Maternal prepregnancy overweight/obesity increase the risk of low Apgar scores in twins: a population-based cohort study in China
Frontiers in Pediatrics,
Год журнала:
2025,
Номер
12
Опубликована: Янв. 17, 2025
While
prepregnancy
overweight
or
obesity
is
known
to
negatively
impact
maternal
health,
its
effect
on
twin
infants
not
well
understood.
Therefore,
we
conducted
a
nationwide,
multicenter
retrospective
study
investigate
the
association
between
weight
and
health
outcomes
in
twins.
This
collected
data
from
22
healthcare
units
across
12
regions
China
January
2018
December
2020.
To
control
for
confounding
factors,
multiple
logistic
regression,
propensity
score
matching
(PSM),
inverse
probability
of
treatment
weighting
(IPTW),
overlapping
models
(OW)
were
applied
explore
effects
BMI
Apgar
scores
other
outcomes.
After
screening,
total
4,724
women
with
pregnancies
9,448
newborns
included
study.
Compared
normal
weight,
overweight/obesity
significantly
increased
risk
gestational
hypertension
diabetes
mothers
[adjusted
OR
(95%
CI):
1.85
(1.55-2.21)
1.49
(1.27-1.74),
respectively].
It
also
incidence
twins
1-min
≤7,
whether
they
larger
smaller
[1.60
(1.20-2.13)
1.45
(1.09-1.92),
Sensitivity
analyses
using
PSM
1.55
(1.07-2.25)],
IPTW
[1.67
(1.31-2.12)
1.48
(1.17-1.87)],
OW
[1.65
(1.08-2.57)
1.47
(0.97-2.25)]
confirmed
stability
these
results.
However,
it
did
affect
likelihood
5-min
≤7
0.82
(0.24-2.17)
1.40
(0.70-2.73)].
In
contrast,
underweight
was
associated
reduced
0.56
(0.32-0.92)
0.58
(0.34-0.94)],
but
had
no
0.22
(0.01-1.08)].
Prepregnancy
birth
discordance,
NICU
admission,
preterm
birth,
low
weight.
Maternal
before
pregnancy
increases
hypertensive
disorders
raises
having
score.
significant
observed.
These
findings
highlight
importance
managing
ensuring
readiness
neonatal
resuscitation
during
delivery.
Язык: Английский
VR-NRP: A development study of a virtual reality simulation for training in the neonatal resuscitation program
Digital Health,
Год журнала:
2025,
Номер
11
Опубликована: Янв. 1, 2025
Objectives
Virtual
reality
(VR)
offers
the
potential
to
provide
a
lifelike,
safe,
and
interactive
environment
where
healthcare
providers
can
practice
refresh
their
skills.
The
Neonatal
Resuscitation
Program
(NRP)
is
an
evidence-based
standardized
approach
for
training
on
resuscitation
of
newborn
VR
be
applied.
Here
we
describe
development
study
VR-NRP
simulation.
This
contribution
relevant
researchers
developers
in
health
sector
interested
integration
other
extended
(XR)
technologies
medical
education
training.
Methods
For
implementation
simulation,
used
Unity
game
engine,
VR-capable
laptop,
HTC
Vive
Pro
Head-Mounted
Display.
We
focused
skill
positive
pressure
ventilation
(PPV)
using
bag
mask
as
main
scenario
simulation
since
this
foundational
NRP.
To
validate
prototype,
compared
with
360°
immersive
videos
crossover
involving
30
health-care
students,
collecting
various
data
through
questionnaires
assessments
by
NRP
instructors.
Results
described
detail
creation
process
which
highly
realistic
was
produced
reflecting
visual
elements
sounds
Intensive
Care
Unit
hospital
setting.
In
study,
found
both
were
positively
viewed
professionals
performed
very
similarly.
However,
provided
significantly
increased
feeling
presence.
Participants
more
useful
reported
higher
confidence
skills
such
proper
placement
response
evaluation,
improved
experiential
learning
outcomes.
Conclusion
research
represents
step
forward
understanding
how
developed
applied
effective,
training,
increasing
availability
refresher
sessions,
providing
insights
into
similar
applications.
Язык: Английский
Enhancing neonatal resuscitation outcomes: bridging theory and practice
Pankaj Soni,
Manjunath Mallikarjuna Nagalli
European Journal of Pediatrics,
Год журнала:
2025,
Номер
184(4)
Опубликована: Март 19, 2025
Abstract
Neonatal
resuscitation
practices
have
undergone
tremendous
changes
over
the
past
two
decades,
with
progress
accelerating
due
to
advances
in
medical
technology,
scientific
research,
and
improvements
clinical
practices.
Among
other
global
frameworks,
neonatal
program
has
been
periodically
updated
incorporate
evidence-based
interventions
aimed
at
improving
survival
rates,
reducing
morbidity
enhancing
long-term
health
outcomes
for
newborns.
This
review
traces
historical
development
of
guidelines
from
early
days’
mid-twentieth
century
present
day.
It
narrates
how
needs,
emerging
technologies,
discoveries
shaped
evolution
these
By
reviewing
recent
guidelines,
such
as
those
issued
by
American
Heart
Association
World
Health
Organization,
this
article
sheds
light
on
current
core
principles
resuscitation,
including
effective
airway
management,
appropriate
ventilation
techniques,
critical
importance
timely
intervention.
The
major
determinants
identified
through
review,
include
advancements
expert
opinion,
international
collaboration.
Challenges
implementing
particularly
low-resource
settings,
are
discussed,
along
case
studies
that
demonstrate
impact
real-world
environments.
Conclusion
:
concludes
a
reflection
continued
need
research
close
remaining
gaps
enhance
across
diverse
contexts.
What
is
Known:
•
Effective
significantly
improves
mortality
morbidity.
provides
standardized
protocols
implement
skills.
New:
Simulation-based
training
real-time
feedback
can
bridge
gap
between
theoretical
practical
application.
Despite
knowledge
application
challenges
persist,
regional
differences,
lack
resources
lower-income
countries,
ideal
devices
oxygenation
methods.
Язык: Английский