, Amy H. Stanford, Patrick J. McNamara, Samir Gupta Source Type: research