A5057831784- Infant Development and Preterm Care
- Ethics and Legal Issues in Pediatric Healthcare
- Neonatal Respiratory Health Research
- Childhood Cancer Survivors' Quality of Life
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Grief, Bereavement, and Mental Health
- Optimism, Hope, and Well-being
- Infant Health and Development
- Ethics in medical practice
- Family and Disability Support Research
- Patient-Provider Communication in Healthcare
- Pediatric Pain Management Techniques
- COVID-19 Impact on Reproduction
- Geriatric Care and Nursing Homes
- Maternal Mental Health During Pregnancy and Postpartum
- Cerebral Venous Sinus Thrombosis
- Maternal and Perinatal Health Interventions
- Higher Education Practises and Engagement
- Education Systems and Policy
- Neuroscience of respiration and sleep
- Early Childhood Education and Development
- Congenital Diaphragmatic Hernia Studies
- Psychiatric care and mental health services
Children's Hospital at Montefiore
2011-2024
Albert Einstein College of Medicine
2013-2024
Alder Hey Children's Hospital
2021
University of Liverpool
2021
Nottingham University Hospitals NHS Trust
2021
Queen's Medical Centre
2021
Liverpool Women's Hospital
2021
Montefiore Medical Center
2012-2020
Valley Hospital
2015
University of Pittsburgh
2012
OBJECTIVES. The purpose of this study was to explore the effect information framing on parental decisions about resuscitation extremely premature infants. Secondary outcomes focused elucidating impact other variables treatment choices and determining whether those effects would take precedence over any effects. METHODS. This confidential survey administered adult volunteers via Internet. surveys depicted a hypothetical vignette threatened delivery at gestational age 23 weeks, with prognostic...
Abstract The cause of intraventricular hemorrhage in term neonates is poorly understood. Among 29 at least 36 weeks' gestation with hemorrhage, 9 (31%) had cerebral sinovenous thrombosis. Of the 26 who underwent computed tomography or magnetic resonance studies, those thalamic were more likely to have thrombosis than without involvement (4/5 vs 5/21, p = 0.03). Term should undergo neuroimaging evaluate presence Ann Neurol 2003
For parents, the experience of having an infant in NICU is often psychologically traumatic. No parent can be fully prepared for extreme stress and range emotions caring a critically ill newborn. As health care providers familiar with NICU, we thought that understood impact on parents. But were not to see children our own families as patients. Here are some lessons has taught us. We offer these hope helping professionals consider balanced view NICU's families.
Parenting in the NICU is an intense journey. Parents struggle to build intimacy with their child amid complex emotions and medical uncertainties. They need rapidly adapt vision of parenthood realities intensive care. The psychological impact this journey can have important effects on health. For parents sick older children, "good parent" beliefs been shown foster positive growth. This concept also essential for infants NICU, although path complex.We write as clinicians who were families...
<h3>Objective</h3> To determine whether presenting delivery room management options as defaults influences decisions to resuscitate extremely premature infants. <h3>Materials and methods</h3> Adult volunteers recruited from the world wide web were randomised receive either resuscitation or comfort care default option for a hypothetical of 23-week gestation infant. Participants required check box opt out default. The primary outcome measure was proportion respondents electing resuscitation....
Pediatrics, Neonatologist, Director of University Medical Center Groningen, NetherlandsCorrespondence: Dr Keith J Barrington, Universite de Montreal, 3175 chemin Cote-Sainte-Catherine, Quebec H3T 1C5.Telephone 514-345-4931 ext 5929, fax 514-345-4822, e-mail keith.barrington@umontreal.caAccepted for publication May 31, 2013
To examine whether parents' delivery room management decisions for extremely preterm infants are influenced by (1) the degree of detail with which options (comfort care [CC] or intensive [IC]) presented (2) their order presentation.A total 309 volunteers, 18 to 55 years old, were each randomized 1 4 groups: detailed descriptions, CC first; IC (3) brief (4) first. Each received description a hypothetical 23-week gestation infant and chose either CC. Open-ended structured questions elicited...
It is not known how neonatologists address the affective and cognitive loads on parents deciding whether to resuscitate infants born extremely preterm. This study explores expert neonatologists' views these decision-making processes their own roles in counseling parents.Semistructured interviews asked internationally recognized experts share perspectives perinatal consultations. Their responses were subjected thematic analysis.Eighteen of 22 invited participated. Approximately equal numbers...
Abstract Behavioural decision‐making theories provide insights into how people make choices under conditions of uncertainty. However, few have been studied in paediatrics. This study introduces these theories, reviews current research and makes recommendations for their application within the context shared decision‐making. Conclusion As parents are expected to share paediatrics, it is critical that fields behavioural economics, communication decision sciences merge with paediatric clinical...
In a crisis, societal needs take precedence over patient's best interests. Triage guidelines, however, differ on whether limited resources should focus maximizing lives or life-years. Choosing between these two approaches has implications for neonatology. Neonatal units have ventilators, some adaptable adults. This raises the question of whether, in crisis conditions, guidelines treating extremely premature babies be altered to free-up ventilators. Some adults who need ventilators will...
Objective The study aimed to explore experiences of extremely preterm infant loss in the delivery room and perspectives about antenatal consultation. Study Design Bereaved participants were interviewed, following a semi-structured protocol. Personal narratives analyzed with mixed-methods approach. Results In total, 13 participants, reflecting on 17 pregnancies, shared positive, healing negative, harmful interactions clinicians institutions: feeling cared for or abandoned, doubted believed,...