Publications by authors named "Mildenberger E"

Although the effect of early childhood stress on central nervous pain processing is well known, studies on the association of prematurity and chronic pain are scarce. This study used data from a single-centre retrospective cohort study followed by a prospective clinical examination and pain assessment. The study was based on data from the local birth registry.

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Purpose: To explore differences in the relationship between gestational age (GA) and birth weight (BW) percentile and ocular geometry between males and females.

Methods: The Gutenberg Prematurity Eye Study involved a prospective ophthalmic examination of adults, aged 18 to 52 years, who were born preterm or at term, in Germany. The associations between GA and BW percentile on the main outcome measures were evaluated by uni- and multivariable linear regression analyses.

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Aim: The aim of this study was to evaluate the clinical relevance, diagnostic procedures and treatment strategies for metabolic bone disease in preterm infants across Europe.

Methods: An e-survey was distributed by email to 545 neonatal units in 38 European countries between July and October 2021. The protocol was based on the Checklist for Reporting Results of Internet E-Surveys.

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Purpose: To examine potential changes in the foveal avascular zone (FAZ) during adulthood due to prematurity and retinopathy of prematurity (ROP), as assessed by measurements of the FAZ area and circularity.

Methods: The Gutenberg Prematurity Eye Study is a retrospective German cohort study with a prospective ophthalmologic examination of adults aged 18 years to 52 years, born either preterm or full-term, using spectral-domain optical coherence tomography angiography. Participants were categorized into groups based on gestational age and postnatal ROP status.

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Purpose: This study investigated the effects of prematurity and retinopathy of prematurity (ROP) as well as the associations of the ocular geometry with macular curvature in adults.

Methods: The Gutenberg Prematurity Eye Study is a retrospective cohort study of preterm and full-term participants aged 18 to 52 years with a prospective ophthalmologic examination. The main outcome measure was the macular curvature in the central foveal optical coherence tomography (OCT) scan and its associations with gestational age (GA), birth weight and birth weight percentile, ROP occurrence, ROP treatment, and other perinatal factors were evaluated in univariable and multivariable linear regression analyses.

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: Preterm birth is a risk factor for a variety of detrimental health outcomes. Previous studies have identified recalled (or remembered) parental rearing behaviour as a potential modifier of preterm individuals' mental health in adulthood. However, no investigations to date have contrasted the parents' and children's views, explored whether their congruence is associated with preterm individuals' mental health, or tested associations with maternal self-reported first skin-on-skin contact.

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Aim: The purpose of this study was to assess the prevalence of strabismus and nystagmus and to analyse associated factors in preterm and full-term infants in adulthood.

Methods: The Gutenberg Prematurity Eye Study is a retrospective cohort study with a prospective ophthalmological examination of participants born preterm and full-term (aged 18-52 years). Perinatal data were carefully assessed for risk factors and comprehensive ophthalmological examinations were conducted.

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Article Synopsis
  • In a study conducted in a German neonatal intensive care unit, researchers aimed to understand how parents prefer to receive prognostic information about serious complications in very preterm infants.* -
  • Parents of preterm infants were shown two video vignettes that framed the same outcome statistics either optimistically (focusing on survival) or pessimistically (focusing on risks), with a significant majority (89.1%) preferring the optimistic framing.* -
  • Results indicated that the preference for optimistic communication grew stronger when parents viewed it second, highlighting the impact of presentation order on their perception and anxiety levels.*
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Purpose: This study explores associations between fetal growth restriction or excessive fetal growth, along with perinatal factors on the optic nerve head morphology in adulthood.

Design: Retrospective cohort study.

Methods: This retrospective cohort study involved a prospective ophthalmological examination of individuals born at full term (with a gestational age of ≥37 weeks) from 1969 to 2002.

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Background And Objective: Obtaining informed consent in neonatal emergency research is challenging. The aim of this study was to assess parental perceptions of informed consent following participation in a clinical trial in neonatal emergency care.

Methods: This was a supplementary analysis of a randomised controlled trial comparing video and direct laryngoscopy for neonatal endotracheal intubation in the delivery room and neonatal intensive care unit.

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Article Synopsis
  • The study investigated the long-term effects of prematurity and perinatal stress on the development of panic disorder in adults born in Germany from 1969 to 2002.
  • A cohort of 427 adults was analyzed based on their gestational age, revealing a significantly higher prevalence of panic disorder in extremely preterm individuals (14.3%) compared to those born moderately or full-term (1.9%-3.8%).
  • The findings suggest that while prematurity increases the risk for panic disorder, the length of postnatal ICU-stay plays a crucial role; however, the exact determinants remain unclear due to various influencing factors.
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Aim: To explore how expectant mothers at risk for preterm birth would like to be involved in decision-making at the margin of viability and what they would base their decisions on.

Methods: This cross-sectional observational study included a mixed-methods post-hoc analysis alongside a previously reported randomised clinical trial. Expectant mothers between 28 and 36 weeks' gestation who were hospitalised for risk of preterm birth responded to written case vignettes of an impending preterm birth at the margin of viability.

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Associations of preterm birth with later-life mental distress are well-established. A research gap concerns the role of psychosocial factors such as the family context. This study investigated associations of recalled parental rearing behavior with both preterm birth characteristics and psychological symptom burden later in life.

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Article Synopsis
  • The study aimed to compare the effectiveness and safety of video laryngoscopy (VL) versus direct laryngoscopy (DL) for tracheal intubation in neonates, focusing on the first-attempt success rates and the occurrence of adverse events.
  • Conducted at the University Medical Centre Mainz, Germany, the trial involved neonates needing intubation and randomly assigned intubation attempts to either VL or DL.
  • While the VL group had a slightly higher first-attempt success rate (48.8%) compared to DL (43.8%), and experienced fewer adverse events, the study was not large enough to definitively conclude that one technique is better than the other, suggesting a need for further research.
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Background: Premature birth and the postnatal occurrence of retinopathy of prematurity (ROP) are the main risk factors for reduced visual acuity and blindness in childhood and adolescence accompanied by numerous morphological ocular changes.

Objective: It can be assumed that these alterations persist throughout life and could represent a potential risk factor for ocular diseases, although little is known to date about the long-term effects of prematurity on ocular function and morphology in adulthood.

Methods: The aim of the present study is to review the literature on the long-term effects of prematurity and associated factors.

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Background: Preterm infants are at risk of characteristic, sometimes life-threatening diseases and development of deficits related to immaturity. In the field of ophthalmology, retinopathy of prematurity (ROP) and vision impairment reflect structural and functional disturbances in this large group of patients. In high income countries, more and more very immature preterm infants survive into adolescence and adulthood.

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Purpose: Intrauterine growth restriction leading to a birth weight (BW) which is too low for gestational age (GA) is a known risk factor for various altered organ morphologies and dysfunction in later life. This study aimed to determine for the first time the effects of being small (SGA) or large for gestational age (LGA) on the ocular geometry of adults born at term.

Methods: All participants were examined with optical biometry (LenStar 900, Haag Streit) to compare the corneal curvature, white-to-white distance, anterior chamber depth, lens thickness and axial length between former moderate (BW percentile 3rd to <10th) and severe (BW <3rd percentile) SGA, controls (BW 10th-90th percentile) and former moderate (BW >90th to 97th percentile) and severe (BW >97th percentile) LGA.

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The purpose of this paper is to explore whether the cardiovascular profile score (CVPS) correlates with fetal outcome in patients with non-immune hydrops fetalis (NIHF) and cardiac anomalies. In this retrospective study, we included fetuses with NIHF and the suspicion of a cardiac anomaly in prenatal ultrasound. The CVPS was calculated using information obtained by fetal echocardiographic examination.

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Background/Aims: This study investigated whether there are changes in corneal surface regularity and corneal thickness in adults born small, appropriate, or large for gestational age at term. Methods: This retrospective cohort study involved prospective Scheimpflug imaging of the cornea (Pentacam®) to compare the corneal thickness and aberrations between adults classified as small for gestational age (SGA), normal birth weight (BW), and large for gestational age (LGA). Multivariable linear regression was applied to analyze associations with gestational age, BW percentile, placental insufficiency, preeclampsia, and breastfeeding.

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Purpose: Prenatal growth restriction is associated with impaired neurodevelopment in childhood. This study investigated the effects of being born small for gestational age (SGA) on peripapillary retinal nerve fiber layer (pRNFL) thickness in adults born at term.

Methods: A retrospective cohort study was conducted with a prospective ophthalmologic examination of participants born at full-term (gestational age ≥37 weeks) between 1969 and 2002.

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Article Synopsis
  • The study investigates ocular health and care in adults who were either preterm or full-term babies, focusing on those born between 1969 and 2002.
  • It shows that higher rates of strabismus (crossed eyes) and lower rates of recent eye exams are found in those born extremely preterm, with and without retinopathy of prematurity (ROP).
  • The findings suggest a need for improved ophthalmological care and monitoring for individuals who were born preterm, especially those with a history of ROP.
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Article Synopsis
  • The study aimed to assess the ophthalmologic care received by preterm and full-term infants during childhood and adolescence, based on feedback from their parents.
  • It involved a retrospective cohort study where parents of individuals, now aged 18 to 52, were interviewed about the eye care their children received, with participants categorized based on gestational age and presence of retinopathy of prematurity (ROP).
  • Results showed high satisfaction with the eye care provided, particularly for children with ROP, noting that most parents felt the treatment was adequate, although some reported changing ophthalmologists due to dissatisfaction.
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