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Zöllkau J, Pastuschek J, Heimann Y, Kiehntopf M, Bergner M, Haase R, Stubert J, Olbertz D, Dawczynski K, Schleußner E. PEONS-CAAP48: Evaluation von C-terminalem Alpha-1 Antitrypsin Peptid (CAAP48) als potentieller diagnostischer Biomarker der Early-Onset Neonatalen Sepsis (EONS) nach mütterlichem frühem vorzeitigen Blasensprung (Preterm Premature Rupture of membranes, PPROM). Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- J Zöllkau
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
| | - J Pastuschek
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
| | - Y Heimann
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
| | - M Kiehntopf
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
- Universitätsklinikum Jena, Institut für Klinische Chemie und Laboratoriumsmedizin, Integrierte Biobank Jena (IBBJ)
| | - M Bergner
- Universitätsklinik und Poliklinik für Geburtshilfe und Pränatalmedizin Halle/Saale
| | - R Haase
- Universitätsklinikum Halle (Saale), Abteilung für Neonatologie und pädiatrische Intensivmedizin
| | - J Stubert
- Universitätsfrauenklinik und Poliklinik, Klinikum Südstadt Rostock
| | - D.M Olbertz
- Klinikum Südstadt Rostock, Abteilung Neonatologie und Neonatologische Intensivmedizin
| | - K Dawczynski
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
- Universitätsklinikum Jena, Klinik für Kinder- und Jugendmedizin – Sektion Neonatologie/Pädiatrische Intensivmedizin
| | - E Schleußner
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
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Zöllkau J, Pastuschek J, Borges L, Heimann Y, Makarewicz O, Bergner M, Haase R, Stubert J, Olbertz D, Pieper D, Dawczynski K, Schleußner E. PEONS: Prädiktion der Early-onset neonatal Sepsis (EONS) nach vorzeitigem Blasensprung (PPROM) mit vaginaler Mikrobiom-Analyse. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1717995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- J Zöllkau
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
| | - J Pastuschek
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
| | - L Borges
- Helmholz-Zentrum für Infektionsforschung (HZI), Forschungsgruppe Mikrobielle Interaktionen und Prozesse
| | - Y Heimann
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
| | - O Makarewicz
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
- Universitätsklinikum Jena, Institut für Infektionskrankheiten und Infektionskontrolle
| | - M Bergner
- Universitätsklinik und Poliklinik für Geburtshilfe und Pränatalmedizin Halle/Saale
| | - R Haase
- Universitätsklinikum Halle (Saale), Abteilung für Neonatologie und pädiatrische Intensivmedizin
| | - J Stubert
- Universitätsfrauenklinik und Poliklinik, Klinikum Südstadt Rostock
| | - D.M Olbertz
- Klinikum Südstadt Rostock, Abteilung Neonatologie und Neonatologische Intensivmedizin
| | - D Pieper
- Helmholz-Zentrum für Infektionsforschung (HZI), Forschungsgruppe Mikrobielle Interaktionen und Prozesse
| | - K Dawczynski
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
- Universitätsklinikum Jena, Klinik für Kinder- und Jugendmedizin – Sektion Neonatologie/Pädiatrische Intensivmedizin
| | - E Schleußner
- Universitätsklinikum Jena, Klinik für Geburtsmedizin
- Universitätsklinikum Jena, Integriertes Forschungs- und Behandlungszentrum Sepsis und Sepsisfolgen (CSCC)
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Voigt M, Hentschel R, Kunze M, Nikischin W, Olbertz D, Hagenah HP, Wittwer-Backofen U, Strauss A. Vergleich der Perzentilkurven von Körpermaßen neugeborener Einlinge, Zwillinge und Drillinge. Z Geburtshilfe Neonatol 2017; 221:43-44. [PMID: 28363233 DOI: 10.1055/s-0043-101731] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M Voigt
- Zentrum für Medizin und Gesellschaft, Universität Freiburg, Freiburg
| | - R Hentschel
- Klinik für Allgemeine Kinder- und Jugendmedizin Funktionsbereich Neonatologie/Intensivmedizin, Universitätsklinikum Freiburg, Freiburg
| | - M Kunze
- Frauenklinik, Abteilung Geburtshilfe, Universität Freiburg, Freiburg
| | - W Nikischin
- Kinderklinik, Abteilung Neonatologie, Universität Kiel, Kiel
| | - D Olbertz
- Abteilung Neonatologie und Neonatologische Intensivmedizin, Klinikum Südstadt, Rostock
| | - H P Hagenah
- Frauenklinik, Abteilung Geburtshilfe, Agaplesion-Klinikum, Rotenburg
| | | | - A Strauss
- Christian-Albrechts-Universität, Kiel
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Voigt M, Olbertz D, Hentschel R, Kunze M, Hagenah HP, Scholz R, Wittwer-Backofen U, Hesse V, Straube S. Percentile Values for the Anthropometric Dimensions of Triplet Neonates - Analysis of German Perinatal Survey Data of 2007-2011 from all States of Germany. Z Geburtshilfe Neonatol 2016; 220:185. [PMID: 27392283 DOI: 10.1055/s-0042-111604] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- M Voigt
- Zentrum für Medizin und Gesellschaft, Universität Freiburg, Freiburg
| | - D Olbertz
- Abteilung Neonatologie und Neonatologische Intensivmedizin, Klinikum Südstadt, Rostock
| | - R Hentschel
- Klinik für Allgemeine Kinder- und Jugendmedizin, Funktionsbereich Neonatologie/Intensivmedizin, Universitätsklinikum Freiburg, Freiburg
| | - M Kunze
- Frauenklinik, Universitätsklinikum Freiburg, Freiburg
| | - H-P Hagenah
- Abteilung Geburtshilfe, Agaplesion Klinikum Rotenburg, Rotenburg (Wümme)
| | - R Scholz
- Max-Planck-Institut für Demografische Forschung, Arbeitsbereich Demografische Daten, Rostock
| | | | - V Hesse
- Deutsches Zentrum für Wachstum, Entwicklung und Gesundheitsförderung im Kindes- und Jugendalter, Berlin
| | - S Straube
- Department of Medicine, Division of Preventive Medicine, University of Alberta, Edmonton, Alberta, Canada
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Voigt M, Olbertz D, Hentschel R, Kunze M, Hagenah HP, Scholz R, Wittwer-Backofen U, Hesse V, Straube S. [Percentile Values for the Anthropometric Dimensions of Triplet Neonates - Analysis of German Perinatal Survey Data of 2007-2011 from all States of Germany]. Z Geburtshilfe Neonatol 2016; 220:66-73. [PMID: 27111593 DOI: 10.1055/s-0035-1564090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AIM We aimed to develop national reference values for birth weight, length, head circumference, and weight for length for newborn triplets based on data from the German perinatal survey of 2007-2011. MATERIAL AND METHODS Perinatal survey data of 3,690 newborn triplets from all the states of Germany were kindly provided to us by the AQUA Institute in Göttingen, Germany. Data of 3,567 newborn triplets were included in the analyses. Sex-specific percentile values were calculated using cumulative frequencies. Percentile values at birth were computed for the 3rd, 10th, 25th, 50th, 75th, 90th, and 97th percentiles for 21-36 completed weeks of gestation. RESULTS AND CONCLUSIONS We present the first German reference values (tables and curves) for the anthropometric dimensions of triplet neonates and compare selected birth weight and length percentiles of triplets (after 32 and 34 completed weeks of gestation) to those of singletons and twins. The differences in the 50th birth weight percentiles between singletons and triplets after 32 completed weeks of gestation were 180 g for girls and 210 g for boys; after 34 weeks of gestation the differences were 320 and 325 g, respectively. The differences between twins and triplets after 32 weeks of gestation were 100 g for girls and 120 g for boys; after 34 weeks of gestation they were 130 and 135 g, respectively. The data presented here enable the classification of newborn triplets according to somatic parameters making reference to German perinatal data.
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Affiliation(s)
- M Voigt
- Zentrum für Medizin und Gesellschaft, Universität Freiburg, Freiburg
| | - D Olbertz
- Abteilung Neonatologie und Neonatologische Intensivmedizin, Klinikum Südstadt, Rostock
| | - R Hentschel
- Klinik für Allgemeine Kinder- und Jugendmedizin, Funktionsbereich Neonatologie/Intensivmedizin, Universitätsklinikum Freiburg, Freiburg
| | - M Kunze
- Frauenklinik, Universitätsklinikum Freiburg, Freiburg
| | - H-P Hagenah
- Abteilung Geburtshilfe, Agaplesion Klinikum Rotenburg, Rotenburg (Wümme)
| | - R Scholz
- Max-Planck-Institut für Demografische Forschung, Arbeitsbereich Demografische Daten, Rostock
| | | | - V Hesse
- Deutsches Zentrum für Wachstum, Entwicklung und Gesundheitsförderung im Kindes- und Jugendalter, Berlin
| | - S Straube
- Department of Medicine, Division of Preventive Medicine, University of Alberta, Edmonton, Alberta, Canada
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Voigt M, Schwab KO, Pippig S, Wittwer-Backofen U, Olbertz D. Zum Einfluss von Körperhöhe und Körpergewicht der Eltern auf das Geburtsgewicht von eutrophen Termingeborenen. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Voigt M, Rochow N, Schneider K, Hagenah HP, Straube S, Scholz R, Hesse V, Hentschel R, Olbertz D. Neue Perzentilwerte für die Körpermaße neugeborener Zwillinge: Ergebnisse der deutschen Perinatalerhebung der Jahre 2007–2011 unter Beteiligung aller 16 Bundesländer. Z Geburtshilfe Neonatol 2014; 218:254-60. [DOI: 10.1055/s-0034-1385858] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- M. Voigt
- Institut für Perinatale Wachstumsforschung, Rostock/Sievershagen
| | - N. Rochow
- Department of Pediatrics, McMaster University, Hamilton, Canada
| | - K.T. Schneider
- Abteilung Perinatalmedizin, Frauenklinik der Technischen Universität München, München
| | - H.-P. Hagenah
- Abteilung Geburtshilfe, Agaplesion Klinikum Rotenburg, Rotenburg (Wümme)
| | - S. Straube
- Division of Preventive Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - R. Scholz
- Arbeitsbereich Demografische Daten, Max-Planck-Institut für Demografische Forschung, Rostock
| | - V. Hesse
- Deutsches Zentrum für Wachstum, Entwicklung und Gesundheitsförderung im Kindes- und Jugendalter, Berlin
| | - R. Hentschel
- Klinik für Allgemeine Kinder- und Jugendmedizin, Funktionsbereich Neonatologie/Intensivmedizin, Universitätsklinikum Freiburg, Freiburg
| | - D. Olbertz
- Abteilung Neonatologie und Neonatologische Intensivmedizin, Klinikum Südstadt, Rostock
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Voigt M, Rochow N, Schneider KTM, Hagenah HP, Scholz R, Hesse V, Wittwer-Backofen U, Straube S, Olbertz D. [New percentile values for the anthropometric dimensions of singleton neonates: analysis of perinatal survey data of 2007-2011 from all 16 states of Germany]. Z Geburtshilfe Neonatol 2014; 218:210-7. [PMID: 25353215 DOI: 10.1055/s-0034-1385857] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
AIM The aim of this study was to derive percentile values for birth weight, length, head circumference, and weight for length for singleton neonates based on the German perinatal survey of 2007-2011 (using data from all 16 states of Germany). We also compared these new percentile values with the percentile values of 1995-2000 that so far have been considered standard values. MATERIAL AND METHODS Data of 3 187 920 singleton neonates from the German perinatal survey of the years 2007-2011 were kindly provided to us by the AQUA Institute in Göttingen, Germany. Sex specific percentile values were calculated using cumulative frequencies. Percentile values at birth were computed for the 3(rd), 10(th), 25(th), 50(th), 75(th), 90(th), and 97(th) percentiles for 21-43 completed weeks of gestation. Percentile curves and tabulated values for the years 2007-2011 were compared with the published values of 1995-2000. RESULTS AND DISCUSSION Overall the new percentile curves closely resemble the previous ones. Minimal differences can be found for the 10(th) percentile and generally for early weeks of gestation. Values for the 10(th) percentile in the 2007-2011 dataset are somewhat higher than values of 1995-2000 for birth weight, length, and weight for length. CONCLUSIONS We recommend the use of these new percentile values instead of the old ones.
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Affiliation(s)
- M Voigt
- Institut für Perinatale Wachstumsforschung, Rostock/Sievershagen
| | - N Rochow
- Department of Pediatrics, McMaster University, Hamilton, Canada
| | - K T M Schneider
- Abteilung Perinatalmedizin, Frauenklinik der Technischen Universität -München, München
| | - H-P Hagenah
- Abteilung Geburtshilfe, Agaplesion Klinikum Rotenburg, Rotenburg -(Wümme)
| | - R Scholz
- Arbeitsbereich Demografische Daten, Max-Planck-Institut für -Demografische Forschung, Rostock
| | - V Hesse
- Deutsches Zentrum für Wachstum, Entwicklung und Gesundheitsförderung im Kindes- und Jugendalter, Berlin
| | - U Wittwer-Backofen
- Biologische Anthropologie, Medizinische Fakultät, Albert-Ludwigs--Universität Freiburg, Freiburg
| | - S Straube
- Division of Preventive Medicine, University of Alberta, Edmonton, Alberta, Canada
| | - D Olbertz
- Abteilung Neonatologie und Neonatologische Intensivmedizin, Klinikum Südstadt, Rostock
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Voigt M, Wittwer-Backofen U, Scholz R, Schneider KTM, Straube S, Olbertz D, Hesse V, Rochow N. Analysis of the German perinatal survey of the years 2007-2011 and comparison with data from 1995-1997: neonatal characteristics and duration of pregnancy. Z Geburtshilfe Neonatol 2014; 217:211-4. [PMID: 24399320 DOI: 10.1055/s-0033-1361096] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND AND AIM We have previously analysed neonatal characteristics and duration of pregnancy in Germany based on data from the German Perinatal Survey of 1995-1997. Here we describe neonatal characteristics and duration of pregnancy based on the German Perinatal Survey of 2007-2011. MATERIAL AND METHODS We had been provided with data from the German Perinatal Survey of 1995-1997 by the chambers of physicians of all the states of Germany except Baden-Württemberg (1 815 318 singleton neonates). We were also provided with access to the perinatal survey data of 2007-2011 by the AQUA Institute in Göttingen, Germany (3 187 920 singleton neonates). We investigated regional differences within Germany and also compared the 2 periods of time. We used the computer programme SPSS for data analysis and performed plausibility checks on the survey data. RESULTS Comparing the states of Germany, we found that birth weight was largest for neonates born in Schleswig-Holstein (3 407 g) and Mecklenburg-Western Pomerania (3 392 g); the lowest mean birth weight was observed in the Saarland (3 283 g). Preterm birth rate varied between 6.3% (Saxony) and 8.1% (Bremen, Saarland). Comparing 1995-1997 vs. 2007-2011, deliveries after 37 and 38 weeks of gestation were more common and deliveries after 39 and more weeks of gestation were less common in the later period of time. CONCLUSIONS Regional differences in the anthropometric characteristics of neonates exist between the states of Germany. The proportion of deliveries after 39 and more weeks of gestation has decreased.
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Affiliation(s)
- M Voigt
- German Center for Growth, Development and Health Encouragement -during Childhood and Youth, Berlin, Germany
| | | | - R Scholz
- Max Planck Institute for Demographic Research, Rostock, Germany
| | - K T M Schneider
- Section of Perinatal Medicine, Department of Obstetrics, Technical -University of Munich, Munich, Germany
| | - S Straube
- Institute of Occupational, Social and Environmental Medicine, University Medical Center Göttingen, Göttingen, Germany
| | - D Olbertz
- Department of Neonatology, Klinikum Südstadt, Rostock, Germany
| | - V Hesse
- German Center for Growth, Development and Health Encouragement -during Childhood and Youth, Berlin, Germany
| | - N Rochow
- Division of Neonatology, Department of Pediatrics, McMaster University, Hamilton, Canada
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Hagenah HP, Vollmer C, Schild RL, Voigt M, Olbertz D. Geburtsrisiken differenziert nach Gestationsalter und Entbindungsmodus. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Laubach J, Strauß A, Voigt M, Olbertz D, Hesse V, Straube S. Aborthäufigkeit bei Schwangeren mit Risikofaktoren. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Voigt M, Schneider KTM, Straube S, Olbertz D, Hesse V, Rochow N. Körpermaße der Neugeborenen und Schwangerschaftsdauer im regionalen und zeitlichen Vergleich (Daten der deutschen Perinatalerhebung von 2007 – 2011 und Vergleich mit Daten von 1995 – 1997). Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Voigt M, Schneider KTM, Straube S, Olbertz D, Hesse V, Rochow N. Vorstellung von Geburtsgewichtsperzentilwerten für Drillinge. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Voigt M, Schneider KTM, Straube S, Olbertz D, Hesse V, Rochow N. Vorstellung neuer Geburtsgewichtsperzentilwerte für Einlinge und Zwillinge. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Voigt M, Olbertz D, Schneider KTM, Wittwer-Backofen U, Hesse V, Rochow N. [Changes in the somatic classification according to birth weight and duration of pregnancy of newborn girls when maternal height is considered]. Z Geburtshilfe Neonatol 2013; 217:107-9. [PMID: 23812921 DOI: 10.1055/s-0032-1331723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study examines the quantitative changes in the somatic classification according to birth weight and duration of pregnancy of German neonates when maternal height is considered (5 maternal height groups). Our calculations were performed using data of 319 884 girls born in 2010. Overall, about 6% (18 792 girls) are classified differently (more appropriately) when group-specific norm values were used.
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Affiliation(s)
- M Voigt
- Deutsches Zentrum für Wachstum, Entwicklung und Gesundheitsförderung im Kindes-und Jugendalter, Berlin.
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Voigt M, Neudecker K, Schneider K, Olbertz D, Briese V, Straube W, Straube S. Effects of Smoking Specified as Cigarettes per Day and Maternal Body Mass Index on Hypertensive Disorders of Pregnancy. Z Geburtshilfe Neonatol 2013; 217:24-7. [DOI: 10.1055/s-0032-1333256] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- M. Voigt
- German Center for Growth, Development and Health Encouragement during Childhood and Youth, Berlin, Germany
| | - K. Neudecker
- German Center for Growth, Development and Health Encouragement during Childhood and Youth, Berlin, Germany
| | - K.T. Schneider
- Section of Perinatal Medicine, Department of Obstetrics,Technical University of Munich, Germany
| | - D. Olbertz
- Department of Neonatology, Klinikum Südstadt, Rostock, Germany
| | - V. Briese
- Department of Neonatology, Klinikum Südstadt, Rostock, Germany
| | | | - S. Straube
- Department of Occupational, Social and Environmental Medicine, University Medical Center Göttingen, Germany
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Spiegler J, Stichtenoth G, Weichert J, König IR, Schlaud M, V D Wense A, Olbertz D, Gurth H, Schiffmann JH, Bohnhorst B, Gortner L, Herting E, Göpel W. Pregnancy risk factors for very premature delivery: what role do hypertension, obesity and diabetes play? Arch Gynecol Obstet 2013; 288:57-64. [PMID: 23400353 DOI: 10.1007/s00404-013-2739-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2012] [Accepted: 01/21/2013] [Indexed: 12/31/2022]
Abstract
PURPOSE Very premature delivery is a major cause of infant morbidity and mortality. Obesity, diabetes and pregnancy hypertension are known risk factors for pregnancy complications. The study aimed to scrutinize differences of pregnancy complications in a cohort of very premature deliveries compared to a national group. METHODS In a multicenter study performed between January 2009 and December 2010 including 1,577 very low birth weight (VLBW) infants, we compared parental reported pregnancy problems of VLBW infants with a national cohort (KIGGS). We compared reported pregnancy complications to reasons for premature delivery and neonatal outcome within the group of VLBW infants. RESULTS While parents of the national cohort reported pregnancy-induced hypertension in 8 %, parents of VLBW infants reported this complication more frequently (27 %). Mothers of the national cohort were significantly younger (1 year), suffered less from obesity, anaemia, diabetes. Regression analysis showed that hypertension (OR = 5.11) and advanced maternal age (OR = 1.03) increased the risk for premature birth. Women with hypertension were likely to experience a clinically indicated premature delivery, had more VLBW infants with a moderate growth restriction, but less multiples and their infants had less intraventricular haemorrhages grade 3 or 4. Otherwise, neonatal outcome was correlated with gestational age but not with the pregnancy complications diabetes, hypertension or obesity. CONCLUSION Premature birth seems to be correlated to gestational hypertension and associated problems in about ¼ of VLBW infants. Further studies should focus on preventing and treating gestational hypertension to avoid premature delivery and associated neonatal morbidity.
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Affiliation(s)
- Juliane Spiegler
- Department of Pediatrics, University of Lübeck, Ratzeburger Allee 160, 23538 Lüebeck, Germany.
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Stichtenoth G, Demmert M, Bohnhorst B, Stein A, Ehlers S, Heitmann F, Rieger-Fackeldey E, Olbertz D, Roll C, Emeis M, Mögel M, Schiffmann H, Wieg C, Wintgens J, Herting E, Göpel W, Härtel C. Major Contributors to Hospital Mortality in Very-Low-Birth-Weight Infants: Data of the Birth Year 2010 Cohort of the German Neonatal Network. Klin Padiatr 2012; 224:276-81. [DOI: 10.1055/s-0032-1306344] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
AbstractThe German Neonatal Network (GNN) is a prospective cohort study with the focus on long term development of very-low-birth-weight infants. It was the aim of this study to determine detailed information on causes of mortality in the GNN birth cohort 2010.Major contributors to hospital mortality were recorded by the attending neonatologists for the cohort of very-low-birth-weight (VLBW) infants born in centres of the German Neonatal Network (GNN) in 2010. The data quality was approved by on-site monitoring.2 221 VLBW infants were born in GNN centres in 2010, and death occurred in 221 infants. Male infants carried a higher risk than females (58.8% males among non-survivors vs. 51.7% among survivors, p=0.047). In 11 infants, the major contributor to death was not determined by the attending neonatologist. In 25 infants born at the limit of viability, comfort palliative care was primarily initiated and 14 infants had lethal malformations. The majority of non-survivors suffered from inflammatory diseases including sepsis- or necrotizing enterocolitis (NEC)-associated death (n=56). Respiratory pathology was a major contributor to death in 65 infants including 11 infants who died from pulmonary haemorrhage.Potentially preventable complications of preterm birth such as sepsis, NEC and pulmonary haemorrhage predominate the major contributors to mortality in the GNN 2010 cohort. In order to decrease the rate of these associated deaths, future trials should focus on prophylaxis and therapy optimization strategies for these outcomes.
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Affiliation(s)
| | - M. Demmert
- Children’s Hospital, University of Lübeck, Germany
| | | | - A. Stein
- Neonatology, Children’s Hospital I, University of Essen, Germany
| | - S. Ehlers
- Neonatology, Burgerhospital Frankfurt, Germany
| | - F. Heitmann
- Department of Pediatrics, Community Hospital Dortmund, Germany
| | | | - D. Olbertz
- Neonatology, Klinikum Rostock Süd, Rostock, Germany
| | - C. Roll
- Department of Neonatology and Pediatric Intensive Care, Vest Children’s Hospital, Datteln, Germany
| | - M. Emeis
- Neonatology, Vivates Klinikum Berlin, Germany
| | - M. Mögel
- Neonatology, University of Dresden, Germany
| | | | - C. Wieg
- Neonatologie, Klinikum Aschaffenburg, Germany
| | - J. Wintgens
- Neonatology, Klinikum Mönchengladbach, Germany
| | - E. Herting
- Children’s Hospital, University of Lübeck, Germany
| | - W. Göpel
- Children’s Hospital, University of Lübeck, Germany
| | - C. Härtel
- Children’s Hospital, University of Lübeck, Germany
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Weller J, Voigt M, Schleußner E, Briese V, Olbertz D, Hesse V. The combined influence of maternal body mass index (BMI) and smoking on the somatic development of female and male neonates. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1292694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
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Olbertz D, Voigt M, Straube S, Renz I, Steinbicker V, Pötzsch S, Briese V. [Congenital malformations--a systematic cohort study from Mecklenburg-Western Pomerania (Germany)]. Z Geburtshilfe Neonatol 2011; 214:243-8. [PMID: 21207325 DOI: 10.1055/s-0030-1267187] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AIM We aimed to set-up a passive malformations registry for 2002-2004 for the German Federal State of Mecklenburg-Western Pomerania in order to estimate the prevalence of congenital malformations among live births, stillbirths, miscarriages, and induced abortions. POPULATION AND STUDY DESIGN: Under the guidance of the working group "Neonatology Mecklenburg-Vorpommern" a standardised malformations record form modelled after the Mainz registry was developed and used to record malformations among live births, stillbirths, miscarriages, and induced abortions in all 21 obstetric departments in Mecklenburg-Western Pomerania between 2002 and 2004. We compared the population of neonates with malformations with a general population sample from the German Perinatal Survey of 1995-1997. RESULTS There were 768 neonates with at least one major malformation among a total of 37 634 neonates in Mecklenburg-Western Pomerania; this means that the prevalence of major malformations was 203.53 per 10 000 neonates. The prevalence of major malformations in liveborn infants was 178.61 per 10 000. The most common malformations in the total study population were ventricular septal defect (prevalence: 37.2 per 10 000), hydronephrosis (16.7 per 10 000), hypospadias (14.8 per 10 000), Down syndrome (10.1 per 10 000), and cleft lip and palate (9.0 per 10 000). Among the induced abortions the most common diagnoses were Down syndrome, anencephalus, Edwards syndrome, and congenital hydrocephalus. The preterm birth rate among the 637 liveborn and stillborn infants with malformations was 19.6%; 5.6% were born before 32 completed weeks of gestation. The small for gestational age rate for infants with malformations was 14.2% for girls and 14.5% for boys, thus increased compared with the general population sample (9.7%). CONCLUSIONS Congenital malformations are important determinants of childhood morbidity and mortality. Malformation prevalence and types of malformations, along with morbidity and mortality, are important parameters in perinatal medicine. The establishment of active malformation registries is therefore an important task.
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Affiliation(s)
- D Olbertz
- Abteilung Neonatologie, Klinikum Südstadt Rostock, Südring 81, Rostock.
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Voigt M, Rochow N, Hesse V, Olbertz D, Schneider K, Jorch G. Kurzmitteilung zu den Perzentilwerten für die Körpermaße der Neugeborenen. Z Geburtshilfe Neonatol 2010; 214:24-9. [DOI: 10.1055/s-0029-1241833] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Olbertz D, Voigt M, Straube S, Michaelsen S, Briese V. Beziehungen zwischen Apgar-Benotungen, Schwangerschaftsdauer, Geburtsgewicht und somatischer Klassifikation der Neugeborenen. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1185770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Voigt M, Rochow N, Niedermeyer M, Briese V, Olbertz D, Jorch G. Perzentilkurven (-werte) des Geburtsgewichtes für frühe männliche und weibliche Frühgeborene nach Tagen (154–223). Z Geburtshilfe Neonatol 2009. [DOI: 10.1055/s-0029-1223026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Voigt M, Olbertz D, Fusch C, Krafczyk D, Briese V, Schneider K. Zum Einfluss von vorausgegangenen Schwangerschaftsabbrüchen, Aborten und Totgeburten auf die Rate Neugeborener mit niedrigem Geburtsgewicht und Frühgeborener sowie auf die somatische Klassifikation der Neugeborenen. Z Geburtshilfe Neonatol 2008; 212:5-12. [DOI: 10.1055/s-2008-1004690] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Voigt M, Straube S, Fusch C, Heineck G, Olbertz D, Schneider KTM. [The shortening of the duration of pregnancy due to smoking and associated costs for perinatal health care in Germany]. Z Geburtshilfe Neonatol 2008; 211:204-10. [PMID: 17960518 DOI: 10.1055/s-2007-981326] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND As about 20 % of pregnant women smoke, 137,000 of the 685,795 neonates delivered in Germany in 2005 have been affected by smoking during pregnancy. Caring for neonates born prematurely because of smoking results in additional costs. We have attempted to estimate these costs. MATERIAL AND METHODS Data of 1,815,318 pregnancies were collected from the German perinatal statistics of 1995-1997. In 876,645 cases there was information regarding smoking. Of these, 699,134 pregnant women were non-smokers and 177,511 were smokers. To determine the number of preterm births due to smoking, we compared the distribution of the duration of pregnancy of the non-smoking cohort to that of the smoking cohort. From the difference between this and the actual distribution of the duration of pregnancy among smokers we determined the number of additional preterm births caused by smoking. For the analysis of the associated costs we used the actual costs of care and daily rates used in neonatology. RESULTS For 2002 we estimate 43 million Euros of additional costs due to neonates born prematurely because of smoking. CONCLUSIONS We present a rough estimate of the additional health care costs for neonates because of smoking. Costs were estimated only with regard to premature deliveries. Other effects of smoking during pregnancy on neonatal health were not considered. More detailed cost analyses will likely reveal even higher costs.
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Affiliation(s)
- M Voigt
- Abteilung Neonatologie und Pädiatrische Intensivmedizin am Zentrum für Kinder- und Jugendmedizin der Ernst-Moritz-Arndt Universität Greifswald, Soldtmannstrasse 15, 17487 Greifswald.
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Voigt M, Straube S, Olbertz D, Häuser B, Schneider KTM. Beziehungen zwischen Körpergewicht, Körperhöhe, Body-Mass-Index und der Gewichtszunahme von Frauen in der Schwangerschaft. Z Geburtshilfe Neonatol 2007; 211:147-52. [PMID: 17729200 DOI: 10.1055/s-2007-981236] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND The weight gain during pregnancy is influenced by maternal body weight and height. With this study we want to illustrate the relationship between weight, height, body mass index (BMI) and the weight gain in pregnancy. MATERIALS AND METHODS Data of about 2.3 million singleton pregnancies were taken from the German perinatal statistics of 1995-2000. Weight gain was calculated as the difference between the weight at the end of the pregnancy and the weight at the first consultation. RESULTS The distribution of the weight gain resembles a normal distribution. Overall mean weight gain is 12.8 kg. For women weighing < 63 kg, there is a rise in weight gain with increasing body weight at the first consultation. Beyond 63 kg the amount of weight gain falls with increasing body weight at the first consultation. Weight gain increases with increasing height. Overall there is a negative correlation between BMI and weight gain. However, women with the same BMI but different body weights and heights can differ significantly with regard to their weight gain. CONCLUSIONS Height and body weight at the beginning of pregnancy are important determinants of the weight gain. They should therefore be used when assessing the weight gain in clinical practice. Use of the BMI, however, is not appropriate. We are investigating other ways of combining body weight and height. This will be discussed in a later publication.
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Affiliation(s)
- M Voigt
- Abt. Perinatalmedizin der Frauenklinik der Technischen Universität München
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Voigt M, Jährig K, Fusch C, Olbertz D, Schneider K, Krentz H. Analyse des Neugeborenenkollektivs der Bundesrepublik Deutschland. Geburtshilfe Frauenheilkd 2007. [DOI: 10.1055/s-2007-965047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Olbertz D, Voigt M, Fusch C, Michaelsen S, Hoffmann W, Rochow N. Beziehungen zwischen der Apgar-Benotung und der somatischen Klassifikation Neugeborener. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1002868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Evert S, Popp K, Olbertz D, Hauenstein C, Uhlemann M, Haffner D. Hypoxisch-ischämische Enzephalopathie–Zwei Verlaufsbeobachtungen. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1002932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Voigt M, Olbertz D, Rochow N, Fusch C, Pfeifer G. Vorstellung neuer Perzentilwerte für die Körpermaße Neugeborener Deutschlands – Vergleich mit den Werten von 1992. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-983254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rochow N, Voigt M, Schneider KTM, Greven F, Olbertz D. Klinische Risikostruktur von Erstgebärenden – Der Einfluss des Alters auf das Geburtsgewicht, den Geburtsmodus und die Geburtslage der Neugeborenen. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1002911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Voigt M, Olbertz D, Fusch C, Briese V, Hesse V, Rochow N. Biologische Schwankungsbreite der SGA-Neugeborenenrate im Geburtsgewicht. Z Geburtshilfe Neonatol 2007. [DOI: 10.1055/s-2007-1002876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Olbertz D, Voigt M, Fusch C, Markert P, Hartmann K, Briese V. 13. Mitteilung: Zum Einfluss vorausgegangener Totgeburten auf das mittlere Geburtsgewicht, die Frühgeborenenrate und den somatischen Entwicklungsstand Neugeborener. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-924696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Armbrust S, Kirchhoff F, Lange A, Olbertz D, Kramer A, Fusch C. Norovirusinfektion bei Frühgeborenen: von der Gastroenteritis bis zur Sepsis und NEC. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-946111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Voigt M, Fusch C, Olbertz D, Hartmann K, Rochow N, Renken C, Schneider K. Analyse des Neugeborenenkollektivs der Bundesrepublik Deutschland. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-924458] [Citation(s) in RCA: 74] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Armbrust S, Kirchhoff F, Lange A, Olbertz D, Kramer A, Fusch C. Norovirusinfektion bei Frühgeborenen: von der Gastroenteritis bis zur Sepsis und NEC. Z Geburtshilfe Neonatol 2006. [DOI: 10.1055/s-2006-943196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Voigt M, Fusch C, Olbertz D, Carstensen M, Brüning A, Hartmann K, Hesse V. 10. Mitteilung: Zum Anstieg der SGA-Neugeborenenrate durch das Rauchen der Mütter in der Schwangerschaft und Risikostruktur von „starken Raucherinnen“. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-923988] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Voigt M, Fusch C, Olbertz D, Schneider KTM, Uhlemann M, Hesse V. Gibt es einen geschlechtsspezifischen Unterschied in der Schädigung der Neugeborenen durch das Rauchen ihrer Mütter in der Schwangerschaft? Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-871422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Voigt M, Fusch C, Schneider KTM, Olbertz D, Lack N, Hesse V. Vorstellung eines Computerprogramms zur mehrdimensionalen somatischen Klassifizierung Neugeborener. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-871468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Voigt M, Krentz H, Fusch C, Olbertz D, Schneider KTM, Hesse V. Übereinstimmung unterschiedlicher somatischer Klassifikationssysteme bei Neugeborenen. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-871423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Olbertz D, Voigt M, Renz I, Wiedersberg E, Ebner A, Krüger G, Fusch C. Ergebnisse einer dreijährigen Fehlbildungserfassung (2002–2004) im Bundesland Mecklenburg-Vorpommern. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-871473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Olbertz D, Voigt M, Markert P, Fusch C, Schmidt S, Briese V. Einfluss vorausgegangener Totgeburten auf die Frühgeborenenrate und auf den somatischen Entwicklungsstand Neugeborener. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-871420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Diehl T, Bolz M, Jacoby U, Stuhldreier G, Olbertz D, Gerber B, Plath C. Intrauteriner Dünndarmvolvulus - Pränatale Diagnostik und postnataler Verlauf. Z Geburtshilfe Neonatol 2005. [DOI: 10.1055/s-2005-923285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pawlowski P, Voigt M, Renz I, Olbertz D, Queißer-Luft A, Krüger G. Erfassung von angeborenen Fehlbildungen im Bundesland Mecklenburg-Vorpommern (Erste Ergebnisse). Z Geburtshilfe Neonatol 2004. [DOI: 10.1055/s-2003-818237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Olbertz D, Schramm D, Sander I, Frenzel J. [Doppler ultrasound monitoring of cerebral circulation during neonatal intensive care with special reference to artificial respiration]. Z Geburtshilfe Neonatol 1999; 203:231-3. [PMID: 10612194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
BACKGROUND Doppler sonographic data from routine cerebral ultrasonic examination of mechanically ventilated premature neonates were analyzed in order to find out which intensive care influence factors take effect on the cerebral circulation. It was to be demonstrated if Doppler sonographic results are changed by current intensive medical influences especially mechanically ventilation. PATIENTS AND METHODS In 24 premature neonates (mean gestational age 29.6 +/- 4 weeks, mean birth weight 1367 +/- 660 g) treated with mechanical ventilation for IRDS cerebral blood flow parameters were assessed by pulsed Doppler sonography. A single Doppler sonographic investigation was performed during the first week of life (median: day 5). Doppler flow velocity waveforms were obtained, and resistance index (RI) and pulsatility index (PI) values were calculated from the anterior cerebral arteries (ACA) as well as from the internal carotid artery (ACI). Oscillometrically measured blood pressure, pH, pCO2, and parameters of mechanical ventilation were registered. RESULTS Besides the well established influence of pCO2 and blood pressure parameters of mechanical ventilation PEEP and time of inspiration have an influence on cerebral blood flow. CONCLUSIONS Our results demonstrate the impact of mechanical ventilation on cerebral blood flow and therefore indicate the necessity of Doppler sonographic monitoring during mechanical ventilation. To our knowledge this is the first report about the influence of mechanical ventilation on cerebral blood flow in neonates.
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Affiliation(s)
- D Olbertz
- Klinikum der Friedrich-Schiller-Universität Jena.
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